A RANDOMIZED PHASE 2 STUDY OF SU011248 VERSUS STANDARD-OF-CARE FOR PATIENTS WITH PREVIOUSLY TREATED, ADVANCED, TRIPLE RECEPTOR NEGATIVE (ER, PR, AND HER2) BREAST CANCER

Conditions: ocally Recurrent or Metastatic Breast Cancer
MedDRA version: 14.1Level: PTClassification code 10006198Term: Breast cancer recurrentSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]

Registration Number: EUCTR2005-003774-15-IT

Lead Sponsor: PFIZER

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Recruiting

Sex: All

Target Recruitment: 200

Inclusion Criteria

1. Histologically or cytologically proven diagnosis of breast cancer with evidence of - unresectable, locally recurrent, or - metastatic disease. Locally recurrent disease must not be amenable to resection or radiation therapy with curative intent. 2. Documentation of estrogen and progestin receptor (ER/PR) negative status and HER2/neu receptor negative status (ie, FISH negative or immunohistochemistry 0 or +1). 3. Prior treatment with an anthracycline and a taxane in the adjuvant or metastatic disease setting. 4. Prior treatment with chemotherapy as follows: ? Receipt of adjuvant chemotherapy with RECIST or World Health Organization (WHO)- defined disease progression documented during treatment or disease relapse within 6 months of last treatment with chemotherapy, OR ? Receipt of chemotherapy in the first-line advanced disease setting with RECIST or WHOdefined disease progression documented during treatment, or, if the patient completed treatment with objective disease response, disease progression documented within 3 months after discontinuing treatment. Patients entering the study on the basis of this criterion may have also previously received adjuvant treatment with chemotherapy. 5. Measurable disease as per RECIST. Measurable lesions that have been previously radiated will not be considered target lesions unless increase in size has been observed following completion of radiation therapy. 6. Candidate for treatment with one of the standard chemotherapy regimens listed if patient is randomized to the control arm. Safety precautions standard for specific chemotherapy regimens but not stated in study entry criteria must be ensured by the investigator prior to randomization. Examples include precautions for some chemotherapy regimens based on moderately elevated liver function tests and prior hypersensitivity to an agent. 7. Patients receiving bisphosphonate therapy for metastatic bone disease must have initiated therapy at least 4 weeks prior to first dose of treatment on study. 8. Male or female, 18 years of age or older. 9. ECOG performance status 0 or 1. 10. Resolution of all acute toxic effects of prior therapy or surgical procedures to grade ≤1 (except alopecia). 11. The definitions of minimum adequacy for organ function required prior to study entry are as follows. In addition, safety precautions provided in the product labeling for the anticipated control arm chemotherapy must be observed. . Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) ≤2.5 x upper limit of normal (ULN), or AST and ALT ≤5 x ULN if liver function abnormalities are due to underlying malignancy ? Total serum bilirubin ≤1.5 x ULN ? Serum albumin ≥3.0 g/dL ? Absolute neutrophil count (ANC) ≥1500/µL ? Platelets ≥100,000/µL ? Hemoglobin ≥9.0 g/dL ? Serum creatinine ≤1.5 x ULN 12. Signed and dated informed consent document indicating that the patient (or legally acceptable representative) has been informed of all the pertinent aspects of the trial prior to enrollment. 13. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures.
Are the trial subjects under 18? no
Number of subjects for this age range: 0
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

Exclusion Criteria

1. Histology of inflammatory carcinoma. 2. Prior treatment with more than 2 regimens of cytotoxic therapy in the advanced disease setting. 3. Prior treatment on a SU011248 clinical trial. 4. Prior treatment with any tyrosine kinase inhibitors, VEGF inhibitors, or other angiogenic inhibitors. 5. Major surgery, radiation therapy, or systemic therapy within 3 weeks of study randomization except palliative radiotherapy to non-target metastatic lesions. 6. Prior high-dose chemotherapy requiring hematopoietic stem cell rescue. 7. Prior radiation therapy to >25% of the bone marrow. 8. Current treatment on another clinical trial. 9. Uncontrolled brain metastases, spinal cord compression, carcinomatous meningitis, or leptomeningeal disease. Patients should have completed surgery or radiation therapy for existing brain metastases, should not have documented increase in size over the previous 3 months prior to first dose of treatment on study and should be asymptomatic. 10. Diagnosis of any second malignancy within the last 3 years, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix. 11. Any of the following within the 12 months prior to starting study treatment: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, congestive heart failure, cerebrovascular accident including transient ischemic attack, or pulmonary embolus. 12. Ongoing cardiac dysrhythmias of NCI CTCAE grade more than 2, atrial fibrillation of any grade, or QTc interval >450 msec for males or >470 msec for females. 13. Hypertension that cannot be controlled by medications (>150/100 mmHg despite optimal medical therapy). 14. Current treatment with therapeutic doses of Coumadin (low dose Coumadin up to 2 mg PO daily for deep vein thrombosis prophylaxis is allowed). Low molecular weight heparin is allowed at any dose level. 15. Known human immunodeficiency virus infection. 16. Female who is pregnant or nursing; female of child-bearing potential who is unwilling or unable to use adequate contraception to prevent pregnancy during the trial and for 3 months after the last dose of study treatment. All female patients with reproductive potential must have a negative pregnancy test (serum or urine) prior to randomization. 17. Other severe acute or chronic medical or psychiatric condition, or laboratory abnormality that would impart, in the judgment of the investigator, excess risk associated with study participation or study drug administration, or which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

Study & Design

Study Type: Interventional clinical trial of medicinal product

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Main Objective: To compare the progression-free survival for SU011248 versus standard-of-care therapy in patients with previously treated, triple receptor negative (ER/PR and HER2/neu), locally recurrent or metastatic breast cancer;Secondary Objective: .To assess the safety of SU011248 versus standard-of-care in this patient population ? To assess measures of duration of tumor control and overall survival ? To assess patient reported outcomes ? To determine SU011248 and SU012662 (active metabolite of SU011248) trough plasma concentrations (Ctrough) and to potentially explore the relationship between Ctrough, efficacy, and safety;Primary end point(s): Progression-free survival (PFS)

Secondary Outcome Measures

Name	Time	Method

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