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临床试验/NCT02723877
NCT02723877已完成1 期

An Open Label, Non Randomized, Multicenter Phase 1/2b Study Investigating Safety and Efficacy of PQR309 and Eribulin Combination in Patients With Locally Advanced or Metastatic HER2 Negative and Triple-Negative Breast Cancer

PIQUR Therapeutics AG5 个研究点 分布在 2 个国家目标入组 41 人开始时间: 2016年3月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
41
试验地点
5
主要终点
Number of patients with treatment related Adverse Events and Serious Adverse Events as assessed by NCI CTCAEV4.03

研究概览

简要总结

This study is an open-label,non randomized, multi-center, phase 1/2b (dose escalation followed by expansion part) study evaluating clinical safety, efficacy and pharmacokinetics of PQR309 in combination with standard dose of eribulin in patients with locally advanced or metastatic HER2-negative (escalation part) and Triple Negative Breast Cancer (expansion part).

详细描述

  • The primary objective of the escalation part is to assess the maximum tolerated dose (MTD) of PQR309 combined with the standard eribulin dose in patients with HER2 negative breast cancer following a "modified" 3 by 3 design.
  • For the expansion part the objective is to evaluate efficacy of PQR309 in combination with eribulin in patients with Triple Negative Breast Cancer
  • Once the MTD of continuous daily PQR309 dosing has been established, intermittent schedules of PQR309 ("2 days on/ 5 days off" or "Monday / Thursday") will be evaluated.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Histologically/cytologically confirmed diagnosis of breast cancer. Radiological evidence of inoperable locally advanced or metastatic breast cancer.
  • HER2 negative breast cancer (based on the most recent analyzed biopsy) defined as a negative in situ hybridization test or an immunohistochemistry status of 0, 1+ or 2+.
  • Received at least 2 and no more than 5 prio chemotherapeutic regimens in locally advanced and/or metastatic setting.
  • Prior therapy has to include an anthracycline and a taxane in any combination or order.
  • For Expansion part:
  • Triple-negative breast cancer defined as a negative in situ hybridization test or an immunohistochemistry (IHC) status of 0,1+ or 2+ER abnd PR status <10% by local laboratory testing.

排除标准

  • Previous systemic treatment with PI3K,mTOR or AKT inhibitors (allowed in the escalation part).
  • Previous treatment with eribulin (allowed in the escalation part). Known hypersensitivity to any of the excipients of PQR309 or eribulin.Concurrent treatment with other approved or investigational antineoplastic agent.
  • Symptomatic Central Nervous System metastases. The patient must have completed any prior local treatment for CNS metastases > 28 days prior to first dose of the study drug (including radiotherapy and/or surgery).
  • Clinically manifested diabetes mellitus(treated and/or clinical signs with fasting glucose >125mg/dl or HbA1c>7%), or documented steroid induced diabetes mellitus.

研究组 & 干预措施

Eribulin and PQR309

Experimental

PQR309 in combination with standard approved dose of eribulin mesylate 1.4 mg/m2 intravenous (iv) on days 1 and 8 in a period of 21 days per cycle will be investigated. . PQR309 will be administered maximum 15 minutes after eribulin iv dosing.

干预措施: PQR309 (Drug)

Eribulin and PQR309

Experimental

PQR309 in combination with standard approved dose of eribulin mesylate 1.4 mg/m2 intravenous (iv) on days 1 and 8 in a period of 21 days per cycle will be investigated. . PQR309 will be administered maximum 15 minutes after eribulin iv dosing.

干预措施: Eribulin (Drug)

结局指标

主要结局

Number of patients with treatment related Adverse Events and Serious Adverse Events as assessed by NCI CTCAEV4.03

时间窗: Up to 6 months

Continous dosing and intermittent schedules of PQR309

RECIST the Response criteria for solid tumors will be used to identify clinical benefit rate (CBR) including complete Response (CR), partial Response (PR) and stable disease (SD)

时间窗: Up to 15 months

Continous dosing and intermittent schedules of PQR309

次要结局

  • Physical examination, Body weight in kg(up to 12 months)
  • Number and percent of patients having each ECOG (Eastern Oncology Cooperative Group) performance status level will be presented for baseline and each post-baseline measurement.(up to 12 months)
  • PK parameters of PQR309 and eribulin will include: AUC0-∞(PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC(PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.)
  • Changes in Insulin levels(12 months)
  • Assessment of PQR309 and Eribulin blood concentration(up to 12 months)
  • Objective Response Rate (ORR), is defined as the best overall response (confirmed CR or PR) recorded for each patient since baseline.(up to 12 months)
  • 1-year survival, defined as the time from study entry to death as a result of any cause at 1-year cut-off date(up to 12 months)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: tmax(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: cmax(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1)
  • Number of patients with Adverse Events and Serious Adverse Events and number of anormal laboratory values that constitute an Adverse Events on their own(Up to 12 months)
  • Physical examination, ECG(up to 12 months)
  • Vital signs like body temperature(up to 12 months)
  • Time to Response (TTR) is defined, for patients with tumor response, as the time from the date of study entry to the first documentation of response (complete or partial)(up to 12 months)
  • Time to treatment failure (TTF) is defined as the time from study entry to any treatment failure including disease progression or discontinuation of treatment(up to 12 months)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-∞(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 day on 1 and 8 and beyond cycle 1 on day 1)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: t1/2(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1)
  • Changes of Routine laboratory -Haematology(12 months)
  • Changes of Routine laboratory -urinanalysis(12 months)
  • Vital signs like heart rate(up to 12 months)
  • Vital signs like blood pressure(up to 12 months)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-24(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC(Racemate)(On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose)
  • Changes of Routine laboratory -blood chemistry(12 months)
  • Duration of response (DOR) is defined, for the patients with tumor response, as the time from the date of the first confirmed response to disease progression.(up to 12 months)
  • Progression- free survival (PFS) is defined as the time from study entry to progression or death due to any cause(up to 12 months)
  • Changes in glucose levels(12 months)
  • Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC (Racemate)(It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (5)

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