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Nimotuzumab Plus Docetaxel and Capecitabine Versus Docetaxel and Capecitabine in the Treatment of Breast Cancer Patients

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Nimotuzumab
docetaxel
capecitabine
Sponsored by
Chinese Academy of Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histological and immunohistochemistry (IHC) confirmed recurrent or metastatic triple-negative breast cancer .
  2. Previous chemotherapy should include anthracycline or taxane; No prior chemotherapy after metastasis.
  3. Females with age between 18 and 70 years old
  4. ECOG performance status 0 or 1.
  5. At least one measurable disease according to the response evaluation criteria in solid tumor (RECIST) by magnetic resonance imaging, or computed tomography; The target lesions is Unresectable; The target lesions did not receive radiotherapy or relapse within the radiation field;
  6. Life expectancy ≥ 12 weeks.;
  7. WBC count ≥ 4 × 109 / L, neutrophils ≥ 1.5 × 109 / L, platelet count ≥ 100 × 109 / L, hemoglobin ≥ 6.21mmol / L (10 g / dL);
  8. Total bilirubin (TBL)≤ 1.5 x ULN (upper limit of normal reference values); AST and ALT ≤ 2.5 x ULN or ≤ 5 ULN (Liver metastasis);Serum creatinine ≤ 1.5 x ULN.
  9. Before enrollment, patients have fully recovered from previous treatment-related toxicity;
  10. Subjects with fertility must accept effective contraceptive measures;
  11. Signed informed consent

Exclusion Criteria:

  1. Previously treatment regimen including anti EGFR monoclonal antibody;
  2. Receiving other anti-cancer medicine treatment during the study
  3. Participate in other clinical trials within 4 weeks in this group;
  4. Accepted taxane treatment in 1 year;
  5. Presence of neurological symptoms due to brain metastasis, patients receiving steroidal anti-edema drugs therapy;
  6. Patients having a history of clinically significant symptomatic angina, arrhythmia or congestive heart failure without control;
  7. Diagnosed with severe interstitial pneumonitis or pulmonary fibrosis by chest CT;
  8. Pleural effusion, ascites require to be drained;
  9. Adverse drug addiction and drug abuse, long-term alcoholics, as well as AIDS patients; patients with severe or uncontrolled complications, such as infection requiring systemic therapy, fever (≥ 38 ℃), diabetes or hypertension can not be controlled by medicine, other complications may interfere with drug therapy;
  10. Patients with a history of drug allergy (≥ CTCAE 2 level) such as shock or allergic symptoms, especially have allergic reactions to similar drugs in the past, have severe allergies reactions to drugs containing polysorbate eighty (Tween 80);
  11. Uncontrolled seizures or loss of insight due to mental disorders;
  12. Pregnant or lactating women;
  13. Researchers think improper for this trial

Sites / Locations

  • Cancer Institute and Hospital, Chinese Academy of Medical SciencesRecruiting
  • Beijing cancer hospital
  • The General Hospital of the People's Liberation Army (PLAGH)
  • Harbin Medical University Cancer HospitalRecruiting
  • Liaoning Cancer Hospital and Institute
  • FuDan University Shanghai Cancer Center
  • Xijing Hospital
  • The First Affiliated Hospital of College of Medicine, Zhejiang University (First Hospital of Zhejiang Province)
  • Zhejiang Cancer Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Nimotuzumab,docetaxel,capecitabine

docetaxel,capecitabine

Arm Description

Nimotuzumab 400mg/w,IV,once a week and Docetaxel 75 mg/m2,IV,D1, every 21 days a cycle and Capecitabine 1000mg/m2, orally, twice daily, D1-D14

Docetaxel 75 mg/m2,IV,D1, every 21 days a cycle and Capecitabine 1000mg/m2, orally, twice daily, D1-D14

Outcomes

Primary Outcome Measures

ORR
Evaluation ORR every six weeks,with RECIST 1.1.

Secondary Outcome Measures

PFS
Number and ratio of AEs
Observe and record AEs when AEs occurred
Relationship of tissue/serum EGFR between efficacy and prognosis
every 6 weeks

Full Information

First Posted
August 28, 2013
Last Updated
June 3, 2015
Sponsor
Chinese Academy of Medical Sciences
Collaborators
Biotech Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01939054
Brief Title
Nimotuzumab Plus Docetaxel and Capecitabine Versus Docetaxel and Capecitabine in the Treatment of Breast Cancer Patients
Official Title
A Randomized, Controlled, Open-Label, Multicenter, Phase 2 Study of Nimotuzumab Plus Docetaxel and Capecitabine Versus Docetaxel and Capecitabine as First-Line Treatment in Patients With Recurrent/Metastatic Triple Negative Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Unknown status
Study Start Date
September 2013 (undefined)
Primary Completion Date
September 2015 (Anticipated)
Study Completion Date
September 2016 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese Academy of Medical Sciences
Collaborators
Biotech Pharmaceutical Co., Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Nimotuzumab is an IgG1 humanized monoclonal antibody that recognized an epitope located in the extra cellular domain of the human epidermal growth factor receptor (EGFR), inhibiting tyrosine kinase activation. This is a randomized, controlled, open-Label, multicenter, phase Ⅱ clinical trial of nimotuzumab plus Docetaxel and Capecitabine(TX)versus Docetaxel and Capecitabine(TX)as first-line treatment in patients with recurrent/metastatic triple negative breast cancer.
Detailed Description
The control group received docetaxel + capecitabine regimen;Experimental group received Nimotuzumab combined docetaxel + capecitabine regimen.The main purpose is to evaluate Nimotuzumab Plus Docetaxel and Capecitabine(TX)as First-Line Treatment in Patients With Recurrent/Metastatic triple negative breast cancer would improve objective response rate (ORR ) comparing with Docetaxel and Capecitabine(TX).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
90 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Nimotuzumab,docetaxel,capecitabine
Arm Type
Experimental
Arm Description
Nimotuzumab 400mg/w,IV,once a week and Docetaxel 75 mg/m2,IV,D1, every 21 days a cycle and Capecitabine 1000mg/m2, orally, twice daily, D1-D14
Arm Title
docetaxel,capecitabine
Arm Type
Active Comparator
Arm Description
Docetaxel 75 mg/m2,IV,D1, every 21 days a cycle and Capecitabine 1000mg/m2, orally, twice daily, D1-D14
Intervention Type
Drug
Intervention Name(s)
Nimotuzumab
Intervention Type
Drug
Intervention Name(s)
docetaxel
Intervention Type
Drug
Intervention Name(s)
capecitabine
Primary Outcome Measure Information:
Title
ORR
Description
Evaluation ORR every six weeks,with RECIST 1.1.
Time Frame
every six weeks, up to 1 year
Secondary Outcome Measure Information:
Title
PFS
Time Frame
every six weeks, up to 1 year
Title
Number and ratio of AEs
Description
Observe and record AEs when AEs occurred
Time Frame
up to 1 year
Title
Relationship of tissue/serum EGFR between efficacy and prognosis
Description
every 6 weeks
Time Frame
1 year

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological and immunohistochemistry (IHC) confirmed recurrent or metastatic triple-negative breast cancer . Previous chemotherapy should include anthracycline or taxane; No prior chemotherapy after metastasis. Females with age between 18 and 70 years old ECOG performance status 0 or 1. At least one measurable disease according to the response evaluation criteria in solid tumor (RECIST) by magnetic resonance imaging, or computed tomography; The target lesions is Unresectable; The target lesions did not receive radiotherapy or relapse within the radiation field; Life expectancy ≥ 12 weeks.; WBC count ≥ 4 × 109 / L, neutrophils ≥ 1.5 × 109 / L, platelet count ≥ 100 × 109 / L, hemoglobin ≥ 6.21mmol / L (10 g / dL); Total bilirubin (TBL)≤ 1.5 x ULN (upper limit of normal reference values); AST and ALT ≤ 2.5 x ULN or ≤ 5 ULN (Liver metastasis);Serum creatinine ≤ 1.5 x ULN. Before enrollment, patients have fully recovered from previous treatment-related toxicity; Subjects with fertility must accept effective contraceptive measures; Signed informed consent Exclusion Criteria: Previously treatment regimen including anti EGFR monoclonal antibody; Receiving other anti-cancer medicine treatment during the study Participate in other clinical trials within 4 weeks in this group; Accepted taxane treatment in 1 year; Presence of neurological symptoms due to brain metastasis, patients receiving steroidal anti-edema drugs therapy; Patients having a history of clinically significant symptomatic angina, arrhythmia or congestive heart failure without control; Diagnosed with severe interstitial pneumonitis or pulmonary fibrosis by chest CT; Pleural effusion, ascites require to be drained; Adverse drug addiction and drug abuse, long-term alcoholics, as well as AIDS patients; patients with severe or uncontrolled complications, such as infection requiring systemic therapy, fever (≥ 38 ℃), diabetes or hypertension can not be controlled by medicine, other complications may interfere with drug therapy; Patients with a history of drug allergy (≥ CTCAE 2 level) such as shock or allergic symptoms, especially have allergic reactions to similar drugs in the past, have severe allergies reactions to drugs containing polysorbate eighty (Tween 80); Uncontrolled seizures or loss of insight due to mental disorders; Pregnant or lactating women; Researchers think improper for this trial
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Binghe Xu
Phone
86-10-88788826
Email
xubinghe@medmail.com.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Peng Yuan
Phone
86-10-8778 8114
Email
yuanpeng01@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Binghe Xu
Organizational Affiliation
Cancer Insititute and Hospital, CAMS
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cancer Institute and 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, M.D.
Phone
86-10-88788826
Email
xubinghe@medmail.com.cn
First Name & Middle Initial & Last Name & Degree
Peng Yuan, M.D.
Facility Name
Beijing cancer hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
huiping Li
Facility Name
The General Hospital of the People's Liberation Army (PLAGH)
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
junlan yang
Facility Name
Harbin Medical University Cancer Hospital
City
Harbin
State/Province
Heilongjiang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
li cai
Facility Name
Liaoning Cancer Hospital and Institute
City
Shenyang
State/Province
Liaoning
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
tao sun
Facility Name
FuDan University Shanghai Cancer Center
City
Shanghai
State/Province
Shanghai
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
xichun Hu
Facility Name
Xijing Hospital
City
Xi-an
State/Province
Shanxi
ZIP/Postal Code
710032
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
rui ling
Facility Name
The First Affiliated Hospital of College of Medicine, Zhejiang University (First Hospital of Zhejiang Province)
City
Hangzhou
State/Province
Zhejiang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
peifen fu
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
State/Province
Zhejiang
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
xiaojia wang

12. IPD Sharing Statement

Learn more about this trial

Nimotuzumab Plus Docetaxel and Capecitabine Versus Docetaxel and Capecitabine in the Treatment of Breast Cancer Patients

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