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Pilot Study Using Molecular Profiling to Find Potential Targets & Select Treatments for Pts With Met br ca (Side-Out)

Primary Purpose

Metastatic Breast Cancer

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
Approved therapy will be assigned based on molecular profile and RPMA results
Sponsored by
Translational Drug Development
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Metastatic Breast Cancer focused on measuring Metastatic Breast Cancer, Molecular profiling

Eligibility Criteria

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

Inclusion Criteria:

  • Have a life expectancy of greater than 3 months
  • metastatic breast cancer, with measurable or evaluable non-measurable disease
  • Have progressed on at least 3 prior chemotherapeutic or biological regimens
  • Be defined as refractory to the last line of therapy according to the following criteria: Documented disease progression under the last treatment or within two months of the last treatment dosing AND Have received ≥ 30 days of the last treatment AND Have discontinued for progression by RECIST 1.1 criteria
  • ≥18 years of age
  • ECOG 0-1
  • willing to undergo a biopsy or surgical procedure to obtain tissue
  • Must have been off their prior regimen for ≥ 3 weeks or 5 x half life of drug
  • Have adequate organ and bone marrow function as defined below:
  • Female patients of child-bearing potential must have a negative pregnancy test and agree to use at least one form of contraception during the study and for at least one month after treatment discontinuation. For the purposes of this study, child-bearing potential is defined as: all female patients unless they are post-menopausal for at least one year or are surgically sterile
  • Male patients must use a form of barrier contraception approved by the Investigator during the study and for at least one month after treatment discontinuation.

Exclusion Criteria:

  • Tumor biopsy intended for use in the current study which was performed more than 2 months prior
  • Frozen material is not available/obtained
  • Metastatic lesion is not accessible to biopsy
  • Patients with > 6 months treatment under the last line of therapy
  • Patients with symptomatic CNS metastasis. Patients with a history of CNS metastases who have been treated must be stable without symptoms for 4 weeks after completion of treatment, with image documentation required, and must be either off steroids or on a stable dose of steroids for ≥ 2 weeks prior to enrollment
  • Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry
  • Uncontrolled concurrent illness including, but not limited to, ongoing or active serious infection, symptomatic congestive heart failure, unstable angina pectoris, unstable cardiac arrhythmias, psychiatric illness, or situations that would limit compliance with the study requirements or the ability to willingly give written informed consent
  • Known HIV, HBV, HCV infection
  • Pregnant or breast-feeding patients or any patient with childbearing potential not using adequate contraception.

Sites / Locations

  • Tgen Clinical Research Services
  • Fairfax North Virginia Hematology Oncology
  • Evergreen Hematology and Oncology

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Metastatic Breast Cancer Patients

Arm Description

Blood drawn for molecular profiling

Outcomes

Primary Outcome Measures

Growth Modulation Index (GMI) Greater Than or Equal to 1.3
The primary objective was to determine the % of patients with refractory breast cancer where MMP-informed selection of approved cancer therapies could change the clinical course of their disease to produce a Growth Modulation Index (GMI) greater than 1.3. The GMI was calculated as the PFS with MMP-selected therapy/time to progression (TTP) on last prior therapy. A GMI of 1.3 was selected because 30% or greater improvement in PFS with MMP-selected therapy compared to previous TTP would be considered clinically meaningful.

Secondary Outcome Measures

Full Information

First Posted
February 22, 2010
Last Updated
November 30, 2022
Sponsor
Translational Drug Development
Collaborators
Side-Out Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT01074814
Brief Title
Pilot Study Using Molecular Profiling to Find Potential Targets & Select Treatments for Pts With Met br ca
Acronym
Side-Out
Official Title
A Pilot Study Utilizing Molecular Profiling by IHC, FISH, DNA Microarray, and Reverse Phase Protein Microarray (RPMA) of Patients' Tumors to Find Potential Targets and Select Treatments for Patients With Metastatic Breast Cancer.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
July 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Translational Drug Development
Collaborators
Side-Out Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the response rate, that is the % of patients with non-progression of their metastatic breast cancer after 4 months on treatment that was selected by molecular testing and proteomics.
Detailed Description
To determine the percent of patients with refractory breast cancer where molecular profiling and RPMA-based protein pathway activation analysis of their tumor, can change the clinical course of their disease (i.e. produce a Growth Modulation Index (GMI) ≥1.3). The GMI is calculated as the ratio of Progression-free survival (PFS) under molecular profiling and RPMA analysis selected treatment to the time to progression (TTP) for the most recent regimen the patient has progressed on.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
28 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Metastatic Breast Cancer Patients
Arm Type
Other
Arm Description
Blood drawn for molecular profiling
Intervention Type
Drug
Intervention Name(s)
Approved therapy will be assigned based on molecular profile and RPMA results
Other Intervention Name(s)
Approved therapy will be administered based on molecular profile and RPMA results
Intervention Description
treatment will be assigned based on IHC< FISH, DNA microarray and RPMA results
Primary Outcome Measure Information:
Title
Growth Modulation Index (GMI) Greater Than or Equal to 1.3
Description
The primary objective was to determine the % of patients with refractory breast cancer where MMP-informed selection of approved cancer therapies could change the clinical course of their disease to produce a Growth Modulation Index (GMI) greater than 1.3. The GMI was calculated as the PFS with MMP-selected therapy/time to progression (TTP) on last prior therapy. A GMI of 1.3 was selected because 30% or greater improvement in PFS with MMP-selected therapy compared to previous TTP would be considered clinically meaningful.
Time Frame
6-20 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have a life expectancy of greater than 3 months metastatic breast cancer, with measurable or evaluable non-measurable disease Have progressed on at least 3 prior chemotherapeutic or biological regimens Be defined as refractory to the last line of therapy according to the following criteria: Documented disease progression under the last treatment or within two months of the last treatment dosing AND Have received ≥ 30 days of the last treatment AND Have discontinued for progression by RECIST 1.1 criteria ≥18 years of age ECOG 0-1 willing to undergo a biopsy or surgical procedure to obtain tissue Must have been off their prior regimen for ≥ 3 weeks or 5 x half life of drug Have adequate organ and bone marrow function as defined below: Female patients of child-bearing potential must have a negative pregnancy test and agree to use at least one form of contraception during the study and for at least one month after treatment discontinuation. For the purposes of this study, child-bearing potential is defined as: all female patients unless they are post-menopausal for at least one year or are surgically sterile Male patients must use a form of barrier contraception approved by the Investigator during the study and for at least one month after treatment discontinuation. Exclusion Criteria: Tumor biopsy intended for use in the current study which was performed more than 2 months prior Frozen material is not available/obtained Metastatic lesion is not accessible to biopsy Patients with > 6 months treatment under the last line of therapy Patients with symptomatic CNS metastasis. Patients with a history of CNS metastases who have been treated must be stable without symptoms for 4 weeks after completion of treatment, with image documentation required, and must be either off steroids or on a stable dose of steroids for ≥ 2 weeks prior to enrollment Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry Uncontrolled concurrent illness including, but not limited to, ongoing or active serious infection, symptomatic congestive heart failure, unstable angina pectoris, unstable cardiac arrhythmias, psychiatric illness, or situations that would limit compliance with the study requirements or the ability to willingly give written informed consent Known HIV, HBV, HCV infection Pregnant or breast-feeding patients or any patient with childbearing potential not using adequate contraception.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gayle Jameson, RNMSNACNP-BC
Organizational Affiliation
Scottsdale Healthcare
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tgen Clinical Research Services
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
Fairfax North Virginia Hematology Oncology
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States
Facility Name
Evergreen Hematology and Oncology
City
Spokane
State/Province
Washington
ZIP/Postal Code
99218
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
25209003
Citation
Jameson GS, Petricoin EF, Sachdev J, Liotta LA, Loesch DM, Anthony SP, Chadha MK, Wulfkuhle JD, Gallagher RI, Reeder KA, Pierobon M, Fulk MR, Cantafio NA, Dunetz B, Mikrut WD, Von Hoff DD, Robert NJ. A pilot study utilizing multi-omic molecular profiling to find potential targets and select individualized treatments for patients with previously treated metastatic breast cancer. Breast Cancer Res Treat. 2014 Oct;147(3):579-88. doi: 10.1007/s10549-014-3117-1. Epub 2014 Sep 11.
Results Reference
derived

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Pilot Study Using Molecular Profiling to Find Potential Targets & Select Treatments for Pts With Met br ca

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