A Study Evaluating The PF-03084014 In Combination With Docetaxel In Patients With Advanced Breast Cancer
Primary Purpose
Breast Cancer Metastatic
Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PF-03084014
PF-03084014
PF-03084014
Docetaxel
Docetaxel
Sponsored by

About this trial
This is an interventional treatment trial for Breast Cancer Metastatic focused on measuring Breast cancer metastatic, docetaxel, PF-03084014
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of breast cancer with evidence of a) metastatic or b) locally recurrent/advanced disease.
Exclusion Criteria:
- Prior treatment with a gamma secretase inhibitors or other Notch signaling inhibitors.
Sites / Locations
- University of Alabama at Birmingham
- University of Alabama at Birmingham, IDS Pharmacy
- University of Alabama at Birmingham
- Stanford Cancer Institute
- Stanford Hospital & Clinics-DRUG SHIPMENT ADDRESS only
- Stanford Hospital & Clinics
- Stanford Women's Cancer Center
- Barbara Ann Karmanos Cancer Institute
- Karmanos Cancer Institute (KCI)
- UNC Cancer Hospital Infusion Pharmacy
- UNC Hospitals, The University of North Carolina at Chapel Hill
- Jules Bordet Institut
- Grand Hopital de Charleroi
- Instituto Europeo di Oncologia
- Instituto Catalan de Oncologia de L'Hospitalet de Llobregat(ICO)
- Hospital Universitario 12 de Octubre
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
PF-03084014 plus docetaxel
Arm Description
PF 03084014 will be administered orally, continuously, twice daily at doses from 80 to 150 mg in combination with docetaxel given every 3 weeks at doses from 75 to 100 mg/m^2
Outcomes
Primary Outcome Measures
Number of Participants With Dose-limiting Toxicities (DLTs) in Cycle 1
Any DLT event in Cycle 1: Grade 4 neutropenia lasting more than (>)7 days; febrile neutropenia (Grade more than or equal to [>=] 3 and body temperature >=38.5 degrees Celsius); Grade >=3 neutropenic infection; Grade >=3 thrombocytopenia with bleeding; Grade 4 thrombocytopenia without bleeding; Grade >=3 toxicities (except those that had not been maximally treated); Grade 3 prolongation of time from electrocardiogram (ECG) Q wave to the end of the T wave corresponding to electrical systole (QT) corrected for heart rate (QTc) which persisted after correction of reversible causes; delay of 2 weeks in receiving next scheduled cycle due to persisting treatment-related toxicities; and failure to deliver at least 80% of planned dose during first cycle due to treatment-related toxicities.
Progression-free Survival (PFS) at 6 Months - Expansion Cohort
The period from study entry until disease progression, death or date of last contact. Assessment of response was made using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Secondary Outcome Measures
Number of Participants With All Causality and Treatment-related Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Withdrawals Due to TEAEs
An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-emergent AEs (TEAEs) are defined as newly occurring AEs or those worsening after first dose. AEs comprised both SAEs and non-SAEs. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Causality assessment was made by the investigator. Grading was per the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE) version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening, Grade 5=death related to AE.
Number of Participants With Laboratory Abnormalities
Number of participants with laboratory test abnormalities without regard to baseline abnormality. Laboratory test parameters included hematology, coagulation, liver function, renal function, electrolytes, clinical chemistry, and urinalysis (dipstick).
Percentage of Participants With Objective Response (OR)
OR was based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than [<] 10 millimeters [mm]). No new lesions. PR was defined as more than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions.
Area Under the Concentration-time Curve (AUC) From Time 0 to Time of Last Measured Concentration (AUClast) of PF-03084014 in Dose-finding Cohort
Serum PF-03084014 pharmacokinetic (PK) parameters were calculated following twice daily (BID) doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1).
AUClast and AUC From Time 0 Extrapolated to Infinite Time (AUCinf) of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Maximum Serum or Plasma Concentration (Cmax) and Predose Concentration (Ctrough) of PF-03084014 in Dose-finding Cohort
Serum PF-03084014 PK parameters were calculated following BID doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1)
Cmax of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time to Cmax (Tmax) of PF-03084014 in Dose-finding Cohort
Serum PF-03084014 PK parameters were calculated following BID doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1)
Tmax of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Systemic Clearance (CL) of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Terminal Half-life (t1/2) of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Volume of Distribution (Vss) of Docetaxel in Dose-finding Cohort
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
AUClast of PF-03084014 in the Expansion Cohort
Cmax of PF-03084014 in the Expansion Cohort
Tmax of PF-03084014 in the Expansion Cohort
Ctrough of PF-03084014 in the Expansion Cohort
Duration of Response (DR)
Duration of response (DR) defined as time from start of first documented objective tumor response [Complete Response (CR) or Partial Response (PR)] to first documented objective tumor progression or death due to any cause, whichever occurs first. DR = (the end date for DR minus first subsequent confirmed CR or PR plus 1) divided by 7.02. CR: disappearance of all target lesions. PR: at least 30% decrease in the sum of diameters of target lesions.
Number of Participants With QTc Values Meeting Categorical Summarization Criteria
Criteria for categorical summarization of the time corresponding to the beginning of depolarization to repolarization of the ventricles (QT) corrected for heart rate (QTc) using Bazett's correction (QTcB) or Fridericia's correction (QTcF) included: maximum QTcB or QTcF less than or equal to (<=) 450 milliseconds (msec), 450 to <=480 msec, 480 to <=500 msec, more than (>) 500 msec; maximum QTcB or QTcF changes (increases/decreases) from baseline (BL) less than (<) 30 msec, 30 to <60 msec, more than or equal to (>=) 60 msec.
Percentage Change From Baseline in Notch 1 to 4 Ribonucleic Acid (RNA) in Blood
As PF-03084014 acts on the Notch pathway as an inhibitor, it is of interest to investigate its effects, if any, on the Notch family of receptors, mainly Notch 1-4.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01876251
Brief Title
A Study Evaluating The PF-03084014 In Combination With Docetaxel In Patients With Advanced Breast Cancer
Official Title
Phase 1b Study Of Docetaxel + Pf 03084014 In Metastatic Or Locally Recurrent/Advanced Triple Negative Breast Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
March 2019
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated on June 24th, 2015 due to change in strategy of PF-03084014 development. There were no safety/efficacy concerns behind the decision.
Study Start Date
November 4, 2013 (Actual)
Primary Completion Date
December 24, 2015 (Actual)
Study Completion Date
December 24, 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is aimed to determine the tolerability of the PF-03084014 plus docetaxel combination in patients with advanced breast cancer. Preliminary information about the efficacy of the combination will also be collected.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer Metastatic
Keywords
Breast cancer metastatic, docetaxel, PF-03084014
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PF-03084014 plus docetaxel
Arm Type
Experimental
Arm Description
PF 03084014 will be administered orally, continuously, twice daily at doses from 80 to 150 mg in combination with docetaxel given every 3 weeks at doses from 75 to 100 mg/m^2
Intervention Type
Drug
Intervention Name(s)
PF-03084014
Intervention Description
Tablet, 10 mg, twice a day
Intervention Type
Drug
Intervention Name(s)
PF-03084014
Intervention Description
Tablet, 50 mg, twice a day
Intervention Type
Drug
Intervention Name(s)
PF-03084014
Intervention Description
Tablet, 100 mg, twice a day
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Other Intervention Name(s)
Taxotere
Intervention Description
Solution for IV infusion 75 mg/m^2, every 3 weeks
Intervention Type
Drug
Intervention Name(s)
Docetaxel
Intervention Description
Solution for IV infusion 100 mg/m^2, every 3 weeks
Primary Outcome Measure Information:
Title
Number of Participants With Dose-limiting Toxicities (DLTs) in Cycle 1
Description
Any DLT event in Cycle 1: Grade 4 neutropenia lasting more than (>)7 days; febrile neutropenia (Grade more than or equal to [>=] 3 and body temperature >=38.5 degrees Celsius); Grade >=3 neutropenic infection; Grade >=3 thrombocytopenia with bleeding; Grade 4 thrombocytopenia without bleeding; Grade >=3 toxicities (except those that had not been maximally treated); Grade 3 prolongation of time from electrocardiogram (ECG) Q wave to the end of the T wave corresponding to electrical systole (QT) corrected for heart rate (QTc) which persisted after correction of reversible causes; delay of 2 weeks in receiving next scheduled cycle due to persisting treatment-related toxicities; and failure to deliver at least 80% of planned dose during first cycle due to treatment-related toxicities.
Time Frame
Cycle 1 Days 1-21
Title
Progression-free Survival (PFS) at 6 Months - Expansion Cohort
Description
The period from study entry until disease progression, death or date of last contact. Assessment of response was made using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
Baseline till 6 months post-dose
Secondary Outcome Measure Information:
Title
Number of Participants With All Causality and Treatment-related Treatment-emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Withdrawals Due to TEAEs
Description
An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-emergent AEs (TEAEs) are defined as newly occurring AEs or those worsening after first dose. AEs comprised both SAEs and non-SAEs. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Causality assessment was made by the investigator. Grading was per the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Event (CTCAE) version 3.0: Grade 1=mild, Grade 2=moderate, Grade 3=severe, Grade 4=life-threatening, Grade 5=death related to AE.
Time Frame
Baseline up to 28-35 days after treatment discontinuation (up to Day 280)
Title
Number of Participants With Laboratory Abnormalities
Description
Number of participants with laboratory test abnormalities without regard to baseline abnormality. Laboratory test parameters included hematology, coagulation, liver function, renal function, electrolytes, clinical chemistry, and urinalysis (dipstick).
Time Frame
Baseline up to 28-35 days after treatment discontinuation (up to Day 280)
Title
Percentage of Participants With Objective Response (OR)
Description
OR was based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. CR was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal (short axis less than [<] 10 millimeters [mm]). No new lesions. PR was defined as more than or equal to (>=) 30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions.
Time Frame
Baseline, every 6 weeks from Cycle 2 onwards up to 26 months
Title
Area Under the Concentration-time Curve (AUC) From Time 0 to Time of Last Measured Concentration (AUClast) of PF-03084014 in Dose-finding Cohort
Description
Serum PF-03084014 pharmacokinetic (PK) parameters were calculated following twice daily (BID) doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1).
Time Frame
Cycle (C) 1 Days (D) 1, 2, 8, and 21; Day 1 of subsequent cycles and at EOT (max reached: Cycle 12)
Title
AUClast and AUC From Time 0 Extrapolated to Infinite Time (AUCinf) of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Maximum Serum or Plasma Concentration (Cmax) and Predose Concentration (Ctrough) of PF-03084014 in Dose-finding Cohort
Description
Serum PF-03084014 PK parameters were calculated following BID doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Cmax of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Time to Cmax (Tmax) of PF-03084014 in Dose-finding Cohort
Description
Serum PF-03084014 PK parameters were calculated following BID doses of PF-03084014 given alone (Cycle 1 Day 21) and in combination with docetaxel (Cycle 1 Day 2 and Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Tmax of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Systemic Clearance (CL) of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Terminal Half-life (t1/2) of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
Volume of Distribution (Vss) of Docetaxel in Dose-finding Cohort
Description
Plasma docetaxel PK parameters were calculated following a 1-hr infusion of docetaxel given alone (Cycle 1 Day 1) and in combination with BID dosing of PF-03084014 (Cycle 2 Day 1)
Time Frame
C1D1, 2, 8, and 21; D1 of subsequent cycles and at EOT (max reached: C12)
Title
AUClast of PF-03084014 in the Expansion Cohort
Time Frame
C1D1, C1D21, and Day 1 of subsequent cycles and at EOT (max reached: C12)
Title
Cmax of PF-03084014 in the Expansion Cohort
Time Frame
C1D1, C1D21, and Day 1 of subsequent cycles and at EOT (max reached: C12)
Title
Tmax of PF-03084014 in the Expansion Cohort
Time Frame
C1D1, C1D21, and Day 1 of subsequent cycles and at EOT (max reached: C12)
Title
Ctrough of PF-03084014 in the Expansion Cohort
Time Frame
C1D1, C1D21, and Day 1 of subsequent cycles and at EOT (max reached: C12)
Title
Duration of Response (DR)
Description
Duration of response (DR) defined as time from start of first documented objective tumor response [Complete Response (CR) or Partial Response (PR)] to first documented objective tumor progression or death due to any cause, whichever occurs first. DR = (the end date for DR minus first subsequent confirmed CR or PR plus 1) divided by 7.02. CR: disappearance of all target lesions. PR: at least 30% decrease in the sum of diameters of target lesions.
Time Frame
Baseline up to 28-35 days after treatment discontinuation (up to Day 280)
Title
Number of Participants With QTc Values Meeting Categorical Summarization Criteria
Description
Criteria for categorical summarization of the time corresponding to the beginning of depolarization to repolarization of the ventricles (QT) corrected for heart rate (QTc) using Bazett's correction (QTcB) or Fridericia's correction (QTcF) included: maximum QTcB or QTcF less than or equal to (<=) 450 milliseconds (msec), 450 to <=480 msec, 480 to <=500 msec, more than (>) 500 msec; maximum QTcB or QTcF changes (increases/decreases) from baseline (BL) less than (<) 30 msec, 30 to <60 msec, more than or equal to (>=) 60 msec.
Time Frame
Screening, C1D1, C1D21, Day 1 of subsequent cycles, and EOT (maximum reached: C12)
Title
Percentage Change From Baseline in Notch 1 to 4 Ribonucleic Acid (RNA) in Blood
Description
As PF-03084014 acts on the Notch pathway as an inhibitor, it is of interest to investigate its effects, if any, on the Notch family of receptors, mainly Notch 1-4.
Time Frame
C1D1, C1D2, C1D8, C1D21 and EOT (maximum reached: C12)
10. Eligibility
Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of breast cancer with evidence of a) metastatic or b) locally recurrent/advanced disease.
Exclusion Criteria:
Prior treatment with a gamma secretase inhibitors or other Notch signaling inhibitors.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
University of Alabama at Birmingham, IDS Pharmacy
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35249
Country
United States
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35249
Country
United States
Facility Name
Stanford Cancer Institute
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Stanford Hospital & Clinics-DRUG SHIPMENT ADDRESS only
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Stanford Hospital & Clinics
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Stanford Women's Cancer Center
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Barbara Ann Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
Karmanos Cancer Institute (KCI)
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
UNC Cancer Hospital Infusion Pharmacy
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27514
Country
United States
Facility Name
UNC Hospitals, The University of North Carolina at Chapel Hill
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599-7600
Country
United States
Facility Name
Jules Bordet Institut
City
Bruxelles
ZIP/Postal Code
1000
Country
Belgium
Facility Name
Grand Hopital de Charleroi
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Instituto Europeo di Oncologia
City
Milano
ZIP/Postal Code
20141
Country
Italy
Facility Name
Instituto Catalan de Oncologia de L'Hospitalet de Llobregat(ICO)
City
Barcelona
ZIP/Postal Code
08908
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
12. IPD Sharing Statement
Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=A8641016&StudyName=A%20Study%20Evaluating%20The%20PF-03084014%20In%20Combination%20With%20Docetaxel%20In%20Patients%20With%20Advanced%20Breast%20Cancer
Description
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Learn more about this trial
A Study Evaluating The PF-03084014 In Combination With Docetaxel In Patients With Advanced Breast Cancer
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