Tipifarnib Plus Trastuzumab in Treating Patients With Metastatic Breast Cancer

This study has been withdrawn prior to enrollment.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
The University of Texas Health Science Center at San Antonio
ClinicalTrials.gov Identifier:
NCT00054470
First received: February 5, 2003
Last updated: June 27, 2012
Last verified: June 2012
  Purpose

RATIONALE: Tipifarnib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining tipifarnib with trastuzumab may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining tipifarnib with trastuzumab in treating patients who have metastatic breast cancer.


Condition Intervention Phase
Breast Cancer
Biological: trastuzumab
Drug: tipifarnib
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Evaluation Of The Efficacy And Safety Of R115777 (NSC702818) A Non-Peptidomimetic Farnesyl Transferase Inhibitor, And Trastuzumab In Patients With Advanced Breast Cancer

Resource links provided by NLM:


Further study details as provided by The University of Texas Health Science Center at San Antonio:

Enrollment: 0
Study Start Date: December 2002
Study Completion Date: January 2003
Primary Completion Date: January 2003 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the antitumor activity of tipifarnib and trastuzumab (Herceptin) in patients with metastatic breast cancer.
  • Determine the safety and tolerability of this regimen in these patients.

OUTLINE: This is an open-label, multicenter study.

Patients receive oral tipifarnib twice daily on days 1-21 and trastuzumab (Herceptin) IV over 30-90 minutes on day 1. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.

Patients are followed every 2 months.

PROJECTED ACCRUAL: A total of 18-40 patients will be accrued for this study within 9-20 months.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed metastatic adenocarcinoma of the breast

    • HER2/neu 3+ by immunohistochemical staining

      • 2+ eligible provided HER2/neu positive by fluorescent in-situ hybridization (FISH)
      • HER2/neu positive by FISH alone allowed
  • Unidimensionally measurable disease

    • At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
  • Must have received prior trastuzumab (Herceptin)
  • Patients with known brain metastases meeting any of the following criteria are not eligible:

    • Require high-dose steroid therapy or enzyme-inducing anticonvulsant drugs
    • No prior cranial radiotherapy
    • Have progressive neurologic dysfunction that would preclude study evaluation
    • Have evidence of progressive CNS disease by CT scan or MRI
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age

  • Over 18

Sex

  • Male or female

Menopausal status

  • Not specified

Performance status

  • ECOG 0-2 OR
  • Karnofsky 70-100%

Life expectancy

  • At least 12 weeks

Hematopoietic

  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 9.0 g/dL

Hepatic

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • AST and ALT no greater than 2.5 times ULN (5 times ULN if liver metastases present)

Renal

  • Creatinine no greater than 1.5 times ULN OR
  • Creatinine clearance greater than 60 mL/min

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • Ejection fraction greater than 50% by MUGA or echocardiogram

Gastrointestinal

  • No gastrointestinal tract disease resulting in an inability to tolerate oral medication
  • No requirement for IV alimentation
  • No active peptic ulcer disease

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No significant traumatic injury within the past 21 days
  • No other malignancy within the past 3 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No ongoing or active infection
  • No prior allergic reaction attributed to compounds of similar chemical or biological composition to tipifarnib (e.g., quinolones) or trastuzumab
  • No psychiatric illness or social situation that would preclude study compliance
  • No other concurrent medical illness that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • No prior bone marrow transplantation with high-dose chemotherapy
  • No concurrent immunotherapy

Chemotherapy

  • See Biologic therapy
  • No more than 2 prior chemotherapy regimens for metastatic disease
  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

    • Prior combination chemotherapy allowed
  • No concurrent chemotherapy

Endocrine therapy

  • See Disease Characteristics
  • Prior hormonal therapy allowed
  • No concurrent hormonal therapy for cancer

Radiotherapy

  • See Disease Characteristics
  • More than 4 weeks since prior wide-field radiotherapy and recovered
  • No concurrent radiotherapy

Surgery

  • Prior modified radical mastectomy or lumpectomy with axillary node dissection allowed
  • Prior resection of metastatic lesions allowed
  • More than 21 days since prior major surgery
  • No prior surgery affecting absorption

Other

  • No prior tipifarnib
  • More than 6 weeks since initiation of bisphosphonate therapy (if bone lesions are the only site of measurable disease)
  • Bisphosphonate therapy may not be initiated during study
  • No other concurrent investigational agents
  • No other concurrent anticancer therapy
  • No concurrent antacids within 2 hours of study drug
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00054470

Sponsors and Collaborators
The University of Texas Health Science Center at San Antonio
Investigators
Study Chair: Garry Schwartz, MD Brooke Army Medical Center
  More Information

No publications provided

Responsible Party: The University of Texas Health Science Center at San Antonio
ClinicalTrials.gov Identifier: NCT00054470     History of Changes
Other Study ID Numbers: CDR0000270686, U01CA069853, P30CA054174, SACI-IDD-01-44, NCI-5330, UTHSC-IDD-01-44
Study First Received: February 5, 2003
Last Updated: June 27, 2012
Health Authority: United States: Food and Drug Administration
United States: Institutional Review Board

Keywords provided by The University of Texas Health Science Center at San Antonio:
stage IV breast cancer
recurrent breast cancer
male breast cancer

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Trastuzumab
Tipifarnib
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on July 31, 2014