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Phase II Study for Repeated Dosing of the Trifunctional Bispecific Anti-HER-2/Neu x Anti-CD3 Antibody Ertumaxomab in Patients With HER-2/Neu 1+ or 2+/FISH Negative Expressing Advanced or Metastatic Breast Cancer (Stage IIIb/IV) Progressing After Endocrine Treatment


Phase 2
18 Years
N/A
Not Enrolling
Female
Metastatic Breast Cancer, Advanced Breast Cancer

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Trial Information

Phase II Study for Repeated Dosing of the Trifunctional Bispecific Anti-HER-2/Neu x Anti-CD3 Antibody Ertumaxomab in Patients With HER-2/Neu 1+ or 2+/FISH Negative Expressing Advanced or Metastatic Breast Cancer (Stage IIIb/IV) Progressing After Endocrine Treatment


An open-label, non-randomized, uncontrolled, one-stage, phase II study evaluating the
efficacy and safety of the investigational trifunctional bispecific antibody ertumaxomab
(anti-Her-2/neu x anti-CD3) for the treatment of hormone therapy refractory advanced or
metastatic breast cancer tumours (stage IIIb or IV) which are known to express HER-2/neu (1+
or 2+/FISH negative).Ertumaxomab will be administered at 7 day intervals by constant rate 3
hour intravenous (i.v.) infusions according to the following sequential dose schedule: 10 µg
(day 0) and thereafter 100 µg flat doses once every 7 days (± 1 day) for a maximum of up to
12 weeks or until disease progression or any other unacceptable toxicity.


Inclusion Criteria:



- Signed and dated informed consent form

- Women ≥ 18 years, negative pregnancy test at screening life expectancy of at least 6
months

- Locally advanced (stage IIIb) or metastatic (stage IV) and not curable adenocarcinoma
of the breast

- Measurable disease, defined as at least one lesion that is measurable in one
dimension (RECIST)

- HER-2/neu expression 1+ or 2+ / FISH negative

- Estrogen Receptors (ERs) and/or Progesterone Receptors (PRs) positive

- Prior adequate endocrine therapy for advanced or metastatic disease

- Disease progression during or after endocrine therapy

- No prior treatment with mouse or rat antibodies

- ECOG performance score of ≤ 1

- Adequate hematological, liver and kidney function

Exclusion Criteria:

- Women who are pregnant or breast-feeding

- Known HIV infection or Presence of autoimmune disease or other Concurrent
non-malignant co-morbidities that are uncontrolled

- History or symptoms indicative of brain or CNS metastases

- Prior diagnosis of any malignancy not cured by surgery alone less than 5 years before
study entry (except in situ carcinoma of the cervix or adequately treated basal cell
carcinoma of the skin)

- Documented acute or chronic infection requiring antibiotic treatment

- Any concurrent chemo-, hormonal, immuno- or corticoid therapy

- Any prior chemotherapy for advanced or metastatic disease

- Any concurrent investigational treatment for advanced or metastatic disease

- History of relevant cardiovascular disease as follows:

- Left ventricular ejection fraction (LVEF) below the institution's lower limit of
normal, based on echocardiography (ECG) at rest

- Uncontrolled or symptomatic congestive heart failure (New York Heart Association
(NYHA) > 2

- Uncontrolled or symptomatic arrhythmia and/or angina pectoris

- Myocardial infarction during the last 2 years

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Clinical efficacy measured by objective response rate (best response during the course of the study)

Principal Investigator

José Baselga / Javier Cortes

Investigator Role:

Principal Investigator

Investigator Affiliation:

Hospital Vall d'Hebron, Barcelona, Spain

Authority:

Austria: Agency for Health and Food Safety

Study ID:

IV-ERT-BC-03

NCT ID:

NCT00452140

Start Date:

March 2007

Completion Date:

February 2009

Related Keywords:

  • Metastatic Breast Cancer
  • Advanced Breast Cancer
  • Breast Cancer
  • investigational drug
  • drug therapy
  • Antineoplastic Protocols
  • Immunotherapy
  • Metastatic breast cancer
  • Advanced breast cancer
  • Stage III to IV breast cancer
  • Hormonal therapy refractory
  • Failure of hormonal therapy
  • Her-2/neu expressing breast cancer
  • Her-2/neu
  • Breast Neoplasms

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