Study of Apatinib in Metastatic Triple-Negative Breast Cancer Patients

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Jiangsu HengRui Medicine Co., Ltd.
Information provided by (Responsible Party):
Xichun Hu, Fudan University
ClinicalTrials.gov Identifier:
NCT01176669
First received: July 20, 2010
Last updated: December 1, 2013
Last verified: December 2013

July 20, 2010
December 1, 2013
June 2010
August 2014   (final data collection date for primary outcome measure)
  • DCR(Disease control rate) for IIa [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • PFS(Progression free survival) for IIb [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
DCR (Disease control rate) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
Complete list of historical versions of study NCT01176669 on ClinicalTrials.gov Archive Site
  • PFS(Progression free survival) for IIa [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • OS (Overall survival) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • ORR (Objective response rate) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
  • QoL (Quality of life) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • DCR(Disease control rate) for IIb [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • PFS (Progression free survival) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • OS (Overall survival) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • ORR (Objective response rate) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
  • Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]
  • QoL (Quality of life) [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
Not Provided
Not Provided
 
Study of Apatinib in Metastatic Triple-Negative Breast Cancer Patients
A Single-Institutional Phase IIa Trial and A Multi-Institutional Phase IIb Trial of Apatinib in Metastatic Triple-Negative Breast Cancer

The hypothesis of this clinical research study is to discover if the study drug apatinib can shrink or slow the growth of pretreated metastatic triple-negative breast cancer.

Apatinib is a tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor (VEGFR), and its anti-angiogenesis effect has been viewed in preclinical tests. The investigators' phase I study has shown that the drug's toxicity is manageable and the maximum tolerable daily dose is 850 mg. The hypothesis of this clinical research study is to discover if the study drug apatinib can shrink or slow the growth of triple-negative breast cancer. The safety of apatinib will also be studied. Patients physical state, symptoms, changes in the size of the tumor, and laboratory findings obtained while on-study will help the research team decide if apatinib is safe and effective in pretreated metastatic triple-negative breast cancer patients.

Interventional
Phase 2
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Metastatic Breast Cancer
Drug: Apatinib
Apatinib was administratered at 750 mg/d in Phase IIa. The actual average dose intensity delivered was 525 mg/d due to toxicities. So, in Phase IIb, the starting dose of apatinib will be 500mg/d. Two dose reductions will be allowed to 375 and then 250 mg/d.
Other Name: Target therapy
Experimental: Apatinib
Intervention: Drug: Apatinib
Fan M, Zhang J, Wang Z, Wang B, Zhang Q, Zheng C, Li T, Ni C, Wu Z, Shao Z, Hu X. Phosphorylated VEGFR2 and hypertension: potential biomarkers to indicate VEGF-dependency of advanced breast cancer in anti-angiogenic therapy. Breast Cancer Res Treat. 2014 Jan;143(1):141-51. doi: 10.1007/s10549-013-2793-6. Epub 2013 Dec 1.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
60
June 2015
August 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • ≥ 18 and ≤ 70 years of age.
  • ECOG performance status of 0-1.
  • Women diagnosed with triple negative breast cancer (breast cancer is estrogen receptor negative (ER-), progesterone receptor negative (PgR-) and human epidermal growth factor receptor negative (HER2-). HER2- is defined as 0 or 1+ staining on immunohistochemistry or FISH/CISH negative for gene amplification.
  • Metastatic breast cancer, confirmed by histological analysis.
  • Have failed for at least one chemotherapy regimen, but at most three regimens(including adjuvant and neo-adjuvant setting).
  • Duration from the last therapy (chemotherapy, radiotherapy, target therapy and operation) is more than 4 weeks (Duration for nitroso or mitomycin is 6 weeks).
  • Have at least one extracranial measurable site of disease according to RECIST 1.1 criteria that has not been previously irradiated. If the patient has had previous radiation to the marker lesion(s), there must be evidence of disease progression since the radiation.
  • Life expectancy of more than 3 months.
  • If the patients have brain or meninges metastases, the lesions must have been controlled at least 8 weeks.
  • Adequate hepatic, renal, heart, and hematologic functions (hemoglobin ≥ 9.0g/dl, neutrophils ≥ 1.5×10^9/L, platelets ≥ 80×10^9/L , ALT ≤ 2.5 x upper limit of normal (ULN), AST ≤ 2.5 x ULN, serum bilirubin ≤ 1.5 x ULN, serum creatine ≤ 1.5 x ULN, creatinine clearance rate ≥ 50ml/min, PT, APTT, TT, Fbg normal).
  • Written informed consent prior to study specific screening procedures, with the understanding that the patient has the right to withdraw from the study at any time without prejudice.

Exclusion Criteria:

  • Pregnant or lactating women.
  • Less than 4 weeks from the last clinical trial.
  • Have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study such as: Congestive heart failure: New York Heart Association Class III/IV, Unstable angina pectoris, symptomatic congestive heart failure, myocardial infarction within 6 months of start of study drug, serious uncontrolled cardiac arrhythmia or any other clinically significant cardiac disease.
  • Any factors that influence the usage of oral administration.
  • Receiving the therapy of thrombolysis or anticoagulation.
  • Unhealed wound or bone fracture.
  • Urine protein ≥++ and confirmed >1.0 g by the 24h quantity.
  • Previous or present history of pulmonary fibrosis,interstitial pneumonia,pneumoconiosis,radiation pneumonitis,drug-related pneumonitis or greatly-impaired pulmonary function.
  • Disability of serious uncontrolled intercurrence infection.
  • Abuse of alcohol or drugs.
  • Have received prior treatment with a VEGFR, PDGFR or s-SRC TKI (Bevacizumab is permitted).
  • History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix.
Female
18 Years to 70 Years
No
Contact information is only displayed when the study is recruiting subjects
China
 
NCT01176669
Fudan BR2010-03
No
Xichun Hu, Fudan University
Fudan University
Jiangsu HengRui Medicine Co., Ltd.
Study Chair: Xichun Hu, Doctorship Fudan University
Fudan University
December 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP