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A Phase 2 Study of Eribulin in Patients With HER2-Negative, Metastatic Breast Cancer: Evaluation of Efficacy, Toxicity and Patient-Reported Outcomes


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Breast Cancer

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Trial Information

A Phase 2 Study of Eribulin in Patients With HER2-Negative, Metastatic Breast Cancer: Evaluation of Efficacy, Toxicity and Patient-Reported Outcomes


If you are willing to participate in this study you will be asked to undergo some screening
tests and procedures to confirm your eligibility. Many of these tests and procedures are
likely to be part of regular cancer care and may be done even if it turns out that you do
not take part in the research study. If you have had some of these tests or procedures
recently, they may or may not have to be repeated. The screening tests and procedures will
include: a medical history, a physical examination and vital signs, performance status, an
assessment of your tumor, routine blood tests, pregnancy test and an electrocardiogram. If
these tests show that you are eligible to participate in the research study, you will begin
the study treatment. If you do not meet the eligibility criteria, you will not be able to
participate in this research.

If you take part in this research study, you will be given Eribulin by intravenous infusion
(by vein). The time to complete a single treatment is 60 minutes. You will receive Eribulin
on Day 1 and Day 8 of each cycle. In the third week (Day 15) you will not receive any study
medication. Each complete treatment cycle lasts 3 weeks.

During all cycles you will have a physical exam and you will be asked questions about your
general health and specific questions about any problems that you might be having and any
medications you may be taking.

At the beginning of cycles 1,2,3 and every other subsequent cycle, you will be asked to
complete three online questionnaires using a wireless tablet computer provided in the clinic
where you are being seen. This is a well established method of administering electronic
questionnaires. No data will be stored on these computers. The data will be transmitted to
servers where the data will be securely stored. Your data will be submitted using a special
identification number. You will be given a username and a password. You will be given
detailed instructions on how to use the computer and how to enter the data. If the wireless
tablet computer is not working, paper forms will be provided. It will take about 15-30
minutes to complete. Some questions you will be asked to answer may make you feel
uncomfortable. You may choose not to answer any questions that make you feel uncomfortable.

We will assess your tumor by the appropriate imaging modality (e.g., CT scan or MRI) every 9
weeks.

About 4 tablespoons of blood will be drawn to measure blood counts, organ function, and for
other safety reasons. Blood tests will be done on Day 1 and Day 8 of every treatment cycle
(every three weeks). One additional tube of blood (about 1 teaspoon) will be collected at
Day 1 to be used to better understand the nerve toxicities of chemotherapy and to be used
for future research on breast cancer.

You will have a follow-up visit three weeks after stopping study treatment. During that
visit, you will have a physical exam, as well as an assessment of any side effects and
current medications. If you continue to have on-going side effects related to your study
treatment, we will continue to follow you until this side effect resolves. About 4
tablespoons of blood will be drawn to measure blood counts and organ function. If you stop
therapy because of a side effect but your cancer is under control, we will continue to
follow you with scans every 9 weeks until cancer growth is observed.


Inclusion Criteria:



- Histologically or cytologically proven invasive breast cancer, locally recurrent or
metastatic, with at least one measureable lesion according to RECIST v1.1

- Hormone receptor positive or hormone receptor negative HER2-negative disease

- Up to one prior line of chemotherapy for advanced disease is allowed (discontinued at
least 14 days prior to initiation of protocol therapy)

- Prior bevacizumab in the neo/adjuvant or metastatic setting is acceptable

- No limit on prior lines of endocrine therapy, but must be discontinued at least 7
days prior to initiation of protocol therapy

- Must have completed any prior radiotherapy at least 2 weeks prior to initiation of
protocol therapy

- Must have recovered from reversible effects of prior therapies to no more than grade
1 toxicity, with the exception of alopecia

- Agree to use adequate contraception for the duration of study participation

Exclusion Criteria:

- Pregnant or breastfeeding

- Prior treatment with eribulin

- Prior malignancy other than carcinoma in situ of the cervix or nonmelanoma skin
cancer unless diagnosed and definitively treated at least 3 years before enrollment
in this study

- Clinically significant cardiovascular impairment

- Active brain metastases or unevaluated neurologic symptoms suggestive of brain
metastases

- Pulmonary dysfunction requiring the use of oxygen

- Prior organ allograft requiring immunosuppression

- HIV positive on combination antiretroviral therapy

- Pre-existing grade 3 or 4 neuropathy

- Hypersensitivity to halichondrin B or halichondrin B chemical derivative

- Uncontrolled intercurrent illness

- Inability to read in English

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

Evaluation of Anti-Tumor Activity

Outcome Description:

To evaluate the antitumor activity of first-line treatment with single-agent eribulin mesylate in subjects with locally recurrent or metastatic HER2-negative breast cancer by determining overall response rate (ORR) (RECIST v1.1) ORR will be estimated separately for the HR+/HER2-and the TNBC monotherapy cohorts.

Outcome Time Frame:

2 years

Safety Issue:

No

Principal Investigator

Erica Mayer, MD, MPH

Investigator Role:

Principal Investigator

Investigator Affiliation:

Dana-Farber Cancer Institute

Authority:

United States: Institutional Review Board

Study ID:

13-077

NCT ID:

NCT01827787

Start Date:

June 2013

Completion Date:

Related Keywords:

  • Breast Cancer
  • Breast Neoplasms

Name

Location

Beth Israel Deaconess Medical Center Boston, Massachusetts  02215
Dana-Farber Cancer Institute Boston, Massachusetts  02115
Dana-Farber Cancer Institute at Faulkner Hospital Boston, Massachusetts  02215