Breast CancerPhase 1/2NCT00216047
PTK787 + Trastuzumab for HER2 Overexpressing Metastatic Breast Cancer
A Phase 1/2 study testing PTK787 and Trastuzumab in people with Breast Cancer, run by Hoosier Cancer Research Network at 8 sites in United States.
Trial summary
HER2 gene amplification increases VEGF production in breast cancers; combined inhibition of HER2 and VEGF enhances response in xenograft models. The upregulation of VEGF in HER2-overexpressing breast cancers may contribute to the aggressive phenotype observed in HER2-positive breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- PTK787 and Trastuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7 participants
- Where
- 8 sitesUnited States
- Study dates
- Jan 2005to Aug 2006
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologic or cytologic diagnosis of breast cancer with evidence of measurable (1) unresectable, locally recurrent, or (2) metastatic disease. Locally recurrent disease must not be amenable to resection OR radiation with curative intent.
- Patient's disease may not involve more than 3 metastatic sites. In addition, patient may not be symptomatic from pulmonary metastasis or have liver metastasis involving > 50% of parenchyma.
- HER2 gene amplification by FISH. HER protein overexpression by immunohistochemistry will not be sufficient for entry.
- Negative pregnancy test
Who cannot join
- No prior cytotoxic chemotherapy or trastuzumab for locally recurrent or metastatic disease.
- No prior treatment with any VEGF inhibiting agents
- No history or presence of central nervous system (CNS) disease.
- No other forms of cancer therapy including radiation, chemotherapy and hormonal therapy within 21 days prior to being registered for protocol therapy.
- No major surgery within 28 days prior to being registered for protocol therapy.
- No uncontrolled hypertension (SBP > 170, DBP > 90), history of labile hypertension or history of poor compliance with antihypertensive therapy.
Show all 10Show fewer
- No requirement for therapeutic anticoagulation, regular aspirin (> 325 mg/day) or NSAID use.
- No current breast feeding.
- No impairment of gastrointestinal (GI) function that may significantly alter the absorption of PTK787.
- No evidence of other serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator).
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
United States8 sites
Elkhart Clinic
Elkhart, Indiana, 46515
Fort Wayne Oncology & Hematology, Inc
Fort Wayne, Indiana, 46815
Center for Cancer Care at Goshen Health System
Goshen, Indiana, 46527
Indiana University Cancer Center
Indianapolis, Indiana, 46202
Arnett Cancer Care
Lafayette, Indiana, 47904
Medical Consultants, P.C.
Muncie, Indiana, 47303
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46601
AP&S Clinic
Terre Haute, Indiana, 47804
About this study
Official title: A Phase I/II Study of PTK787 in Combination With Trastuzumab in Patients With Newly Diagnosed HER2 Overexpressing Locally Recurrent or Metastatic Breast Cancer: Hoosier Oncology Group Trial BRE04-80
HER2 gene amplification increases VEGF production in breast cancers; combined inhibition of HER2 and VEGF enhances response in xenograft models. The upregulation of VEGF in HER2-overexpressing breast cancers may contribute to the aggressive phenotype observed in HER2-positive breast cancer. New therapeutics targeting VEGF and/or its receptors may enhance the efficacy of trastuzumab monotherapy.
This trial will investigate the safety and efficacy of combined HER2 and VEGF inhibition.
Read the detailed description
OUTLINE: This is a multi-center study.
PTK787 daily plus trastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle.
Patients may continue treatment until disease progression or toxicity intervenes.
Performance Status: ECOG 0 or 1
Life Expectancy: Not specified
Hematopoietic:
- ANC > 1500 mm3
- Platelets > 100,000 mm3
- Hemoglobin > 9 g/dL
- PTT and INR < 1.5 x ULN
Hepatic:
- ALT and AST < 3 x ULN (< 5 x ULN in patients with known liver metastases)
- Alkaline phosphatase < 2.5 x ULN
- Serum bilirubin < 1.5 x ULN
Renal:
- Serum creatinine < 1.5 x ULN
- Proteinuria < 1+ by dipstick OR total urinary protein < 500 mg/24 hours with measured creatinine clearance (CrCl) ≥ 50 mL/min
Cardiovascular:
- No clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 6 months.
- LVEF > LLN by MUGA or ECHO (obtained within 28 days prior to being registered for protocol therapy)
Pulmonary:
- Not specified
- Conditions
- Breast Cancer
- Being tested
- PTK787, Trastuzumab
- Keywords
- Breast Cancer
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PTK787Drug
PTK787 daily
TrastuzumabDrug
Trastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle*
| Study group | Role | What they receive |
|---|---|---|
| Single Group Assignment | Experimental | Trastuzumab + PTK787 for HER2 positive patients Receives: Drug: PTK787; Drug: Trastuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase I Cohorts:
Measured: 18 months
The primary objective is to ensure the safety and tolerability of the combination of Trastuzumab and PTK787,
Measured: 18 months
Phase II Cohorts:
Measured: 18 months
To assess response rate of PTK787 combined with trastuzumab in patients with newly diagnosed HER2 overexpressing
Measured: 18 months
Secondary outcomes (3)
Phase II Cohorts:
Measured: 12 months
To assess the safety and tolerability of PTK787 combined with trastuzumab
Measured: 12 months
To assess the time to progression and clinical benefit of PTK787 combined with trastuzumab
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Sep 2005 (estimated)
- Study startJan 2005
- Primary completionAug 2006
- Study completionAug 2006
Why it stopped: Low patient enrollment; toxicities
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 7 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoosier Cancer Research Network
- Sponsor type
- University, hospital or other
- Collaborators
- Novartis Pharmaceuticals, Walther Cancer Institute
- Responsible party
- Principal investigator, Kathy Miller, MD, Hoosier Cancer Research Network
- Investigators
- Kathy Miller, M.D., Study chair, Hoosier Oncology Group, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00216047
- Sponsor's protocol ID
- HOG BRE04-80
- Status last verified
- Dec 2015
- First submitted
- 12 Sep 2005
- Last updated
- 9 Dec 2015
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 9 Dec 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II Study of PTK787 in Combination With Trastuzumab in Patients With Newly Diagnosed HER2 Overexpressing Locally Recurrent or Metastatic Breast Cancer: Hoosier Oncology Group Trial BRE04-80
- ClinicalTrials.gov ID
- NCT00216047
- Acronym / sponsor ID
- HOG BRE04-80
- Conditions
- Breast Cancer
- Keywords
- Breast Cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Low patient enrollment; toxicities
- Enrolment
- 7 participants (actual)
- Lead sponsor
- Hoosier Cancer Research NetworkUniversity, hospital or other
- Collaborators
- Novartis Pharmaceuticals, Walther Cancer Institute
- Study start
- Jan 2005
- Primary completion
- Aug 2006 (actual)
- Study completion
- Aug 2006 (actual)
- First posted
- 22 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
HER2 gene amplification increases VEGF production in breast cancers; combined inhibition of HER2 and VEGF enhances response in xenograft models. The upregulation of VEGF in HER2-overexpressing breast cancers may contribute to the aggressive phenotype observed in HER2-positive breast cancer. New therapeutics targeting VEGF and/or its receptors may enhance the efficacy of trastuzumab monotherapy.
This trial will investigate the safety and efficacy of combined HER2 and VEGF inhibition.
Detailed description
OUTLINE: This is a multi-center study.
PTK787 daily plus trastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle.
Patients may continue treatment until disease progression or toxicity intervenes.
Performance Status: ECOG 0 or 1
Life Expectancy: Not specified
Hematopoietic:
- ANC > 1500 mm3
- Platelets > 100,000 mm3
- Hemoglobin > 9 g/dL
- PTT and INR < 1.5 x ULN
Hepatic:
- ALT and AST < 3 x ULN (< 5 x ULN in patients with known liver metastases)
- Alkaline phosphatase < 2.5 x ULN
- Serum bilirubin < 1.5 x ULN
Renal:
- Serum creatinine < 1.5 x ULN
- Proteinuria < 1+ by dipstick OR total urinary protein < 500 mg/24 hours with measured creatinine clearance (CrCl) ≥ 50 mL/min
Cardiovascular:
- No clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 6 months.
- LVEF > LLN by MUGA or ECHO (obtained within 28 days prior to being registered for protocol therapy)
Pulmonary:
- Not specified
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Group Assignment | Experimental | Drug: PTK787, Drug: TrastuzumabTrastuzumab + PTK787 for HER2 positive patients |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Histologic or cytologic diagnosis of breast cancer with evidence of measurable (1) unresectable, locally recurrent, or (2) metastatic disease. Locally recurrent disease must not be amenable to resection OR radiation with curative intent.
- Patient's disease may not involve more than 3 metastatic sites. In addition, patient may not be symptomatic from pulmonary metastasis or have liver metastasis involving > 50% of parenchyma.
- HER2 gene amplification by FISH. HER protein overexpression by immunohistochemistry will not be sufficient for entry.
- Negative pregnancy test
Key exclusion criteria (10 listed)
- No prior cytotoxic chemotherapy or trastuzumab for locally recurrent or metastatic disease.
- No prior treatment with any VEGF inhibiting agents
- No history or presence of central nervous system (CNS) disease.
- No other forms of cancer therapy including radiation, chemotherapy and hormonal therapy within 21 days prior to being registered for protocol therapy.
- No major surgery within 28 days prior to being registered for protocol therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PTK787PTK787 daily | Drug | Single Group Assignment |
| TrastuzumabTrastuzumab 4 mg/kg IV week 1, followed by 2 mg/kg weekly with disease evaluation every other cycle* | Drug | Single Group Assignment |
Primary outcome
Phase I Cohorts:
Time frame: 18 months
The primary objective is to ensure the safety and tolerability of the combination of Trastuzumab and PTK787,
Time frame: 18 months
Phase II Cohorts:
Time frame: 18 months
To assess response rate of PTK787 combined with trastuzumab in patients with newly diagnosed HER2 overexpressing
Time frame: 18 months
3 secondary outcomes
Phase II Cohorts:
Time frame: 12 months
To assess the safety and tolerability of PTK787 combined with trastuzumab
Time frame: 12 months
To assess the time to progression and clinical benefit of PTK787 combined with trastuzumab
Time frame: 12 months
Results and safety
The study was stopped early (reason given: Low patient enrollment; toxicities). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Dec 2015.
- Hoosier Oncology Group Home PageLink provided by the sponsor.
Related trials for Breast Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
RecruitingPhase 2
Gene Signatures to Guide HR+MBC Therapy in a Diverse Cohort
Invasive Mammary Carcinoma, Metastatic Breast Cancer
Not yet recruitingObservational study
Comparison of Reliability, Time Cost, and Participant Comfort of Lymphedema Assessments in Upper Extremity
Lymphedema, Upper Extremity Lymphedema
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 3
Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kathy Miller, M.D. study chair
Hoosier Oncology Group, LLC
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing PTK787 and Trastuzumab in people with Breast Cancer, run by Hoosier Cancer Research Network at 8 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 9 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Low patient enrollment; toxicities). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase I Cohorts: (time frame: 18 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2015.