Phase1b to Evaluate Safety of AMG706 in Combination With Paclitaxel or Docetaxel for Breast Cancer
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
This open-label, dose-finding, multi-center study is designed to determine the safety and the maximum tolerated dose of AMG 706 given once daily in combination with either weekly paclitaxel (Arm A) or once-every-3 week docetaxel (Arm B) in subjects with locally recurrent or metastatic breast cancer. Secondarily, this study will evaluate the pharmacokinetic (PK) profile of AMG 706 in both treatment arms, the PK profile of paclitaxel in Arm A and the PK profile of docetaxel in Arm B. Additionally, this study will assess objective tumor response and duration of response. Exploratory endpoints include the investigation of potential biomarker development and to assess the effects of genetic variation in drug metabolism genes, cancer genes and drug target genes on subject response to AMG 706 in combination with paclitaxel or docetaxel.
| Condition | Intervention | Phase |
|---|---|---|
|
Locally Recurrent and Metastatic Breast Cancer |
Drug: Docetaxel Drug: Paclitaxel Drug: AMG 706 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-label, Dose-finding Study to Evaluate the Safety of AMG 706 in Combination With Paclitaxel or Docetaxel as Treatment for Locally Recurrent or Metastatic Breast Cancer |
- Incidence of dose limiting toxicities (DLTs) [ Time Frame: Cycle 1 of treatment. For Arm A, 1 cycle = 28 days. For Arm B, 1 cycle = 21 days ] [ Designated as safety issue: Yes ]
- Pharmacokinetics of AMG 706 when administered with paclitaxel (Arm A) or docetaxel (Arm B) [ Time Frame: Cycle 1 (Arms A and B) and Cycle 2 Arm B only) ] [ Designated as safety issue: No ]
- Pharmacokinetics of paclitaxel (Arm A) when administered with AMG 706 [ Time Frame: Cycle 1, D1 and D8 for subjects in Arm A only ] [ Designated as safety issue: No ]
- Pharmacokinetics of docetaxel (Arm B) when administered with AMG 706 [ Time Frame: Cycles 1 and 2 for subjects in Arm B only ] [ Designated as safety issue: No ]
- Incidence of adverse events and clinical laboratory abnormalities not defined as DLTs [ Time Frame: From study entry through 30 days post discontinuation of study treatment ] [ Designated as safety issue: Yes ]
- Objective tumor response (complete or partial response) according to modified RECIST [ Time Frame: Subjects in Arm A: every 8 weeks until discontuation. Subjects in Arm B:every 6 weeks until discontinuation. ] [ Designated as safety issue: No ]
- Duration of response (calculated for those subjects who respond): time from first objective tumor response to objective disease progression or death. [ Time Frame: Subjects in Arm A: every 8 weeks until discontuation. Subjects in Arm B:every 6 weeks until discontinuation. ] [ Designated as safety issue: No ]
| Enrollment: | 46 |
| Study Start Date: | March 2006 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: B1
AMG 706 50 mg daily + Docetaxel (100 mg/m2 D1 every 21 days)
|
Drug: Docetaxel
Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: A4
75 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8 and D15 every 28 days)
|
Drug: Paclitaxel
Subjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: A1
AMG 706 50 mg daily + Paclitaxel (90 mg/m2 D1, D8, D15 every 28 days)
|
Drug: Paclitaxel
Subjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: B4
75 mg AMG 706 daily + Docetaxel (100 mg/m2, D1 every 21 days)
|
Drug: Docetaxel
Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: B5
MTD of AMG 706 + Docetaxel (75mg/m2 D1 every 21 days)
|
Drug: Docetaxel
Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: B3
100 mg AMG 706 daily + Docetaxel (100 mg/m2 on D1 every 21 days)
|
Drug: Docetaxel
Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: B2
AMG 706 125 mg daily + Docetaxel (100 mg/m2 D1 every 21 days)
|
Drug: Docetaxel
Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: A2
AMG 706 125 mg daily + paclitaxel 90 mg/m2 D1, D8, D15 every 28 days
|
Drug: Paclitaxel
Subjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
Experimental: A3
100 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8, and D15 every 28 days)
|
Drug: Paclitaxel
Subjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond.
Drug: AMG 706
Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically or cytologically confirmed adenocarcinoma of the breast with locally recurrent or metastatic disease.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Female 18 years of age or older.
- Adequate hematologic, renal and hepatic function.
- Competent to comprehend, sign, and date an IRB-approved informed consent form.
- Subjects of childbearing potential and sexually active must provide a negative pregnancy test and use accepted and effective method of contraception.
Exclusion Criteria:
- Prior taxane-containing treatment within 6 months prior to enrollment.
- Prior treatment including chemotherapy and/or endocrine therapy discontinued < 21 days prior to enrollment.
- More than one prior systemic chemotherapy for locally recurrent or metastatic breast cancer.
- Current or prior history of central nervous system metastases.
- History of arterial or venous thrombosis within 1 year prior to enrollment.
- History of bleeding diathesis or bleeding within 14 days prior to enrollment.
- Radiation therapy to a significant portion of bone marrow or prior history of high-dose chemotherapy requiring bone marrow or stem cell support.
- Hypersensitivity to paclitaxel, docetaxel, or drugs using the vehicle cremophor.
- Prior VEGFr targeted therapies within 30 days of enrollment.
- Any anticoagulant therapy within 7 days prior to enrollment, except for warfarin of less than 2mg per day.
- Clinically significant cardiac disease including myocardial infarction or other cardiovascular related event within 1 year before enrollment.
- Uncontrolled hypertension (systolic >150 mmHg; diastolic > 90 mmHg).
- Known HIV positive, hepatitis C positive or hepatitis B surface antigen positive.
- Prior bevacizumab or trastuzumab therapy within 12 weeks of enrollment.
- Non-healing wound, ulcer or fracture.
- Known history of prior episodes of cholecystitis, prior biliary procedure or prior or ongoing biliary disease.
- Unable to take oral medications.
- Not recovered from previous therapies.
- Major surgery within 28 days prior to enrollment.
- Prior malignancy unless treated with curative intent and without evidence of disease for greater than 3 years before enrollment.
- Peripheral neuropathy grade > 1 per CTCAE version 3.0
Contacts and Locations More Information
Additional Information:
No publications provided
| Responsible Party: | Amgen |
| ClinicalTrials.gov Identifier: | NCT00322400 History of Changes |
| Other Study ID Numbers: | 20050200 |
| Study First Received: | May 4, 2006 |
| Last Updated: | September 12, 2012 |
| Health Authority: | Australia: Therapeutic Goods Administration United States: Food and Drug Administration |
Keywords provided by Amgen:
|
Clinical trial AMG 706 Anti-angiogenesis Locally Recurrent Metastatic Breast Cancer VEGF Angiogenesis Inhibitor Oral |
Multi-kinase Inhibitor Anti-tumor PDGF receptor Paclitaxel Docetaxel Targeted Therapy Oncology Amgen c-Kit |
Additional relevant MeSH terms:
|
Growth Inhibitors Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Angiogenesis Inhibitors Paclitaxel Docetaxel Angiogenesis Modulating Agents |
Growth Substances Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents Therapeutic Uses Tubulin Modulators Antimitotic Agents Mitosis Modulators Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Phytogenic |
ClinicalTrials.gov processed this record on May 22, 2013