- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01480583
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).
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
Kontakter och platser
Studieorter
-
-
Illinois
-
Harvey, Illinois, Förenta staterna, 60426
- Ingalls Memorial Hospital
-
-
Maryland
-
Rockville, Maryland, Förenta staterna, 20892
- NCI
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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
Andra namn:
5 mCi of 18F-FLT IV during Screening and during Cycle 1
Andra namn:
|
|
Experimentell: 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
Andra namn:
5 mCi of 18F-FLT IV during Screening and during Cycle 1
Andra namn:
2 mg/kg IV every week or 6 mg/kg IV every 3 weeks per investigator choice
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Intra-cranial objective response rate in breast cancer patients with brain metastasis
Tidsram: 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)
|
Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
Number of patients with adverse events as a measure of safety and tolerability of GRN1005 alone or in combination with Trastuzumab
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Susan Bates, MD, National Cancer Institute (NCI)
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Patologiska processer
- Hjärnsjukdomar
- Sjukdomar i centrala nervsystemet
- Sjukdomar i nervsystemet
- Hudsjukdomar
- Neoplasmer
- Neoplasmer efter plats
- Bröstsjukdomar
- Neoplastiska processer
- Neoplasmer i centrala nervsystemet
- Neoplasmer i nervsystemet
- Bröstneoplasmer
- Neoplasma Metastas
- Neoplasmer i hjärnan
- Neoplasmer, andra primära
- Anti-infektionsmedel
- Antivirala medel
- Antineoplastiska medel
- Antineoplastiska medel, immunologiska
- Trastuzumab
- Alovudine
Andra studie-ID-nummer
- CP1005B016
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