Clinical Trials /

T-DM1 With Abraxane and Lapatinib for Metastatic HER2 Positive Breast Cancer

NCT02073916

Description:

This open-label, single-center Phase Ib study will assess the safety and tolerability of combining trastuzumab emtansine (T-DM1) with Lapatinib and Abraxane in patients with metastatic HER2-positive breast cancer.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: T-DM1 With Abraxane and Lapatinib for Metastatic HER2 Positive Breast Cancer
  • Official Title: Phase Ib Trial of Trastuzumab Emtansine In Combination With Lapatinib Plus Abraxane In Metastatic Her 2 Neu Over-Expressed Breast Cancer Patients

Clinical Trial IDs

  • ORG STUDY ID: Pro00009544
  • SECONDARY ID: 0813-0139
  • NCT ID: NCT02073916

Conditions

  • Metastatic Breast Cancer

Interventions

DrugSynonymsArms
T-DM1Trastuzumab Emtansine, TE, KadcylaT-DM1 + Lapatinib + Abraxane
LapatinibTykerbT-DM1 + Lapatinib + Abraxane
Abraxanenab-paclitaxelT-DM1 + Lapatinib + Abraxane

Purpose

This open-label, single-center Phase Ib study will assess the safety and tolerability of combining trastuzumab emtansine (T-DM1) with Lapatinib and Abraxane in patients with metastatic HER2-positive breast cancer.

Detailed Description

      This open-label, single-center Phase Ib study will assess the safety and tolerability of
      combining trastuzumab emtansine (T-DM1) with Lapatinib and Abraxane in patients with
      metastatic HER2-positive breast cancer. Patients will receive Abraxane on Day 1 of each
      1-week cycle and T-DM1 on Day 1 of each 3-week cycle. Patients with take Lapatinib orally
      daily. Patients will receive the study treatment for 12 weeks.
    

Trial Arms

NameTypeDescriptionInterventions
T-DM1 + Lapatinib + AbraxaneExperimentalT-DM1 with Laptinib followed by Abraxane
  • T-DM1
  • Lapatinib
  • Abraxane

Eligibility Criteria

        Inclusion Criteria:

          -  Documented metastatic Her2 over-expressed breast cancer.

          -  Age ≥ 18 years Patients must have received at least two prior therapies for their
             malignant disease.

          -  Patients must have < Grade 2 pre-existing peripheral neuropathy (per CTCAE)

          -  Adequate organ function (cardiac ejection fraction of ≥ 45%),

          -  CBC not less than .75 of institutional lower limit.

          -  Patients must have adequate liver function: AST and ALT < 2.5 X upper limit of normal,
             alkaline phosphatase < 2.5 X upper limit of normal, unless bone metastasis is present
             in the absence of liver metastasis Bilirubin < 1.5 mg/dL

          -  Patients must have adequate renal function: creatinine <1.5 mg/dL is recommended;
             however, institutional norms are acceptable.

          -  Negative serum or urine β-hCG pregnancy test at screening for patients of childbearing
             potential

          -  Fertile patients must use effective contraception (barrier method - condoms, diaphragm
             - also in conjunction with spermicidal jelly, or total abstinence. Oral, injectable,
             or implant hormonal contraceptives are not allowed). Contraception method must be used
             during treatment and for three months after completing treatment Signed informed
             consent form (ICF)

        Exclusion Criteria:

          -  Any medical or psychiatric condition that would prevent informed consent or limit
             survival to less than 4 weeks.

          -  Absolute QT interval of >460 msec in the presence of potassium >4.0mEq/L and Magnesium
             >1.8mg/dl.

          -  Patient with HIV and post- transplant associated lymphoproliferative disorders.

          -  Patient with concurrent use of complementary or alternative medicines that would
             confound the interpretation of toxicities and antitumor activity of Trastuzumab
             Emtansine, Lapatinib or Abraxane.

          -  Pregnant or lactating women.

          -  Concurrent treatment with an investigational agent or participation in another
             therapeutic clinical trial

          -  Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs
             chemically related to trastuzumab Emtansine, lapatinib, abraxane, or their components.

          -  Malabsorption syndrome, disease significantly affecting gastrointestinal function, or
             resection of the stomach or small bowel.

          -  Subjects with ulcerative colitis are also excluded.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum Tolerable Dose
Time Frame:approximately 16 weeks
Safety Issue:
Description:Maximum tolerated dose (MTD) of Trastuzumab Emtansine in combination with Lapatinib plus Abraxane in metastatic Her2 over-expressed breast cancer.

Secondary Outcome Measures

Measure:Dose Limiting Toxicities
Time Frame:From date of randomization through study follow up (approximately 16 weeks)
Safety Issue:
Description:Describe the dose-limiting toxicity (DLT) associated with Trastuzumab Emtansine in combination with Lapatinib plus Abraxane as assessed by CTCAE v4.0.
Measure:Measure toxicities associated with treatment combination
Time Frame:From date of randomization through study follow up (approximately 16 weeks)
Safety Issue:
Description:Describe and measure other toxicities associated with Trastuzumab Emtansine in combination with Lapatinib plus Abraxane as assessed by CTCAE v4.0.
Measure:Anti-tumor activity through imaging
Time Frame:approximately 16 weeks from randomization
Safety Issue:
Description:Document anti-tumor activity of Trastuzumab Emtansine in combination with Lapatinib plus Abraxane in metastatic Her2 over-expressed breast cancer as assessed by RECIST 1:1 criteria
Measure:Plasma pharmacokinetics and pharmacodynamic effect of treatment combination
Time Frame:Day 1 and 1,2,4,and 24hours
Safety Issue:
Description:Determine the plasma pharmacokinetics of Trastuzumab Emtansine in combination with Lapatinib plus Abraxane.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Jenny C. Chang, MD

Trial Keywords

  • Breast Cancer
  • HER2 positive Breast Cancer

Last Updated

April 16, 2019