A Study of Mitoxantrone Hydrochloride Liposome Injection in Patients With Advanced HER2 Negative Breast Cancer

February 22, 2024 updated by: CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

A Multicenter, Open-label, Single-arm, Phase II Study of Mitoxantrone Hydrochloride Liposome Injection in Patients With Advanced HER2 Negative Breast Cancer

This is a multicenter, open-label, single-arm, phase II study to evaluate the safety and efficacy of Mitoxantrone Hydrochloride Liposome in patients with advanced HER2 negative breast cancer.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Terminated

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

This is a multicenter, open-label, single-arm, phase II study to evaluate the safety and efficacy of Mitoxantrone Hydrochloride Liposome in patients with advanced HER2 negative breast cancer. Eligible patients will receive Mitoxantrone Hydrochloride Liposome 20 mg/m2 by an intravenous infusion (IV), every 21 days (q3w, 1 cycle) until disease progression, intolerable toxicity, death, or investigator or patient decision.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
28

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Locations

  • China
    • Anhui
      • Hefei, Anhui, China, 230000
        • Anhui Provincial Hospical
    • Guodong
      • Guozhou, Guodong, China, 510060
        • Cancer Center Sun Yat-sen University
    • Hebei
      • Baoding, Hebei, China, 071030
        • Affiliated Hospital of Hebei University
      • Shijiazhuang, Hebei, China, 050000
        • The Fourth Hospital of Hebei Medical University
      • Tangshan, Hebei, China, 063000
        • Tangshan People's Hospital
      • Xingtai, Hebei, China, 054000
        • Xingtai People's Hospital
    • Heilongjiang
      • Harbin, Heilongjiang, China, 150008
        • Harbin Medical University Cancer Hospital
    • Helongjiang
      • Daqing, Helongjiang, China, 163316
        • Daqing People's Hospital
      • Jiamusi, Helongjiang, China, 154007
        • Cancer Hospital of Jiamusi City
    • Henan
      • Xinxiang, Henan, China, 453100
        • The First Affiliated Hospital of Xinxiang Medical University
      • Zhengzhou, Henan, China, 450052
        • The First Affiliated Hospital of Zhengzhou University
      • Zhengzhou, Henan, China, 450008
        • Cancer Hospital of Henan province
      • Zhenzhou, Henan, China, 450008
        • Henan Provincial People's Hospital
    • Hubei
      • Wuhan, Hubei, China, 430071
        • Zhongnan Hospital of Wuhan University
      • Wuhan, Hubei, China, 430079
        • Hubei Cancer Hospital
      • Wuhan, Hubei, China, 430022
        • Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology
    • Hunan
      • Changsha, Hunan, China, 413002
        • Changsha Kexin Cancer Hospital
      • Yiyang, Hunan, China, 413002
        • Yiyang Central Hospital
    • Jiangxi
      • Nanchang, Jiangxi, China, 330000
        • The Third Hospital of Nanchang
    • Jinlin
      • Changchun, Jinlin, China, 130041
        • The second hospital of Jinlin University
    • Liaoning
      • Dalian, Liaoning, China, 116023
        • The Second Hospital of Dalian Medical University
      • Jinzhou, Liaoning, China, 121000
        • The First Affiliated Hospital of Jinzhou Medical University
      • Shenyang, Liaoning, China, 110000
        • The First Hospital of China Medical University
    • Shanxi
      • Taiyuan, Shanxi, China, 0300001
        • Shanxi Provincial Cancer Hospital
      • Yuncheng, Shanxi, China, 044000
        • Yuncheng Central Hospital
    • Sichuan
      • Chengdu, Sichuan, China, 610041
        • Sichuan Cancer Hospital & Institute
      • Neijiang, Sichuan, China, 641100
        • The Second People's Hospital of Neijiang
    • Xinjiang
      • Urumqi, Xinjiang, China, 830011
        • The First Affiliated Hospital of Xinjiang Medical University
      • Urumqi, Xinjiang, China, 830011
        • Affiliated Tumor Hospital of Xinjiang Medical University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Voluntarily participate in this study and sign informed consent form;
  2. Male or female patients aged 18 to 75 years (inclusive);
  3. Histologically confirmed diagnosis of HER-2 negative breast cancer (Including immunohistochemistry HER2 0 or 1+, immunohistochemistry HER2 2+ must be confirmed as negative by in situ hybridization);
  4. Patients with unresectable locally advanced or recurrent breast cancer with disease progression after first-line or higher chemotherapy；
  5. Hormone receptor (HR) negative breast cancer or HR-positive breast cancer that is not suitable for endocrine treatment or is resistant to endocrine treatment.
  6. Prior treatment with both an anthracycline (i.e., doxorubicin or epirubicin) and a taxane (i.e., paclitaxel or docetaxel) at least (acceptable for patients not previously treated with anthracyclines due to high risk factors for cardiotoxicity), and four prior chemotherapy regimens at most；
  7. At least one measurable lesion according to RECIST v1.1;
  8. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2;

  9. Patients must meet the following criteria prior to treatment (not receiving blood transfusion or growth factors therapy within 14 days before the first administration):

    • Absolute neutrophil count (ANC) ≥ 1.5 × 109/L;
    • Hemoglobin ≥ 90g / L;
    • Platelet count ≥ 90 × 109/L;
    • Creatinine ≤1.5 × upper limit of normal (ULN);
    • Total bilirubin ≤ 1.5×ULN;
    • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 ×ULN (≤ 5 ×ULN for liver metastasis);
  10. For women of childbearing potential: the serum pregnancy test must be negative, and patients are willing to take adequate contraceptive measures during the treatment period and for at least 6 months after the last dose of the study drug;
  11. Good compliance and willingness to cooperate with follow-up visits.

Exclusion Criteria:

  1. Patients who have severe allergic reactions to mitoxantrone hydrochloride or liposome preparation ingredients;
  2. History of other malignancy within 3 years, except for radical cure of carcinoma in situ of the cervix, basal cell carcinoma or squamous cell carcinoma of the skin;
  3. Brain metastases and meningeal metastasis;
  4. Patients with active hepatitis B (HBsAg positive with hepatitis B virus DNA ≥ 2000 IU/mL), active hepatitis C (hepatitis C virus antibody positive with hepatitis C virus RNA above the lower limit of detection of the study center), or human immunodeficiency virus (HIV) antibody positive;
  5. Life expectancy < 3 months;
  6. Previous treatment with the anthracyclines, with the total cumulative dose (doxorubicin equivalent) >350 mg/m2;
  7. Adverse events from the previous treatment have not resolved to ≤ Grade 1 based on CTCAE (except for the toxicity without safety risk judged by the investigator, such as alopecia, hyperpigmentation);

  8. Impaired cardiac function or serious cardiac disease:

    • Long corrected QT interval syndrome or corrected QT interval > 480 ms;
    • Complete left bundle branch block, II-III degree atrioventricular block;
    • Severe, uncontrolled arrhythmias requiring pharmacological treatment;
    • History of chronic congestive heart failure, New York Heart Association ≥ grade 3;
    • Cardiac ejection fraction < 50% within 6 months prior to screening;
    • Heart valve disease with CTCAE ≥ grade 3;
    • ECG evidence of myocardial infarction, unstable angina, severe ventricular arrhythmias, history of severe pericardial disease, and acute ischemic or active conduction system abnormalities within 6 months prior to screening;
  9. Uncontrollable hypertension (defined as a measured systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg under pharmacological control);
  10. Active bacterial, fungal or viral infections that require intravenous infusion treatment within 1 week prior to the first dose;
  11. Any anticancer treatment (including chemotherapy, radiotherapy, molecular targeted therapy, immunotherapy, endocrine therapy) within 4 weeks prior to the first dose, immunomodulators as adjuvant therapy for malignancy within 2 weeks prior to the first dose, any anti-tumor proprietary Chinese medicine (except for those in the category of supporting and relieving symptoms) within 2 weeks prior to the first dose;
  12. Patients who enrolled in any other clinical trials within 4 weeks prior to the first dose;
  13. Patients who undergone major surgery within 12 weeks before the first dose, or have a surgical schedule during the study period;
  14. Patients with thrombosis or thromboembolism within 6 months prior to screening;
  15. Lactating female;
  16. Serious and/or uncontrolled medical condition that, in the judgment of the investigator, may affect the patient's participation in this study (including, but not limited to: diabetes not effectively controlled, kidney disease requiring dialysis, severe liver disease, life-threatening autoimmune and bleeding disorders, substance abuse, neurological disorders, etc.);
  17. Not suitable for this study as decided by the investigator due to other reasons.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Mitoxantrone Hydrochloride Liposome Injection
Patients with advanced HER2 negative breast cancer will receive 20 mg/m2 Mitoxantrone Hydrochloride Liposome injection every 21 days (a cycle) for about 6 cycles.
Drug: Mitoxantrone Hydrochloride Liposome Injection
Mitoxantrone Hydrochloride Liposome 20 mg/m2, IV, on day 1 of each 21-day cycle (q3w).

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Objective response rate (ORR)
Time Frame: From the enrollment to the final documentation of response of the last subject(assessed up to 36 months)
To investigate the preliminary antitumor efficacy
From the enrollment to the final documentation of response of the last subject(assessed up to 36 months)

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Disease control rate (DCR)
Time Frame: From the enrollment to the final documentation of response of the last subject(assessed up to 36 months)
To investigate the preliminary antitumor efficacy
From the enrollment to the final documentation of response of the last subject(assessed up to 36 months)
Duration of response (DoR)
Time Frame: From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
To investigate the preliminary antitumor efficacy
From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
Progression-free survival (PFS)
Time Frame: From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
To investigate the preliminary antitumor efficacy
From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
Overall survival (OS)
Time Frame: From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
To investigate the preliminary antitumor efficacy
From the enrollment to death,lost to follow-up,withdrawal,or study end,whichever occurred first,assessed up to 36 months
Treatment emergent adverse events (TEAEs)
Time Frame: from the administration of the first dose to 28 days after the last dose
The incidence and severity of adverse events, abnormalities in physical exams, vital sign assessments, clinical laboratory assessments, ultrasonic cardiograms (UCGs) and electrocardiographs (ECGs).
from the administration of the first dose to 28 days after the last dose

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: qingyuan zhang, PhD, The Second Affiliated Hospital of Harbin Medical University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
June 11, 2021

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
January 17, 2023

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
January 17, 2023

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
May 31, 2021

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 15, 2021

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
June 16, 2021

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
February 23, 2024

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
February 22, 2024

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
February 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • HE071-CSP-021

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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