Trial Outcomes & Findings for Testing the Use of Fulvestrant and Binimetinib Targeted Treatment for NF1 Mutation in Hormone Receptor-Positive Metastatic Breast Cancer (A ComboMATCH Treatment Trial) (NCT NCT05554354)
NCT ID: NCT05554354
Last Updated: 2026-03-03
Results Overview
ORR is the percentage of patients who reaches a complete or partial response (defined by Response Evaluation Criteria in Solid Tumors \[RECIST\] version\[v\]1.1) within 4 months of the start of the treatment. ORR will be calculated as the proportion of patients achieved partial response (PR) or complete response (CR) within 4 months after the initiation of the treatment. ORR will be reported with corresponding 95% exact CI. Patients who have withdrawn from the study before any efficacy follow up are considered non-evaluable for clinical response and will be replaced.
TERMINATED
PHASE2
1 participants
Within 4 months of the start of treatment
2026-03-03
Participant Flow
The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
Participant milestones
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Cohort I (Arm I) (Fulvestrant, Binimetinib)
Patients receive fulvestrant IM on day 1 and day 15 of cycle 1 and day 1 of subsequent cycles and binimetinib PO BID on days 15 to 28 of cycle 1 and day 1 through 28 of subsequent cycles. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo a CT, MRI, or bone scan, ECHO or MUGA, and tumor biopsy, as well as possible blood sample collection during screening and on study.
Binimetinib: Given PO
Biopsy Procedure: Undergo tumor biopsy
Biospecimen Collection: Undergo blood sample collection
Bone Scan: Undergo bone scan
Computed Tomography: Undergo CT scan
Echocardiography Test: Undergo ECHO
Fulvestrant: Given IM
Magnetic Resonance Imaging: Undergo MRI
Multigated Acquisition Scan: Undergo MUGA
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Cohort I (Arm II)
Patients receive fulvestrant IM on day 1 and day 15 of cycle 1 and day 1 of subsequent cycles. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients who progress on fulvestrant alone may migrate to cohort II if they meet the migration eligibility criteria. Patients not willing to migrate to cohort II will have further therapy at the investigator's discretion. Patients undergo a CT, MRI, or bone scan and tumor biopsy, as well as ECHO or MUGA and possible blood sample collection during screening and on study.
Biopsy Procedure: Undergo tumor biopsy
Biospecimen Collection: Undergo blood sample collection
Bone Scan: Undergo bone scan
Computed Tomography: Undergo CT scan
Echocardiography Test: Undergo ECHO
Fulvestrant: Given IM
Magnetic Resonance Imaging: Undergo MRI
Multigated Acquisition Scan: Undergo MUGA
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Cohort II (Fulvestrant, Binimetinib)
Patients receive fulvestrant IM on day 1 of each cycle and binimetinib PO BID on days 15-28 of cycle 1 and day 1 through 28 of subsequent cycles. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo a CT, MRI, or bone scan, ECHO or MUGA and tumor biopsy, as well as possible blood sample collection during screening and on study.
Binimetinib: Given PO
Biopsy Procedure: Undergo tumor biopsy
Biospecimen Collection: Undergo blood sample collection
Bone Scan: Undergo bone scan
Computed Tomography: Undergo CT scan
Echocardiography Test: Undergo ECHO
Fulvestrant: Given IM
Magnetic Resonance Imaging: Undergo MRI
Multigated Acquisition Scan: Undergo MUGA
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Overall Study
STARTED
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Overall Study
COMPLETED
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Overall Study
NOT COMPLETED
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0
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0
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Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Testing the Use of Fulvestrant and Binimetinib Targeted Treatment for NF1 Mutation in Hormone Receptor-Positive Metastatic Breast Cancer (A ComboMATCH Treatment Trial)
Baseline characteristics by cohort
Baseline data not reported
PRIMARY outcome
Timeframe: The duration between randomization and progression or death from all cause, whichever happens first, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
PFS of the two study arms will be compared by log-rank test (1-sided, alpha=0.1). Kaplan-Meier plot will be provided. Hazard ratio (HR) and the corresponding 95% confidence interval (CI) will be estimated by Cox proportional model using treatment as covariate.
Outcome measures
Outcome data not reported
PRIMARY outcome
Timeframe: Within 4 months of the start of treatmentPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
ORR is the percentage of patients who reaches a complete or partial response (defined by Response Evaluation Criteria in Solid Tumors \[RECIST\] version\[v\]1.1) within 4 months of the start of the treatment. ORR will be calculated as the proportion of patients achieved partial response (PR) or complete response (CR) within 4 months after the initiation of the treatment. ORR will be reported with corresponding 95% exact CI. Patients who have withdrawn from the study before any efficacy follow up are considered non-evaluable for clinical response and will be replaced.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Any time after the start of the treatment, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
ORR is the percentage of patients who reach a complete or partial response (defined by RECIST v1.1) any time after the start of the treatment. ORR for each study arm will be calculated with corresponding 95% exact CI. Fisher exact test will be used to compare the ORR of the two study arms.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Any time after the start of the treatment, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
ORR is the percentage of patients who reach a complete or partial response (defined by RECIST v1.1) any time after the start of the treatment.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Any time after the start of the treatment, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
Defined as proportion of patients who achieved a CR, PR, or stable disease defined by RECIST criteria any time after the start of the treatment. Clinical benefit rate will be analyzed for each arm of cohort I and cohort II as described for ORR. ORR for each study arm will be calculated with corresponding 95% exact CI. Fisher exact test will be used to compare the ORR of the two study arms.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: The duration between randomization and progression or death from all cause, whichever happens first, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
PFS for cohort II will be summarized using the Kaplan-Meier's method. Median PFS with corresponding 95% CI will be provided.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: The duration between randomization and death of all causes, assessed up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
OS for cohort I will be analyzed as described for PFS in cohort I and OS for cohort II will be analyzed as described for PFS in cohort II. PFS of the two study arms will be compared by log-rank test (1-sided, alpha=0.1). Kaplan-Meir plot will be provided. HR and the corresponding 95% CI will be estimated by Cox proportional model using treatment as covariate. PFS for Cohort 2 will be summarized using the Kaplan-Meir's method. Median PFS with corresponding 95% CI will be provided.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Up to 5 yearsPopulation: The study was terminated. Only 1 participant was enrolled in this study. Based on the low enrollment number, no data is reported here in order to protect and maintain participant privacy/confidentiality.
The grade of toxicity measurement will follow Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. The distribution by treatment group of the highest grade of each CTCAEs experienced by each patient categorized will be tabulated. The tabulations will also be reviewed on a semi-annual basis by the Data Monitoring Committee. These tabulations will include summaries by system organ class and summaries by term under each system organ class.
Outcome measures
Outcome data not reported
OTHER_PRE_SPECIFIED outcome
Timeframe: Up to 5 yearsA separate statistical analysis plan will be developed for the integrated and exploratory biomarker analysis. Concordance of diagnostic tumor mutation profile generated by the designated laboratory, the pre-treatment biopsy mutation profile, and the pre-treatment circulating tumor deoxyribonucleic acid mutation profile will be assessed. Details are provided in the statistical plan of the ComboMATCH Registration protocol.
Outcome measures
Outcome data not reported
Adverse Events
Cohort I (Arm I) (Fulvestrant, Binimetinib)
Cohort I (Arm II)
Cohort II (Fulvestrant, Binimetinib)
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Director, Department of Regulatory Affairs
NRG Oncology
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: LTE60