Description:
Patients will be treated in a dose escalation scheme to investigate a role for the addition
of a statin in the treatment of estrogen receptor positive breast cancer. Patients will take
oral rosuvastatin daily. The maximum number of patients evaluable for a DLT is 12. Dosing
will be as follows: Cohort 1 - rosuvastatin 20mg, Cohort 2 - rosuvastatin 40mg. The patients
will have a total of 4 blood draws and 4 breast biopsies. The breast biopsies will be
collected to evaluate cholesterol metabolites and tumor microenvironment characteristics
including gene expression profiling and metabolomics. Sampling will occur at study entry,
week 4, week 8, and at the time of surgery in early stage patients or at week 16 for
metastatic patients. Patients will begin endocrine therapy following the acquisition of week
4 samples (blood and tissue biopsy).
Title
- Brief Title: Dose Optimization of Rosuvastatin in Early Stage and Metastatic Estrogen Receptor Positive Breast Cancer Patients on Endocrine Therapy
- Official Title:
Clinical Trial IDs
- ORG STUDY ID:
Pro00062343
- NCT ID:
NCT02483871
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Rosuvastatin | Crestor | Rosuvastatin |
Purpose
Patients will be treated in a dose escalation scheme to investigate a role for the addition
of a statin in the treatment of estrogen receptor positive breast cancer. Patients will take
oral rosuvastatin daily. The maximum number of patients evaluable for a DLT is 12. Dosing
will be as follows: Cohort 1 - rosuvastatin 20mg, Cohort 2 - rosuvastatin 40mg. The patients
will have a total of 4 blood draws and 4 breast biopsies. The breast biopsies will be
collected to evaluate cholesterol metabolites and tumor microenvironment characteristics
including gene expression profiling and metabolomics. Sampling will occur at study entry,
week 4, week 8, and at the time of surgery in early stage patients or at week 16 for
metastatic patients. Patients will begin endocrine therapy following the acquisition of week
4 samples (blood and tissue biopsy).
Trial Arms
Name | Type | Description | Interventions |
---|
Rosuvastatin | Experimental | Two Cohorts, one at 20 mg and one at 40 mg will enroll in a dose escalation of rosuvastatin | |
Eligibility Criteria
Inclusion Criteria:
- Women with ER+/PR+ HER2-negative breast cancer initiating neoadjuvant endocrine
therapy with curative intent OR initiating endocrine therapy for the treatment of
metastatic breast cancer with a biopsy accessible primary breast tumor
- The patients may start any FDA approved endocrine therapy (with which they have not
been previously treated) at week 4 of the trial except for tamoxifen
- Palbociclib can be started at week 4, if indicated
- Patients with metastatic disease currently on endocrine therapy must be willing to
stop endocrine therapy for 2 weeks prior to starting the study and to switch to a new
endocrine therapy on the study (at week 4)
- Intact breast tumor present and size measuring at least 1cm at enrollment
- Post-menopausal at enrollment (age ≥ 60, age ≤ 60 and amenorrhea for ≥12 months in the
absence of chemotherapy, tamoxifen, ovarian suppression and FSH/estradiol in the
post-menopausal range)
- ECOG ≤ 2
- Can be on other endocrine therapy if willing to change a different endocrine therapy
agent for the trial
- Must have at least one FDA approved endocrine therapy option with which the patient
has not received prior treatment
- Life expectancy > 12 weeks
- Laboratory criteria: normal renal function: creatinine < 1.5 x upper limit of normal
(ULN)), liver function: bilirubin < 2 x ULN, transaminases < 2 x ULN and blood counts:
WBC ≥ 2.0, Neutrophils ≥1250, platelets ≥50,000, Hemoglobin ≥ 8.
- Age > 18 years
- Patients must have the ability to give informed consent.
- Patients must have a signed informed consent form prior to enrollment on study. -
Exclusion Criteria:
- Statin use in the last 6 months
- Patient has been treated with all FDA approved endocrine therapies or has been treated
with all FDA approved endocrine therapies except for tamoxifen (tamoxifen is excluded
from the trial)
- Active liver disease with elevated transaminases > 2x ULN
- Known hypersensitivity to rosuvastatin
- Any history of any other cancer (except non-melanoma skin cancer or carcinoma in-situ
of the cervix) unless the patient has been in remission and off all other cancer
therapy for at least 3 years.
- Patients should have no significant psychiatric illness or medical illness that would
preclude the ability to comply with the protocol.
- Patients currently taking medications with known rosuvastatin interactions including
cyclosporine, gemfibrozil, lopinavir/ritonavir, atazanavir/ritonavir, coumarin
anticoagulants, colchicine, fenofibrates, and niacin.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | N/A |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety by adverse event |
Time Frame: | Neoadjuvant - 16 weeks prior to surgery |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Change in Ki-67 with rosuvastatin alone followed by rosuvastatin in combination with endocrine therapy |
Time Frame: | 12 months after final tumor sample collection |
Safety Issue: | |
Description: | |
Measure: | progression free survival |
Time Frame: | 5 years after last subject completion |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Withdrawn |
Lead Sponsor: | Duke University |
Trial Keywords
- Estrogen Receptor Positive
Last Updated
June 5, 2017