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Study Evaluating Hemay022 In Subjects With HER2-Positive Advanced Breast Cancer

Primary Purpose

HER2 Positive Breast Cancer

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Hemay022
Sponsored by
Tianjin Hemay Pharmaceutical Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HER2 Positive Breast Cancer

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects aged 18 to 65 years;
  2. Histologically or cytologically confirmed and radiologically diagnosed advanced breast cancer subjects; and subjects who have failed standard therapy,or no effective therapy available for such subjects
  3. HER2 over-expression by IHC with score of 3+, or 2+ with FISH confirmation;
  4. Preferably measurable tumour lesion as defined by RECIST criteria1.1;
  5. Subjects have received chemotherapy at least 4 weeks prior to screening (at least 6 weeks of washout time frame if treated with mitomycin and nitrosoureas) and must have recovered from any toxic effects of the treatment --- to CTCAE 4.03≤ Grade 1;
  6. ECOG Performance Status of 0,1;
  7. Life expectancy of at least three months;
  8. Adequate bone marrow, liver, kidney function, meeting the following creteria:

    ANC≥1.5×109/L, HB≥90g/L, PLT≥75×109/L; TBIL≤1.5×ULN, ALT≤1.5×ULN, AST≤1.5×ULN; Cr ≤1×ULN; BUN ≤1×ULN;

  9. Left ventricular ejection fraction (LVEF) ≧50% as measured by Ultrasonic cardiogram (UCG)
  10. All female and male subjects must agree and commit to the use of a reliable contraceptive regimen for the duration of the study and for at least 12 weeks after at the last dose of test article. Female subjects must have a negative serum or urine pregnancy test performed within 7 days prior to treatment;
  11. Ability to understand and the be willingness to sign a written informed consent before study entry;
  12. subjects would have good communication with the investigator and could comply with protocol

Exclusion Criteria:

  1. Patients with parenteral nutrition; malabsorption syndrome; or any condition possibly affecting drug absorption or inability to tolerate oral medications;
  2. Clinically QTc prolongation, ventricular tachycardia, ventricular fibrillation, heart block, myocardial infarction within 1 year, congestive heart failure, symptoms requiring medicine treatment patients with coronary heart disease;
  3. Ventricular ejection fraction (LVEF) <50%;
  4. Active infection (ie, requiring intravenous antibiotic or antiviral agent);
  5. Active central nervous system metastases
  6. Have received other clinical trials treatment within the 4 weeks prior to study;
  7. Have received other target therapy within the 4 weeks prior to study;
  8. Pregnant or breast feeding women;
  9. Have a known hypersensitivity to the test article or any of the excipient of the test article;
  10. Evidence of significant medical illness or abnormal laboratory finding that would make the subject inappropriate for this study by the investigator's judgment.
  11. Subjects cannot complete the study due to other reasons

Sites / Locations

  • Cancer Hospital, Chinese Academy of Medical SciencesRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hemay022

Arm Description

Part one: Dose Escalation Group Hemay022 tablets will be taken orally once daily in doses of 50mg, 100mg, 200mg, 300mg,400mg or 500mg daily for 28 days. Part two: Extension Group Hemay022 tablets will be taken in three dose groups that had been assessed by Part one for 28 days.

Outcomes

Primary Outcome Measures

Number of participants with adverse events
Observed maximum concentration of Hemay022
Time of maximum concentration of Hemay022
Area under the plasma concentration versus time curve of Hemay022
Trough Plasma Concentrations of Hemay022
Predose plasma concentration

Secondary Outcome Measures

Disease control rate (complete response rate + partial response rate + stable disease rate) according to RECIST v1.1
Objective response rate (complete response rate + partial response rate) according to RECIST v1.1

Full Information

First Posted
June 11, 2015
Last Updated
June 17, 2018
Sponsor
Tianjin Hemay Pharmaceutical Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02476539
Brief Title
Study Evaluating Hemay022 In Subjects With HER2-Positive Advanced Breast Cancer
Official Title
An Ascending Single and Multiple Dose Study of the Pharmacokinetics, Safety and Tolerability of the Irreversible Epidermal Growth Factor Receptor Inhibitor Hemay022 in Patients With HER2-Positive Advanced Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Unknown status
Study Start Date
October 14, 2015 (Actual)
Primary Completion Date
December 2018 (Anticipated)
Study Completion Date
December 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tianjin Hemay Pharmaceutical Co., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purposes of this study are to assess the safety, tolerability and pharmacokinetics of Hemay022. The secondary purpose of this study is to assess the efficacy of Hemay022 in the treatment of HER2-positive advanced breast cancer. The study will be conducted in two parts. Part one, trial will be conducted in 18-30 subjects to determine safety and tolerability of Hemay022 in patients with HER2-positive advanced breast cancer. Part two, approximately 27 additional subjects with HER2-positive advanced breast cancer, are included to better define the tolerability and preliminary efficacy of Hemay022.
Detailed Description
This is a phaseⅠsequential-group study of ascending single and multiple oral doses administered to subjects with HER2-Positive Advanced Breast Cancer. Each subject will receive a single dose of Hemay022, followed by a 1-week observation period, and then will receive Hemay022 administered once daily by mouth for 28 days. Each cycle consist of 28 days. Subjects will be enrolled in groups of 3 to 6. Depending on the safety and activity profile observed during the dose escalation phase, the dose selected for Part 2 may be adjusted. Part 2 is an extension part of three dose groups.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HER2 Positive Breast Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Hemay022
Arm Type
Experimental
Arm Description
Part one: Dose Escalation Group Hemay022 tablets will be taken orally once daily in doses of 50mg, 100mg, 200mg, 300mg,400mg or 500mg daily for 28 days. Part two: Extension Group Hemay022 tablets will be taken in three dose groups that had been assessed by Part one for 28 days.
Intervention Type
Drug
Intervention Name(s)
Hemay022
Primary Outcome Measure Information:
Title
Number of participants with adverse events
Time Frame
4 weeks of treatment
Title
Observed maximum concentration of Hemay022
Time Frame
0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours post-dose on day 1 and day 35
Title
Time of maximum concentration of Hemay022
Time Frame
0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours post-dose on day 1 and day 35
Title
Area under the plasma concentration versus time curve of Hemay022
Time Frame
0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours post-dose on day 1 and day 35
Title
Trough Plasma Concentrations of Hemay022
Time Frame
0, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 hours post-dose on day 1 and day 35
Title
Predose plasma concentration
Time Frame
Predose on day 7, 14, 21
Secondary Outcome Measure Information:
Title
Disease control rate (complete response rate + partial response rate + stable disease rate) according to RECIST v1.1
Time Frame
4 weeks of treatment
Title
Objective response rate (complete response rate + partial response rate) according to RECIST v1.1
Time Frame
4 weeks of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects aged 18 to 65 years; Histologically or cytologically confirmed and radiologically diagnosed advanced breast cancer subjects; and subjects who have failed standard therapy,or no effective therapy available for such subjects HER2 over-expression by IHC with score of 3+, or 2+ with FISH confirmation; Preferably measurable tumour lesion as defined by RECIST criteria1.1; Subjects have received chemotherapy at least 4 weeks prior to screening (at least 6 weeks of washout time frame if treated with mitomycin and nitrosoureas) and must have recovered from any toxic effects of the treatment --- to CTCAE 4.03≤ Grade 1; ECOG Performance Status of 0,1; Life expectancy of at least three months; Adequate bone marrow, liver, kidney function, meeting the following creteria: ANC≥1.5×109/L, HB≥90g/L, PLT≥75×109/L; TBIL≤1.5×ULN, ALT≤1.5×ULN, AST≤1.5×ULN; Cr ≤1×ULN; BUN ≤1×ULN; Left ventricular ejection fraction (LVEF) ≧50% as measured by Ultrasonic cardiogram (UCG) All female and male subjects must agree and commit to the use of a reliable contraceptive regimen for the duration of the study and for at least 12 weeks after at the last dose of test article. Female subjects must have a negative serum or urine pregnancy test performed within 7 days prior to treatment; Ability to understand and the be willingness to sign a written informed consent before study entry; subjects would have good communication with the investigator and could comply with protocol Exclusion Criteria: Patients with parenteral nutrition; malabsorption syndrome; or any condition possibly affecting drug absorption or inability to tolerate oral medications; Clinically QTc prolongation, ventricular tachycardia, ventricular fibrillation, heart block, myocardial infarction within 1 year, congestive heart failure, symptoms requiring medicine treatment patients with coronary heart disease; Ventricular ejection fraction (LVEF) <50%; Active infection (ie, requiring intravenous antibiotic or antiviral agent); Active central nervous system metastases Have received other clinical trials treatment within the 4 weeks prior to study; Have received other target therapy within the 4 weeks prior to study; Pregnant or breast feeding women; Have a known hypersensitivity to the test article or any of the excipient of the test article; Evidence of significant medical illness or abnormal laboratory finding that would make the subject inappropriate for this study by the investigator's judgment. Subjects cannot complete the study due to other reasons
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaoning Yang, manager
Phone
86-22-8789-9502
Email
yangxiaoning@hemay.com.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Ying Gao, manager
Phone
86-22-8789-9502
Email
gaoying@hemay.com.cn
Facility Information:
Facility Name
Cancer Hospital, Chinese Academy of Medical Sciences
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Binghe Xu, Professor
Phone
86-10-87788114
Email
xubinghe@medmail.com.cn
First Name & Middle Initial & Last Name & Degree
Ying Gao, manager
Phone
86-22-87899502
Ext
505
Email
gaoying@hemay.com.cn

12. IPD Sharing Statement

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Study Evaluating Hemay022 In Subjects With HER2-Positive Advanced Breast Cancer

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