SU11248 as Consolidation After Response to Taxanes in Metastatic Breast Cancer

This study has been completed.
Sponsor:
Collaborator:
Pfizer
Information provided by:
University Hospital, Gasthuisberg
ClinicalTrials.gov Identifier:
NCT00270413
First received: December 23, 2005
Last updated: November 10, 2009
Last verified: November 2009
  Purpose

This study tests the hypothesis that SU11248 can delay tumor progression after tumor mass reduction by taxanes. This is a dual-arm open-label randomized multicenter phase II clinical trial with 2:1 randomization evaluating the efficacy of SU11248 versus nil in patients with metastatic breast cancer after objective response to taxane chemotherapy. Patients randomized to the placebo arm (Arm B) will be offered the opportunity to receive open-label SU011248 treatment upon development of Response Evaluation Criteria in Solid Tumors (RECIST)-defined disease progression.


Condition Intervention Phase
Metastatic Breast Cancer
Drug: SU11248
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Belgian Multicenter Phase II Randomized Trial in her2 Negative Metastatic Breast Cancer Evaluating Consolidation Antiangiogenic Therapy With SU11248 After Response to Taxane Chemotherapy Induction

Resource links provided by NLM:


Further study details as provided by University Hospital, Gasthuisberg:

Primary Outcome Measures:
  • Progression Free Survival (PFS) at 5 months (= proportion of patients alive and free of progression 5 months after starting therapy in the sunitinib arm (control arm = only for descriptive purpose) [ Time Frame: 5 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To compare other measures of antitumor efficacy in both treatment arms of the study [ Time Frame: 1y ] [ Designated as safety issue: No ]
  • To evaluate the safety and tolerability of SU011248 [ Time Frame: 1y ] [ Designated as safety issue: Yes ]
  • To explore the correlations of potential biomarkers with clinical outcomes [ Time Frame: 1y ] [ Designated as safety issue: No ]
  • To confirm efficacy of SU11248 in patients of the control group, who receive delayed [ Time Frame: 1y ] [ Designated as safety issue: No ]
  • SU11248 treatment at the time progression after taxane chemotherapy. [ Time Frame: 1y ] [ Designated as safety issue: No ]

Enrollment: 55
Study Start Date: January 2006
Study Completion Date: March 2009
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
sutent
Drug: SU11248
sutent 50 mg daily 4w on 2w off
Other Name: sunitinib
No Intervention: 2

Detailed Description:

This study tests the hypothesis that SU11248 can delay tumor progression after tumor mass reduction by taxanes. This is a dual-arm open-label randomized multicenter phase II clinical trial with 2:1 randomization evaluating the efficacy of SU11248 versus nil in patients with metastatic breast cancer after objective response to taxane chemotherapy. Patients randomized to the placebo arm (Arm B) will be offered the opportunity to receive open-label SU011248 treatment upon development of RECIST-defined disease progression

  Eligibility

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

Inclusion Criteria:

  • Patients with metastatic breast cancer, histologically proven
  • Patients received taxane based chemotherapy resulting in PR or CR, and thus had measurable disease at the start of taxane therapy (RECIST)
  • No more than 2 lines (taxanes included) in metastatic setting
  • Patients have received at least 10 weeks of taxane therapy (4 cycles of 3-weekly therapy or 8 weekly administrations) and no more than 20 weeks of treatment (6 cycles of 3-weekly therapy or 16 weekly administrations). 6 cycles of 3-weekly taxanes or 12-16 cycles of weekly taxanes are recommended.
  • Last taxane administration between 3 and 4 weeks for 3 weekly taxane or between 2 and 3 weeks for weekly taxanes
  • Performance status 0 to 1 on the ECOG scale (Appendix A)
  • Age > 18 years
  • Adequate organ function as defined by:
  • Serum aspartate aminotransferase (AST; serum glutamate-oxalate transferase [SGOT]) and serum alanine aminotransferase (ALT; serum glutamate-pyruvate transferase [SGPT]) ≤2.5 x central laboratory upper limit of normal (CL-ULN). If liver function abnormalities are due to underlying malignancy, then AST and ALT may be ≤5 x CL-ULN
  • Prothrombin time (PT) > 50%
  • Serum albumin ≥3.0 g/dL
  • Absolute neutrophil count (ANC) ≥1500/µL
  • Platelets ≥100,000/µL
  • Hemoglobin ≥9.0 g/dL
  • Serum creatinine ≤1.5 x CL-ULN
  • Serum amylase and lipase ≤1.0 x CL-ULN
  • Left ventricular ejection fraction (LVEF) above the lower limit of normal (LLN) as assessed by multigated acquisition (MUGA) scan or echocardiography.
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
  • Before patient registration/randomization, written informed consent must be given according to ICH/GCP, and national/local regulations.

Exclusion Criteria:

  • Her2 neu positive tumor with IHC 3+ or FISH+
  • Concurrent hormone therapy (tamoxifen, aromatase inhibitors, other hormone suppressing therapies) with SU11248.
  • Concurrent treatment with hormonal replacement therapy
  • Concurrent treatment with any other anti-cancer therapy. Bisphosphonates are allowed.
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational not marketed drug within 20 days prior to study entry. Previous trials with antiangiogenic drugs is not allowed.
  • Chronic treatment with steroids unless initiated > 6 months prior to study entry and at low dose (< 20 mg methylprednisolone daily or equivalent)
  • Diagnosis of any second malignancy within the last 5 years, except for adequately treated basal cell or squamous cell skin cancer, or for in situ carcinoma of the cervix uteri.
  • Any of the following within the 12 months prior to study drug administration: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis, or other thromboembolic event.
  • Ongoing cardiac dysrhythmias of NCI CTCAE grade ≥2, atrial fibrillation of any grade, or prolongation of the QTc interval to >450 msec for males or >470 msec for females.
  • Known human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS)-related illness.
  • Pregnancy or breastfeeding. Patients must be surgically sterile or be postmenopausal, or must agree to use effective contraception during the period of therapy. All female patients with reproductive potential must have a negative pregnancy test (serum or urine) within the 7 days prior to enrollment. The definition of effective contraception will be based on the judgment of the principal investigator or a designated associate.
  • Other severe acute or chronic medical or psychiatric condition, or laboratory abnormality that may increase the risk associated with study participation or study drug administration, or may interfere with the interpretation of study results, and in the judgment of the investigator would make the patient inappropriate for entry into this study.
  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: NCT00270413

Locations
Belgium
Imelda Bonheiden
Bonheiden, Belgium
AZ st-jan brugge
Brugge, Belgium
AZ VUB
Brussels, Belgium
UCL
Brussels, Belgium
Charleroi
Charleroi, Belgium
UZ Gent
Gent, Belgium, 9000
ZOL
Hasselt, Belgium
UZ Leuven
Leuven, Belgium, 3000
Liege sart-tilman
Liege, Belgium
Namur st-elisabeth
Namur, Belgium
St-Elisabeth Turnhout
Turnhout, Belgium
AZ st-augustinus
Wilrijk, Belgium
Mont-Godinne
Yvoir, Belgium
Sponsors and Collaborators
University Hospital, Gasthuisberg
Pfizer
Investigators
Principal Investigator: hans wildiers, MD, PhD UZ Leuven
  More Information

No publications provided

Responsible Party: university hospitals leuven
ClinicalTrials.gov Identifier: NCT00270413     History of Changes
Other Study ID Numbers: EudraCT 2005-004587-23, UZL/MBC SUBE0501
Study First Received: December 23, 2005
Last Updated: November 10, 2009
Health Authority: Belgium: Federal Agency for Medicines and Health Products, FAMHP

Keywords provided by University Hospital, Gasthuisberg:
breast cancer
metastatic
taxanes
SU11248

Additional relevant MeSH terms:
Breast Neoplasms
Breast Diseases
Neoplasms
Neoplasms by Site
Skin Diseases
Sunitinib
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Antineoplastic Agents
Growth Inhibitors
Growth Substances
Pharmacologic Actions
Physiological Effects of Drugs
Therapeutic Uses

ClinicalTrials.gov processed this record on October 23, 2014