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PTK787 + Trastuzumab for HER2 Overexpressing Metastatic Breast Cancer

Primary Purpose

Breast Cancer

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PTK787
Trastuzumab
Sponsored by
Hoosier Cancer Research Network
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Histologic or cytologic diagnosis of breast cancer with evidence of measurable (1) unresectable, locally recurrent, or (2) metastatic disease. Locally recurrent disease must not be amenable to resection OR radiation with curative intent. Patient's disease may not involve more than 3 metastatic sites. In addition, patient may not be symptomatic from pulmonary metastasis or have liver metastasis involving > 50% of parenchyma. HER2 gene amplification by FISH. HER protein overexpression by immunohistochemistry will not be sufficient for entry. Negative pregnancy test Exclusion Criteria: No prior cytotoxic chemotherapy or trastuzumab for locally recurrent or metastatic disease. No prior treatment with any VEGF inhibiting agents No history or presence of central nervous system (CNS) disease. No other forms of cancer therapy including radiation, chemotherapy and hormonal therapy within 21 days prior to being registered for protocol therapy. No major surgery within 28 days prior to being registered for protocol therapy. No uncontrolled hypertension (SBP > 170, DBP > 90), history of labile hypertension or history of poor compliance with antihypertensive therapy. No requirement for therapeutic anticoagulation, regular aspirin (> 325 mg/day) or NSAID use. No current breast feeding. No impairment of gastrointestinal (GI) function that may significantly alter the absorption of PTK787. No evidence of other serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator).

Sites / Locations

  • Elkhart Clinic
  • Fort Wayne Oncology & Hematology, Inc
  • Center for Cancer Care at Goshen Health System
  • Indiana University Cancer Center
  • Arnett Cancer Care
  • Medical Consultants, P.C.
  • Northern Indiana Cancer Research Consortium
  • AP&S Clinic

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single Group Assignment

Arm Description

Trastuzumab + PTK787 for HER2 positive patients

Outcomes

Primary Outcome Measures

Phase I Cohorts:
The primary objective is to ensure the safety and tolerability of the combination of Trastuzumab and PTK787,
Phase II Cohorts:
To assess response rate of PTK787 combined with trastuzumab in patients with newly diagnosed HER2 overexpressing

Secondary Outcome Measures

Phase II Cohorts:
To assess the safety and tolerability of PTK787 combined with trastuzumab
To assess the time to progression and clinical benefit of PTK787 combined with trastuzumab

Full Information

First Posted
September 12, 2005
Last Updated
December 8, 2015
Sponsor
Hoosier Cancer Research Network
Collaborators
Novartis Pharmaceuticals, Walther Cancer Institute
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1. Study Identification

Unique Protocol Identification Number
NCT00216047
Brief Title
PTK787 + Trastuzumab for HER2 Overexpressing Metastatic Breast Cancer
Official Title
A Phase I/II Study of PTK787 in Combination With Trastuzumab in Patients With Newly Diagnosed HER2 Overexpressing Locally Recurrent or Metastatic Breast Cancer: Hoosier Oncology Group Trial BRE04-80
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Terminated
Why Stopped
Low patient enrollment; toxicities
Study Start Date
January 2005 (undefined)
Primary Completion Date
August 2006 (Actual)
Study Completion Date
August 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hoosier Cancer Research Network
Collaborators
Novartis Pharmaceuticals, Walther Cancer Institute

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
HER2 gene amplification increases VEGF production in breast cancers; combined inhibition of HER2 and VEGF enhances response in xenograft models. The upregulation of VEGF in HER2-overexpressing breast cancers may contribute to the aggressive phenotype observed in HER2-positive breast cancer. New therapeutics targeting VEGF and/or its receptors may enhance the efficacy of trastuzumab monotherapy. This trial will investigate the safety and efficacy of combined HER2 and VEGF inhibition.
Detailed Description
OUTLINE: This is a multi-center study. PTK787 daily plus trastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle. Patients may continue treatment until disease progression or toxicity intervenes. Performance Status: ECOG 0 or 1 Life Expectancy: Not specified Hematopoietic: ANC > 1500 mm3 Platelets > 100,000 mm3 Hemoglobin > 9 g/dL PTT and INR < 1.5 x ULN Hepatic: ALT and AST < 3 x ULN (< 5 x ULN in patients with known liver metastases) Alkaline phosphatase < 2.5 x ULN Serum bilirubin < 1.5 x ULN Renal: Serum creatinine < 1.5 x ULN Proteinuria < 1+ by dipstick OR total urinary protein < 500 mg/24 hours with measured creatinine clearance (CrCl) ≥ 50 mL/min Cardiovascular: No clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 6 months. LVEF > LLN by MUGA or ECHO (obtained within 28 days prior to being registered for protocol therapy) Pulmonary: Not specified

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
7 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single Group Assignment
Arm Type
Experimental
Arm Description
Trastuzumab + PTK787 for HER2 positive patients
Intervention Type
Drug
Intervention Name(s)
PTK787
Intervention Description
PTK787 daily
Intervention Type
Drug
Intervention Name(s)
Trastuzumab
Intervention Description
Trastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle*
Primary Outcome Measure Information:
Title
Phase I Cohorts:
Time Frame
18 months
Title
The primary objective is to ensure the safety and tolerability of the combination of Trastuzumab and PTK787,
Time Frame
18 months
Title
Phase II Cohorts:
Time Frame
18 months
Title
To assess response rate of PTK787 combined with trastuzumab in patients with newly diagnosed HER2 overexpressing
Time Frame
18 months
Secondary Outcome Measure Information:
Title
Phase II Cohorts:
Time Frame
12 months
Title
To assess the safety and tolerability of PTK787 combined with trastuzumab
Time Frame
12 months
Title
To assess the time to progression and clinical benefit of PTK787 combined with trastuzumab
Time Frame
12 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologic or cytologic diagnosis of breast cancer with evidence of measurable (1) unresectable, locally recurrent, or (2) metastatic disease. Locally recurrent disease must not be amenable to resection OR radiation with curative intent. Patient's disease may not involve more than 3 metastatic sites. In addition, patient may not be symptomatic from pulmonary metastasis or have liver metastasis involving > 50% of parenchyma. HER2 gene amplification by FISH. HER protein overexpression by immunohistochemistry will not be sufficient for entry. Negative pregnancy test Exclusion Criteria: No prior cytotoxic chemotherapy or trastuzumab for locally recurrent or metastatic disease. No prior treatment with any VEGF inhibiting agents No history or presence of central nervous system (CNS) disease. No other forms of cancer therapy including radiation, chemotherapy and hormonal therapy within 21 days prior to being registered for protocol therapy. No major surgery within 28 days prior to being registered for protocol therapy. No uncontrolled hypertension (SBP > 170, DBP > 90), history of labile hypertension or history of poor compliance with antihypertensive therapy. No requirement for therapeutic anticoagulation, regular aspirin (> 325 mg/day) or NSAID use. No current breast feeding. No impairment of gastrointestinal (GI) function that may significantly alter the absorption of PTK787. No evidence of other serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathy Miller, M.D.
Organizational Affiliation
Hoosier Oncology Group, LLC
Official's Role
Study Chair
Facility Information:
Facility Name
Elkhart Clinic
City
Elkhart
State/Province
Indiana
ZIP/Postal Code
46515
Country
United States
Facility Name
Fort Wayne Oncology & Hematology, Inc
City
Fort Wayne
State/Province
Indiana
ZIP/Postal Code
46815
Country
United States
Facility Name
Center for Cancer Care at Goshen Health System
City
Goshen
State/Province
Indiana
ZIP/Postal Code
46527
Country
United States
Facility Name
Indiana University Cancer Center
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Arnett Cancer Care
City
Lafayette
State/Province
Indiana
ZIP/Postal Code
47904
Country
United States
Facility Name
Medical Consultants, P.C.
City
Muncie
State/Province
Indiana
ZIP/Postal Code
47303
Country
United States
Facility Name
Northern Indiana Cancer Research Consortium
City
South Bend
State/Province
Indiana
ZIP/Postal Code
46601
Country
United States
Facility Name
AP&S Clinic
City
Terre Haute
State/Province
Indiana
ZIP/Postal Code
47804
Country
United States

12. IPD Sharing Statement

Links:
URL
http://hoosieroncologygroup.org/
Description
Hoosier Oncology Group Home Page

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PTK787 + Trastuzumab for HER2 Overexpressing Metastatic Breast Cancer

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