Pharmacogenomic Study of Neoadjuvant Eribulin for HER2 Non-overexpressing Breast Cancer (NeoEribulin)
A Phase II, Open-label, Single-arm, Exploratory Pharmacogenomic Study of Single Agent Eribulin (HALAVEN®) as Neoadjuvant Treatment for Operable Stage I-II HER2 Non-overexpressing Breast Cancer.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Deggendorf, Deutschland, 94469
- Klinikum des Landkreises Deggendorf Frauenklinik Mammazentrum
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Köln, Deutschland, 51067
- Brustzentrum im Krankenhaus Köln-Holweide Priv. Doz.
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Munic, Deutschland, 81377
- Brustzentrum der Universität München
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Rostock, Deutschland, 18059
- Klinikum Südstadt Rostock, Universitätsfrauenklinik und Poliklinik
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Villejuif, Frankreich, 94800
- Institut Gustave Roussy
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Coimbra, Portugal, 3001-651
- Instituto Portugues de Oncologia de Coimbra Francisco Gentil, EPE
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Lisboa, Portugal, 1500-650
- Hospital da Luz
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Porto, Portugal, 4200-072
- Instituto Portugues de Oncologia de Porto Francisco Gentil, EPE
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Barcelona, Spanien, 08025
- Hospital de La Santa Creu i Sant Pau
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Barcelona, Spanien
- Hospital Universitario Vall d´Hebron
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Barcelona, Spanien, 08035
- Hospital Universitario Vall d´Hebron
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Castelló de la Plana, Spanien, 12002
- Complejo Hospitalario de Castellón
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Cáceres, Spanien, 10003
- Complejo Hospitalario San Pedro de Alcántara
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Córdoba, Spanien, 14004
- Hospital Universitario Reina Sofia
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Denia, Spanien, 03700
- Hospital Marina Salud de Denia
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Jaén, Spanien, 23007
- Complejo Hospitalario de Jaén
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Lleida, Spanien, 25198
- Hospital Universitari Arnau de Vilanova de Lleida
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Madrid, Spanien, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spanien, 28040
- Hospital Universitario Clinico San Carlos
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Madrid, Spanien, 28222
- Hospital Universitario Puerta de Hierro de Majadahonda
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Murcia, Spanien, 30120
- Hospital Universitario Virgen de la Arrixaca
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Reus, Spanien, 43201
- Hospital Universitari Sant Joan de Reus
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Santiago de Compostela, Spanien, 15706
- Complejo Hospitalario Universitario de Santiago
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Sevilla, Spanien, 41013
- Hospital Universitario Virgen del Rocío
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Sevilla, Spanien, 41007
- Hospital Virgen de la Macarena
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Torrevieja, Spanien, 03186
- Hospital de Torrevieja
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Valencia, Spanien, 46010
- Hospital Clínico Universitario de Valencia
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Valencia, Spanien, 46015
- Hospital Arnau de Vilanova de Valencia
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Zaragoza, Spanien, 50009
- Hospital Universitario Lozano Blesa
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Written informed consent, specifically highlighting the molecular characterization of tumor and genomic samples
- Age ≥18 years
Histologically confirmed invasive breast carcinoma, with all of the following characteristics:
- Primary tumor ≥2cm in largest diameter (cT1-3)
- cN0-1
- No evidence of distant metastasis (M0)
- Breast cancer (BC) eligible for primary surgery
- Available pre-treatment core (Tru-cut) biopsy or possibility of performing one
HER2-negative BC (as per local assessment), defined as either of the following:
- 0-1+ expression by IHC
- 2+ expression by IHC and in situ hybridization (FISH/CISH) without HER2 gene amplification (<4 HER2 gene copies per nucleus, or a FISH ratio [HER2 gene copies to Cr17 signals] of <1.8)
- Is situ hybridization (FISH/CISH) without HER2 gene amplification, independently of IHC
- Known hormone receptor (ER/PgR) status (as per local assessment) or the possibility of performing the tests
- Known percentage of hormone receptor (ER/PgR) and Ki67-positive tumor cells (as per local assessment), or possibility of performing the tests
- In the case of a multifocal tumor, the largest lesion must be ≥2 cm and designated the "target" lesion for all subsequent tumor evaluations and HER2-negative status must be documented in all the tumor foci
- ECOG performance status of 0 or 1
Laboratory values as follows:
- Absolute neutrophil count (ANC) ≥1.5 x 109/L
- Platelets count ≥100 x 109/L
- Hemoglobin ≥9 g/dL
- Serum bilirubin ≤1.5 time the upper limit of normal (ULN)
- Alanine aminotransferase and aspartate aminotransferase (AST) ≤2.5 x ULN
- Alkaline phosphatase ≤2.5 x ULN
- Serum creatinine ≤1.5 mg/dL or calculated creatinine clearance ≥60 mL/m
- Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
- Ability and willingness to comply with study visits, treatment, testing, and to comply with the protocol
- Availability of genomic DNA (via whole blood)
Exclusion Criteria:
- Any prior treatment for primary invasive BC
- Metastatic, locally advanced or inflammatory (i.e., Stage III-IV) BC
- Bilateral invasive BC
- Multicentric BC, defined as the presence of two or more foci of cancer in different quadrants of the same breast
- Pre-existing peripheral neuropathy of any grade
- Uncontrolled hypertension (systolic >150 mmHg and/or diastolic >100 mmHg)
- Clinically significant (i.e., active) cardiovascular disease
- Long QT syndrome
- Concomitant use of inhibitors of hepatic transport proteins such as organic anion-transporting proteins, P-glycoprotein, multidrug resistant proteins etc
- Major medical conditions that might affect study participation (e.g., uncontrolled seizure disorder, uncontrolled pulmonary, renal or hepatic dysfunction, or uncontrolled infection)
- Other primary malignant tumors within the previous 5 years, except for adequately controlled limited basal cell carcinoma of the skin or carcinoma in situ of the cervix
- Known human immunodeficiency virus(HIV) infection or other active or serious infection requiring IV antibiotics at randomization
- Pregnancy or breastfeeding women
- Women of childbearing potential(<2 years after the last menstruation) not using effective, non-hormonal means of contraception during the study and for a period of 6 months following the last administration of study drug
- Administration of any live virus vaccine within 8 weeks preceding study entry
- Use of any investigational agent within 30 days of administration of the first dose of study drug or concurrent treatment on another clinical study
- Requirement for radiation therapy concurrent with study anticancer treatment
- Known hypersensitivity to any of the study drugs or excipients
- Inability or unwillingness to abide by the study protocol or cooperate fully with the investigator or designee
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Eribulin
1.23 mg/m2 eribulin ready to use solution (equivalent to 1.4 mg/m2 eribulin mesilate) IV on Days 1 and 8 of every 21-day cycle, for 4 cycles.
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1.23 mg/m2 eribulin ready to use solution (equivalent to 1.4 mg/m2 eribulin mesilate) IV on Days 1 and 8 of every 21-day cycle, for 4 cycles.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Correlation of pre-treatment relative abundance of hundreds of mRNA transcripts from primary breast tumors with pCRB after neoadjuvant treatment with eribulin.
Zeitfenster: At the time of definitive surgery.
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pCRB , defined as the complete absence of invasive carcinoma in the breast on histological examination at the time of definitive surgery, according to the NSABP guidelines
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At the time of definitive surgery.
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
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Rate of pCRB, defined as the complete absence of invasive carcinoma in the breast on histological examination at the time of definitive surgery, according to the NSABP guidelines.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Rate of pCRBL, defined as the complete absence of invasive carcinoma in the breast and axillary lymph nodes on histological examination at the time of definitive surgery.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Clinical and radiological ORR, defined by RECIST 1.1
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Correlation of mRNA expression in breast tumors with clinical and radiological ORR at different time points during the neoadjuvant treatment with eribulin.
Zeitfenster: Up to 21 weeks
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Up to 21 weeks
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Rate of pCRB according to breast cancer subtype: Luminal A, Luminal B, Basal-like, HER2-enriched and Claudin-low.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Rate of pCRB according to breast cancer subtype determined by immunohistochemistry (following the 2011 St. Gallen definitions): Luminal A, Luminal B, and TNBC.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Proportion of patients able to have breast conservation surgery after being treated with eribulin as neoadjuvant therapy.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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The correlation between alternations in tubulin isotype expression and mutational status in pre-treatment samples with efficacy parameters, such as pCRB, ORR and BOR.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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The correlation between exome or genome sequencing data from pre-treatment samples with pCRB after neoadjuvant treatment with eribulin.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Changes in gene expression and gene mutational status between the pre-treatment samples and samples after treatment.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Number of participants with AEs and serious AEs (assessed by CTCAE v.4)
Zeitfenster: Up to 21 weeks
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Up to 21 weeks
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Percentage of patients who had neutropenia Grade 3-4
Zeitfenster: Up to 21 weeks
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Up to 21 weeks
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Percentage of subjects with neuropathy
Zeitfenster: Up to 21 weeks
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Up to 21 weeks
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Incidence of dose reductions and/or dose delays due to treatment toxicity
Zeitfenster: Up to 71 days
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Up to 71 days
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Analysis of the expression of mRNA from breast tumors
Zeitfenster: At screening
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At screening
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Analysis of the expression of mRNA from breast tumors
Zeitfenster: At 21 days
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At 21 days
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Analysis of the expression of mRNA from breast tumors
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Correlation of mRNA expression in breast tumors after 21 days of neoadjuvant treatment and at surgery with pCRB.
Zeitfenster: At the time of definitive surgery
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At the time of definitive surgery
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Sensitivity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At screening
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At screening
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Sensitivity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At 21 days
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At 21 days
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Sensitivity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At time of definitive surgery
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At time of definitive surgery
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Specificity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At screening
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At screening
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Specificity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At 21 days
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At 21 days
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Specificity of the gene expression analysis of samples to predict clinical response to eribulin.
Zeitfenster: At time of definitive surgery
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At time of definitive surgery
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Javier Cortés, MD, Hospital Universitario Vall d´Hebron
- Hauptermittler: Aleix Prat, MD, Vall d´Hebron Institut d´Oncologia
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Prat P, Llombart A, de la Peña L, Di Cosimo S, Oliveira M, Ortega V, Rubio I, Muñoz E, Harbeck N, Cortés J. NeoEribulin: A Phase II, non-randomized, open-label, single-arm, multicenter, exploratory pharmacogenomic study of single agent eribulin as neoadjuvant treatment for operable Stage I-II HER2 non-overexpressing breast cancer. Poster session presented at: 35th Annual San Antonio Breast Cancer Symposium (SABCS); 2012 December 4th-8th; San Antonio, Texas, United States.
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- SOLTI-1007
- 2012-000394-23 (EudraCT-Nummer)
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