Description:
The purpose of this study is to determine the safety profile, the maximum tolerated dose
(MTD) and the associated dose-limiting toxicities (DLTs) of S 81694 in combination with
paclitaxel in metastatic breast cancer (mBC) patients, and to investigate the antitumour
activity of the combination in metastatic triple negative breast cancer (mTNBC) patients.
Title
- Brief Title: S 81694 Plus Paclitaxel in Metastatic Breast Cancer
- Official Title: Phase I/II Trial of S 81694 Administered Intravenously in Combination With Paclitaxel to Evaluate the Safety, Pharmacokinetic and Efficacy in Metastatic Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
CL1-81694-003
- SECONDARY ID:
2017-002459-27
- NCT ID:
NCT03411161
Conditions
- Metastatic Breast Cancer
- Metastatic Triple Negative Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
Combination therapy (S81694 + paclitaxel) phase I | | Combination therapy (S81694 + paclitaxel) phase I |
Paclitaxel | | paclitaxel phase II |
Combination therapy (S81694 + paclitaxel) phase II | | Combination therapy (S81694 + paclitaxel) phase II |
Purpose
The purpose of this study is to determine the safety profile, the maximum tolerated dose
(MTD) and the associated dose-limiting toxicities (DLTs) of S 81694 in combination with
paclitaxel in metastatic breast cancer (mBC) patients, and to investigate the antitumour
activity of the combination in metastatic triple negative breast cancer (mTNBC) patients.
Trial Arms
Name | Type | Description | Interventions |
---|
Combination therapy (S81694 + paclitaxel) phase I | Experimental | Phase I: Single arm, non-randomized study in metastatic breast cancer patients. S81694 given intravenously every two weeks at different doses on D1 and D15 last for 28 days. The participants will also receive paclitaxel intravenously on D1, D8 and D15 last for 28 days. | - Combination therapy (S81694 + paclitaxel) phase I
|
paclitaxel phase II | Active Comparator | Phase II: Randomised phase II part , two-arm, in untreated metastatic triple negative breast cancer patients.
Paclitaxel given intravenously on D1, D8, and D15 at 80 mg/m² during a 28-day cycle. | |
Combination therapy (S81694 + paclitaxel) phase II | Experimental | Phase II: Randomised phase II part , two-arm, in untreated metastatic triple negative breast cancer patients.
S 81694 given intravenously on D1 and D15 at recommended phase 2 dose (RP2D). Paclitaxel given intravenously on D1, D8, and D15 during a 28-day cycle. | - Combination therapy (S81694 + paclitaxel) phase II
|
Eligibility Criteria
Inclusion Criteria:
For Phase I :
- Histologically or cytologically confirmed metastatic breast cancer, refractory to any
standard therapy or for which the standard therapy is considered unsuitable;
- Patient must have at least one evaluable or measurable metastatic lesion (lesions as
defined by revised Response Evaluation Criteria in Solid Tumors).
For Phase II :
- Histologically or cytologically confirmed advanced inoperable triple negative breast
cancer with no prior anticancer therapy regimen in metastatic setting;
- Patient with a minimum washout period of 12 months following previous taxane based
adjuvant therapy;
- Patient must have at least one measurable metastatic lesion. Ascites, pleural
effusion, and bone metastases are not considered measurable;
- Acceptance of pre-treatment metastatic biopsies for all patients and on-treatment
metastatic biopsies in selected centres.
For the whole study:
- Male or female subjects aged ≥ 18 years old, or legal age of the majority in the
country;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
- Estimated life expectancy of at least 3 months;
- Adequate haematological function based on the last assessment performed within 7 days
prior to the first IMP (investigational medicinal product) administration;
- Adequate renal function based on the last assessment performed within 7 days prior to
the first IMP administration;
- Adequate hepatic function based on the last assessment performed within 7 days prior
to the first IMP administration;
- Female participant of childbearing potential must have a negative pregnancy test
(serum) within 7 days prior to the first day of test drug administration. Effective
contraception both for female patients of childbearing potential and male patients
with parteners of childbearing potential.
Exclusion Criteria:
- Other active malignancy within the last 3 years (except for basal cell carcinoma or a
non-invasive/in situ cervical cancer or intra-mucosal gastro-intestinal cancers that
were treated curatively);
- Presence of grade ≥ 2 toxic effects (excluding alopecia) due to prior cancer therapy;
- Known hypersensitivity to the IMP (S 81694 and paclitaxel) or their excipients;
- Evidence of peripheral neuropathy of grade 2 or higher;
- Participant previously received paclitaxel and discontinued due to toxicity related to
paclitaxel;
- Participant known as refractory to taxanes;
- Any prior cancer therapy within 4 weeks or 5 half-life (whichever is the shorter)
before the first IMP administration;
- Participant with current, serious, uncontrolled infections;
- Participant with brain metastasis or leptomeningeal metastasis (except patients with
brain metastasis that have been stable post-radiation therapy and who are off steroids
for > 2 months);
- History of cardiac disease;
- Uncontrolled arterial hypertension;
- Presence of risk factors for torsades de pointes (e.g. heart failure, hypokalaemia,
family history of long QT syndrome);
- Any clinically significant medical condition (e.g. organ dysfunction) or laboratory
abnormality likely to jeopardize the patient's safety or to interfere with the conduct
of the study, in the investigator's opinion.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of DLTs (dose-limiting toxicities) |
Time Frame: | Through study completion, an average of 4 years |
Safety Issue: | |
Description: | Safety criterion - A DLT is defined as any toxicity attributable to S81694 or the combination that occurs before the end of Cycle 1 |
Secondary Outcome Measures
Measure: | The PK (pharmacokinetic) profile of S 81694 and paclitaxel plasma concentration : Area under the plasma concentration-time curve (AUC) |
Time Frame: | Through study completion, an average of 3 years |
Safety Issue: | |
Description: | Safety and tolerability criteria |
Measure: | The PK profile of S 81694 and paclitaxel plasma concentration : Elimination half-life (T½) |
Time Frame: | Through study completion, an average of 3 years |
Safety Issue: | |
Description: | Safety and tolerability criteria |
Measure: | The PK profile of S 81694 and paclitaxel plasma concentration : Maximum plasma concentration (Cmax) |
Time Frame: | Through study completion, an average of 3 years |
Safety Issue: | |
Description: | Safety and tolerability criteria |
Measure: | The PK profile of S 81694 and paclitaxel plasma concentration : Minimum plasma concentration (Cmin) |
Time Frame: | Through study completion, an average of 3 years |
Safety Issue: | |
Description: | Safety and tolerability criteria |
Measure: | Overall Response Rate (ORR) [ based on Investigator review of the images according to RECIST 1.1] |
Time Frame: | Through study completion, an average of 4 years |
Safety Issue: | |
Description: | Efficacy criterion |
Measure: | Incidence of treatment-emergent adverse events (AEs) graded according to NCI CTCAE v4.03 |
Time Frame: | Through study completion, an average of 4 years |
Safety Issue: | |
Description: | Safety criterion |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | Institut de Recherches Internationales Servier |
Trial Keywords
- Mps1
- Mps1i
- S81694
- breast cancer
- triple negative breast cancer
- phase I
- phase II
Last Updated
May 25, 2021