Return to List

Study Summary
No. 2010-0683:.......Breast......Vicente Valero......Breast Medical Oncology
.
Study Summary Title
Study Summary
Number:
2010-0683
Study Title:A RANDOMIZED, PHASE II, MULTICENTER, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY EVALUATING THE SAFETY AND EFFICACY OF ONARTUZUMAB AND/OR BEVACIZUMAB IN COMBINATION WITH PACLITAXEL IN PATIENTS WITH METASTATIC, TRIPLE-NEGATIVE BREAST CANCER
.
Physician New Patient Referral
Name:Vicente ValeroPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Breast Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2817
Contact us about clinical trials
.
General Information
Disease Group:BreastSupported By:Genentech
Phase of Study:Phase IIReturn
Visit:
Treatment
Agents:
Bevacizumab
MetMAb/Placebo
Paclitaxel
Home Care:
Treatment Loc:Both at MDACC & and Other Sites
Estimated
Length of Stay
in Houston:
Description/
Intervention:
The goal of this clinical research study is to learn if onartuzumab and/or
bevacizumab given in combination with paclitaxel can help to control
triple-negative breast cancer that has spread. The safety of these drug
combinations will also be studied.
.
Study Objectives / Outcomes
The primary objective of this study is as follows:
To estimate the clinical benefit of onartuzumab + bevacizumab + paclitaxel and onartuzumab + placebo + paclitaxel relative to placebo + bevacizumab + paclitaxel, as measured by investigator-assessed progression-free survival (PFS), in patients with metastatic or locally recurrent, triple-negative breast cancer who have received no prior systemic therapy or have progressed following first-line therapy for metastatic disease

The secondary objectives of this study are as follows:
• To estimate the clinical benefit of onartuzumab + bevacizumab + paclitaxel and onartuzumab + placebo + paclitaxel relative to placebo + bevacizumab + paclitaxel, as measured by investigator-assessed PFS, in patients with metastatic or locally recurrent, triple-negative breast cancer who have received no prior systemic therapy
• To determine the overall response rate and duration of response of onartuzumab+bevacizumab+paclitaxel and onartuzumab + placebo + paclitaxel in patients with metastatic or locally recurrent, triple-negative breast cancer who have received no prior systemic therapy or have progressed following first-line therapy
• To evaluate overall survival benefit of onartuzumab + bevacizumab + paclitaxel and onartuzumab + placebo + paclitaxel relative to placebo + bevacizumab + paclitaxel in patients with metastatic or locally recurrent, triple-negative breast cancer who have received no prior systemic therapy or have progressed following first-line therapy

To characterize the safety and tolerability of onartuzumab + bevacizumab + paclitaxel and onartuzumab + placebo + paclitaxel relative to placebo + bevacizumab + paclitaxel
• To evaluate drug exposure of onartuzumab, paclitaxel, and bevacizumab
• To evaluate the serum levels and incidence of anti-therapeutic antibodies (ATAs) against onartuzumab
• To evaluate the effect of onartuzumab on the following electrocardiogram (ECG) parameters: corrected QT (QTc) interval, heart rate, uncorrected QT interval, PR interval, QRS duration, and T-wave and U-wave morphology
.
Study Status Information
Study Activation / Registration Date:09/21/2011
IRB Review and Approval Date:09/21/2011
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Closed
Projected Accrual:180
.
Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Signed informed consent form

2) Women age >/= 18 years

3) Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

4) Histologically confirmed Estrogen Receptor (ER) negative, Progesterone Receptor (PR) negative, and HER2 -negative (triple- negative) adnocarcinoma of the breast, with measurable or non-measurable metastatic or locally recurrent disease (Locally recurrent disease must not be amenable to resection with curative intent).

5) Confirmed availability of a representative formalin-fixed, paraffin-embedded tumor specimen that enables the definitive diagnosis of triple-negative breast cancer

6) for women of childbearing potential, use of accepted and effective method of contraception

7) Ability and capacity to comply with the study and follow-up procedures

8) Patients who have received recent radiation or surgical therapy: recovery from any grade >/= 3 acute toxicity prior to Day 1 of cycle 1

Exclusion Criteria:1) Prior therapy with two or more regimens for metastatic breast cancer

2) Any systemic anti-cancer therapy within 3 weeks prior to Day 1 of cycle 1

3) Major surgical procedure (except CNS surgery), open biopsy, or significant traumatic injury within 30 days prior to day 1 of cycle 1, or anticipation of need for major surgical procedure during the course of the study

4) Minor surgical procedure, such as fine-needle aspiration or core biopsy, within 7 days prior to Day 1 of Cycle 1

5) Prior therapy with a taxane for metastatic breast cancer

6) Prior therapy with bevacizumab, sorafenib, sunitinib, or other putative VEGF pathway-targeted therapy following diagnosis of breast cancer

7) Prior exposure to experimental treatment targeting either the HGF or MET pathway

8) Prior therapy with hormones and/or trastuzumab

9) Bevacizumab Exclusion Criteria: Known Brain or other CNS metastases, except for treated brain metastasis as defined below: A head computed tomography (CT) scan or magnetic resonance imaging (MRI) scan must be performed within 6 weeks prior to Day 1 of Cycle 1 to confirm the absence of CNS metastases. Treated brain metastases are defined as having no evidence of progression or hemorrhage for a minimum period of 4 weeks following treatment, and no ongoing requirement for dexamethasone, as ascertained by clinical examination and brain imaging (MRI or CT) during the screening period. Anticonvulsants (stable dose) are allowed. Treatment for brain metastases may include whole brain radiotherapy, radiosurgery (Gamma Knife, linear accelerator, or equivalent), or a combination as deemed appropriate by the treating physician. Patients with CNS metastases treated by neurosurgical resection or brain biopsy performed within 3 months prior to Day 1 of Cycle 1 will be excluded.

10) Uncontrolled hypertension defined by systolic pressure >150 mmHg and/or diastolic pressure >100 mmHg, with or without anti-hypertensive medication. Patients with initial blood pressure elevations are eligible if initiation or adjustment of anti-hypertensive medication lowers blood pressure to meet entry criteria.

11) Unstable angina

12) History of hypertensive crisis or hypertensive encephalopathy

13) New York Heart Association Grade >/=II congestive heart failure

14) History of myocardial infarction within 6 months prior to Day 1 of Cycle 1

15) History of stroke or transient ischemic attack within 6 months prior to Day 1of Cycle 1

16) Clinically significant peripheral vascular disease (e.g., aortic aneurysm requiring surgical repair or recent peripheral arterial thrombosis) within 6 months prior to Day 1 of Cycle 1

17) Evidence of bleeding diathesis or coagulopathy

18) History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to Day 1 of Cycle 1

19) History of anaphylactic reaction to monoclonal antibody therapy not controlled with pre-medication

20) History of hemoptysis (>/=1/2 teaspoon of bright red blood per episode) within 1 month prior to Day 1 of Cycle 1

21) Known hypersensitivity to any component of bevacizumab

22) Serious non-healing wound, active ulcer, or untreated bone fracture. Fractures secondary to metastatic disease may be allowed if stable and if surgery (if applicable) is completed >/= 30 days prior to Day 1 of Cycle 1.

23) Pregnancy (positive serum pregnancy test) or lactation

24) Inadequate organ function, as evidenced by any of the following laboratory values: Absolute neutrophil count <1500 /ul, Platelet count <100,000/ul, Total bilirubin >1.5 mg/dL, AST or ALT >2 times the upper limit of normal (ULN), or > 5 ULN in patients with known liver involvement, Alkaline phosphatase >2 ULN, or > 5 ULN in patients with known liver involvement and >7 ULN in patients with known bone involvement, Serum creatinine >2.0 mg/dL, PTT, INR, or PT > 1.5 ULN (except for patients receiving anticoagulation therapy), Urine dipstick or urinalysis for proteinuria >/=1+ at screening followed by 24-hour urine collection demonstrating > 1g protein

25) Uncontrolled serious medical or psychiatric illness

26) Active infection requiring IV antibiotics at Day 1 of Cycle 1

27) History of other malignancies within 5 years prior to Day 1 of Cycle 1, except for tumors with a negligible risk for metastasis or death, such as adequately controlled basal cell carcinoma or squamous cell carcinoma of the skin or carcinoma in situ of the cervix, Patients with a history of bilateral breast cancer or previous history of breast cancer will be eligible.

28) QTc interval at screening >470 msec (average of triplicate screening measurements)

29) ECG waveform morphology at screening incompatible with ECG interval measurement by the central laboratory

.
Links
Registration Number: NCT01186991
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
.
Results


Return to Clinical Trials at M.D. Anderson Cancer Center