Study of the Kinesin Oral Molecular Degrader BBI-940 in Subjects With Advanced or Metastatic Breast Cancer

Inclusion Criteria

• Adults with locally advanced or metastatic breast cancer, including estrogen receptor-positive/human epidermal growth factor receptor 2-negative (ER+/HER2-) disease or triple-negative breast cancer with luminal androgen receptor subtype (TNBC-LAR; androgen receptor expression ≥10% by immunohistochemistry), as applicable by study part.
• Prior treatment with standard therapies known to provide clinical benefit, appropriate for disease subtype and study part, including endocrine therapy with CDK4/6 inhibition for ER+/HER2- disease.
• Measurable disease per RECIST v1.1, except for participants enrolled in Part 1A.
• Molecular eligibility as applicable by study part, including absence of an ESR1 mutation (Part 2A) or presence of FGFR1 amplification (Part 2B), based on prior local testing.
• Availability of archival or newly obtained formalin-fixed, paraffin-embedded (FFPE) tumor tissue suitable for protocol-specified biomarker analyses.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
• Adequate hematologic, hepatic, renal, and coagulation function per protocol-defined laboratory criteria.
• Estimated life expectancy of at least 12 weeks.
• Ability to swallow oral medication and provide written informed consent. Key

Exclusion Criteria

• Prior exposure to an inhibitor or degrader of Kinesin.
• Known hypersensitivity to study intervention(s) or excipients.
• Receipt of recent anticancer therapy within protocol-defined washout periods.
• Other active malignancy likely to interfere with study assessment.
• Baseline QTcF >470 msec or congenital long QT syndrome.
• Clinically significant pulmonary embolism within 6 weeks prior to first dose.
• Major surgery within 4 weeks or minor surgery within 2 weeks prior to first dose.
• Active infection requiring systemic therapy within 2 weeks prior to first dose.
• Pregnant or breastfeeding, or planning conception or gamete donation during the study or required post-treatment period.
• Prior solid organ transplant or allogeneic stem cell transplant with protocol-defined exceptions.
• Failure to recover to CTCAE Grade ≤1 (or baseline) from prior anticancer therapy, with protocol-specified exceptions.
• Any serious or uncontrolled medical, laboratory, or psychiatric condition that could compromise safety or study integrity.
• Other exclusion criteria as specified in the study protocol.