Status:
COMPLETED
Panitumumab, Gemcitabine and Carboplatin in Triple-Negative Metastatic Breast Cancer
Lead Sponsor:
SCRI Development Innovations, LLC
Collaborating Sponsors:
Amgen
Eli Lilly and Company
Conditions:
Metastatic Breast Cancer
Eligibility:
FEMALE
18+ years
Phase:
PHASE2
Brief Summary
In this Phase II trial, the investigators will evaluate the combination of gemcitabine, carboplatin, and panitumumab in the treatment of patients with metastatic triple-negative breast cancer. In addi...
Detailed Description
All patients will receive a pre-emptive skin care regimen during panitumumab therapy to reduce skin toxicity. Treatment cycles will be repeated every 14 days (2 weeks). During each treatment, panitumu...
Eligibility Criteria
Inclusion
- Female patients \>=18 years of age.
- Histologically or cytologically confirmed diagnosis of unresectable locally advanced or stage IV breast cancer.
- No more than 1 prior treatment regimen for metastatic breast cancer.
- Estrogen receptor and progesterone receptor negative (defined as \<10% staining by IHC).
- Paraffin-embedded tumor tissue (from the primary tumor or metastasis) for biomarker testing. (In the absence of paraffinembedded tissue, unstained paraffin-embedded tumor slides are acceptable).
- Measurable disease, as defined by the Response Evaluation Criteria in Solid Tumors (RECIST version 1.1) guidelines
- HER2 negative tumors. HER2 negativity must be confirmed by one of the following:
- FISH-negative (FISH ratio \<2.2), or
- IHC 0-1+, or
- IHC 2-3+ AND FISH-negative (FISH ratio \<2.2)
- Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-1.
- Absolute neutrophil count (ANC) \>=1.5 × 109/L; platelet count \>=100 × 109/L; hemoglobin \>=9.0 g/dL.
- Creatinine \<=1.5 mg/dL, or creatinine clearance \>=40 mL/min (as calculated by the Cockcroft-Gault method, as follows: Female creatinine clearance = (140 - age) × (weight in kg) × 0.85 (serum creatinine × 72)
- Adequate hepatic function, defined as follows: total bilirubin \<=1.5 x ULN; aspartate aminotransferase (AST) \<=3 × ULN (or \<= 5 x ULN if liver metastases); alanine aminotransferase (ALT) \<=3 x ULN (or \<=5 x ULN if liver metastases).
- Magnesium level \>= the institutional lower limit of normal (LLN).
- Women of childbearing potential must agree to use adequate contraception (per institutional standard of care) during treatment and until 6 months after the last administration of investigational products.
Exclusion
- Patients with brain metastases are not eligible.
- History of another primary cancer, with the exception of the following:
- Curatively treated in situ cervical cancer;
- Curatively resected non-melanoma skin cancer;
- Other primary solid tumor curatively treated with no known active disease present and no treatment administered for \>=5 years prior to study enrollment.
- History of interstitial lung disease (e.g., pneumonitis, pulmonary fibrosis), or any evidence of interstitial lung disease on the CT scan of the chest performed at the baseline visit.
- Prior anti-EGFR antibody therapy (e.g., cetuximab), or treatment with small-molecule EGFR inhibitors (e.g., gefitinib, erlotinib, lapatinib).
- Radiotherapy \<=14 days prior to study enrollment. Any acute effects of radiotherapy must be resolved prior to the administration of study drugs.
- Systemic chemotherapy, hormonal therapy, immunotherapy, or experimental or approved proteins/antibodies (e.g., bevacizumab) \<=21 days prior to study enrollment.
- Prior therapy with gemcitabine or carboplatin in the metastatic setting is not permitted. Patients who received gemcitabine or carboplatin as part of adjuvant therapy are eligible, as long as recurrence was first documented \>12 months after the last exposure to the drug(s).
- Major surgery within 28 days or minor surgery within 14 days of study enrollment.
- Requirement of chronic use of immunosuppressive agents (e.g., methotrexate, cyclosporine).
- Any investigational agent or therapy \<=30 days prior to study enrollment.
- Uncontrolled or intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia.
- History of any medical or psychiatric condition or laboratory abnormality that, in the opinion of the investigator, may increase the risks associated with the study participation or administration of the investigational products, or that may interfere with the interpretation of the results.
- Unwillingness or inability to comply with study requirements.
- Women who are pregnant or breastfeeding.
- Patients with known human immunodeficiency virus (HIV), hepatitis C virus, and/or acute or chronic hepatitis B virus infection.
Key Trial Info
Start Date :
February 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2014
Estimated Enrollment :
71 Patients enrolled
Trial Details
Trial ID
NCT00894504
Start Date
February 1 2010
End Date
September 1 2014
Last Update
May 15 2015
Active Locations (17)
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1
Los Robles
Thousand Oaks, California, United States, 91360
2
Aventura Hospital and Medical Center
Aventura, Florida, United States, 33180
3
Florida Cancer Specialists
Fort Myers, Florida, United States
4
Providence Medical Group
Terre Haute, Indiana, United States, 47802