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A Phase 2 Study of GW786034 (Pazopanib) in Patients With Recurrent and/or Metastatic Invasive Breast Carcinoma


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Male Breast Cancer, Recurrent Breast Cancer, Stage IV Breast Cancer

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Trial Information

A Phase 2 Study of GW786034 (Pazopanib) in Patients With Recurrent and/or Metastatic Invasive Breast Carcinoma


PRIMARY OBJECTIVE:

I. To determine the antitumor activity of pazopanib, in terms of objective response rate
(partial and complete response), in patients with recurrent or metastatic invasive breast
cancer.

SECONDARY OBJECTIVES:

I. To determine the duration of objective response, rate and duration of stable disease.

II. To determine 6-month progression-free and median and overall survival rates in patients
treated with this drug.

III. To document the safety and tolerability of this drug in these patients.

OUTLINE: This is a multicenter, open label study.

Patients receive oral pazopanib once daily on days 1-28. Courses repeat every 28 days in the
absence of disease progression or unacceptable toxicity. Blood samples are collected at
baseline and at 1, 4, and 8 weeks for correlative laboratory studies. Blood samples are
evaluated for the following tumor markers by ELISA: VEGF, bFGF, sFLT-1, sTIE-2, sE-Selectin,
VCAM-1, PDGF-AA, PDGF-AB and PDGF-BB. TSP-1 in plasma is measured by Accucyte™ competitive
immunoassay.

After completion of study treatment, patients are followed every 3 months.

Inclusion Criteria


Criteria:

- No prior bevacizumab

- Histologically or cytologically confirmed invasive breast carcinoma (recurrent or
metastatic disease)

- Measurable disease, defined as >= 1 unidimensionally measurable lesion >= 20 mm by
conventional techniques or >= 10 mm by spiral CT scan

- Patients who may still benefit from hormonal therapy are ineligible (patients with
hormone receptor-positive breast cancer should have received appropriate sequential
hormonal therapy for metastatic disease until disease progression)

- Patients with HER-2 positive disease who have not yet received trastuzumab
(Herceptin®) to maximal benefit are ineligible (patients with disease progression
during trastuzumab therapy are eligible)

- No known brain metastases

- ECOG performance status (PS) 0-1 or Karnofsky PS 60-100%

- Life expectancy > 12 weeks

- Absolute neutrophil count >= 1,500/mm³

- Platelets >=100,000/mm³

- Total bilirubin normal (exception made for patients with known Gilbert's disease)

- AST/ALT =< 2.5 times upper limit of normal (ULN)

- No proteinuria > +1 on two consecutive dipsticks taken >= 1 week apart

- PT/INR/PTT =< 1.2 times ULN

- No allergic reactions attributed to compounds of similar chemical or biologic
composition to pazopanib or other study agents

- No QTc prolongation (defined as a QTc interval >= 500 msecs) or other significant ECG
abnormalities

- No condition (e.g., gastrointestinal tract disease resulting in an inability to take
oral medication or a requirement for IV alimentation, or active peptic ulcer disease)
that would impair ability to swallow and retain study drug

- No poorly controlled hypertension (systolic blood pressure [BP] >= 140 mm Hg or
diastolic BP >= 90 mm Hg) Initiation or adjustment of BP medication is allowed prior
to study entry provided that the average of 3 BP readings prior to study entry is <
140/90 mm Hg

- No serious or non-healing wound, ulcer, or bone fracture

- No abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within
the last 4 weeks

- No cerebrovascular accident within the last 6 months

- No myocardial infarction, cardiac arrhythmia, hospital admission for unstable angina
within the last 12 weeks

- No venous thrombosis within the last 12 weeks

- No NYHA class III-IV heart failure Patients with a history of class II heart failure
may be considered eligible provided they are asymptomatic on treatment

- No concurrent uncontrolled illness including, but not limited to, ongoing or active
infection or psychiatric illness/social situations that would preclude study
compliance

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C),
radiotherapy, or surgery

- No cardiac angioplasty or stenting within the last 12 weeks

- No more than 1 prior chemotherapy regimen for recurrent disease

- No prior surgical procedures affecting absorption

- No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment,
including any of the following:

Therapeutic warfarin Low molecular weight heparin or prophylactic low-dose warfarin are
allowed

- No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment,
including any of the following:

- Erectile dysfunction agents: sildenafil, tadalafil, or vardenafil

- Antiarrhythmics: bepridil, flecainide, lidocaine, mexilitine, amiodarone, or
quinidine

- Immune modulators: cyclosporine, tacrolimus, or sirolimus

- Miscellaneous: theophylline, quetiapine, or risperidone

- No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment,
including any of the following:

- Oral hypoglycemics: glipizide, glyburide, or tolbutamide

- Ergot derivatives: dihydroergotamine, ergonovine, ergotamine, or
methylergonovine

- Neuroleptics: pimozide

- No concurrent combination antiretroviral therapy for HIV-positive patients

- No other concurrent investigational agents

- No other concurrent anticancer therapy

- WBC >= 3,000/mm³

- No more than 2 prior palliative systemic chemotherapy regimens for de novo metastatic
disease

- Creatinine normal OR creatinine clearance >= 60 mL/min

- At least 3 months since prior trastuzumab

Type of Study:

Interventional

Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Antitumor activity, in terms of objective response rates (partial and complete responses)

Outcome Description:

Summarized using summary statistics, such as the mean, median, counts and proportion.

Outcome Time Frame:

Up to 3 years

Safety Issue:

No

Principal Investigator

Natasha Leighl

Investigator Role:

Principal Investigator

Investigator Affiliation:

University Health Network-Princess Margaret Hospital

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2009-00199

NCT ID:

NCT00509587

Start Date:

June 2007

Completion Date:

Related Keywords:

  • Male Breast Cancer
  • Recurrent Breast Cancer
  • Stage IV Breast Cancer
  • Breast Neoplasms
  • Breast Neoplasms, Male

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