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Temsirolimus in Treating Patients With Recurrent Locally Advanced or Metastatic Breast Cancer
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: University of Chicago
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00376688
  Purpose

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

PURPOSE: This phase II trial is studying how well temsirolimus works in treating patients with recurrent locally advanced or metastatic breast cancer.


Condition Intervention Phase
Breast Cancer
Drug: temsirolimus
Procedure: cytogenetic analysis
Procedure: fluorescence in situ hybridization
Procedure: gene expression analysis
Procedure: immunohistochemistry staining method
Procedure: molecular genetic technique
Procedure: mutation analysis
Procedure: protein expression analysis
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: CCI 779
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Trial of CCI-779 (Temsirolimus) in Patients With Locally Advanced or Metastatic Breast Cancer

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

Primary Outcome Measures:
  • Overall activity (complete response, partial response, and stable disease) of temsirolimus [ Designated as safety issue: No ]
  • Comparison of the activity of temsirolimus in primary tumors with mutations in the PIK3CA or PTEN gene with tumors that do not have a mutation in the PIK3CA gene [ Designated as safety issue: No ]
  • Correlation of the antitumor activity of temsirolimus with alterations in expression of genes in the PI3K pathway in primary tumor biopsy specimens [ Designated as safety issue: No ]

Estimated Enrollment: 58
Study Start Date: July 2006
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Determine the overall activity (complete response, partial response, and stable disease) of temsirolimus in patients with recurrent locally advanced or metastatic breast cancer.
  • Compare the activity of temsirolimus in patients whose primary tumors have mutations in the PIK3CA or PTEN gene with those whose tumors do not have a mutation in the PIK3CA gene.
  • Correlate the antitumor activity of temsirolimus with alterations in expression of genes in the PI3K pathway in primary tumor biopsy specimens.

OUTLINE: This is a multicenter study.

Patients receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Tissue collected from the primary tumor is examined by gene sequencing and immunohistochemistry for gene mutations and protein expression in the PI3K pathway, including PIK3CA and PTEN mutations. Fluorescent in situ hybridization (FISH) is used to detect alterations in PIK3CA gene copy number. Immunohistochemical staining is used for cyclin D1, PTEN, pAKT, SGK-1, p-mTOR, pE-BP1, and phospho and total S6 kinase.

PROJECTED ACCRUAL: A total of 58 patients will be accrued for this study.

  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 breast cancer

    • Recurrent locally advanced disease not amenable to local therapy (i.e., surgery and radiotherapy)
    • Metastatic disease
  • Either the primary or metastatic tumor must meet ≥ 1 of the following criteria:

    • Estrogen receptor positive (≥ 1% by immunohistochemical staining)
    • Progesterone receptor positive (≥ 1% by immunohistochemical staining)
    • HER2/neu overexpression (3+ by immunohistochemical staining or positive by fluorescent in situ hybridization [FISH])
  • Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan
  • Tissue samples available for correlative studies
  • Brain metastases allowed provided all of the following criteria are met:

    • Controlled by prior surgery or radiotherapy
    • Neurologically stable and off steroids for ≥ 4 weeks

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-1
  • Male or female
  • Menopausal status not specified
  • Absolute neutrophil count ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Bilirubin normal
  • AST/ALT ≤ 3 times upper limit of normal (ULN)
  • Creatinine ≤ 2.0 times ULN
  • Cholesterol ≤ 350 mg/dL (fasting)
  • Triglycerides ≤ 400 mg/dL (fasting)
  • Albumin ≥ 3.3 mg/dL
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective barrier-method contraception
  • No uncontrolled illness, including, but not limited to, any of the following:

    • Ongoing or active infection
    • Symptomatic congestive heart failure
    • Unstable angina pectoris
    • Uncontrolled symptomatic cardiac arrhythmia
    • Psychiatric illness or social situation that would preclude compliance with study requirements
  • No known hypersensitivity to macrolide antibiotics (e.g., erythromycin, clarithromycin, or azithromycin)

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Recovered from prior therapy
  • No prior rapamycin or any other mTOR inhibitor
  • At least 1 week since prior hormonal agents, except for premenopausal women receiving a gonadotropin-releasing hormone (GnRH) agonist with subsequent progression*
  • At least 3 weeks since prior chemotherapy
  • At least 3 weeks since prior monoclonal antibody therapy
  • No concurrent radiotherapy
  • No concurrent herbal preparations
  • No concurrent corticosteroids except low-dose corticosteroids as replacement for adrenal insufficiency or for short-term (< 5 days) use
  • No concurrent enzyme-inducing antiepileptic drugs (e.g., phenytoin, carbamazepine, or phenobarbital)
  • No other concurrent CYP3A4 inducers (e.g., rifampin or Hypericum perforatum [St. John's wort])
  • No concurrent prophylactic hematopoietic colony-stimulating factors
  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent anticancer agents or therapies
  • No other concurrent investigational agents NOTE: *Concurrent GnRH agonists allowed for these patients at the discretion of the principal investigator
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00376688

Locations
United States, Illinois
University of Chicago Cancer Research Center
Chicago, Illinois, United States, 60637-1470
United States, Missouri
Siteman Cancer Center at Barnes-Jewish Hospital
Saint Louis, Missouri, United States, 63110
Sponsors and Collaborators
University of Chicago
Investigators
Study Chair: Gini F. Fleming, MD University of Chicago
  More Information

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

Study ID Numbers: CDR0000495399, UCCRC-14705A, NCI-7674
Study First Received: September 13, 2006
Last Updated: September 10, 2008
ClinicalTrials.gov Identifier: NCT00376688  
Health Authority: United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
recurrent breast cancer
stage IIIA 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 15, 2009