Description:
This study will examine the safety and tolerability of ladiratuzumab vedotin (LV) in patients
with metastatic breast cancer. LV will be given alone or in combination with trastuzumab.
Title
- Brief Title: A Safety Study of SGN-LIV1A in Breast Cancer Patients
- Official Title: A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety and Tolerability of SGN-LIV1A in Patients With Metastatic Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
SGNLVA-001
- NCT ID:
NCT01969643
Conditions
Interventions
Drug | Synonyms | Arms |
---|
ladiratuzumab vedotin | LV, SGN-LIV1A | LV + Trastuzumab |
Trastuzumab | Herceptin | LV + Trastuzumab |
Purpose
This study will examine the safety and tolerability of ladiratuzumab vedotin (LV) in patients
with metastatic breast cancer. LV will be given alone or in combination with trastuzumab.
Trial Arms
Name | Type | Description | Interventions |
---|
LV Dose Escalation | Experimental | | |
LV + Trastuzumab | Experimental | | - ladiratuzumab vedotin
- Trastuzumab
|
LV Monotherapy | Experimental | LV will be given at the recommended dose (at or below the monotherapy MTD determined in the LV dose escalation arm). | |
Eligibility Criteria
Inclusion Criteria:
- Pathologically confirmed diagnosis of breast cancer with radiographic evidence of
incurable, unresectable, locally advanced or metastatic disease (LA/MBC)
- One of the following:
- Part A: Triple-negative disease (ER/PR/HER2-negative) and received at least 2
prior cytotoxic regimens in the incurable, unresectable, LA/MBC setting; or
ER-positive and/or PR-positive/HER2-negative disease and received at least 2
prior cytotoxic regimens in the incurable, unresectable, LA/MBC setting and are
no longer a candidate for hormonal therapy (not enrolling new patients);
- Part B: Combination Arm: HER2-positive disease and received at least 2 prior
cytotoxic regimens in the incurable, unresectable, LA/MBC setting (not enrolling
new patients);
- Part C: Triple-negative disease and received 2-4 prior non-hormonally-directed
therapies in the MBC setting (not enrolling new patients);
- Part D and Part E (dose-expansion cohort): Triple-negative disease and received 1
prior non-hormonally-directed or cytotoxic therapy in the MBC setting; or
- Part E: HR+(ER-positive and/or PR-positive)/HER2-negative disease who are
chemotherapy-eligible and not considered a candidate for further hormonal
therapy. Must have received no more than 1 prior non-hormonally-directed or
cytotoxic therapy in the LA/MBC setting.
- Part F: All of the following:
- Triple negative breast cancer
- No prior cytotoxic chemotherapy for unresectable locally advanced or metastatic
stage disease
- Tumor tissue PD-L1 expression CPS <10 expression
- Parts A, B, C, and D: Newly obtained or archived tumor tissue biopsy, must be
collected for central pathology determination of LIV-1 expression
- Parts E and F: Archival or fresh baseline tumor sample is required.
- Measurable disease
- Eastern Cooperative Oncology Group performance status 0 or 1
- Combination Arm: adequate heart function
Exclusion Criteria:
- Pre-existing neuropathy Grade 2 or higher
- Parts A, B, C, and D: Cerebral/meningeal disease that is related to the underlying
malignancy and has not been definitively treated. Parts E and F: Known or suspected
cerebral/meningeal metastasis that has not been definitively treated.
- Prior treatment with LV or prior treatment with an MMAE-containing therapy
- Combination Arm: hypersensitivity to trastuzumab
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of adverse events |
Time Frame: | Through 1 month following last dose; up to approximately 2 years |
Safety Issue: | |
Description: | An AE is any untoward medical occurrence in a patient or clinical investigational subject administered a medicinal product and which does not necessarily have a causal relationship with this treatment. |
Secondary Outcome Measures
Measure: | Blood concentrations of LV and metabolites |
Time Frame: | Through 3 weeks after dosing; up to approximately 2 years |
Safety Issue: | |
Description: | |
Measure: | Incidence of antitherapeutic antibodies |
Time Frame: | Through 1 month following last dose; up to approximately 2 years |
Safety Issue: | |
Description: | |
Measure: | Objective response rate (ORR) |
Time Frame: | Through 1 month following last dose; up to approximately 2 years |
Safety Issue: | |
Description: | ORR is defined as the proportion of patients with complete response (CR) or partial response (PR) per RECIST v1.1. |
Measure: | Duration of response (DOR) |
Time Frame: | Up to approximately 3 years |
Safety Issue: | |
Description: | DOR is defined as the time from start of the first documentation of objective tumor response (CR or PR) to the first documentation of tumor progression (clinical progression or progressive disease (PD) per RECIST v1.1). |
Measure: | Progression-free survival (PFS) |
Time Frame: | Up to approximately 8 years |
Safety Issue: | |
Description: | PFS is defined as the time from start of study treatment to first documentation of tumor progression (clinical progression or PD per RECIST v1.1). |
Measure: | Overall survival (OS) |
Time Frame: | Up to approximately 8 years |
Safety Issue: | |
Description: | OS is defined as the time from start of study treatment to date of death due to any cause. |
Measure: | PFS relative to prior therapy |
Time Frame: | Up to approximately 8 years |
Safety Issue: | |
Description: | The PFS ratio is defined for each subject as the ratio of the current PFS and the PFS achieved on their most recent therapy where they experienced progression. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Seagen Inc. |
Trial Keywords
- Monomethyl auristatin E
- Antibody-drug conjugate
- Drug therapy
- Metastatic
- LIV-1 protein, human
- Trastuzumab
- Ladiratuzumab vedotin
- hLIV22-vcMMAE
- Seattle Genetics
Last Updated
August 3, 2021