EUCTR2007-005949-38-CZ进行中(未招募)不适用
A Phase 2 Randomized, Placebo-Controlled, Double-Blind Study of ABT-869 in Combination With Paclitaxel Versus Paclitaxel Alone as First-line Treatment in Subjects With Locally Recurrent or Metastatic Breast Cancer
适应症
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 90
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- Female
入选标准
- •1. The subject is female and = 18 years of age.
- •2. The subject is diagnosed with adenocarcinoma of the breast.
- •3. The subject must have metastatic disease or locally recurrent disease that is not
- •amenable to local treatment (surgical or radiation) with curative intent.
- •4. The subject must have received no prior chemotherapy for locally recurrent or
- •metastatic breast cancer.
- •5. At least 12 months have passed since the subject received prior adjuvant or
- •neoadjuvant cytotoxic chemotherapy (including prior taxane therapy and prior
- •anti-angiogenic therapy [i.e., bevacizumab or a TKI]).
- •6. The subject does not have HER-2 –overexpression (3+) breast cancer (unless
- •treated previously with trastuzumab [Herceptin] or lapatinib).
- •7. The subject has measurable disease, defined as at least 1 unidimensionally
- •measurable lesion on a CT scan as defined by RECIST (for subjects in the
- •randomized portion only).
- •8. The subject has an Eastern Cooperative Oncology Group (ECOG) performance
- •score of 0-1.
- •9. The subject must have adequate bone marrow, renal and hepatic function as
- •a. Bone Marrow: absolute neutrophil count (ANC) = 1,500/mm3 (1.5 × 109/L); platelets = 100,000/mm3 (100 × 109/L); hemoglobin = 9.0 g/dL (1.4 mmol/L);
- •b. Renal function: serum creatinine = 2.0 mg/dL (0.81 mmol/L);
- •c. Hepatic function: AST and ALT = 1.5 × ULN unless liver metastases are
- •present, then AST and ALT = 5.0 × ULN; bilirubin = 1.5 mg/dL (0.026 mmol/L).
- •10. The subject must have PTT = 1.5 × ULN and INR = 1.5.
- •11. Women of childbearing potential must have a negative urine pregnancy test within 7 days prior to initiation of treatment and/or post menopausal women must be
- •amenorrheic for at least 12 months to be considered of non-childbearing potential.
- •Women of childbearing potential must agree to use adequate contraception (one of
- •the following listed below) prior to study entry, for the duration of study
- •participation and up to two months following completion of therapy.
- •? Total abstinence from sexual intercourse (minimum one complete menstrual
- •? A vasectomized partner;
- •? Double-barrier method (condoms, contraceptive sponge, diaphragm or vaginal
- •ring with spermicidal jellies or cream).
- •12. The subject is capable of understanding and complying with parameters as
- •outlined in the protocol and able to sign and date the informed consent, approved
- •by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB),
- •prior to the initiation of any screening or study-specific procedures.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •1. The subject has received anti-cancer therapy (other than chemotherapy) including
- •investigational agents (any agent not approved for use in humans),
- •immunotherapy, anti-cancer Chinese medicine/herbal remedies, or biologic
- •therapy within 21 days or within a period defined by 5 half lives if the previous
- •agent was a chronically dosed, targeted therapy (e.g., trastuzumab), whichever is
- •shorter, prior to Study Day 1. Clinically significant adverse effects/toxicities of
- •the previous therapy must have recovered to = Grade 1.
- •2. The subject has had major surgery within 21 days of Study Day 1.
- •3. The subject has received radiation therapy (including palliative radiation) within
- •14 days of Study Day 1.
- •4. The subject has received anti-cancer hormonal therapy (e.g., tamoxifen) within
- •14 days of Study Day 1.
- •5. The subject has symptomatic or untreated brain or meningeal metastases. CT
- •scans are not required to rule out brain or meningeal metastases unless there is a
- •clinical suspicion of central nervous system disease. Subjects with treated brain
- •metastases that are radiographically or clinically stable for at least 4 weeks after
- •therapy and have no evidence of cavitation or hemorrhage in the brain lesion are eligible providing that they are asymptomatic and do not require corticosteroids
- •(must have discontinued steroids at least 1 week prior to Study Day 1).
- •6. The subject has hypersensitivity to paclitaxel or to other drugs formulated with
- •polyethoxylated castor oil (Crempahor) not able to be controlled with medication.
- •7. The subject has proteinuria CTC grade > 1 at baseline as measured by a UPC ratio
- •of > 1 and confirmed by a 24-hour urine collection.
- •8. The subject is receiving therapeutic anticoagulation therapy. Low dose
- •anticoagulation (e.g., low dose warfarin) for catheter prophylaxis will be permitted.
- •9. The subject has a history of, or currently exhibits, clinically significant cancer
- •related events of bleeding (e.g., gross hemoptysis defined as bright red blood of at
- •least ½ teaspoon or 2.5 mL per episode within 3 months prior to randomization
- •unless definitively treated with surgery or radiation) or the subject has a recent
- •history of (within 4 weeks of Study Day 1) or currently exhibits other clinically
- •significant signs of bleeding.
- •10. The subject currently exhibits symptomatic or persistent, uncontrolled
- •hypertension defined as diastolic blood pressure (BP) > 100 mmHg; or systolic
- •blood pressure (BP) > 150 mmHg. Subjects may be re-screened if blood pressure
- •is shown to be controlled with or without intervention.
- •11. The subject has a history of myocardial infarction, stroke, or transient ischemic
- •attack (TIA) within 6 months of Study Day 1.
- •12. The subject has a documented left ventricular (LV) ejection fraction < 50%.
- •13. The subject has known autoimmune disease with renal involvement (e.g., lupus).
- •14. The subject is receiving combination anti-retroviral therapy for HIV.
- •15. The subject is pregnant or breast-feeding.
- •16. The subject has clinically significant uncontrolled condition(s) including but not
- •limited to:
- •active uncontrolled infection,
- •symptomatic congestive heart failure,
- •unstable angina pectoris or cardiac arrhythmia,
- •history of adrenal insufficiency,
- •psychiatric illness/social situation that would limit compliance with study requirements.
- •17. The subject has active ulcerative colitis, Crohn's disease, celiac disease or any
- •other conditions that interfere with absorption.
- •18. The subject has had another
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