Clinical trial · Interventional
A Pilot Study of Monitoring Insulin Levels and Treating Hyperinsulinemia and Hyperglycemia With Pioglitazone in Patients Treated With Alpelisib for Metastatic Breast Cancer.
NCT05753657CI-TRIAL-00064432recruitingEarly Phase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The goal of this study is to test whether monitoring insulin levels and using pioglitazone to treat hyperglycemia and hyperinsulinemia in patients treated with Alpelisib for metastatic breast cancer is feasible and safe, and to assess the rates of glycemic control, dose reductions and treatment discontinuation and the progression free survival of patients treated with this regimen.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Hyperglycemia Drug Induced | — | UNRESOLVED | — |
| Hyperinsulinism | — | UNRESOLVED | — |
| Metastatic Breast Cancer | Malignant Breast Neoplasm | CURATED_BROADER | 0.78 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Pioglitazone | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Treatment arm
- description
- treating hyperinsulinemia and hyperglycemia with pioglitazone in patients treated with Alpelisib for metastatic breast cancer
- interventionNames
- Drug: Pioglitazone
Primary outcomes (3)
- measure
- Rate of severe (grade 3 and 4) hyperglycemia in patients enrolled in the study and in patients treated per protocol
- timeFrame
- through study completion, an average of 1 year
- measure
- Rate of all grade hyperglycemia in patients enrolled in the study and in patients treated per protocol
- timeFrame
- through study completion, an average of 1 year
- measure
- Progression free survival in patients enrolled in the study and in patients treated per protocol
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
- Maximum age
- 85 Years
Show eligibility criteria text
Inclusion Criteria: * Patients with ER positive HER2 negative metastatic breast cancer, harboring an activating PIK3CA mutation, scheduled to start treatment with Alpelisib and fulvestrant. * Ages 18 - 85 * ECOG performance status 0, 1 or 2 * Ability to understand and willingness to sign a written informed consent. Exclusion Criteria: * Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of Alpelisib * Uncontrolled diabetes mellitus, defined as HbA1c above 8% * Diabetes mellitus controlled by insulin * Uncontrolled intercurrent illness including, but not limited to: active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements * Pregnancy * Known allergy to pioglitazone
References
Publications (0)
Data not yet available
No reference posted for this study.