Description:
To determine the safety and tolerability of orally administered hydroxychloroquine with
hormonal therapy.
To assess the response rate of hydroxychloroquine in combination with hormonal therapy.
Title
- Brief Title: Hydroxychloroquine in Metastatic Estrogen Receptor-Positive Breast Cancer Progressing on Hormonal Therapy
- Official Title: Phase Ib/II Study of Hydroxychloroquine in Metastatic ER-Positive Breast Cancer Progressing on Hormonal Therapy
Clinical Trial IDs
- ORG STUDY ID:
WIRB 20140460
- NCT ID:
NCT02414776
Conditions
- Estrogen Receptor Positive Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
hydroxychloroquine | Plaquenil | hydroxychloroquine plus hormonal therapy |
Purpose
To determine the safety and tolerability of orally administered hydroxychloroquine with
hormonal therapy.
To assess the response rate of hydroxychloroquine in combination with hormonal therapy.
Detailed Description
To determine the number of patients with adverse effects
To assess the clinical response to the combination
Trial Arms
Name | Type | Description | Interventions |
---|
hydroxychloroquine plus hormonal therapy | Experimental | Add hydroxychloroquine to the current hormonal therapy | |
Eligibility Criteria
Inclusion Criteria:
1. Patients ≥ 18 years of age with histologically confirmed, metastatic ER + breast
cancer with clinical progression of disease (including radiographically stable disease
with at least 50% increment of an elevated tumor marker by two measurements at least 2
weeks apart (this particular tumor marker will be used for disease status assessment
in the study) on current hormonal therapy with PFS for at least 3 months.
2. Karnofsky Performance Status (KPS) ≥70% and a life expectancy >3 months.
3. Participants must have at least one target visceral lesion that allows for evaluation
of tumor response or in the case of bone-only metastases, patients need to have a
positive imaging study such as bone scan, magnetic resonance imaging (MRI) or positron
emission tomography-computed tomography (PET-CT) or CT, and an elevated tumor marker
at least twice as high as upper limit.
4. Absolute neutrophil count > 1500 mm3, platelet count ≥ 80×109 L, hemoglobin ≥ 8.5 g/dL
5. Creatinine clearance ≥ 30 mL/min, total bilirubin ≤ 2 mg/dL, AST/ALT ≤ 3 times the
upper limit of normal range
6. No remaining grade 2 or higher toxicity from prior cancer therapies unless judged to
be clinically insignificant by the Principal Investigator
7. At least two (2) weeks from prior major surgery
8. Willingness to provide permission to biopsy one of the lesions if applicable before
the study (All the patients are encouraged to have post-therapy biopsy upon
progression of disease, but it is optional) as well as blood samples for pertinent
laboratory studies
9. Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically
sterile) must be willing to use an acceptable non-hormonal contraceptive method
(abstinence, or double barrier method) for the duration of the study and for 30 days
following the last dose of study drug, and must have a negative urine or serum
pregnancy test within 2 weeks prior to beginning treatment on this trial -
Exclusion Criteria:
1. On combination hormonal therapy with everolimus or any other investigational agent
2. Patients have symptomatic untreated brain metastasis or leptomeningeal metastases or
treated but still symptomatic requiring the use of steroid 18Jul2014 Protocol v3: ABC
01 Anti-Autophagy for Met Breast Cancer Page 4 of 16
3. Lymphangitic carcinomatosis involving ≥ 50% of the lungs; evidence of metastases
involving more than one third of the liver on sonogram or computed tomography
4. Lactating females
5. Uncontrolled cardiac disease, congestive heart failure, angina or hypertension
6. Myocardial infarction or unstable angina within 2 months of treatment
7. Known human immunodeficiency virus (HIV) infection or chronic active Hepatitis B or C
(patients are NOT required to be tested for the presence of such viruses prior to
therapy on this protocol)
8. Active clinically serious infection > CTCAE (version 4.03) Grade 2
9. Serious non-healing wound, ulcer, or bone fracture
10. Concurrent psychiatric illness/social situations that would limit safety and
compliance with study requirements
11. Inability to complete informed consent process and adhere to the protocol treatment
plan and follow-up requirements
12. Currently receiving any other investigational therapeutic agents
13. Patients with known glucose-6-phosphate dehydrogenase deficiency, porphyria, cirrhosis
or any other conditions with potential significant known risks
14. Patients with history of retinal damage
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants with Adverse Events as a Measure of the safety profile of orally administered hydroxychloroquine with hormonal therapy |
Time Frame: | 18 months |
Safety Issue: | |
Description: | Assess the dose-limiting side effects such as neutropenia, anemia, or thormbocytopenia, or non-hematologic side effects nausea, vomiting, diarrhea, or vision problems at the study dose |
Secondary Outcome Measures
Measure: | The recommended phase 2 clinical dose (RP2D) of orally administered hydroxychloroquine with hormonal therapy |
Time Frame: | 18 months |
Safety Issue: | |
Description: | orally administered hydroxychloroquine with hormonal therapy |
Measure: | The pharmacodynamic (PD) profile of hydroxychloroquine with hormonal therapy |
Time Frame: | 18 months |
Safety Issue: | |
Description: | microtubule-associated protein 1 light chain 3 b (LC3b) level in the biopsy, WBCs in pre- and post-treatment samples |
Measure: | The anti-tumor activity of hydroxychloroquine with hormonal therapy with clinical benefit rate (CBR). Clinical benefits are defined as complete remission (CR), partial remission (PR) and stable disease (SD) |
Time Frame: | 18 months |
Safety Issue: | |
Description: | The anti-tumor activity of hydroxychloroquine with hormonal therapy with clinical benefit rate (CBR). Clinical benefits are defined as complete remission (CR), partial remission (PR) and stable disease (SD) |
Measure: | The disease-free survival (DFS) when adding hydroxychloroquine to hormonal therapy |
Time Frame: | 18 months |
Safety Issue: | |
Description: | The disease-free survival (DFS) when adding hydroxychloroquine to hormonal therapy |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Western Regional Medical Center |
Last Updated
September 27, 2017