A Study of Trastuzumab Emtansine in Patients With HER2-Positive Metastatic Breast Cancer and Normal or Reduced Hepatic Function
A Phase I, Open Label, Parallel Group, Pharmacokinetic Study of Trastuzumab Emtansine in Patients With HER2-Positive Metastatic Breast Cancer and Normal or Reduced Hepatic Function
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Ontario
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Ottawa, Ontario, Canada, K1H8L6
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Toronto, Ontario, Canada, M5G 2M9
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Marseille, France, 13273
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Paris, France, 75231
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Toulouse, France, 31059
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Calabria
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Catanzaro, Calabria, Italy, 88100
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Friuli-Venezia Giulia
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Udine, Friuli-Venezia Giulia, Italy, 33100
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Barcelona, Spain, 08003
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Madrid, Spain, 28007
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Florida
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Fort Myers, Florida, United States, 33905
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Michigan
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Detroit, Michigan, United States, 48201
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Oregon
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Portland, Oregon, United States, 97239
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Tennessee
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Nashville, Tennessee, United States, 37203
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adult patients, >/= 18 years of age
- Histologically or cytologically documented invasive metastatic breast cancer
- Human epidermal growth factor receptor 2 (HER2) -positive disease
- Adequate bone marrow and organ function (other than hepatic dysfunction allowed by protocol)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Left ventricular ejection fraction >/=50%
- Normal hepatic function, or mild to moderate hepatic impairment (Child-Pugh Class A or B)
Exclusion Criteria:
- History of Grade >/=3 infusion reaction, hypersensitivity reaction, or pneumonitis in response to trastuzumab
- Investigational therapy or any other anticancer therapy </=28 days before first study treatment
- Previous treatment with trastuzumab emtansine
- Brain metastases that are untreated or symptomatic or require therapy to control symptoms or any radiation, surgery or other therapy to control symptoms from brain metastases within 1 month of the first study treatment
- History of other malignancy within the last 5 years, except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, Stage I uterine cancer, or other cancers with a similar outcome as those mentioned above
- Current peripheral neuropathy of Grade >/=2
- Child-Pugh Class C hepatic impairment
- Encephalopathy >/= Grade 2
- For patients with normal hepatic function: history of drug or alcohol addiction or history of hepatitis B and/or hepatitis C
- Active hepatitis A, B and/or C
- Current unstable ventricular arrhythmia requiring treatment
- History of symptomatic CHF (NYHA Classes II-IV)
- History of myocardial infarction or unstable angina within 6 months of enrollment
- History of a decrease in LVEF to<40% or symptomatic CHF with previous trastuzumab treatment
- Pregnant or lactating women
- Known HIV infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Normal hepatic function
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Multiple intravenous doses
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Experimental: Mild hepatic dysfunction
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Multiple intravenous doses
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Experimental: Moderate hepatic dysfunction
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Multiple intravenous doses
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Pharmacokinetics: Area under the concentration-time curve
Time Frame: Multiple sampling pre- and up to 21 days post-dose Cycles 1-3
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Multiple sampling pre- and up to 21 days post-dose Cycles 1-3
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Safety: Incidence of adverse events in patients with mild or moderate hepatic impairment as compared to patients with normal hepatic function
Time Frame: approximately 2 years
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approximately 2 years
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Breast Diseases
- Breast Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Antineoplastic Agents, Immunological
- Trastuzumab
- Maytansine
- Ado-Trastuzumab Emtansine
Other Study ID Numbers
Other Study ID Numbers
- BO25499
- 2011-004591-10 (EudraCT Number)
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