MedPath

Safety and Efficacy of TKI258 in FGFR1 Amplified and Non-amplified Metastatic HER2 Negative Breast Cancer

Phase 2
Completed
Conditions
Metastatic Breast Cancer
Interventions
Registration Number
NCT00958971
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

The purpose of this trial is to determine the efficacy and safety profile of TKI258 in 3 groups of patients with metastatic HER2 negative breast cancer (BC) stratified by FGFR1 and hormone receptor (HR) status.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
43
Inclusion Criteria
  1. Female presenting with metastatic breast cancer.

  2. Tumor must have been tested by FISH/CISH for FGFR1 amplification.

  3. HER2 and HR status must have been determined.

  4. Patients must have HER2 negative breast cancer.

  5. Patients must have a documented disease progression as define by RECIST at baseline.

  6. Patients with HR+ disease:

    • Must have received at least one prior endocrine therapy in the metastatic setting.
    • Must have received no more than three lines of chemotherapy in the metastatic setting.
  7. Patients with HR- disease must have received at least one and no more than three lines of chemotherapy in metastatic setting.

Exclusion Criteria
  1. Patients with known brain metastases or who have signs/symptoms attributable to brain metastases and have not been assessed with radiologic imaging to rule out the presence of brain metastases.

  2. Impaired cardiac function or clinically significant cardiac diseases, including any of the following:

    • History or presence of serious uncontrolled ventricular arrhythmias or presence of atrial fibrillation.
    • Clinically significant resting bradycardia (< 50 beats per minute).
    • LVEF assessed by 2-D echocardiogram (ECHO) or Multiple gated acquisition scanning (MUGA)< 45%.
  3. Any of the following within 6 months prior to study entry: myocardial infarction (MI), severe/unstable angina, Coronary Artery Bypass Graft (CABG), Congestive Heart Failure (CHF), Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), Pulmonary Embolism (PE).

  4. Uncontrolled hypertension defined by a SBP > 150mm Hg and/or DBP > 100mm Hg, with or without anti-hypertensive medication.

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TKI258 Non-interpretableTKI258These are the participants who had a non-interpretable T(4;14) status
TKI258 - NegativeTKI258These are the participants who had a negative T(4;14) status
TKI258 - PositiveTKI258These are the participants who had a positive T(4;14) status
Primary Outcome Measures
NameTimeMethod
Complete responses (CR) or partial response (PR) defined according to RECISTEvery 8 weeks
Secondary Outcome Measures
NameTimeMethod
Safety and tolerability of TKI258 treatment assessed by frequency and severity of Adverse Events.Monthly
Clinical Benefit (CR, PR and SD ≥ 24 weeks after start of study treatment), PFSEvery 8 weeks
Pharmacokinetic: plasma concentrations and PK parameters (e.g. Cmax, Tmax, AUC0-t)Study Day 1, 5 , 26, 52, 78

Trial Locations

Locations (19)

Texas Oncology, P.A. Presbyterian Hospital

🇺🇸

Dallas, Texas, United States

Comprehensive Blood and Cancer Center Dept CBCC (3)

🇺🇸

Bakersfield, California, United States

Tower Cancer Research

🇺🇸

Beverly Hills, California, United States

UCLA/ University of California Los Angeles Div. of Hematology/Oncology

🇺🇸

Los Angeles, California, United States

Central Coast Medical Oncology Corporation

🇺🇸

Santa Maria, California, United States

Texas Oncology, P.A. Texas Oncology - Sammons

🇺🇸

Dallas, Texas, United States

Texas Oncology, P.A. Dept. of Texas Oncology

🇺🇸

Bedford, Texas, United States

Tyler Cancer Center Dept.ofTylerCancerCtr. (2)

🇺🇸

Tyler, Texas, United States

Fairfax Northern Virginia Hematology Oncology Fairfax NVH

🇺🇸

Fairfax, Virginia, United States

Associates in Oncology/Hematology, P.C.

🇺🇸

Rockville, Maryland, United States

Kansas City Cancer Center KCCC (3)

🇺🇸

Overland Park, Kansas, United States

UNC/ Lineberger Comprehensive Cancer Center Dept. of Linberger Cancer Ctr

🇺🇸

Chapel Hill, North Carolina, United States

Cancer Care Associates Medical Group Dept. of CCA

🇺🇸

Redondo Beach, California, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Henderson, Nevada, United States

Florida Cancer Specialists Dept.of FloridaCancerSpec. (2)

🇺🇸

Fort Myers, Florida, United States

Novartis Investigative Site

🇬🇧

London, United Kingdom

Northwest Cancer Specialists Northwest Office (2)

🇺🇸

Portland, Oregon, United States

Texas Oncology, P.A. Austin

🇺🇸

Dallas, Texas, United States

Blue Ridge Research Center at Roanoke Neurological Center Blue Ridge Cancer Care

🇺🇸

Roanoke, Virginia, United States

© Copyright 2025. All Rights Reserved by MedPath