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An Open-label Phase II Trial Evaluating the Efficacy and Safety of Neoadjuvant EndoTAG-1 in Combination With Paclitaxel in Patients With HER2-negative Breast Cancer


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

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Trial Information

An Open-label Phase II Trial Evaluating the Efficacy and Safety of Neoadjuvant EndoTAG-1 in Combination With Paclitaxel in Patients With HER2-negative Breast Cancer


This is a prospective, single-center, open-label phase II clinical trial investigating the
activity of EndoTAG-1 + paclitaxel combination therapy in patients with HER2-negative BC
candidate for neoadjuvant chemotherapy, as measured by the decrease in MRI-estimated tumour
volume at the end of EndoTAG-1 + paclitaxel administration. Patients will be stratified by
hormone receptor status.

A total of 20 female patients with non-metastatic HER2-negative breast cancer candidate for
neoadjuvant chemotherapy and meeting all study eligibility criteria will receive 12 weekly
infusions of EndoTAG-1 (22 mg/m2 liposomal paclitaxel) in combination with paclitaxel (70
mg/m2) followed by 3 cycles of FEC (Fluorouracil 500mg/m2, Epirubicin 100mg/m2,
Cyclophosphamide 500mg/m2) every 3 weeks (experimental group) The study hypothesis is that
EndoTAG-1 will improve MRI- estimated volume reduction when added to weekly paclitaxel. The
null hypothesis is that combination has no or a negligible effect on volume reduction
(defined as lower or equal to a 50% decrease) versus the alternative hypothesis that the
combination yields at least a 80% average decrease in MRI- estimated volume at the end of
weekly paclitaxel and EndoTAG-1 administration from baseline


Inclusion Criteria:



1. newly diagnosed histologically confirmed BC with breast infiltrating carcinoma of
histological grade > 1 (either operable, or locally advanced or inflammatory)
candidate for neoadjuvant chemotherapy

2. HER2-negative tumor, defined according to immunohistochemistry or using fluorescent
in-situ hybridization (FISH)

3. ECOG performance status 0 or 1

4. Gender: female

5. Age : >= 18 years old

6. Negative pregnancy test (females of childbearing potential)

7. Willingness to perform double-barrier-contraception during study and for 6 months
post chemotherapy treatment (females of childbearing potential)

8. Signed informed consent

Exclusion Criteria:

1. Metastatic or relapsed disease

2. Major surgery < 3 weeks prior to enrollment

3. Severe pulmonary obstructive or restrictive disease

4. Uncontrolled inflammatory disease (autoimmune or infectious)

5. Clinically significant cardiac disease (NYHA stadium > 2)

6. Results of laboratory tests (hematology, chemistry) outside specified limits:

- WBC ≤ 3 x 109/L

- ANC < 1.5 x 109/L

- Platelets < 100 x 109/L

- Hb ≤ 9.0 g/dl (≤ 5.6 mmol/l)

- PTT/ INR > 1.5 x ULN

- AST or ALT > 2.5 x ULN

- Alkaline Phosphatase > 2 x ULN

- Total Bilirubin > 1.5 x ULN

7. Pregnancy or nursing status

8. Known positive HIV testing

9. Known hypersensitivity to any component of the EndoTAG-1, paclitaxel or FEC
formulations

10. History of malignancy other than breast cancer < 5 years prior to enrollment, except
skin cancer (i.e. basal or squamous cell carcinoma) treated locally

11. History of active or significant neurological disorder or psychiatric disorder that
would prohibit the understanding and giving of informed consent, or would interfere
in the clinical and radiological evaluation of central nervous system during the
trial

12. Concurrent treatment with other experimental products. Participation in another
clinical trial with any investigational product within 30 days prior to study entry

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

MRI-estimated tumour volume at the end of neoadjuvant EndoTAG-1 + paclitaxel administration vs. baseline.

Outcome Description:

To investigate the activity of EndoTAG-1 + paclitaxel combination therapy in patients with HER2-negative BC candidate for neoadjuvant chemotherapy, as measured by the decrease in MRI-estimated tumour volume at the end of neoadjuvant EndoTAG-1 + paclitaxel administration vs. baseline.

Outcome Time Frame:

15 weeks after start of neoadjuvant chemotherapy.

Safety Issue:

No

Principal Investigator

Michail Ignatiadis, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Institut Jules Bordet

Authority:

Belgium: Federal Agency for Medicinal Products and Health Products

Study ID:

IJBNeoEndoTAG-1

NCT ID:

NCT01537536

Start Date:

November 2011

Completion Date:

November 2012

Related Keywords:

  • Breast Cancer
  • Breast cancer
  • Neoadjuvant chemotherapy
  • EndoTAG-1
  • Breast Neoplasms

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