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A Study of YM155 Plus Docetaxel as First-Line Treatment in Subjects With HER2 Negative Metastatic Breast Cancer

Phase 2
Completed
Conditions
Breast Cancer
Interventions
Drug: YM155
Drug: Docetaxel
Registration Number
NCT01038804
Lead Sponsor
Astellas Pharma Inc
Brief Summary

The purpose of this study is to evaluate survival, response rate, safety and tolerability of YM155 given in combination with docetaxel as first-line treatment in subjects with human epidermal growth factor 2 non-overexpressing (HER2 negative) metastatic breast cancer.

Detailed Description

This is an outpatient study. All subjects enrolled in this study will receive a combined regimen of YM155 and docetaxel or docetaxel alone given during 21 day cycles. Each subject will be assessed at the end of each cycle to determine if the subject can continue to the next cycle. Each subject assigned to receive YM155 in combination with docetaxel will be eligible to continue receiving the combination regimen in this study until one of the discontinuation criteria is met.

If a subject discontinues treatment with at least stable disease (SD) that subject will complete follow-up visits every 12 weeks for 2 years or until initiating another systemic anti-breast cancer treatment, exhibiting progressive disease (PD), or death.

Each subject will be contacted by the study site every 12 weeks for survival following the End of Treatment Visit. The contacts will continue until death or for no more than 2 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
101
Inclusion Criteria
  • Histologically- or cytologically-proven adenocarcinoma of the breast that is HER2 negative. Subjects with hormone receptor positive or negative status are eligible. Additionally, subjects with triple negative status (meaning estrogen receptor negative, progesterone receptor negative and HER2 negative) are eligible
  • No prior chemotherapy regimen for metastatic breast cancer
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 at the Baseline Visit
  • The subject's life expectancy is estimated to be > 12 weeks at the Baseline Visit
  • The subject must be non-pregnant and non-lactating. All sexually active subjects of childbearing potential must agree to use an adequate method of contraception throughout the study period
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Exclusion Criteria
  • Hypersensitivity to docetaxel or polysorbate 80
  • Neuropathy ≥ Grade 2 at the Baseline Visit
  • Known brain or leptomeningeal metastasis as assessed through medical history review and physical examination
  • The subject has known Human Immunodeficiency Virus (HIV), Hepatitis B surface Antigen or hepatitis C antibody
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
A. YM155 plus docetaxelYM155-
A. YM155 plus docetaxelDocetaxel-
B. docetaxel aloneDocetaxel-
Primary Outcome Measures
NameTimeMethod
Progression free survival (PFS)At the time of progression or death or at 2 year follow up
Secondary Outcome Measures
NameTimeMethod
Duration of responseAt the time of progression or at 2 year follow up
Time to responseAt the time of response or at 2 year follow up
Safety assessed by recording of adverse events, physical examinations, vital signs, laboratory assessments and electrocardiograms (ECGs)Up to 30 days after last subject discontinues treatment
Overall survivalAt the time of death or at 2 year follow up
Objective response rate (proportion of subjects with complete response or partial response)At the time of progression or death or at 2 year follow up
Clinical benefit rateAt the time of progression or death or at 2 year follow up

Trial Locations

Locations (30)

Gabrail Cancer Center

🇺🇸

Canton, Ohio, United States

Sint-Augustinus GZA Ziekenhuizen

🇧🇪

Wilrijk, Belgium

Bay Area Cancer Research Group

🇺🇸

Pleasant Hill, California, United States

Kenmar Research Institute

🇺🇸

Los Angeles, California, United States

Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Montana Cancer Institute Foundation c/o Montana Cancer Specialists

🇺🇸

Missoula, Montana, United States

Lakeland Regional Cancer Center

🇺🇸

Lakeland, Florida, United States

Institut Jules Bordet - Medical Oncology and Translational Research

🇧🇪

Brussels, Belgium

Grand Hopital de Charleroi - Site Notre Dame

🇧🇪

Charleroi, Belgium

Wojewodzki Szpital

🇵🇱

Wroclaw, Poland

Faculty Hospital Na Bulovce

🇨🇿

Prague, Czech Republic

FN Kralovske Vinohrady

🇨🇿

Prague 10, Czech Republic

Frauenklinik des Universitätsklinikums Erlangen

🇩🇪

Erlangen, Germany

Universitatsklinikum Schleswig

🇩🇪

Kiel, Germany

Klinikum Mutterhaus der Borromaeerinnen

🇩🇪

Trier, Germany

Hämatologisch-onkologische Praxis

🇩🇪

Augsburg, Germany

St. Vincent's University Hospital

🇮🇪

Dublin, Ireland

St. James Hospital

🇮🇪

Dublin, Ireland

Department of Medical Oncology

🇮🇪

Dublin, Ireland

State Therapeutic and Prophylactic Institution Chelyabinsk Regional Clinical Oncology Dispensary

🇷🇺

Chelyabinsk, Russian Federation

Centrum Onkologii-Instytut im.

🇵🇱

Warsaw, Poland

Pyatigorsk Oncology Dispensary

🇷🇺

Pyatigorsk, Russian Federation

Institution of Russian Academy of Medical Sciences Russian Oncology Research Centre

🇷🇺

Moscow, Russian Federation

State Healthcare Institution "Samara Regional Clinical Oncology Dispensary"

🇷🇺

Samara, Russian Federation

Tula Regional Dispensary

🇷🇺

Tula, Russian Federation

Nottingham University Hospital

🇬🇧

Nottingham, United Kingdom

Scientific-Research Institute of Oncology named after Petrov

🇷🇺

Saint Petersburg, Russian Federation

Carolina Oncology Specialists, PA

🇺🇸

Hickory, North Carolina, United States

State Healthcare institution "Kursk Regional Oncology Dispensary" of Kursk Region Healthcare committee GUZ "KOOD"

🇷🇺

Kursk, Russian Federation

Saint-Petersburg State Medical University named after Pavlov

🇷🇺

Saint Petersburg, Russian Federation

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