Description:
This study is a multi-center, randomized, double-blind, placebo-controlled, Phase 2 study in
postmenopausal women with heregulin positive, hormone receptor positive, HER2 negative
metastatic, unresectable breast cancer.
Title
- Brief Title: Phase 2 Trial of Seribantumab Plus Fulvestrant in Postmenopausal Women With Metastatic Breast Cancer
- Official Title: Randomized Phase 2 Trial of Seribantumab Plus Fulvestrant in Postmenopausal Women With Hormone Receptor-positive, Heregulin Positive (HRG+), HER2 Negative Metastatic Breast Cancer (Merrimack Pharmaceuticals Inc.)
Clinical Trial IDs
- ORG STUDY ID:
MM-121-02-02-10
- SECONDARY ID:
2017-000565-76
- NCT ID:
NCT03241810
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Seribantumab | MM-121 | Arm A |
Fulvestrant | Faslodex | Arm A |
Placebo | Solution containing 20 mM histidine, 150 mM sodium chloride, at a pH of 6.5 | Arm B |
Purpose
This study is a multi-center, randomized, double-blind, placebo-controlled, Phase 2 study in
postmenopausal women with heregulin positive, hormone receptor positive, HER2 negative
metastatic, unresectable breast cancer.
Detailed Description
This study is a randomized, double-blind, placebo-controlled international phase 2 trial in
patients with HRG+, HR+, HER2- metastatic breast cancer that has progressed following
treatment with no more than 2 prior therapies, one of which must have been a CDK inhibitor.
All patients will be screened for heregulin using central testing, and eligible patients will
be randomized to receive either seribantumab + fulvestrant or placebo + fulvestrant. Disease
status will be assessed according to RECIST v 1.1 to support the primary endpoint.
Trial Arms
Name | Type | Description | Interventions |
---|
Arm A | Experimental | Seribantumab
Fulvestrant | |
Arm B | Active Comparator | Placebo
Fulvestrant | |
Eligibility Criteria
Inclusion Criteria:
To be eligible for participation in the study, patients must meet the following criteria.
Patients who are HRG negative do not need to complete screening procedures beyond HRG
assessment.
1. Patients must have histologically or cytologically confirmed ER+ and/or PR+ (with
staining of >1% cells) breast cancer.
2. Patients with confirmed postmenopausal status due to either surgical/natural menopause
or ovarian suppression.
3. Patients must be HER2 negative.
4. Patient must have at least one lesion amenable to either core needle biopsy or fine
needle aspiration.
5. Patient must have a positive in-situ hybridization (ISH) test for heregulin, as
determined by centralized testing of unstained tumor tissue.
6. Patients that have progressed following at least one but no more than two prior
systemic therapies in the locally advanced or metastatic disease setting.
7. Patients with documented progression of locally advanced or metastatic disease as
defined by RECISTv1.1 (Exception: patients with bone-only metastatic disease are
eligible if they have at least 2 lytic lesions visible on a CT or MRI and have
documented disease progression on prior therapy based on the appearance of new
lesions).
8. Patients with bone-only lesions who have received radiation to those lesions must have
documented progression following radiation therapy.
9. ECOG Performance Score (PS) of 0 or 1.
10. Patients with adequate bone marrow reserves.
11. Adequate hepatic function.
12. Adequate renal function.
13. Patient has recovered from clinically significant effects of any prior, surgery,
radiosurgery, or other antineoplastic therapy.
14. Patients who have experienced a venous thromboembolic event within 60 days of signing
the main consent form should have been treated with anti-coagulants for at least 7
days prior to beginning treatment and for the duration of treatment on this study.
Exclusion Criteria:
Patients must meet all the inclusion criteria listed above and none of the following
exclusion criteria.
1. Prior treatment with an anti-ErbB3 antibody.
2. Prior treatment with a chemotherapy in the locally advanced or metastatic disease
setting.
3. Patients cannot have received prior treatment with fulvestrant or other SERDs in the
locally advanced or metastatic setting.
4. Uncontrolled CNS disease or presence of leptomeningeal disease.
5. Inflammatory breast cancer.
6. History of another active malignancy that required systemic therapy in the last 2
years. Patients with prior history of in-situ cancer, basal, or squamous cell skin
cancer are eligible.
7. Patients with an active infection, or unexplained fever > 38.5 C during screening
visits or on the first scheduled day of dosing, which in the investigator's opinion
might compromise the patients participation in the trial or affect the study outcome.
At the discretion of the investigator, patients with tumor fever may be enrolled.
8. Known hypersensitivity to any of the components of seribantumab, fulvestrant, or who
have had hypersensitivity reactions to fully human monoclonal antibodies.
9. NYHA Class III or IV congestive heart failure.
10. Patients with a significant history of cardiac disease (i.e. uncontrolled blood
pressure, unstable angina, myocardial infarction within 1 year or ventricular
arrhythmias requiring medication) are also excluded.
11. Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals; or active
human immunodeficiency virus (HIV) infection, active hepatitis B infection or active
hepatitis C infection.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Progression Free Survival |
Time Frame: | Randomization until progression of disease or death due to any cause up to 13 months (The study terminated prematurely) . The primary analysis was planned to be initiated when 58 PFS events have occurred |
Safety Issue: | |
Description: | Progression Free Survival is defined as the time from randomization to the first documented radiographical progression of disease using RECIST v1.1 or death from any cause, whichever comes first as assessed by the investigator.
The tumor assessment (i.e., scan dates) was used for progression/censor date not the date corresponding to the determination of overall response. Progression-free survival time distribution and median survival for each treatment group were analyzed using the Kaplan-Meier method. |
Secondary Outcome Measures
Measure: | Overall Survival |
Time Frame: | Randomization until death due to any cause up to 13 months (The study terminated prematurely) |
Safety Issue: | |
Description: | Overall Survival (OS) is defined as the time from the date of randomization to the date of death from any cause. The study was terminated on 30 Nov 2018 . Data represents outcomes up to 150 days of treatment. |
Measure: | Objective Response Rate |
Time Frame: | Randomization through end of study up to 13 months (The study terminated prematurely) |
Safety Issue: | |
Description: | Objective Response Rate (ORR) is defined as the proportion of patients with a RECIST v1.1 response recorded from randomization until disease progression characterized as either a Complete Response (CR) or Partial Response (PR) relative to the total number of evaluable patients. |
Measure: | Time to Progression |
Time Frame: | Randomization to date of objective tumor progression up to 13 months (The study terminated prematurely) |
Safety Issue: | |
Description: | Time to Progression (TTP) is defined as the time from the date of randomization to the date of objective tumor progression. |
Measure: | Number of Participants With Treatment-emergent Adverse Events Reported With the Combinations of Seribantumab Plus Fulvestrant Versus Fulvestrant Alone |
Time Frame: | TEAEs were collected through the study completion (30 Nov 2018), up to 13 months. Frequency and percent summaries were presented for TEAE defined as adverse events that occur or worsen in severity following the first dose of seribantumab, or fulvestrant |
Safety Issue: | |
Description: | Treatment-emergent adverse events (TEAEs) are defined as any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration. |
Measure: | Percentage of Treatment-emergent Adverse Events Reported With the Combinations of Seribantumab Plus Fulvestrant Versus Fulvestrant Alone |
Time Frame: | TEAEs were collected through the study completion (30 Nov 2018), up to 13 months. Frequency and percent summaries were presented for TEAE defined as adverse events that occur or worsen in severity following the first dose of seribantumab, or fulvestrant |
Safety Issue: | |
Description: | Treatment-emergent adverse events (TEAEs) are defined as any event that occurred after the first dose of study drug and was not present prior to study drug administration or worsened in severity after study drug administration. |
Measure: | Pharmacokinetic (PK) Profile of Seribantumab When Given in Combination With Fulvestrant and of Fulvestrant When Given in Combination With Serbantumab. |
Time Frame: | The study terminated prematurely after 13 months. Were to be analyzed post-dose on Cycle 1,Week 1 & pre-dose for all subsequent seribantumab infusions until the completion of Cycle 2. Fulvestrant PK samples were to be collected prior to seribantumab dose |
Safety Issue: | |
Description: | Pharmacokinetic (PK) evaluation are performed on samples obtained pre-dose on day 1 and 15 of each 28-day cycle to assess pre-treatment trough concentrations of MM-121. The maximum observed concentration (Cmax) is presented and calculated usig Non-compartmental analysis (NCA). Serum levels of MM-121 are measured at a central lab using an enzyme-linked immunosorbent assay (ELISA). |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Elevation Oncology |
Trial Keywords
- Breast Cancer, HER2 Negative, Hormone receptor positive
Last Updated
September 2, 2020