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Poziotinib in Patients With HER2+ Recurrent Stage IV BC Who Have Received at Least 2 Prior HER2-directed Regimens

Primary Purpose

Metastatic Breast Cancer

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
NOV120101 (Poziotinib)
Sponsored by
Hanmi Pharmaceutical Company Limited
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Breast Cancer

Eligibility Criteria

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

Inclusion Criteria:

  1. Who give agreement to the collection of tumor tissue specimen suitable for biomarker research
  2. ECOG performance status ≤ 2
  3. Who received following treatments as Taxane-based chemotherapy and at least two HER2-targeted* therapy including Trastuzumab.

    * lapatinib, T-DM1 (trastuzumab emtansine), pertuzumab

  4. Adequate hematological, hepatic and renal functions

Exclusion Criteria:

  1. Who received NOV120101 prior to participation in this study
  2. Patients expected to exhibit hypersensitivity to IP or its components
  3. Any other concurrent chemotherapies
  4. Concurrent or prior radiotherapy within 4 weeks before study participation. However, patients with additional lesions other than the major lesion who completed and recovered from all treatment-related toxicities after radiotherapy in a limited area as a palliative therapy are allowed to participate in the study
  5. History of symptomatic or unstable angina and congestive heart failure; arrhythmia requiring medications; or clinically significant myocardial infarction or other cardiac diseases within 6 months before study participation for which any related-significant risks are expected
  6. Patients whose left ventricle ejection fraction (LVEF) is below the institutional lower limit of normal. However, if no lower limit of normal is defined in the site, the lower limit or normal is 50%.
  7. Concurrent active hepatic or biliary disease (with exception of Gilbert's syndrome, asymptomatic gallstones, liver metastases or stable chronic liver diseases)
  8. History or concurrent ongoing/active infection, or uncontrolled diseases including, but not limited to, psychiatric illness/social situations which may limit the compliance with study procedures
  9. Prior chemo-, immuno-, or surgical therapy within 3 weeks, or hormone therapy within 1 week before IP administration
  10. History of primary malignancies other than breast cancer.
  11. Patients with central nervous system (CNS) metastases.
  12. Patients receiving or expected to receive bisphosphonate for prophylactic use without any bone-related diseases during the trial, for the exception of the treatment for bone metastases or osteoporosis initiated prior the IP administration.
  13. Clinically significant or recent acute gastrointestinal disorders with diarrhea as a major symptom
  14. Who are unstable or with unresolved severe adverse event(s)
  15. Pregnancy or breast-feeding
  16. Women of childbearing potential or men who are unwilling to use adequate contraception or be abstinent during the trial and for at least 2 months after the end of treatment

Sites / Locations

  • Chungbuk National University Hospital
  • National Cancer Center
  • Seoul National University Bundang Hospital
  • Samsung Medical Center
  • Seoul National University Hospital
  • Severance Hospital
  • Asan Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

NOV120101 (Poziotinib)

Arm Description

Single arm study with NOV120101(poziotinib) 12 mg PO once daily for 2 weeks followed by a 1-week drug-free interval

Outcomes

Primary Outcome Measures

Progression free survival (PFS)

Secondary Outcome Measures

PFS rate at Week 12
Objective Response Rate (ORR)
the proportion of patients with complete response (CR) and/or partial response (PR)
Disease Control Rate (DCR)
the proportion of patients with CR, PR and/or stable disease (SD)] [Safety Issue?
Duration of Disease Control
Overall Survival (OS)
Time To Progression (TTP)
Time to objective response
Duration of objective response

Full Information

First Posted
January 19, 2015
Last Updated
January 5, 2022
Sponsor
Hanmi Pharmaceutical Company Limited
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1. Study Identification

Unique Protocol Identification Number
NCT02418689
Brief Title
Poziotinib in Patients With HER2+ Recurrent Stage IV BC Who Have Received at Least 2 Prior HER2-directed Regimens
Official Title
A Prospective, Open-label, Single-arm, Multi-Center, Phase II Trial of NOV120101 in Patients With HER2-overexpressed Recurrent Stage IV Breast Cancer Who Have Received at Least 2 Prior HER2-directed Regimens
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
April 2015 (Actual)
Primary Completion Date
June 2017 (Actual)
Study Completion Date
April 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hanmi Pharmaceutical Company Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of novel pan-HER inhibitor, NOV120101 (Poziotinib), in HER2-overexpressed recurrent stage IV breast cancer patients who received at least 2 prior HER2-directed regimens.
Detailed Description
To evaluate the efficacy of NOV120101 (Poziotinib) as a therapeutic agent for HER2-overexpressed recurrent stage IV breast cancer, patients who have received at least two prior HER2-directed regimens will be enrolled in this study. Subjects will receive NOV120101 (Poziotinib) 12 mg PO once daily for 2 weeks followed by 1-week drug-free intervals between cycles until disease progression or unacceptable toxicity development. Progression Free Survival (PFS) will be analyzed as the primary endpoint in this trial. Secondary endpoints including PFS rate at 12 weeks, ORR, DCR, OS and TTP will also be analyzed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic 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
106 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NOV120101 (Poziotinib)
Arm Type
Experimental
Arm Description
Single arm study with NOV120101(poziotinib) 12 mg PO once daily for 2 weeks followed by a 1-week drug-free interval
Intervention Type
Drug
Intervention Name(s)
NOV120101 (Poziotinib)
Other Intervention Name(s)
HM781-36B, Poziotinib
Intervention Description
NOV120101 (Poziotinib) 12 mg PO once daily for 2 weeks followed by a 1-week drug-free interval between cycles until disease progression or unacceptable toxicity development
Primary Outcome Measure Information:
Title
Progression free survival (PFS)
Time Frame
By 12 months after enrollment of the last subject
Secondary Outcome Measure Information:
Title
PFS rate at Week 12
Time Frame
12 weeks
Title
Objective Response Rate (ORR)
Description
the proportion of patients with complete response (CR) and/or partial response (PR)
Time Frame
By 12 months after enrollment of the last subject
Title
Disease Control Rate (DCR)
Description
the proportion of patients with CR, PR and/or stable disease (SD)] [Safety Issue?
Time Frame
By 12 months after enrollment of the last subject
Title
Duration of Disease Control
Time Frame
By 12 months after enrollment of the last subject
Title
Overall Survival (OS)
Time Frame
By 12 months after enrollment of the last subject
Title
Time To Progression (TTP)
Time Frame
By 12 months after enrollment of the last subject
Title
Time to objective response
Time Frame
By 12 months after enrollment of the last subject
Title
Duration of objective response
Time Frame
By 12 months after enrollment of the last subject
Other Pre-specified Outcome Measures:
Title
Population pharmacokinetics (PK) of NOV120101 (Poziotinib) - Ka, CL(clearance), Vd(volume of distribution)
Time Frame
4 weeks
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Who give agreement to the collection of tumor tissue specimen suitable for biomarker research ECOG performance status ≤ 2 Who received following treatments as Taxane-based chemotherapy and at least two HER2-targeted* therapy including Trastuzumab. * lapatinib, T-DM1 (trastuzumab emtansine), pertuzumab Adequate hematological, hepatic and renal functions Exclusion Criteria: Who received NOV120101 prior to participation in this study Patients expected to exhibit hypersensitivity to IP or its components Any other concurrent chemotherapies Concurrent or prior radiotherapy within 4 weeks before study participation. However, patients with additional lesions other than the major lesion who completed and recovered from all treatment-related toxicities after radiotherapy in a limited area as a palliative therapy are allowed to participate in the study History of symptomatic or unstable angina and congestive heart failure; arrhythmia requiring medications; or clinically significant myocardial infarction or other cardiac diseases within 6 months before study participation for which any related-significant risks are expected Patients whose left ventricle ejection fraction (LVEF) is below the institutional lower limit of normal. However, if no lower limit of normal is defined in the site, the lower limit or normal is 50%. Concurrent active hepatic or biliary disease (with exception of Gilbert's syndrome, asymptomatic gallstones, liver metastases or stable chronic liver diseases) History or concurrent ongoing/active infection, or uncontrolled diseases including, but not limited to, psychiatric illness/social situations which may limit the compliance with study procedures Prior chemo-, immuno-, or surgical therapy within 3 weeks, or hormone therapy within 1 week before IP administration History of primary malignancies other than breast cancer. Patients with central nervous system (CNS) metastases. Patients receiving or expected to receive bisphosphonate for prophylactic use without any bone-related diseases during the trial, for the exception of the treatment for bone metastases or osteoporosis initiated prior the IP administration. Clinically significant or recent acute gastrointestinal disorders with diarrhea as a major symptom Who are unstable or with unresolved severe adverse event(s) Pregnancy or breast-feeding Women of childbearing potential or men who are unwilling to use adequate contraception or be abstinent during the trial and for at least 2 months after the end of treatment
Facility Information:
Facility Name
Chungbuk National University Hospital
City
Cheongju-si
State/Province
Chungcheongbuk-do
ZIP/Postal Code
361-711
Country
Korea, Republic of
Facility Name
National Cancer Center
City
Goyang-si
State/Province
Gyeonggi-do
ZIP/Postal Code
410-769
Country
Korea, Republic of
Facility Name
Seoul National University Bundang Hospital
City
Seongnam-si
State/Province
Gyeonggi-do
ZIP/Postal Code
463-707
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Gangnam-gu
State/Province
Seoul
ZIP/Postal Code
135-710
Country
Korea, Republic of
Facility Name
Seoul National University Hospital
City
Jongno-gu
State/Province
Seoul
ZIP/Postal Code
110-744
Country
Korea, Republic of
Facility Name
Severance Hospital
City
Seodaemun-gu
State/Province
Seoul
ZIP/Postal Code
120-752
Country
Korea, Republic of
Facility Name
Asan Medical Center
City
Songpa-gu
State/Province
Seoul
ZIP/Postal Code
138-736
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
32860168
Citation
Kim JY, Park K, Im SA, Jung KH, Sohn J, Lee KS, Kim JH, Yang Y, Park YH. Clinical implications of HER2 mRNA expression and intrinsic subtype in refractory HER2-positive metastatic breast cancer treated with pan-HER inhibitor, poziotinib. Breast Cancer Res Treat. 2020 Dec;184(3):743-753. doi: 10.1007/s10549-020-05891-0. Epub 2020 Aug 28.
Results Reference
derived

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Poziotinib in Patients With HER2+ Recurrent Stage IV BC Who Have Received at Least 2 Prior HER2-directed Regimens

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