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AZD0530 in Treating Patients With Metastatic or Locally Advanced Breast Cancer That Cannot Be Removed By Surgery
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), December 2008
Sponsors and Collaborators: Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00559507
  Purpose

RATIONALE: AZD0530 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying AZD0530 to see how well it works in treating patients with metastatic or locally advanced breast cancer that cannot be removed by surgery.


Condition Intervention Phase
Breast Cancer
Drug: AZD0530
Procedure: immunoenzyme technique
Procedure: laboratory biomarker analysis
Procedure: pharmacological study
Procedure: spectrometry
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase II Study of AZD0530 in Hormone Receptor-Negative, Metastatic or Unresectable, Locally Advanced Breast Cancer

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Disease control rate [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall response rate (complete and partial response) [ Designated as safety issue: No ]
  • Progression-free survival [ Designated as safety issue: No ]
  • Toxicity rate [ Designated as safety issue: Yes ]
  • Patterns of circulating tumor cells in response to therapy [ Designated as safety issue: No ]
  • Markers of bone metabolism [ Designated as safety issue: No ]
  • Pharmacokinetic data for AZD0530 [ Designated as safety issue: No ]

Estimated Enrollment: 41
Study Start Date: October 2007
Estimated Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • To estimate the disease control rate of AZD0530 in patients with metastatic breast cancer.

Secondary

  • To estimate the efficacy of AZD0530 in terms of overall response rate (complete and partial response) and progression free survival.
  • To describe the toxicity profile of AZD0530 in this patient population.
  • To prospectively explore changes in circulating tumor cells from pre-treatment levels in patients receiving AZD0530.

OUTLINE: Patients receive oral AZD0530 on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients also complete a medication diary.

Patients undergo urine and blood sample collection periodically for correlative and pharmacokinetic studies. Samples are analyzed for circulating tumor cells; urine N-telopeptide cross links (NTx) via enzyme-linked immunosorbent assay; NTx concentration via spectrophotometry; and AZD0530 plasma concentrations.

After completion of study treatment, patients are followed for 4 weeks.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed carcinoma of the breast

    • Unresectable disease
    • Locally advanced or metastatic (AJCC stage IV) disease
  • Estrogen receptor-negative and progesterone receptor-negative breast cancer defined as < 10% expression by immunohistochemistry (IHC)
  • Measurable disease, defined (per RECIST) as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan

    • Measurable target lesions must not be in a previously irradiated field
  • Patients with locally advanced, unresectable disease must have progression of disease following no more than one first-line chemotherapy regimen
  • Patients with evidence of recurrent disease during or within 6 months after adjuvant chemotherapy will be considered to have failed one line of chemotherapy for metastatic disease
  • HER2-positive patients, defined as IHC 3+ or fluorescence in situ hybridization (FISH) amplification > 2.1, must have received trastuzumab (Herceptin®) in either the adjuvant or metastatic setting and have had recurrence or progression of disease, respectively
  • No known brain metastases

PATIENT CHARACTERISTICS:

Inclusion criteria:

  • Male and female patients eligible
  • Menopausal status not specified
  • ECOG performance status (PS) ≤ 2 (Karnofsky PS 60-100%)
  • Life expectancy > 3 months
  • Absolute neutrophil count ≥ 1,500/mcL
  • Platelet count ≥ 100,000/mcL
  • Hemoglobin > 9 g/dL
  • Total bilirubin normal
  • AST(SGOT)/ALT(SGPT) ≤ 2.5 x institutional upper limit of normal
  • Creatinine normal OR creatinine clearance ≥ 60 mL/min
  • Urine protein creatinine (UPC) ratio must be ≤ 1.0

    • Patients with a UPC ratio > 1.0 must have a 24-hour urine protein < 1,000 mg to be eligible for study
  • Not pregnant or nursing
  • Women of child-bearing potential and men must use adequate contraception (e.g., hormonal or barrier method of birth control or abstinence) prior to, during, and for 8 weeks after completion of study therapy
  • Able to understand and willing to sign a written informed consent document

Exclusion criteria:

  • History of allergic reactions attributed to compounds of similar chemical or biological composition to AZD0530
  • QTc interval ≥ 500 msecs
  • Any condition that impairs the ability to swallow AZD0530 tablets, including the following:

    • Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation
    • Prior surgical procedures affecting absorption
    • Active peptic ulcer disease
  • Intercurrent cardiac dysfunction including, but not limited to, any of the following:

    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Uncontrolled cardiac arrhythmia
    • History of myocardial infarction within 6 months of treatment
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection or psychiatric illness/social situations that would limit compliance with study requirements
  • Severe restrictive or obstructive lung disease according to baseline pulmonary function studies including any of the following PFT parameters:

    • Total lung capacity < 60%
    • Forced vital capacity < 50%
    • FEV_1 < 50%
    • DLCO < 50%
    • Resting room air O_2 saturation < 92% or a decline in O_2 saturation > 4% with exercise

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Patients with metastatic disease may have received no more than 1 prior chemotherapy regimen
  • No unresolved toxicity ≥ grade 3 from agents received more than 3 weeks earlier
  • No chemotherapy, radiotherapy, or investigational therapy within 3 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering study
  • No luteinizing hormone-releasing hormone agonists within 4 weeks prior to study entry
  • More than 7 days since prior and no concurrent use of specifically prohibited CYP3A4 agents
  • No concurrent megestrol acetate, even when prescribed for appetite stimulation
  • No other concurrent investigational or commercial agents for the treatment of breast cancer
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent megestrol acetate
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00559507

Locations
United States, New York
Memorial Sloan-Kettering Cancer Center Recruiting
New York, New York, United States, 10021
Contact: Clifford A. Hudis, MD     646-888-4551        
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: Clifford A. Hudis, MD Memorial Sloan-Kettering Cancer Center
Investigator: Tiffany A. Traina, MD Memorial Sloan-Kettering Cancer Center
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000574281, MSKCC-07112
Study First Received: November 15, 2007
Last Updated: December 16, 2008
ClinicalTrials.gov Identifier: NCT00559507  
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent breast cancer
stage IIIB breast cancer
stage IIIC breast cancer
stage IV breast cancer
male breast cancer

Study placed in the following topic categories:
Skin Diseases
Breast Neoplasms, Male
Breast Neoplasms
Breast Diseases
Recurrence

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site

ClinicalTrials.gov processed this record on January 16, 2009