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HumanaH - Hu3s193 in the Treatment of Advanced Breast Cancer After Hormonal Therapy

Primary Purpose

Breast Cancer

Status
Terminated
Phase
Phase 2
Locations
Brazil
Study Type
Interventional
Intervention
Hu3S193
Sponsored by
Instituto do Cancer do Estado de São Paulo
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring monoclonal antibody, Lewis, breast cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of breast cancer with locally advanced or metastatic (stages IIIB, IIIC or IV according to TNM classification), confirmed histologically with no intention to curative treatment by radiotherapy or surgery;
  • Clinical or radiological progression after one or two lines of previous hormone treatment, including adjuvant treatment;
  • Positive for ER and / or PR expression documented by IHC;
  • Confirmed expression of Lewis Y antigen by IHC;
  • Presenting the performance status of 0 or 1 according to Eastern Cooperative Oncology Group (ECOG);
  • Have a measurable or evaluable disease by Response of Evaluation Criteria in Solid Tumors (RECIST);
  • Adequate organ function, assessed by laboratory tests obtained at least 2 weeks before the first day of treatment and within the following parameters:

absolute neutrophil count ≥ 1.5 x 109 / L; platelet count ≥ 100 x 109 / L; serum bilirubin ≤ 2.0 mg / dL; AST/ALT ≤ 2.5 x upper limit of normal; serum creatinine ≤ 2.0 mg / dL;

  • Expected survival > 12 weeks;
  • In patients with childbearing potential: Negative pregnancy confirmed by test done 21 days before the date of study treatment initiation;
  • Willingness and ability to comply with the protocol for the duration of the study.

Exclusion Criteria:

  • Patients subjected previously to more than two lines of hormonal therapy, including adjuvant treatment;
  • Presenting the amplification or overexpression of HER-2;
  • Systemic corticosteroids or immunosuppressive agents used concomitantly with the study or have used systemic corticosteroids or immunosuppressants in the last 14 days before the first dose of the investigational drug;
  • Visceral metastatic disease with life-threatening (as defined by extensive liver involvement), or symptomatic pulmonary lymphangitic carcinomatosis or any degree of cerebral or leptomeningeal involvement;
  • Previous or current history of clinically significant cardiac disease (class III or IV according to New York Heart Association);
  • Clinically significant arrhythmia;
  • History of myocardial infarction within the last 6 months;
  • Previous or current history of other severe diseases (eg, severe ascites requiring repeated drainage, active infections requiring antibiotics, bleeding, inflammatory bowel disease or chronic diseases that may interfere with obtaining accurate results of the study);
  • Previous chemotherapy for metastatic disease (adjuvant chemotherapy is acceptable, if more than four weeks between its completion and inclusion in the study;
  • Radiotherapy within 4 weeks before inclusion in the study or with no recovery from the toxic effects of radiotherapy when done up to 6 weeks before inclusion in the study, except for palliative radiotherapy for bone metastases involving <25 % bone marrow;
  • Treatment with biological agents, immunotherapy or surgery within 4 weeks before inclusion in the study or with no recovery from the toxic effects of these treatments when made until six weeks prior to study entry (prior treatment with bisphosphonates is allowed, it can be continued after inclusion in the study);
  • Any investigational agent treatment within 12 months prior to study entry, unless the investigator considers that the participation in the study may benefit the patient;
  • Previous or current history of another type of tumor, excluding skin cancer, melanoma, in situ cervix carcinoma or in situ ductal carcinoma or lobular breast if properly treated;
  • Uncontrolled hypercalcemia (defined as total calcium> 11.5 mg / dL)

Sites / Locations

  • Universidade Federal Do Ceará
  • PONTIFíCIA UNIVERSIDADE CATÓLICA DO RIO GRANDE DO SUL
  • Hospital Do Câncer de Barretos
  • Universidade Federal de Goias
  • Instituto Nacional Do Câncer
  • Instituto Do Câncer Do Estado de São Paulo
  • Hospital Sirio Libanes

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hu3S193

Arm Description

Single arm

Outcomes

Primary Outcome Measures

Complete response, partial response or stable disease.
The primary efficacy analysis will be done through the clinical benefit rate, as defined by the proportion of patients achieving best response, complete response, partial response or stable disease for more than 24 weeks

Secondary Outcome Measures

Response rate
from inclusion until disease progression or death
Non progression rate
From patient inclusion until disease progression or death - evaluated radiologically by CT
Overall survival
until death
Progression free survival
Evaluated radiologically by CT
Assessment of any sign, symptom or undesirable medical condition that occurs after the first administration of the investigational agent

Full Information

First Posted
May 25, 2011
Last Updated
October 9, 2019
Sponsor
Instituto do Cancer do Estado de São Paulo
Collaborators
Fundação Faculdade de Medicina, Recepta Biopharma
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1. Study Identification

Unique Protocol Identification Number
NCT01370239
Brief Title
HumanaH - Hu3s193 in the Treatment of Advanced Breast Cancer After Hormonal Therapy
Official Title
A Multicenter Phase II Study of Treatment With Hu3S193 in Women With Advanced Breast Cancer That Progressed After Hormonal Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Terminated
Why Stopped
futility
Study Start Date
November 2013 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
May 25, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Instituto do Cancer do Estado de São Paulo
Collaborators
Fundação Faculdade de Medicina, Recepta Biopharma

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The humanized monoclonal antibody against Lewis Y antigen (Hu3S193) has been demonstrated to be safe in previous studies and has also been indicated as potential intervention in breast cancer. The study of this new agent in advanced breast cancer may contribute to the development of new strategies for patients that progressed after hormonal treatment.
Detailed Description
This is a national study, open label, single arm, phase II study which will be conducted in seven centers in Brazil. The study will be coordinated by the INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO in collaboration with RECEPTA Biopharma. The study is funded by the CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO (CNPq). Before any procedure relating to the study, patients must read and sign the informed consent (IC). The inclusion of patients begin immediately after regulatory approval and is expected to end after reaching the number of patients. The follow-up term will last at least 24 months for each patient included, unless limited by death, loss to follow up or withdrawal of informed consent. A total of 60 patients will be recruited in this study. The eligible patients must be 18 or older, confirmed diagnosis of breast cancer with locally advanced or metastatic progression after one or two lines of previous hormone treatment, confirmation of Lewis antigen expression -as assessed by central laboratory, measurable or evaluable disease and adequate organ function. Patients will receive weekly intravenous doses of the antibody Hu3S193 until disease progression, unacceptable toxicity, withdrawal of consent or the investigator's decision, whichever occurs first. The study's primary endpoint is the clinical benefit rate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
monoclonal antibody, Lewis, breast cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Hu3S193
Arm Type
Experimental
Arm Description
Single arm
Intervention Type
Biological
Intervention Name(s)
Hu3S193
Intervention Description
Patients will receive weekly intravenous doses of 20 mg/m2 of the antibody Hu3S193. The infusion will take 60 ± 10 minutes. The antibody should be diluted in 500 mL of normal saline.
Primary Outcome Measure Information:
Title
Complete response, partial response or stable disease.
Description
The primary efficacy analysis will be done through the clinical benefit rate, as defined by the proportion of patients achieving best response, complete response, partial response or stable disease for more than 24 weeks
Time Frame
more than 24 weeks
Secondary Outcome Measure Information:
Title
Response rate
Description
from inclusion until disease progression or death
Time Frame
24 weeks after patient discontinuation (at minimum)
Title
Non progression rate
Description
From patient inclusion until disease progression or death - evaluated radiologically by CT
Time Frame
24 weeks after patient discontinuation (at minimum)
Title
Overall survival
Description
until death
Time Frame
24 weeks after patient discontinuation (at minimum) or until death
Title
Progression free survival
Description
Evaluated radiologically by CT
Time Frame
until disease progression or 24 weeks after patient discontinuation (at minimum)
Title
Assessment of any sign, symptom or undesirable medical condition that occurs after the first administration of the investigational agent
Time Frame
Until disease progression or 30 days after patient discontinuation

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of breast cancer with locally advanced or metastatic (stages IIIB, IIIC or IV according to TNM classification), confirmed histologically with no intention to curative treatment by radiotherapy or surgery; Clinical or radiological progression after one or two lines of previous hormone treatment, including adjuvant treatment; Positive for ER and / or PR expression documented by IHC; Confirmed expression of Lewis Y antigen by IHC; Presenting the performance status of 0 or 1 according to Eastern Cooperative Oncology Group (ECOG); Have a measurable or evaluable disease by Response of Evaluation Criteria in Solid Tumors (RECIST); Adequate organ function, assessed by laboratory tests obtained at least 2 weeks before the first day of treatment and within the following parameters: absolute neutrophil count ≥ 1.5 x 109 / L; platelet count ≥ 100 x 109 / L; serum bilirubin ≤ 2.0 mg / dL; AST/ALT ≤ 2.5 x upper limit of normal; serum creatinine ≤ 2.0 mg / dL; Expected survival > 12 weeks; In patients with childbearing potential: Negative pregnancy confirmed by test done 21 days before the date of study treatment initiation; Willingness and ability to comply with the protocol for the duration of the study. Exclusion Criteria: Patients subjected previously to more than two lines of hormonal therapy, including adjuvant treatment; Presenting the amplification or overexpression of HER-2; Systemic corticosteroids or immunosuppressive agents used concomitantly with the study or have used systemic corticosteroids or immunosuppressants in the last 14 days before the first dose of the investigational drug; Visceral metastatic disease with life-threatening (as defined by extensive liver involvement), or symptomatic pulmonary lymphangitic carcinomatosis or any degree of cerebral or leptomeningeal involvement; Previous or current history of clinically significant cardiac disease (class III or IV according to New York Heart Association); Clinically significant arrhythmia; History of myocardial infarction within the last 6 months; Previous or current history of other severe diseases (eg, severe ascites requiring repeated drainage, active infections requiring antibiotics, bleeding, inflammatory bowel disease or chronic diseases that may interfere with obtaining accurate results of the study); Previous chemotherapy for metastatic disease (adjuvant chemotherapy is acceptable, if more than four weeks between its completion and inclusion in the study; Radiotherapy within 4 weeks before inclusion in the study or with no recovery from the toxic effects of radiotherapy when done up to 6 weeks before inclusion in the study, except for palliative radiotherapy for bone metastases involving <25 % bone marrow; Treatment with biological agents, immunotherapy or surgery within 4 weeks before inclusion in the study or with no recovery from the toxic effects of these treatments when made until six weeks prior to study entry (prior treatment with bisphosphonates is allowed, it can be continued after inclusion in the study); Any investigational agent treatment within 12 months prior to study entry, unless the investigator considers that the participation in the study may benefit the patient; Previous or current history of another type of tumor, excluding skin cancer, melanoma, in situ cervix carcinoma or in situ ductal carcinoma or lobular breast if properly treated; Uncontrolled hypercalcemia (defined as total calcium> 11.5 mg / dL)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
PAULO MG HOFF, MD Professor
Organizational Affiliation
INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
SERGIO V SERRANO, MD
Organizational Affiliation
HOSPITAL DO CÂNCER DE BARRETOS
Official's Role
Study Director
Facility Information:
Facility Name
Universidade Federal Do Ceará
City
Fortaleza
State/Province
Ceará
Country
Brazil
Facility Name
PONTIFíCIA UNIVERSIDADE CATÓLICA DO RIO GRANDE DO SUL
City
Porto Alegre
State/Province
RIO Grande DO SUL
Country
Brazil
Facility Name
Hospital Do Câncer de Barretos
City
Barretos
State/Province
SÃO Paulo
Country
Brazil
Facility Name
Universidade Federal de Goias
City
Goias
Country
Brazil
Facility Name
Instituto Nacional Do Câncer
City
Rio de Janeiro
Country
Brazil
Facility Name
Instituto Do Câncer Do Estado de São Paulo
City
Sao Paulo
ZIP/Postal Code
01246-000
Country
Brazil
Facility Name
Hospital Sirio Libanes
City
Sao Paulo
Country
Brazil

12. IPD Sharing Statement

Citations:
PubMed Identifier
34644735
Citation
Testa L, Mano M, Arai RJ, Bonadio RC, Serrano SV, Zorzetto MMC, Crocamo S, Smaletz O, Freitas-Junior R, Hoff PM. Phase II trial of humanized anti-Lewis Y monoclonal antibody for advanced hormone receptor-positive breast cancer that progressed following endocrine therapy. Clinics (Sao Paulo). 2021 Oct 11;76:e3146. doi: 10.6061/clinics/2021/e3146. eCollection 2021.
Results Reference
derived
Links:
URL
http://www.icesp.org.br/
Description
COORDINATING CENTER
URL
http://www.cnpq.br/
Description
FUNDED BY CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO

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HumanaH - Hu3s193 in the Treatment of Advanced Breast Cancer After Hormonal Therapy

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