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Brief Title: Study to Evaluate the Effect of Metformin in the Prevention of HG in HR[+]/HER2[-] PIK3CA-mut Advanced BC Patients
Official Title: Study to Evaluate the Effect of Metformin in the Prevention of Hyperglycemia in HR[+]/HER2[-] PIK3CA-mutation Advanced Breast Cancer Patients Treated With Alpelisib Plus Endocrine Therapy. Study Metallica
Study ID: NCT04300790
Brief Summary: Men and post- or induced menopausal women with ER\[+\] and/or PgR\[+\], HER2\[- \] advanced BC, with centrally-confirmed PI3KCAMut who progressed to an aromatase inhibitor (AI) regimen.
Detailed Description: Men and post- or induced menopausal women with ER\[+\] and/or PgR\[+\], HER2\[- \] advanced BC, with centrally-confirmed PI3KCAMut who progressed to an aromatase inhibitor (AI) regimen.Men and post- or induced menopausal women with ER\[+\] and/or PgR\[+\], HER2\[- \] advanced BC, with centrally-confirmed PI3KCAMut who progressed to an aromatase inhibitor (AI) regimen.Measurable or evaluable disease according to RECIST v.1.1 criteria.No prior treatment with fulvestrant or PI3K, AKT or mTOR inhibitors. No more than one prior line of chemotherapy for metastatic breast cancer (MBC). Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 1. Non-diabetic patients will be assigned to Cohorts A or B and insulin naïve patients with established diagnosis of type 2 diabetes mellitus will be assigned to Cohort C.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Hospital General Universitario de Alicante, Alicante, , Spain
Hospital del Mar, Barcelona, , Spain
Hospital Universitari Vall D'Hebron, Barcelona, , Spain
Institut Català d' Oncologia L'Hospitalet (ICO), Barcelona, , Spain
Hospital Universitario de Basurto, Bilbao, , Spain
Hospital Provincial de Castellón, Castellón De La Plana, , Spain
Hospital San Pedro de Alcántara, Cáceres, , Spain
Onkologikoa, Donostia, , Spain
Hospital Universitario Clínico San Cecilio de Granada, Granada, , Spain
Hospital Universitario Insular de Gran Canaria, Las Palmas De Gran Canaria, , Spain
Hospital Universitario de Leon, León, , Spain
Hospital Beata María Ana, Madrid, , Spain
Hospital Ruber Internacional, Madrid, , Spain
Hospital Universitario Doce de Octubre, Madrid, , Spain
Hospital Universitario Sanchinarro, Madrid, , Spain
Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, , Spain
Complejo Hospitalario Universitario de Santiago (CHUS), Santiago De Compostela, , Spain
Hospital Universitario Virgen del Rocio, Sevilla, , Spain
Hospital Clinico Universitario de Valencia, Valencia, , Spain
Instituto Valenciano de Oncología (IVO), Valencia, , Spain
Name: Antonio Llombart
Affiliation: MedSIR
Role: PRINCIPAL_INVESTIGATOR