A phase Ib dose finding study assessing safety and activity of [177Lu]Lu-NeoB in combination with ribociclib and fulvestrant in participants with ER+, HER2- and GRPR+ advanced breast cancer who have relapsed early from (neo)adjuvant endocrine therapy or who have progressed on endocrine therapy in combination with a CDK4/6 inhibitor.

2022-502465-18-00 Protocol CAAA603B12101 Phase I and Phase II (Integrated) - Other Ongoing, recruitment ended

Start 15 Feb 2024 · Status Ongoing, recruitment ended · 5 EU/EEA countries · 16 sites · Protocol CAAA603B12101

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruitment ended
Participants planned 48
Countries 5
Sites 16

Advanced or metastatic breast cancer

Key facts

Sponsor
Novartis Pharma AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
15 Feb 2024 → ongoing
Decision date (initial)
2023-08-23
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2022-502465-18-00
ClinicalTrials.gov
NCT05870579

Trial design

CTIS Part I — objectives, methods, condition coding

Conditions and MedDRA coding

Advanced or metastatic breast cancer

VersionLevelCodeTermSystem organ class
24.0 PT 10085481 Hormone receptor positive HER2 negative breast cancer 100000004864

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novartis Pharma AG

Sponsor organisation
Novartis Pharma AG
Address
Lichtstrasse 35
City
Basel Town
Postcode
4056
Country
Switzerland

Scientific contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Public contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Locations

5 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 9 5
Germany Ongoing, recruitment ended 6 4
Poland Ongoing, recruitment ended 2 1
Portugal Temporarily halted 4 1
Spain Ongoing, recruitment ended 13 5
Rest of world
China, United States
14

Investigational sites

France

5 sites · Ongoing, recruitment ended
Centre Regional Lutte Contre Le Cancer
#1004: Medical Oncology, Batiment Icans, 17 Rue Albert Calmette, Strasbourg
Institut Bergonie
#1002: Nuclear Medicine, 229 Cours De L Argonne, 33000, Bordeaux
Institut Curie
#1003: Nuclear Medicine, 35 Rue Dailly, 92210, Saint-Cloud
Institut De Cancerologie De L Ouest
#1000: Medical Oncology, Boulevard Jacques Monod, 44805, Saint Herblain
Centre Jean Perrin
#1001: Medical Oncology, 58 Rue Montalembert, 63000, Clermont-Ferrand

Germany

4 sites · Ongoing, recruitment ended
University Hospital Cologne AöR
#2001: Klinik und Poliklinik für Nuklearmedizin, Kerpener Strasse 62, Lindenthal, Cologne
Klinikum rechts der Isar der TU Muenchen AöR
#2002: Klinik und Poliklinik für Nuklearmedizin, Ismaninger Strasse 22, Au-Haidhausen, Munich
Universitaetsklinikum Erlangen AöR
2003; Frauenklinik und Poliklinik, Universitaetsstrasse 21-23, Innenstadt, Erlangen
Universitaetsklinikum Essen AöR
#2000: Klinik für Nuklearmedizin, Hufelandstrasse 55, Holsterhausen, Essen

Poland

1 site · Ongoing, recruitment ended
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie-Panstwowy Instytut Badawczy
#3000: Centrum Diagnostyki i Leczenia Chorób Piersi, Ul. Wybrzeze Armii Krajowej 15, 44-102, Gliwice

Portugal

1 site · Temporarily halted
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E.
#4000: Serviço de Oncologia Médica, Rua Dr. Antonio Bernardino De Almeida, 4200-072, Porto

Spain

5 sites · Ongoing, recruitment ended
Hospital Clinic De Barcelona
#6000: Servicio Oncología, Calle Villarroel 170, 08036, Barcelona
Hospital Universitari Vall D Hebron
#6004: Servicio Oncología, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Hospital Universitario Fundacion Jimenez Diaz
#6001: Servicio Oncología, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Ramon Y Cajal
#6002: Servicio Oncología, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Institut Catala D'oncologia
#6003: Servicio Oncología, Avinguda Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-03-18 2024-03-18 2026-04-07
Germany 2024-07-05 2024-07-05 2025-08-05
Poland 2025-04-15 2025-04-15 2025-11-13
Portugal 2023-11-13 2023-11-13 2025-03-17
Spain 2024-02-15 2024-02-15 2026-05-13

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 2 · Art. 38 CTR

Temporary halt TH-121867

Halt date
2026-02-20
Member states concerned
Portugal
Publication date
2026-03-05
Reason
Medicinal Product related
Explanation
Current site 68Ge/68Ga generator lacks sufficient elution capacity to meet the required activity
Benefit-risk balance changed
No
Treatment stopped
No

Temporary halt TH-77268

Halt date
2025-03-17
Member states concerned
Portugal
Publication date
2025-04-01
Reason
Medicinal Product related
Explanation
Gallium-68 Generator supply issue
Benefit-risk balance changed
No
Treatment stopped
No

Application history

10 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-04-26 Germany Acceptable with conditions
2023-08-18
2023-08-21
2 SUBSTANTIAL MODIFICATION SM-1 2023-10-23 Germany Acceptable
2023-11-24
2023-11-24
3 SUBSTANTIAL MODIFICATION SM-2 2024-03-27 Germany Acceptable
2024-05-24
2024-05-27
4 SUBSTANTIAL MODIFICATION SM-3 2024-08-13 Germany Acceptable
2024-10-07
2024-10-08
5 SUBSTANTIAL MODIFICATION SM-4 2024-12-20 Germany Acceptable
2025-04-02
2025-04-02
6 SUBSTANTIAL MODIFICATION SM-5 2025-05-05 Germany Acceptable
2025-06-18
2025-06-19
7 SUBSTANTIAL MODIFICATION SM-8 2025-07-29 Acceptable 2025-08-08
8 SUBSTANTIAL MODIFICATION SM-9 2025-09-11 Acceptable 2025-10-07
9 SUBSTANTIAL MODIFICATION SM-10 2025-12-18 Germany Acceptable
2026-02-19
2026-02-19
10 NON SUBSTANTIAL MODIFICATION NSM-1 2026-04-09 Germany Acceptable
2026-02-19
2026-04-09