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Study of TAS-108 in Postmenopausal Patients With Locally Advanced Breast Carcinoma Following Standard First or Second Line Endocrine Therapy
This study is ongoing, but not recruiting participants.
Sponsors and Collaborators: Taiho Pharma USA, Inc.
Quintiles
Information provided by: Taiho Pharma USA, Inc.
ClinicalTrials.gov Identifier: NCT00687557
  Purpose

The purpose of this research study is to evaluate the safety and effectiveness of TAS-108, an investigational drug, when administered to postmenopausal patients with advanced breast cancer.


Condition Intervention Phase
Metastatic Breast Cancer
Drug: TAS-108
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, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: A Phase II, Randomized, Double-Blinded Efficacy and Safety Study of Three Doses of TAS-108 Administered Orally in Postmenopausal Patients With Locally Advanced or Locally Recurrent Inoperable or Progressive Metastatic Breast Carcinoma Following Standard First or Second Line Endocrine Therapy

Further study details as provided by Taiho Pharma USA, Inc.:

Primary Outcome Measures:
  • The primary efficacy endpoints for this study are the response rate of the tumor, namely CR and PR, and clinical benefit, namely CR, PR, or SD for 24 weeks. [ Time Frame: Tumor assessments will be obtained at baseline, Day 15, Day 28, and at the end of each course of treatment. ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To evaluate the safety of TAS-108 administered on this schedule [ Time Frame: AEs will be reported from the time a patient signs ICF through the period of patient follow-up (30 days after the last dose of study medication) ] [ Designated as safety issue: Yes ]
  • To investigate the comparative concentrations of TAS-108 and its metabolites in tumor tissue and blood at steady-state [ Time Frame: Blood sample and tumor tissue biopsy to be taken as close together in time as possible between 6 and 12 hours post-dose on Day 28 of Course 1 or any day thereafter for determination of levels of TAS-108 and its metabolites. ] [ Designated as safety issue: No ]
  • To determine the time to progression of TAS-108 administered on this schedule [ Time Frame: Tumor assessments will be obtained at baseline, Day 15, Day 28, and at the end of each course of treatment. ] [ Designated as safety issue: No ]
  • To investigate selective biomarker activity related to TAS-108 including ERα, progesterone receptor (PgR), phosphorylated ERα (S118 and S167), estrogen receptor subtype (ERβ), and coactivator of ER-mediated gene transcription (AIB1) [ Time Frame: The tumor tissue biopsy will be collected between 6 and 12 hrs post-dose of TAS-108 on Day 28 of Course 1 of therapy or any day thereafter. A blood sample will be collected as close together in time as possible with the tumor tissue collection. ] [ Designated as safety issue: No ]

Estimated Enrollment: 180
Study Start Date: October 2003
Estimated Study Completion Date: January 2009
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 40 mg
Drug: TAS-108
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 40 mg, 80 mg, or 120 mg
B: Experimental
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 80 mg
Drug: TAS-108
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 40 mg, 80 mg, or 120 mg
C: Experimental
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 120 mg
Drug: TAS-108
TAS-108 orally administered once daily (QD) within 30 minutes after the first meal of the day at 40 mg, 80 mg, or 120 mg

Detailed Description:

Many kinds of chemotherapeutic agents and anti-hormone agents have been developed for breast cancer treatment, and for breast cancer prevention. It is obvious that some of these agents, especially tamoxifen in an adjuvant setting, have clearly contributed to the reduction of the incidence of breast cancer recurrence, and consequently reduction in mortality. However, most breast cancer patients after long-term treatment of tamoxifen show progression, indicated by tumor recurrence and metastasis, which is indicative of tamoxifen resistance. In order to overcome such clinical limitations of tamoxifen treatment, aromatase inhibitors (AIs) and selective estrogen receptor down-regulators (SERDs) have been clinically investigated. It is unclear whether AIs and SERDs are as beneficial as tamoxifen for prevention of bone fractures and cardiovascular risk factors caused by enhanced lipid in their long-term treatment of postmenopausal women with ER-positive advanced breast cancer and in adjuvant treatment of postmenopausal women after surgery for breast cancer. Based on preclinical data, TAS-108, a novel oral anti-estrogen compound, may be a superior drug compared to tamoxifen and AIs in a clinical setting. Therefore, a phase II study was planned for patients who are ER/PgR positive, with locally advanced or locally recurrent inoperable or progressive metastatic breast cancer following first or second line endocrine therapy.

  Eligibility

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

Inclusion Criteria:

  • Postmenopausal females >18 years old
  • Has histologically or cytologically confirmed diagnosis of carcinoma of the breast.
  • Has locally advanced or locally recurrent inoperable or metastatic breast carcinoma with documented disease progression. Note: Patients with a history of adequately treated central nervous system (CNS) metastasis in addition to other measurable disease are allowed to participate in the study.
  • Has laboratory documentation of positive ER and/or PgR status, and has responded to the standard first or second line hormonal anti-tumor therapy given (at least stable on hormone after 6 months qualifies as response to prior hormonal therapy).
  • Has received and whose disease progressed after one or two prior systemic hormonal anti-tumor therapies, excluding prior hormonal or combined chemo/hormonal therapy given in adjuvant or neo-adjuvant therapy; one regimen of prior single-agent or combination chemotherapy for advanced metastatic disease is allowed if this was given before the last hormonal therapy.
  • Has performance status of greater than 2 on the Zubrod scale.
  • Has a predicted life expectancy of greater than 12 weeks.
  • Must give written informed consent as per institutional and federal regulatory requirements.
  • Has measurable disease according to the RECIST criteria.
  • Has an absolute granulocyte count of >1,500/microL, a platelet count >75,000/mL, and a hemoglobin of >10.0 g/dL.
  • Must have adequate liver and renal function defined by a bilirubin of <1.5 times the upper limit of normal (ULN) and a creatinine of <1.5 times the ULN, respectively. Transaminases must be <2.5 times the ULN except for patients with liver metastasis who may have transaminases <5 times the ULN.
  • Must have prothrombin time (PT) of <1.5 times the ULN.
  • According to the judgment of the investigator, the patient has recovered from all previous anti-cancer treatment related toxicities to at least Grade 1 (except alopecia, pigmentation changes, and nail changes).
  • All previous investigational drugs, regardless of indication, must be stopped at least four weeks before commencement of treatment with TAS-108.

Exclusion Criteria:

  • Has untreated or symptomatic brain metastasis, extensive liver involvement, or lymphangitic lung metastasis.
  • Has inflammatory breast cancer.
  • Supplemental estrogen or progesterone within three weeks of start of the study.
  • If the patient has had more than two prior hormonal anti-tumor therapies for metastatic disease or more than one prior chemotherapy for metastatic disease, the patient would not be eligible for this study (adjuvant or neoadjuvant chemotherapy does not count as prior chemotherapy for purposes of this study).
  • If the patient's last (most recent) therapy received was chemotherapy, the patient would not be eligible for this study
  • Has any other serious illness or medical condition(s) including, but not limited to, the following:

    • congestive heart failure or angina pectoris even if medically controlled; previous history of myocardial infarction within one year from study entry, uncontrolled hypertension or arrhythmias
    • active concurrent malignancy other than breast cancer. Patients with prior history of cancer will be allowed only if biopsy-proven breast cancer with ER/PgR positive at time of enrollment.
    • active infection
    • history of disseminated intravascular coagulation (DIC) or coagulation factor deficiency syndrome
    • unstable diabetes mellitus
    • interstitial pneumonitis
    • psychiatric disorder that may interfere with consent and/or protocol compliance
  • Known hypersensitivity to any of the constituents of the study drug.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00687557

Locations
United States, Missouri
Washington University School of Medicine
St. Louis, Missouri, United States, 63110
Barnes Jewish Hospital
St. Louis, Missouri, United States, 63110
Russian Federation
St. Petersburg Pavlov State Medical University
St. Petersburg, Russian Federation, 197089
Blokhin Cancer Research Center
Moscow, Russian Federation, 115478
Sponsors and Collaborators
Taiho Pharma USA, Inc.
Quintiles
  More Information

Responsible Party: Taiho Pharma USA, Inc. ( Peter Urrea/Senior VP, Clinical and Regulatory Affairs )
Study ID Numbers: TAS108-0004
Study First Received: May 28, 2008
Last Updated: July 17, 2008
ClinicalTrials.gov Identifier: NCT00687557  
Health Authority: United States: Food and Drug Administration

Keywords provided by Taiho Pharma USA, Inc.:
Postmenopausal Patients with Locally Advanced or Locally Recurrent Inoperable or Progressive Metastatic Breast Carcinoma

Study placed in the following topic categories:
Skin Diseases
Breast Neoplasms
Breast Diseases
Recurrence
Neoplasms, Glandular and Epithelial
Carcinoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Neoplasms by Site

ClinicalTrials.gov processed this record on January 16, 2009