Clinical Trials

A clinical trial is a research study that allows volunteers to receive treatment with a drug or device currently under research testing by a pharmaceutical or biotechnology company. These companies carefully select qualified physicians who serve as "investigators” to lead the study trials.

St. Joseph's/Candler offers opportunities to the community to participate in many studies. Use the search fields below to review the current available studies.

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  • Title:  
    CDK Study: Comparing Oral Drug Dosing Strategies in Older Patients with Metastatic Breast Cancer to Maximize Tolerance and Reduce Discontinuation: The CDK4/6 Inhibitor Dosing Knowledge (CDK) Study
  • Description:  
    The CDK4/6 Inhibitor Dosing Knowledge Study will study two CDK4/6 inhibitor dosing regimens in participants aged 65 or older with hormone receptor positive/HER2 negative (HR+/HER2-) metastatic breast cancer (MBC). The overarching goal of this pragmatic, randomized trial is to compare an “indicated” dosing approach, as listed on the FDA-approved drug label, that starts at the full dose of a CDK4/6 inhibitor (palbociclib or ribociclib) in combination with dose reduction based on tolerability, versus a “titrated” dosing approach that starts at a lower dose of a CDK4/6 inhibitor and then titrates up to full dose as tolerated. CDK4/6 inhibitors will be given in combination with endocrine therapy (either an aromatase inhibitor (AI) or fulvestrant) based on the choice of the treating clinician.
  • Study/Treatment:  
    Breast Cancer
  • Inclusion/Notes:  

    Call us at 912-819-5723 for questions about the CDK Study

     

    For a full description of this trial, please go to the listing on www.clinicaltrials.gov

    For Medical Personnel

    Eligibility Criteria

    Hormone receptor positive (HR+) HER2 negative metastatic breast cancer. Cut-off values for positive/negative staining should be as per standard practice in accordance with ASCO/CAP (American Society of Clinical Oncology/College of American Pathologists) guidelines. Verification of histology is preferred at the time of recurrence and where not possible or necessary in the judgment of the treating physician, the study will accept histology from the initial diagnosis.

    Candidate for planned endocrine therapy in combination with 1st use of palbociclib or ribociclib, in the metastatic setting. The planned endocrine partner can be an aromatase inhibitor (letrozole, anastrozole, exemestane) or fulvestrant, selected through patient/provider choice.

    Age 65 years or older.

    Adequate bone marrow and organ function.

    Absolute neutrophil count > 1,000/µL

    Platelets > 100,000/µL

    Hemoglobin > 9g/dL

    Total bilirubin < 1.5 x institutional upper limit of normal (ULN) (participants with documented Gilbert’s disease are allowed total bilirubin up to 5X ULN)

    AST /ALT 3 x institutional ULN, or ≤ 5 x ULN for subjects with documented metastatic disease to the liver

    Creatinine < institutional ULN or creatinine clearance > 30 mL/min/1.73 m2 for subjects with creatinine levels above institutional ULN

    Baseline QTc < 480 ms (only for ribociclib participants)

    Ability to understand and the willingness to sign a written informed consent document.

  • Start Date:  
    10/15/2024
  • Principal/Contact Name:  
    Dr. Leonard Henry
  • Phone:  
    9128195704

Nancy N. and J.C.
Lewis Cancer & Research Pavilion
225 Candler Dr.,
Savannah, GA 31405
912-819-5704

St. Joseph's Hospital Campus 
11705 Mercy Blvd.,
Savannah, GA 31419
912-819-4100

Candler Hospital Campus 
5353 Reynolds St.,
Savannah, GA 31405
912-819-6000