Study Of MK-0752 In Combination With Tamoxifen Or Letrozole to Treat Early Stage Breast Cancer (MK-0752)
Primary Purpose
Breast Cancer
Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
MK-0752
Sponsored by

About this trial
This is an interventional other trial for Breast Cancer focused on measuring MK-0752, Tamoxifen, Letroxole
Eligibility Criteria
Inclusion Criteria:
- Patients must have histologically or cytologically confirmed early stage, ER-positive (Allred score ≥3), invasive breast cancer that is not either locally advanced by criteria other than size or inflammatory, and is not metastatic. - Patients must be candidates for surgical removal of the tumor by lumpectomy or mastectomy.
- Patients must not have bilateral tumors. Tumor must be amenable to core biopsy in midstudy.
- Patients must be >18 years of age.
- Patients must have a performance status ≤1 by Zubrod criteria.
- Patients must have a life expectancy of greater than three months.
Patients must have normal organ and marrow function within 28 days of registration as defined below:
- absolute neutrophil count >1,500/μL
- platelets >100,000/μL
- total bilirubin ≤1.5 x the institutional upper limit of normal
- AST(SGOT)/ALT(SGPT) <2 X institutional upper limit of normal
- creatinine within normal institutional limits OR
- creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal
- Women of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. A negative serum pregnancy test must be obtained within 72 hours of receiving the first dose of the hormonal therapy as well as within 72 hours of the first dose of the MK-0752 GSI medication for women of child-bearing potential. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
Exclusion Criteria:
- Patients may not have received any prior chemotherapy or endocrine therapy (tamoxifen, raloxifene, or an aromatase inhibitor) and may not have received prior therapy with a gamma-secretase inhibitor or other investigational agents. - Patients may not have received previous radiation therapy.
- Patients may not be currently participating or have participated in a study with an investigational compound or device within 30 days.
- Patients must not have known brain or CNS disease, evidence of brain or CNS metastases, or carcinomatous meningitis.
- Patients must not have an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
- Patients may not have known hypersensitivity to the components of MK-0752 or it analogs.
- Patients will be excluded if there is a known history of human immunodeficiency (HIV) virus infection, or a known history of hepatitis B or C infection.
- Patients must not have a previous history of inflammatory bowel disease or uncontrolled irritable bowel syndrome.
- Patients must not have a history of greater than one basal cell carcinoma of the skin within the past five years or a history of Gorlin syndrome.
Sites / Locations
- Loyola Univeristy Medical Center, Cardinal Bernardin Cancer Center
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
MK-0752
Arm Description
Oral gamma-secretase inhibitor drug MK-0752, 350 mg for three days, four days off, then three days on, over a period of 10 days
Outcomes
Primary Outcome Measures
Number of Participants Experiencing at Least One Adverse Event
The number of participants experiencing at least one adverse event during the 24-day observation period and initial post-operative visit.
Secondary Outcome Measures
Full Information
NCT ID
NCT00756717
First Posted
September 19, 2008
Last Updated
August 14, 2019
Sponsor
Loyola University
Collaborators
Merck Sharp & Dohme LLC
1. Study Identification
Unique Protocol Identification Number
NCT00756717
Brief Title
Study Of MK-0752 In Combination With Tamoxifen Or Letrozole to Treat Early Stage Breast Cancer
Acronym
MK-0752
Official Title
A Pilot Study of MK-0752 in Combination With Tamoxifen or Letrozole in Patients With Early Stage Breast Cancer Prior to Surgery
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
February 14, 2008 (Actual)
Primary Completion Date
December 21, 2011 (Actual)
Study Completion Date
December 21, 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Loyola University
Collaborators
Merck Sharp & Dohme LLC
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this research project is to study the effect of a research (investigational) drug, MK-0752 combined with either tamoxifen or letrozole on breast cancer cells.
Tamoxifen and letrozole are standard hormone treatments used to treat breast cancers that are positive for the estrogen receptor. However, over time the breast cancer cells can become resistant to tamoxifen and letrozole. MK-0752 is in a class of drugs called gamma secretase inhibitors. Gamma secretase inhibitors may play a role in reversing the resistance to drugs such as tamoxifen and letrozole.
Detailed Description
OBJECTIVES
To evaluate the safety and tolerability of the gamma-secretase inhibitor MK-0752 in the pre-surgical setting in patients with early stage, estrogen receptor (ER) positive breast cancer, in combination with tamoxifen or an aromatase inhibitor (AI).
To establish the feasibility and success of multi-laboratory collaborations in evaluating clinical specimens and biomarker testing.
To provide preliminary data on the impact of MK-0752 on a panel of biomarkers involved in the notch signaling pathway.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
MK-0752, Tamoxifen, Letroxole
7. Study Design
Primary Purpose
Other
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
22 (Actual)
8. Arms, Groups, and Interventions
Arm Title
MK-0752
Arm Type
Experimental
Arm Description
Oral gamma-secretase inhibitor drug MK-0752, 350 mg for three days, four days off, then three days on, over a period of 10 days
Intervention Type
Drug
Intervention Name(s)
MK-0752
Intervention Description
Women who are post menopausal will receive letrozole 2.5 mg by mouth one time per day for 24 days. Women who are pre menopausal, or who have a contraindication to letrozole will receive tamoxifen 20 mg orally one time per day for a period of 24 days. Starting on day 15 of this 24 day period all patients will receive the oral gamma-secretase inhibitor drug MK-0752 at a dose of 350 mg for three days on, then off four days, then three days on, for a total of 6 doses over a period of 10 days.
Primary Outcome Measure Information:
Title
Number of Participants Experiencing at Least One Adverse Event
Description
The number of participants experiencing at least one adverse event during the 24-day observation period and initial post-operative visit.
Time Frame
30 days
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients must have histologically or cytologically confirmed early stage, ER-positive (Allred score ≥3), invasive breast cancer that is not either locally advanced by criteria other than size or inflammatory, and is not metastatic. - Patients must be candidates for surgical removal of the tumor by lumpectomy or mastectomy.
Patients must not have bilateral tumors. Tumor must be amenable to core biopsy in midstudy.
Patients must be >18 years of age.
Patients must have a performance status ≤1 by Zubrod criteria.
Patients must have a life expectancy of greater than three months.
Patients must have normal organ and marrow function within 28 days of registration as defined below:
absolute neutrophil count >1,500/μL
platelets >100,000/μL
total bilirubin ≤1.5 x the institutional upper limit of normal
AST(SGOT)/ALT(SGPT) <2 X institutional upper limit of normal
creatinine within normal institutional limits OR
creatinine clearance >60 mL/min/1.73 m2 for patients with creatinine levels above institutional normal
Women of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. A negative serum pregnancy test must be obtained within 72 hours of receiving the first dose of the hormonal therapy as well as within 72 hours of the first dose of the MK-0752 GSI medication for women of child-bearing potential. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
Exclusion Criteria:
Patients may not have received any prior chemotherapy or endocrine therapy (tamoxifen, raloxifene, or an aromatase inhibitor) and may not have received prior therapy with a gamma-secretase inhibitor or other investigational agents. - Patients may not have received previous radiation therapy.
Patients may not be currently participating or have participated in a study with an investigational compound or device within 30 days.
Patients must not have known brain or CNS disease, evidence of brain or CNS metastases, or carcinomatous meningitis.
Patients must not have an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
Patients may not have known hypersensitivity to the components of MK-0752 or it analogs.
Patients will be excluded if there is a known history of human immunodeficiency (HIV) virus infection, or a known history of hepatitis B or C infection.
Patients must not have a previous history of inflammatory bowel disease or uncontrolled irritable bowel syndrome.
Patients must not have a history of greater than one basal cell carcinoma of the skin within the past five years or a history of Gorlin syndrome.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kathy Albain, MD
Organizational Affiliation
Loyola University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Loyola Univeristy Medical Center, Cardinal Bernardin Cancer Center
City
Maywood
State/Province
Illinois
ZIP/Postal Code
60153
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to make individual participant data available to other researchers
Citations:
PubMed Identifier
23511909
Citation
Tabares-Seisdedos R, Rubenstein JL. Inverse cancer comorbidity: a serendipitous opportunity to gain insight into CNS disorders. Nat Rev Neurosci. 2013 Apr;14(4):293-304. doi: 10.1038/nrn3464.
Results Reference
derived
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Study Of MK-0752 In Combination With Tamoxifen Or Letrozole to Treat Early Stage Breast Cancer
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