Recruiting
Phase 1

IEV407 & Endocrine Therapy

Sponsor:

Novartis Pharmaceuticals

Code:

NCT07604571

Conditions

Advanced HR+/HER2- Breast Cancer

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

IEV407

Fulvestrant

Letrozole

Study Details

Brief summary:

The purpose of this study is to evaluate the safety, tolerability and preliminary activity of IEV407 as a single agent and in combination with endocrine therapy (fulvestrant or letrozole) in patients with advanced hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-negative) breast cancer.

Conditions

Advanced HR+/HER2- Breast Cancer

Study ID

NCT07604571

Start date

May 28, 2026

Status verified date

Sep, 2026

Completion date

Jun 8, 2032

Anticipated

Primary completion date

Jun 8, 2032

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Age ≥ 18 years old
  • Patients with one of the following indications:

  • Dose escalation (IEV407 single agent and in combination with fulvestrant or letrozole):

HR+/HER2- aBC with disease progression on or following, or have been intolerant to, at least one line of endocrine-based therapy in combination with a CDK4/6 inhibitor and at least one additional line of systemic therapy in the unresectable/metastatic setting and not be a candidate for any available standard therapy, in the investigator's judgement.

\- Dose expansion of IEV407 in combination with fulvestrant: HR+/HER2- aBC with disease progression on or following, or have been intolerant to, endocrine-based therapy in combination with a CDK4/6 inhibitor. They must not have received more than two prior lines of endocrine-based therapy in the unresectable/metastatic setting. Prior cytotoxic chemotherapy and/or antibody-drug conjugate therapies in the unresectable/metastatic setting are not allowed.

Exclusion Criteria:

  • Patients with inadequate bone marrow and/or organ functions with out-of-range laboratory values.
  • Impaired cardiac function or clinically significant cardiac disease.
  • Concurrent use of hormone replacement therapy.
  • Women of childbearing potential who are unwilling to use highly effective contraception methods, pregnant or nursing women.
  • For the combination treatment of IEV407 with fulvestrant or letrozole: Patients with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine-based therapy.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Enrollment

194 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Dose escalation: IEV407 single agent

IEV407 single agent

experimental: Dose escalation: IEV407 + fulvestrant

IEV407 in combination with fulvestrant

experimental: Dose escalation: IEV407 + letrozole

IEV407 in combination with letrozole

experimental: Dose expansion, recommended dose (RD)-1: IEV407 + fulvestrant

IEV407 in combination with fulvestrant

experimental: Dose expansion, RD-2 (optional dose optimization): IEV407 + fulvestrant

IEV407 in combination with fulvestrant

Interventions

IEV407

Oral administration

Fulvestrant

Intramuscular injection. Approved medication.

Letrozole

Oral administration. Approved medication.

Primary outcome measure

  • Incidence and severity of dose-limiting toxicities (DLTs) [ Time Frame: 28 days ]
  • Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) [ Time Frame: Up to approximately 2 years ]
  • Frequency of dose interruptions, reductions and discontinuations [ Time Frame: Up to approximately 2 years ]
  • Dose intensity [ Time Frame: Up to approximately 2 years ]

Central Contacts and Locations

Central contacts

Novartis Pharmaceuticals

+41613241111

Locations

Yale New Haven Hospital

Recruiting

New Haven, Connecticut, United States, 06520

Contacts

Principal Investigator:

Jing Du

Mary Crowley Cancer Research

Recruiting

Dallas, Texas, United States, 75251

Contacts

Principal Investigator:

Reva Schneider

Novartis Investigative Site

Recruiting

Toronto, Ontario, Canada, M5G 2M9

More Information

Sponsor

Novartis Pharmaceuticals

Last update posted

Sep 4, 2026

Last verified

Sep, 2026

Keywords

  • IEV407
  • HR+/HER2- advanced breast cancer
  • letrozole
  • fulvestrant

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Novartis Pharmaceuticals on 2026-09-04.