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Trial completion date, Trial primary completion date, Metastases: H3B-6545-A001-101: Trial of H3B-6545, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer (clinicaltrials.gov) - Jun 7, 2022 P1/2, N=170, Active, not recruiting, Recruiting --> Active, not recruiting Trial completion date: Jun 2023 --> Dec 2022 | Trial primary completion date: Jun 2023 --> Dec 2022
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Preclinical, Journal: Covalent ERα Antagonist H3B-6545 Demonstrates Encouraging Preclinical Activity in Therapy-Resistant Breast Cancer. (Pubmed Central) - Jun 4, 2022 P1, P1/2, In summary, the compelling preclinical activity of H3B-6545 supports its further development for the potential treatment of endocrine therapy-resistant ERα+ breast cancer harboring wild-type or mutant ESR1, as demonstrated by the ongoing clinical trials (NCT03250676, NCT04568902, NCT04288089). H3B-6545 is an ERα covalent antagonist that exhibits encouraging preclinical activity against CDK4/6i naïve and resistant ERαWT and ERαMUT tumors.
- |||||||||| Venclexta (venetoclax) / Roche, AbbVie, H3B-6545 / Eisai, LY3484356 / Eli Lilly
Clinical, IO biomarker: HR+ Metastatic Breast Cancer, #ASCO21 update • Venetoclax + Fluvestrant, a BCL-2 inhibitor, VERONICA, negative study, 1004 • ER-alpha inhibitor H3B-6545, 1018, promising, in ESR mutant HR+ MBC • New SERD, Giresdestrant, SAR4399859, LY3484356, possible clinical activities (Twitter) - Jun 6, 2021
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[VIRTUAL] Development of H3B-6545, a first-in-class oral selective ER covalent antagonist (SERCA), for the treatment of ERaWT and ERaMUT breast cancer (OnDemand) - Oct 2, 2020 - Abstract #SABCS2020SABCS_800; P1/2 H3B-6545 as a monotherapy demonstrates superior anti-tumor activity relative to fulvestrant across a set of CDK4/6 inhibitor naïve ERα WT and ERα Y537S cell line-derived xenograft (CDX)/patient-derived xenograft (PDX) models, with regressions being noted in both the ERα WT and ERα MUT settings...Lastly, improved activity and duration of response are noted when H3B-6545 is combined with several targeted therapies, including CDK4/6 inhibitors palbociclib and abemaciclib across a range of ERα WT and ERα Y537S CDX/PDX models...Consistent with the preclinical data, H3B-6545 demonstrated promising clinical activity among these pts with clonal Y537S mutations, with a median progression free survival of 7.3 months and an overall response rate of 25% (3 confirmed partial responses). In summary, these compelling preclinical data coupled with emerging clinical activity in heavily pretreated poor prognosis pts support further development of H3B-6545 as monotherapy or combination treatment.
- |||||||||| H3B-6545 / Eisai
Enrollment open, Trial completion date, Trial primary completion date, Metastases: H3B-6545-A001-101: Trial of H3B-6545, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer (clinicaltrials.gov) - Sep 9, 2020 P1/2, N=148, Recruiting, When administered with a high fat meal, H3B-6545 exposure was modestly increased. Active, not recruiting --> Recruiting | Trial completion date: Jan 2022 --> Jan 2024 | Trial primary completion date: Jul 2020 --> Jan 2022
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Preclinical, Journal: Characterization of the metabolites of H3B-6545 in vitro and in vivo by using ultra-high performance liquid chromatography combined with electrospray ionization linear ion trap-orbitrap tandem mass spectrometry. (Pubmed Central) - Feb 26, 2020 Among these metabolites, M1, M5, M7 and M10 were newly found and reported for the first time. The metabolic pathways of H3B-6545 included deamination (M8 and M9), dealkylation (M2, M3 and M10), N-hydroxylation (M6), hydroxylation (M1 and M4), formation of amide derivatives (M5 and M7) and GSH conjugation (G1).
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Enrollment closed, Trial completion date, Trial primary completion date, Metastases: H3B-6545-A001-101: Trial of H3B-6545, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer (clinicaltrials.gov) - Jan 18, 2020 P1/2, N=127, Active, not recruiting, No abstract available Recruiting --> Active, not recruiting | Trial completion date: May 2020 --> Jan 2022 | Trial primary completion date: Nov 2019 --> Jul 2020
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PK/PD data, Journal: Pharmacokinetics and metabolism of H3B-6545, a selective estrogen receptor covalent antagonist, in dog plasma by liquid chromatography combined with electrospray ionization tandem mass spectrometry. (Pubmed Central) - Dec 20, 2019 Additionally, the metabolites present in dog plasma were identified by LC-ESI-Q-Exactive-Orbitrap-MS and their identities were characterized by retention times, accurate masses and fragment ions. The metabolic pathways referred to N-demethylation, N-dealkylation, deamination, aldehyde oxidation, aldehyde reduction and formation of amide.
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PK/PD data, Preclinical, Journal: Nonclinical pharmacokinetics and in vitro metabolism of H3B-6545, a novel selective ERα covalent antagonist (SERCA). (Pubmed Central) - Nov 14, 2019 The metabolic pathways referred to N-demethylation, N-dealkylation, deamination, aldehyde oxidation, aldehyde reduction and formation of amide. We report on the absorption and metabolic fate and disposition of H3B-6545 in rats and dogs and illustrate that in vitro-in vivo correlation of clearance is possible for targeted covalent inhibitors, provided reactivity is not a predominant mechanism of clearance.
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