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Clinical Trial of Intravenous Alvespimycin in Patients With Her2 Positive Breast Cancer

Phase 2
Terminated
Conditions
Breast Cancer
Interventions
Registration Number
NCT00780000
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to determine the anti-tumor activity (via objective response rate) of alvespimycin in patients with breast cancer who have not previously received trastuzumab (except as adjuvant therapy).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
4
Inclusion Criteria
  • KPS performance status of >= 80% ("normal activity with effort")
  • Metastatic breast cancer with Her2 amplification by FISH or 3+ Her2 overexpression by immunohistochemistry ("IHC")
  • Must have received no more than one prior cytotoxic chemotherapy regimen in the metastatic setting
  • Measurable disease by RECIST Criteria
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Exclusion Criteria
  • Received prior lapatinib, an investigational ErbB-2 and/or an investigational EGFR dual tyrosine kinase inhibitors
  • Administration of any other chemotherapy, biological, immunotherapy or investigational agent within 14 days prior to receipt of study medication
  • Pregnant or breast-feeding women. Known CNS metastases, unless treated and without clinically significant neurological deficits
  • Moderately severe dry eye
  • Congestive heart failure, or a left ventricular ejection fraction
  • Myocardial infarction or active ischemic heart disease within 12 months prior to study drug administration
  • Previous malignancies unless free of recurrence for at least 5 years
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
A1Alvespimycin-
Primary Outcome Measures
NameTimeMethod
Objective tumor response rate (either RECIST or WHO complete response, partial response or minor response) confirmed by CT and MRI as the preferred methods for tumor assessments and Chest x-ray is acceptable for pulmonary lesionsWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Secondary Outcome Measures
NameTimeMethod
Adverse Events assessed according to the NCI CTCAE (v 3.0) grading systemWithin 28 days prior to the start of treatment, and for 167 days

(all patients were off study by June 2008)

Kaplan-Meier estimate of time to responseWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Kaplan-Meier estimate of time to treatment failureWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Laboratory tests assessed according to the NCI CTCAE (v 3.0) grading systemWithin 10 days prior to Cycle 1/1st infusion; within 48 hours of infusion (Cycle 1/Weeks 2/3/4 and Cycle 2+/Week3), or within 72 hours prior to infusion (Cycle 2+/Week 1)
Kaplan-Meier estimate of duration of responseWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Histopathological and molecular profile of responding and non-responding patients using paraffin-embedded surgical specimensSpecimens were obtained within 28 days prior to the start of treatment
Karnofsky Performance StatusWithin 28 days prior to the start of treatment, prior to each 4-week cycle starting with Cycle 2, for 167 days

(all patients were off study by June 2008)

Kaplan-Meier estimate of time to progressionWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Vital signsWithin 28 days prior to the start of treatment, Day1 of Weeks 1, 2, and 3 of Cycle 1 (4 weeks long), and prior to each 4-week cycle starting with Cycle 2, for 167 days

(all patients were off study by June 2008)

Ocular testingWithin 28 days prior to the start of treatment, Cycle 1/Day 10 (3 days +/- 1 day following the 2nd infusion in the first cycle of therapy), prior to Cycle 2, if clinically indicated thereafter, for 167 days

(all patients were off study by June 2008)

Time to progression on the patient's prior cytotoxic chemotherapy compared to the patient's time to progression on alvespimycinWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Kaplan-Meier estimate of progression-free survivalWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Kaplan-Meier estimate of overall survivalWithin 28 days prior to the start of treatment with tumor assessments reevaluated every 8 weeks (+/- 4 days)

(all patients were off study by June 2008)

Changes in tumor markersWithin 28 days prior to the start of treatment, Prior to each 4-week cycle starting with Cycle 2, for 167 days
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