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Single Dose Escalation Study of Bivatuzumab Mertansine in Female Patients With CD44v6 Positive Metastatic Breast Cancer

Primary Purpose

Breast Neoplasms

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
bivatuzumab mertansine
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Neoplasms

Eligibility Criteria

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

Inclusion Criteria:

  1. female patients aged 18 years or older
  2. patients with breast cancer positive for CD44v6 in at least 50 % of the tumour cells
  3. patients with metastases pretreated with anthracyclines and taxanes (unless contraindications to taxanes and / or anthracyclines) or not amenable to established treatments
  4. measurable tumour deposits by one or more radiological techniques (MRI, CT)
  5. life expectancy of at least 6 months
  6. Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2
  7. patients must have given written informed consent (which must be consistent with International Conference on Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation)

Exclusion Criteria:

  1. hypersensitivity to humanised or murine antibodies, immunoconjugates or the excipients of the trial drugs
  2. known secondary malignancy requiring therapy
  3. active infectious disease
  4. brain metastases requiring therapy
  5. neuropathy common toxicity criteria (CTC) grade 2 or above
  6. absolute neutrophil count less than 1,500/mm3
  7. platelet count less than 100,000/mm3
  8. bilirubin greater than 1.5 mg/dl (> 26 μmol/L, système internationale (SI) unit equivalent)
  9. aspartate amino transferase (AST) and/or alanine amino transferase (ALT) greater than 3 times the upper limit of normal
  10. serum creatinine greater than 1.5 mg/dl (> 132 μmol/L, SI unit equivalent)
  11. concomitant non-oncological diseases which are considered relevant for the evaluation of the safety of the trial drug
  12. chemo- or immunotherapy within the past four weeks prior to treatment with the trial drug or during the trial (except for present trial drug)
  13. radiotherapy to breast and thorax region within the past four weeks before inclusion or during the trial
  14. women who are sexually active and unwilling to use a medically acceptable method of contraception
  15. pregnancy or lactation
  16. treatment with other investigational drugs or participation in another clinical trial within the past four weeks before start of therapy or concomitantly with this trial (except for present trial drug)
  17. patients unable to comply with the protocol

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    single dose escalation

    Arm Description

    Outcomes

    Primary Outcome Measures

    Maximum tolerated dose (MTD) of bivatuzumab mertansine

    Secondary Outcome Measures

    Incidence of adverse events
    Number of patients with clinically significant findings in laboratory tests
    Number of patients with clinically significant findings in vital signs
    Tumor response rate
    assessed by response evaluation criteria in solid tumours (RECIST)
    Concentration of bivatuzumab mertansine
    Concentration of CD44v6 recognising IgG antibodies (anti-CD44v6-IgG)
    Number of patients with development of human anti-human antibodies (HAHA)

    Full Information

    First Posted
    September 30, 2014
    Last Updated
    October 23, 2023
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02254005
    Brief Title
    Single Dose Escalation Study of Bivatuzumab Mertansine in Female Patients With CD44v6 Positive Metastatic Breast Cancer
    Official Title
    An Open Phase I Single Dose Escalation Study of Bivatuzumab Mertansine Administered Intravenously in Female Patients With CD44v6 Positive Metastatic Breast Cancer With Repeated Administration in Patients With Clinical Benefit
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2023
    Overall Recruitment Status
    Completed
    Study Start Date
    October 1, 2002 (Actual)
    Primary Completion Date
    December 1, 2004 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    Maximum tolerated dose (MTD), safety, pharmacokinetics, efficacy of bivatuzumab mertansine

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    single dose escalation
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    bivatuzumab mertansine
    Primary Outcome Measure Information:
    Title
    Maximum tolerated dose (MTD) of bivatuzumab mertansine
    Time Frame
    up to day 21
    Secondary Outcome Measure Information:
    Title
    Incidence of adverse events
    Time Frame
    up to day 21
    Title
    Number of patients with clinically significant findings in laboratory tests
    Time Frame
    up to day 21
    Title
    Number of patients with clinically significant findings in vital signs
    Time Frame
    up to day 21
    Title
    Tumor response rate
    Description
    assessed by response evaluation criteria in solid tumours (RECIST)
    Time Frame
    up to 1 year
    Title
    Concentration of bivatuzumab mertansine
    Time Frame
    up to day 21
    Title
    Concentration of CD44v6 recognising IgG antibodies (anti-CD44v6-IgG)
    Time Frame
    up to day 21
    Title
    Number of patients with development of human anti-human antibodies (HAHA)
    Time Frame
    up to day 21

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: female patients aged 18 years or older patients with breast cancer positive for CD44v6 in at least 50 % of the tumour cells patients with metastases pretreated with anthracyclines and taxanes (unless contraindications to taxanes and / or anthracyclines) or not amenable to established treatments measurable tumour deposits by one or more radiological techniques (MRI, CT) life expectancy of at least 6 months Eastern Cooperative Oncology Group (ECOG) performance score ≤ 2 patients must have given written informed consent (which must be consistent with International Conference on Harmonisation-Good Clinical Practice (ICH-GCP) and local legislation) Exclusion Criteria: hypersensitivity to humanised or murine antibodies, immunoconjugates or the excipients of the trial drugs known secondary malignancy requiring therapy active infectious disease brain metastases requiring therapy neuropathy common toxicity criteria (CTC) grade 2 or above absolute neutrophil count less than 1,500/mm3 platelet count less than 100,000/mm3 bilirubin greater than 1.5 mg/dl (> 26 μmol/L, système internationale (SI) unit equivalent) aspartate amino transferase (AST) and/or alanine amino transferase (ALT) greater than 3 times the upper limit of normal serum creatinine greater than 1.5 mg/dl (> 132 μmol/L, SI unit equivalent) concomitant non-oncological diseases which are considered relevant for the evaluation of the safety of the trial drug chemo- or immunotherapy within the past four weeks prior to treatment with the trial drug or during the trial (except for present trial drug) radiotherapy to breast and thorax region within the past four weeks before inclusion or during the trial women who are sexually active and unwilling to use a medically acceptable method of contraception pregnancy or lactation treatment with other investigational drugs or participation in another clinical trial within the past four weeks before start of therapy or concomitantly with this trial (except for present trial drug) patients unable to comply with the protocol

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    Clinical studies sponsored by Boehringer Ingelheim, phases I to IV, interventional and non-interventional, are in scope for sharing of the raw clinical study data and clinical study documents. Exceptions might apply, e.g. studies in products where Boehringer Ingelheim is not the license holder; studies regarding pharmaceutical formulations and associated analytical methods, and studies pertinent to pharmacokinetics using human biomaterials; studies conducted in a single center or targeting rare diseases (in case of low number of patients and therefore limitations with anonymization). For more details refer to: https://www.mystudywindow.com/msw/datatransparency
    Links:
    URL
    http://trials.boehringer-ingelheim.com
    Description
    Related Info

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