Status:

WITHDRAWN

To Assess the Bioavailability and Safety of Paclitaxel Injection Concentrate for Suspension in Subjects With Locally Recurrent or Metastatic Breast Cancer

Lead Sponsor:

Sun Pharma Advanced Research Company Limited

Conditions:

Metastatic Breast Cancer

Locally Recurrent Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

A randomized, multi center, open label, two-period, single dose, crossover study to evaluate the bioavailability and safety of Paclitaxel Injection Concentrate for Suspension in Locally Recurrent or M...

Eligibility Criteria

Inclusion

  • The subject has given written, informed consent (or legally acceptable representative /impartial witness when applicable) and is available for the duration of study
  • Histologically or cytologically confirmed diagnosis of breast cancer with adequate documentation of prior therapy with an anthracycline unless clinically contraindicated
  • Locally recurrent or MBC for which taxane-based therapy is an appropriate treatment option
  • Male or female aged greater than equal to 18 years
  • ECOG performance status less than equal to 1
  • Estimated life expectancy of at least 12 weeks
  • Adequate organ and immune system function as indicated by the following laboratory values, obtained less than equal to 2 weeks prior to dosing for Period 1 and Period 2:
  • Any chemotherapy, targeted therapy, major surgery, or irradiation must have been completed at least 4 weeks before enrollment (6 weeks for mitomycin C or nitrosurea); immune therapy or hormonal therapy (except palliative bisphosphonate therapy for bone pain) must be completed 2 weeks before enrollment and subjects must have recovered from all toxicities incurred as a result of previous therapy except alopecia; use of targeted therapy or antibody therapy should have been completed for at least 5 half-lives of the respective therapy before enrollment. Use of narcotic analgesics such as dihydrocodeine and medicinal herbs such as St. John's Wort, which may act as inhibitors/inducers of CYP2C8 and CYP3A4, must have been discontinued at least 2 weeks and 4 weeks respectively before enrollment
  • Subjects of child bearing potential must practice an acceptable method of birth control as judged by the investigator
  • Medically acceptable methods of birth control include the use of either a contraceptive implant or a contraceptive injection (e.g., Depo-Provera™) or an intrauterine device, same sex partner or vasectomized partner or an oral contraceptive taken continually within the past three months and which the subject agrees to continue using during the study
  • To adopt another birth control method, or a double-barrier method which consists of a combination of any two of the following:
  • diaphragm, cervical cap, condom, or a spermicide at least 2 months prior to study entry and must continue to use contraception for the duration of the study
  • Female subjects who are postmenopausal for at least 1 year as per investigator's discretion, or who are surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy has been performed on the subject)
  • Male subjects enrolled in the trial cannot father a child and are advised to prevent passage of semen to their sexual partner during intercourse using acceptable methods as judged by the investigator for the duration of the study
  • Females subjects of child-bearing potential must have a negative urine pregnancy test
  • Female subjects must be non-lactating and non-breastfeeding
  • Subject must be willing and able to comply with scheduled visits, treatment plan and laboratory testing.

Exclusion

  • Known hypersensitivity to the study drug or their excipients (cholesteryl sulfate, caprylic acid, polyvinylpyrrolidone, ethanol, polyethylene glycol)
  • Inability to undergo venipuncture and/or tolerate venous access
  • Presence of clinically symptomatic active CNS metastases, including leptomeningial involvement, requiring steroid or radiation therapy
  • Pre-existing clinically significant peripheral neuropathy (Grade 2 or higher according to CTCAE, Version 5.0)
  • Any other severe concurrent disease which in the judgment of the investigator would make the subject inappropriate for entry into this study or confound the study
  • Presence of pleural/ascitic fluid which cannot be definitively treated prior to dosing and during the PK blood draws in each period (Period 1 and Period 2) and if there is re-accumulation of fluid (greater than 5%) greater than 2 weeks after definitive management
  • Positive laboratory exclusion test (HIV, HBsAg, or HCV)
  • Treatment with investigational agents or participation in a clinical trial within 30 days of study entry
  • Failure of prior taxane therapy for metastatic disease or for adjuvant therapy within previous 6 months of screening visit
  • Subjects taking concurrent medications that may act as inhibitors/inducers of CYP2C8 and CYP3A4 within 2 weeks of screening and during Periods 1 and 2
  • Evidence or history of bleeding diathesis or coagulopathy within 6 months prior to screening visit
  • Uncontrolled cardiac disease, including: congestive heart failure (CHF) \> Class II per New York Heart Association (NYHA), history of hypertensive crisis
  • Active clinical infection which in the treating investigator's opinion renders the subject ineligible or can confound the study
  • Serious non-healing wound, ulcer or bone fracture
  • Unresolved toxicity higher than CTCAE Version 5.0 Grade 1 (excluding alopecia, anemia) attributed to any prior therapy/procedure
  • History of gastrointestinal perforation within 6 months prior to screening visit.

Key Trial Info

Start Date :

April 27 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 28 2021

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04332549

Start Date

April 27 2020

End Date

January 28 2021

Last Update

June 1 2020

Active Locations (22)

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Page 1 of 6 (22 locations)

1

SPARC Site 12

Visakhapatnam, Andhra Pradesh, India, 530017

2

SPARC Site 21

Ahmedabad, Gujarat, India, 380016

3

SPARC Site 22

Surat, Gujarat, India, 395002

4

SPARC Site 4

Bangalore, Karnataka, India, 560027