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