A Phase I Dose-escalation Study, to Evaluate the Safety, Tolerability and Pharmacokinetics of a Topical Compound 31543 (Calcitriol, USP) in Adult Patients Receiving Chemotherapy for the Treatment of Breast Cancer
This will be a dose escalation study to determine the maximum tolerated dose (MTD) and the
overall safety and tolerability of a topical compound 31543 (Calcitriol) in patients with
metastatic breast cancer undergoing chemotherapy with paclitaxel. A standard 3+3 dose
escalation design will be employed with 3-6 patients at each dose level. Eligible patients
≥18 years of age and scheduled to receive either paclitaxel 80 mg/m2 3 weeks on followed by
1 week off or weekly with treatment breaks as per physician's discretion, will start
applying the topical solution twice a day at each cohort dose level two weeks prior to
initiation of chemotherapy and then continue twice daily for 3 months or until termination
of chemotherapy treatment. If topical calcitriol will be found to be effective in preventing
and/or diminishing paclitaxel-induced alopecia as determined by the photographic assessments
and patient self assessment, patients will be allowed to continue topical application for
the duration of their chemotherapy treatment, assuming no Dose Limiting Toxicity (DLTs)
related to the topical agent are observed. Toxicity to the topical compound 31543
(Calcitriol) will be assessed on a weekly basis during the first 28 days of topical
treatment and subsequently every four weeks by a study clinician, either a physician or a
nurse. For the purpose of pharmacokinetic studies (PKs), blood samples will be collected on
Day 1 of topical treatment at the following time points: pre-dose, at 2 hours, 4 hours, and
8 hours after a single application on the morning of Day 1. The second application of drug
product will be applied 9-12 hours after the initial application and after the 8 hour PK
sample. Thereafter, topical application frequency will be twice daily, morning and night.
Subsequently, a PK sample will be taken 24 hours after the last dose of each 28 day
treatment and before the first application of Day 1 of the next 28 day treatment cycle. This
schedule will continue for three consecutive 28 day topical treatment cycles. As a secondary
objective, potential efficacy of the topical calcitriol will be evaluated by photographic
assessment. Photographic assessment will be performed using D-SLR camera system to ensure
standardization and uniformity among all enrolled patients. The following five views will be
obtained at each photographic assessment: bilateral sides of head/scalp view, front of
head/face view, back of head/scalp view, and top of head/scalp view. These assessments will
be performed at the following time points: at baseline, after one month of chemotherapy
treatment, 3months, 6 months and 12 months. In addition, all patients will be asked to
maintain a self-assessment diary that will require weekly assessment of hair thickness, hair
fullness, hair breakage, and hair cosmetic qualities (ease of styling, etc.) on an analog 10
point scale throughout treatment to ensure compliance with topical therapy and assess
patient reported efficacy. The study is expected to take place over a period of
approximately 12 months, including the screening period.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
Determine Maximum Tolerated Dose (MTD) of Topical Compound 31543
To determine the maximum tolerated dose (MTD) of topical Compound 31543 (Calcitriol, USP) in patients with metastatic breast cancer receiving chemotherapy with paclitaxel.
up to 52 weeks
Yes
Mario E Lacouture, MD
Principal Investigator
Memorial Sloan-Kettering Cancer Center
United States: Food and Drug Administration
CTL0211
NCT01588522
July 2012
August 2013
Name | Location |
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Memorial Sloan-Kettering Cancer Center | New York, New York 10021 |