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Phase II Randomized Trial of Ixabepilone Administered Weekly or Every Three Weeks in Patients With HER-2 Negative Metastatic Breast Cancer Previously Treated With Chemotherapy in the Neo-adjuvant or Adjuvant Setting


Phase 2
18 Years
75 Years
Not Enrolling
Female
Metastatic Breast Cancer

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Trial Information

Phase II Randomized Trial of Ixabepilone Administered Weekly or Every Three Weeks in Patients With HER-2 Negative Metastatic Breast Cancer Previously Treated With Chemotherapy in the Neo-adjuvant or Adjuvant Setting


Patients with measurable metastatic breast cancer that have been treated in the adjuvant or
neo-adjuvant setting with chemotherapy will be considered for this study. Subjects must not
have received cytotoxic chemotherapy for locally recurrent/metastatic disease. Patients who
fulfil the eligibility criteria, and have signed inform consent for the trial will be
centrally randomized by electronic means to one of two ixabepilone treatment arms.
Stratification factors will include: time to recurrence from adjuvant treatment, calculated
from the date of the last dose of adjuvant treatment to the date of relapse (≤ 1 year vs. >
1 year); and previous chemotherapy with taxane regimen in the neo-adjuvant or adjuvant
setting (yes vs. no). Randomization will be balanced by site.Treatment Protocol· Arm A
[standard once every three weeks schedule]:Ixabepilone [BMS-247550] will be administered on
Day 1 (D1) every three weeks as a 3-hour infusion at a dose of 40 mg/m2. · Arm B [weekly
schedule]:Ixabepilone [BMS-247550] will be administered weekly for three weeks as a 3-hour
infusion at a dose of 20 mg/m2, followed by one week-off.Treatment can be continued until
consent withdrawal by the patient, intolerable toxicity or documented disease progression.


Inclusion Criteria:



- Written informed consent

- Female patients aged 18 to 75 years inclusive

- Prior chemotherapy in the adjuvant or neo-adjuvant setting

- Diagnosis of HER-2 negative (HER-2 <2+ by immunohistochemistry and/or FISH negative)
metastatic breast adenocarcinoma confirmed by the pathology department of the
enrolling institution

- Eastern Cooperative Oncology Group performance status of 0 or 1

- Life expectancy of at least 12 weeks

- Measurable disease by the Response Criteria in Solid Tumors (RECIST) method

- Laboratory values within the specified ranges within 1 week of study enrolment:

- Absolute neutrophil count of ≥ 1.5 x 109/L

- Thrombocyte count of ≥ 100 x 109/L

- Subjects must not have received cytotoxic chemotherapy for locally
recurrent/metastatic disease

- Prior hormonal therapy for locally recurrent or metastatic disease allowed

- AST and ALT ≤ 2.5 x ULN

- Bilirubin ≤ 1.5 x ULN

- Recovery from prior palliative radiotherapy for bone metastases

Exclusion Criteria:

- Because of concerns that ixabepilone metabolism may be inhibited by potent cytochrome
P450 3A4 inhibitors, patients must not receive the following medications, up to 72
hours prior to initiation of study therapy and until they come off treatment with
ixabepilone: amprenavir, delavirdine, voriconazole, erythromycin, cyclosporine,
troleandomycin, terfenadine, ketoconazole, nelfinavir, and ritonavir

- Patients with CTC grade 2 or greater neuropathy at baseline

- Patients with any history or evidence of brain an/or leptomenigneal metastasis

- Patients with clinically significant cardiac disease (e.g. unstable angina,
congestive heart failure, myocardial infarction) within 6 months from study entry

- Psychiatric disorders or other conditions rendering the subject incapable of
complying with the requirements of the protocol

- Any concurrent active malignancy other than non-melanoma skin cancer or in situ
carcinoma of the cervix (subjects with a history of previous malignancies but without
evidence of disease for 5 years will be allowed to enter the trial)

- Prior severe HSR to agents containing Cremophor EL

- Women of childbearing potential (WOCBP) who are unwilling or unable to use an
adequate method of contraception to avoid pregnancy throughout the study and for up
to 12 weeks from the last dose of ixabepilone, in such a manner that the risk of
pregnancy is minimized WOCBP include: any female who has experienced menarche and who
has not undergone successful surgical sterilization (hysterectomy, bilateral tubal
ligation or bilateral oophorectomy) or is not postmenopausal (defined as amenorrhea ≥
12 consecutive months; women on hormone replacement therapy with documented FSH level
> 35mIU/mL. Even women who are practising abstinence or whom their partner is sterile
(e.g. vasectomy) should be considered of childbearing potential.

- Women who are pregnant or breastfeeding

- Women with a positive pregnancy test on enrolment or prior to study therapy

- No other concomitant chemotherapy, endocrine therapy, immunotherapy, radiation
therapy (except for palliative radiotherapy for bone metastases) or investigational
treatments are allowed during subject's participation in the study

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

The primary endpoint of the study is the best Overall Response (OR).

Outcome Time Frame:

At 6, 12 and 24 weeks

Safety Issue:

No

Principal Investigator

George Fountzilas

Investigator Role:

Principal Investigator

Investigator Affiliation:

Papageorgiou General Hospital

Authority:

Greece: National Organization of Medicines

Study ID:

HE 11A08

NCT ID:

NCT00790894

Start Date:

November 2008

Completion Date:

May 2011

Related Keywords:

  • Metastatic Breast Cancer
  • Breast Neoplasms

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