A Phase II Trial of Oral Deforolimus (AP23573; MK-8669), an mTOR Inhibitor, in Combination With Trastuzumab for Patients With HER2-positive Trastuzumab-Refractory Metastatic Breast Cancer
Inclusion Criteria:
- Female, 18 years of age or older
- Histologically confirmed HER2-positive metastatic breast cancer
- Trastuzumab-resistance
- Measurable disease, according to RECIST guidelines
- ECOG performance status less than or equal to 1
- Life expectancy greater than 3 months
- No prior treatment with temsirolimus, everolimus, rapamycin, or any other mTOR
inhibitor
- At least 4 weeks must have lapsed between prior investigational therapy,
chemotherapy or radiotherapy, and the first dose of ridaforolimus
- Left ventricular ejection greater than or equal to 50%
- Adequate cardiovascular function
- Adequate hematological, hepatic, and renal function
- Serum cholesterol less than or equal to 350 mg/dL and triglycerides less than or
equal to 400 mg/dL
- Negative pregnancy test within 7 days prior to first dose of study drug and must use
an approved contraceptive method from screening to 30 days after the last dose of
study drug
- Availability and patient consent to obtain archival tissue samples
- Signed informed consent
Exclusion Criteria:
- Inadequate recovery from any prior surgical procedure or having undergone any major
surgery within 2 weeks before trial entry
- Grade 1 or Grade 2 hypersensitivity reactions to prior trastuzumab therapy if these
reactions prevented further trastuzumab administration
- Grade 3 or Grade 4 hypersensitivity reaction to prior trastuzumab
- Symptomatic intrinsic lung disease or extensive tumor involvement of the lungs,
resulting in dyspnea at rest
- Known allergy to macrolide antibiotics
- Pregnant or breast-feeding
- Know history of HIV
- Diagnosis of brain metastasis or leptomeningeal carcinomatosis within 3 months
- Other malignancies within the past 3 years, except for adequately treated carcinoma
of the cervix or basal or squamous cell carcinoma of the skin
- Active infection requiring prescription intervention
- Newly diagnosed or poorly controlled Type 1 or 2 diabetes
- Other concurrent illness which, in the Investigator's judgment, would either
compromise the patient's safety or interfere with the evaluation of the safety of the
study drug
- Concurrent treatment with medications that strongly induce or inhibit cytochrome
P450.
- Any condition that renders patient unable to fully understand and provide informed
consent and/or comply with the protocol