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GRN1005 Alone or in Combination With Trastuzumab in Breast Cancer Patients With Brain Metastases (GRABM-B)
A Phase II, Multi-center, Open-label Study Evaluating GRN1005 Alone or in Combination With Trastuzumab in Breast Cancer Patients With Brain Metastases
The purpose of this study is to assess the efficacy, safety, and tolerability of GRN1005 in patients with brain metastases from breast cancer. For patients with HER2 positive metastatic breast cancer, GRN1005 will be assessed in combination with Trastuzumab (Herceptin®) as per standard-of-care practice.
In addition, this study will evaluate the ability of 18F-FLT to determine if the amount of change in the uptake in the brain metastases from breast cancer after GRN1005 treatment, correlates with intra-cranial response (for patients enrolled at NCI).
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
-
-
Illinois
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Harvey, Illinois, Verenigde Staten, 60426
- Ingalls Memorial Hospital
-
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Maryland
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Rockville, Maryland, Verenigde Staten, 20892
- NCI
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Key Inclusion Criteria:
- Age ≥ 18 years
- Histologically or cytologically-documented breast cancer (HER2 status and ER/PgR status must be known)
- Brain metastasis from breast cancer with or without prior WBRT
- At least one radiologically-confirmed and measurable metastatic brain lesion (≥ 1.0 cm in the longest diameter) by Gd-MRI of the brain < 14 days prior to first dose (Metastatic brain lesions previously treated with SRS may not be target or non-target lesions)
- Patients must be neurologically stable: On stable doses of corticosteroids and anticonvulsants (not EIAEDs, including phenytoin, phenobarbitol, carbamazepine, fosphenytoin, primidone, oxcarbazepine) for ≥ 5 days prior to obtaining the baseline Gd-MRI of the brain and ≥ 5 days prior to first dose
- KPS ≥ 70%
- Completed WBRT for intra-cranial lesions ≥ 28 days prior to first dose
Key Exclusion Criteria:
- NCI CTCAE v4.0 Grade ≥ 2 neuropathy
- CNS disease requiring immediate neurosurgical intervention (e.g., resection, shunt placement, etc.)
- Known leptomeningeal disease
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: GRN1005
GRN1005 alone in HER2- MBC patients with brain mets.
18F-FLT may also be administered to this arm (if patient enrolled at NCI)
|
550 mg/m2 IV every 3 weeks
Andere namen:
5 mCi of 18F-FLT IV during Screening and during Cycle 1
Andere namen:
|
|
Experimenteel: GRN1005 with trastuzumab
GRN1005 in combination with trastuzumab in MBC patients with brain mets 18F-FLT may also be administered to this arm (if patient enrolled at NCI)
|
550 mg/m2 IV every 3 weeks
Andere namen:
5 mCi of 18F-FLT IV during Screening and during Cycle 1
Andere namen:
2 mg/kg IV every week or 6 mg/kg IV every 3 weeks per investigator choice
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Intra-cranial objective response rate in breast cancer patients with brain metastasis
Tijdsspanne: Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Number of patients with adverse events as a measure of safety and tolerability of GRN1005 alone or in combination with Trastuzumab
Tijdsspanne: Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Upon enrollment through end of study period (1 year after last patient is enrolled)
|
|
Intra-cranial objective response duration
Tijdsspanne: Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Upon enrollment through end of study period (1 year after last patient is enrolled)
|
|
3-month intra-cranial progression-free survival
Tijdsspanne: Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Upon enrollment through end of study period (1 year after last patient is enrolled)
|
|
Six month overall survival (OS)
Tijdsspanne: Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Upon enrollment through end of study period (1 year after last patient is enrolled)
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Susan Bates, MD, National Cancer Institute (NCI)
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pathologische processen
- Hersenziekten
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Huidziektes
- Neoplasmata
- Neoplasmata per site
- Borst ziekten
- Neoplastische processen
- Neoplasmata van het centrale zenuwstelsel
- Neoplasmata van het zenuwstelsel
- Borstneoplasmata
- Neoplasma metastase
- Hersenneoplasmata
- Neoplasmata, tweede primair
- Anti-infectieuze middelen
- Antivirale middelen
- Antineoplastische middelen
- Antineoplastische middelen, immunologisch
- Trastuzumab
- Alovudine
Andere studie-ID-nummers
- CP1005B016
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