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Open Label Study Of SU011248 In Combination With Trastuzumab For Patients With Metastatic Breast Cancer

20 juli 2011 uppdaterad av: Pfizer

A Phase 2 Efficacy And Safety Study Of SU011248 In Combination With Trastuzumab As Treatment For Metastatic Disease In Patients With Breast Cancer

The current study is to evaluate: Overall response rate for the combination of trastuzumab and SU011248 in metastatic or locally recurrent breast cancer; evaluate safety and tolerability of the combination; measure duration of tumor control and survival; assess patient reported outcomes; assess PK in combination with trastuzumab and compare efficacy and safety.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

60

Fas

  • Fas 2

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Belgien
      • Ottignies, Belgien, 1340
        • Pfizer Investigational Site
      • Wilrijk, Belgien, 2610
        • Pfizer Investigational Site
  • Frankrike
      • Besancon, Frankrike, 25030
        • Pfizer Investigational Site
      • Lyon, Frankrike, 69373
        • Pfizer Investigational Site
      • Saint Cloud, Frankrike, 92210
        • Pfizer Investigational Site
  • Förenta staterna
    • Alabama
      • Montgomery, Alabama, Förenta staterna, 36106
        • Pfizer Investigational Site
    • Delaware
      • Newark, Delaware, Förenta staterna, 19713
        • Pfizer Investigational Site
      • Newark, Delaware, Förenta staterna, 19718-6001
        • Pfizer Investigational Site
      • Wilmington, Delaware, Förenta staterna, 19899
        • Pfizer Investigational Site
    • Florida
      • Fort Lauderdale, Florida, Förenta staterna, 33308
        • Pfizer Investigational Site
    • Illinois
      • Harvey, Illinois, Förenta staterna, 60426
        • Pfizer Investigational Site
      • Tinley Park, Illinois, Förenta staterna, 60477
        • Pfizer Investigational Site
    • Indiana
      • Munster, Indiana, Förenta staterna, 46321
        • Pfizer Investigational Site
    • Louisiana
      • Lafayette, Louisiana, Förenta staterna, 70503
        • Pfizer Investigational Site
      • New Iberia, Louisiana, Förenta staterna, 70563
        • Pfizer Investigational Site
    • Mississippi
      • Corinth, Mississippi, Förenta staterna, 38834
        • Pfizer Investigational Site
      • Southaven, Mississippi, Förenta staterna, 38671
        • Pfizer Investigational Site
    • Nevada
      • Las Vegas, Nevada, Förenta staterna, 89135
        • Pfizer Investigational Site
    • New York
      • New York, New York, Förenta staterna, 10021
        • Pfizer Investigational Site
    • Tennessee
      • Memphis, Tennessee, Förenta staterna, 38104
        • Pfizer Investigational Site
      • Memphis, Tennessee, Förenta staterna, 38120
        • Pfizer Investigational Site
  • Kanada
    • Ontario
      • Toronto, Ontario, Kanada, M4N 3M5
        • Pfizer Investigational Site
    • Quebec
      • Greenfield Park, Quebec, Kanada, J4V 2H1
        • Pfizer Investigational Site
      • Montreal, Quebec, Kanada, H3G 1A4
        • Pfizer Investigational Site
  • Spanien
      • Barcelona, Spanien, 08003
        • Pfizer Investigational Site
      • Madrid, Spanien, 28040
        • Pfizer Investigational Site
      • Valencia, Spanien, 46010
        • Pfizer Investigational Site

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • A diagnosis of breast cancer with evidence of 1) unresectable, locally recurrent, or 2) metastatic disease.
  • HER2 positive disease (3+ by immunohistochemistry [IHC] or FISH-positive)
  • Candidate for treatment with trastuzumab. Prior treatment with trastuzumab and or/ lapatinib in the neoadjuvant, adjuvant or metastatic disease setting is permitted. Treatment with hormone therapy in the adjuvant and/or advanced disease setting is permitted.

Exclusion Criteria:

  • Prior treatment with >1 regimen of cytotoxic therapy in the advanced disease setting. Adjuvant chemotherapy is permitted
  • Prior exposure to trastuzumab if the patient had developed severe hypersensitivity reactions.
  • Prior treatment on a SU11248 clinical trial.
  • Uncontrolled brain metastases.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: A
Läkemedel: SU011248/Trastuzumab
SU011248 will be administered orally, starting dose of 37.5 mg daily on a continuous regimen. Trastuzumab will be administered weekly (loading dose 4 mg/kg followed by weekly 2mg/kg) or every 3 weeks (loading dose 8 mg/kg followed by 6mg/kg q3w). Study treatment should continue until progression, withdrawal for other reasons, or for up to 18 months following which patients requiring continued access will be offered SU011248 on a separate protocol.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Percentage of Participants With Overall Confirmed Objective Disease Response
Tidsram: From start of treatment through 18 months
Objective disease response =participants with confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). A CR was defined as the disappearance of all target and non-target lesions. A PR was defined as a > = 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions associated to a non-progressive disease response for the non target lesions.
From start of treatment through 18 months

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Duration of Response (DR)
Tidsram: From start of treatment through 18 months
Time from the first documentation of objective tumor response (CR or PR) that was subsequently confirmed to the first documentation of objective tumor progression or death due to any cause. If tumor progression data included more than 1 date, the first date was used. DR was calculated as (the end date for DR minus first CR or PR that was subsequently confirmed +1) divided by 7.
From start of treatment through 18 months
Percentage of Participants With Clinical Benefit
Tidsram: From start of treatment through 18 months
Percent of participants with confirmed CR, PR or stable disease (SD) for at least 24 weeks on study according to RECIST.CR was defined as disappearance of all target and non-target lesions.PR was defined as >=30% decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions associated to non-progressive disease response for non target lesions.SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started.
From start of treatment through 18 months
Progression Free Survival (PFS)
Tidsram: From start of treatment through 18 months
Time from first dose of study treatment to first documentation of objective tumor progression, or to death on-study due to any cause, whichever occurred first. If tumor progression data included more than 1 date, the first date was used. PFS was calculated as (first event date minus first dose date +1) divided by 7.
From start of treatment through 18 months
Time to Progression (TTP)
Tidsram: From start of treatment through 18 months
Time from first dose of study treatment to first documentation of objective tumor progression. If tumor progression data included more than 1 date, the first date was used. TTP was calculated as (first event date minus first dose date +1) divided by 7.
From start of treatment through 18 months
Overall Survival (OS)
Tidsram: From start of study treatment until death or 2 years from first study treatment
Time from first dose of study treatment to first documentation of death due to any cause. OS was calculated as (date of death minus first dose date +1) divided by 7 * 4.33.
From start of study treatment until death or 2 years from first study treatment
Probability of Survival at One Year
Tidsram: From start of study treatment until death or 2 years from first study treatment
One- year survival probability was estimated using the Kaplan-Meier method.
From start of study treatment until death or 2 years from first study treatment
EORTC QLQ-C30
Tidsram: From start of treatment through 18 months
EORTC QLQ-C30 scales consist of 30 questions: functional (physical/role/cognitive/emotional/ social), symptom (fatigue/nausea/vomiting/pain), global health/QOL, cancer symptom (dyspnea/insomnia/appetite loss/constipation/diarrhea). Feelings in past week: response range: not at all to very much, global/QOL range: very poor to excellent. Scales/single-items averaged, score 0 to 100. Higher functional/global=better functioning and symptom=greater degree of symptoms.
From start of treatment through 18 months
EORTC QLQ (BR23)
Tidsram: From start of treatment through 18 months
BR23: consisted of 23 questions which measured disease related symptoms of dry mouth, eye pain, hair loss, hot flushes, attractiveness, future health, sexual activity, arm/shoulder pain, breast pain, swollen breast, and skin problems on the breast. Recall period: past week; response range: not at all to very much. Scale score range: 0 to 100. Higher symptom score = greater degree of symptoms.
From start of treatment through 18 months
Dose-corrected Trough Plasma Concentrations (Ctrough) of Sunitinib
Tidsram: Predose on Day 1 of Cycle 3 and 5
Ctrough = the concentration prior to study drug administration. Dose-corrected values were reported, the reference dose was 37.5 mg.
Predose on Day 1 of Cycle 3 and 5
Dose-corrected Ctrough of SU-012662 (Sunitinib's Metabolite)
Tidsram: Predose on Day 1 of Cycle 3 and 5
Ctrough = the concentration prior to study drug administration. Dose-corrected values were reported, the reference dose was 37.5 mg.
Predose on Day 1 of Cycle 3 and 5
Dose-corrected Ctrough of Total Drug (Sunitinib + SU-012662)
Tidsram: Predose on Day 1 of Cycle 3 and 5
Ctrough = the concentration prior to study drug administration. Dose-corrected values were reported, the reference dose was 37.5 mg.
Predose on Day 1 of Cycle 3 and 5

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Pfizer

Publikationer och användbara länkar

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Allmänna publikationer

Användbara länkar

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 februari 2006

Primärt slutförande (Faktisk)

1 april 2009

Avslutad studie (Faktisk)

1 juli 2010

Studieregistreringsdatum

Först inskickad

20 oktober 2005

Först inskickad som uppfyllde QC-kriterierna

20 oktober 2005

Första postat (Uppskatta)

24 oktober 2005

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

22 juli 2011

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

20 juli 2011

Senast verifierad

1 juli 2011

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • A6181067

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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