Description:
Single center, non-randomized, Phase 0 study. Sacituzumab Govitecan given preoperatively,
followed by craniotomy with surgery or biopsy of brain tumors (GBM and metastatic brain
tumors from Breast) and intraoperative tissue collection will follow with contemporaneous CSF
(depending on tumor location) and whole blood (serum) sampling.
Title
- Brief Title: Neuro/Sacituzumab Govitecan/Breast Brain Metastasis/Glioblastoma/Ph 0
- Official Title: A Phase 0, Investigator Initiated Study to Determine the Bioavailability of Sacituzumab Govitecan in Breast Brain Metastasis and Glioblastoma
Clinical Trial IDs
- ORG STUDY ID:
CTMS# 19-0069
- SECONDARY ID:
HSC20190378H
- NCT ID:
NCT03995706
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Sacituzumab Govitecan | | Breast Brain Metastasis and Glioblastoma |
Purpose
Single center, non-randomized, Phase 0 study. Sacituzumab Govitecan given preoperatively,
followed by craniotomy with surgery or biopsy of brain tumors (GBM and metastatic brain
tumors from Breast) and intraoperative tissue collection will follow with contemporaneous CSF
(depending on tumor location) and whole blood (serum) sampling.
Trial Arms
Name | Type | Description | Interventions |
---|
Breast Brain Metastasis and Glioblastoma | Experimental | Sacituzumab Govitecan treatment will be initiated with a 10mg/kg standard dose without any dose escalation on day-1, prior to surgery. Sacituzumab govitecan and will continue to be administered by IV infusion over 3 hours on Days 1 and 8 of a 21 day cycle post-operatively until progression. | |
Eligibility Criteria
Inclusion Criteria:
- At least 18 years of age
- Histologically or cytologically documented breast cancer (Cohort A) with known or
suspected parenchymal brain metastases.
- Recurrent glioblastoma (Cohort B) with documented progression by RANO criteria
following standard combined modality treatment with radiation and temozolomide.
- Plans to undergo craniotomy as part of standard of care. Patients emergently needing
surgical debulking due to symptoms of their disease are not eligible.
- Recovered from toxicities of prior therapy to grade 0 or 1
- ECOG performance status ≤ 2.
- Life expectancy of at least 3 months.
- Acceptable liver function:
- Bilirubin ≤ 1.5 times upper limit of normal
- AST (SGOT) and ALT (SGPT) ≤ 3.0 times upper limit of normal (ULN);
- Adequate renal function: calculated creatinine clearance ≥30mL/minute according to the
Cockcroft and Gault formula
- Acceptable hematologic status (without hematologic support)
- ANC ≥1500 cells/uL
- Platelet count ≥100,000/uL
- Hemoglobin ≥9.0 g/dL
- All women of childbearing potential must have a negative serum pregnancy test and male
and female subjects must agree to use effective means of contraception (surgical
sterilization or the use or barrier contraception with either a condom or diaphragm in
conjunction with spermicidal gel or an IUD) with their partner from entry into the
study through 6 months after the last dose.
Exclusion Criteria:
- The subject is receiving warfarin (or other coumarin derivatives) and is unable to
switch to low molecular weight heparin (LMWH) before the first dose of study drug.
- The subject has evidence of acute intracranial or intratumoral hemorrhage either by
MRI or computerized tomography (CT) scan. Subjects with resolving hemorrhage changes,
punctate hemorrhage, or hemosiderin are eligible.
- The subject is unable to undergo MRI scan (eg, has pacemaker).
- The subject has received enzyme-inducing anti-epileptic agents within 14 days of study
drug (eg, carbamazepine, phenytoin, phenobarbital, primidone).
- Patients whose only lesion undergoing resection has received stereotactic radiation
within the past 3 months
- The subject has received any of the following prior anticancer therapy:
- Biologic agents (antibodies, immune modulators, vaccines, cytokines) within 21
days prior to first dose of study drug
- Prior treatment with Sacituzumab Govitecan
- Patients receiving UGT1A1 (Uridine diphosphate glucuronosyl transferase 1A1)
inhibitors or inducers.
- History of significant cardiovascular disease, defined as:
- Congestive heart failure greater than New York Heart Association (NYHA) Class II
according to the NYHA Functional Classification.
- Unstable angina or myocardial infarction within 6 months before enrollment.
- Serious cardiac arrhythmia.
- Clinically significant ECG abnormality, including:
- Marked Baseline prolonged QT/QTc interval (ie, a repeated demonstration of a QTc
interval >500 ms) demonstrated on ECG at Screening.
- History of risk factors for torsade de pointes (eg, heart failure, hypokalemia,
family history of long QT Syndrome).
- Any medical or other condition which, in the opinion of the Investigator, causes the
subject to be medically unfit to receive Sacituzumab Govitecan, or unsuitable for any
other reason.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Ratio of SN-38 and its metabolites relative to serum concentration |
Time Frame: | Day 1 of each 21 day cycle |
Safety Issue: | |
Description: | Levels of SN-38 and its metabolites will be measured and a ratio calculated relative to the serum concentration of SN-38 and its metabolites. The ratio will show the amount of investigational product that crosses the blood brain barrier to reach the tumor. |
Details
Phase: | Early Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | The University of Texas Health Science Center at San Antonio |
Last Updated
June 15, 2021