Breast CancerPhase 2NCT00410813
S0622, Dasatinib in Treating Patients With Stage IV Breast Cancer That Has Spread to the Bone
A Phase 2 study testing dasatinib in people with Breast Cancer and Metastatic Cancer, run by SWOG Cancer Research Network at 117 sites in United States.
Trial summary
RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. PURPOSE: This randomized phase II trial is studying two different schedules of dasatinib to compare how well they work in treating patients with stage IV breast cancer that has spread to the bone. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer, Metastatic Cancer
- What is being tested?
- dasatinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 85 participants
- Where
- 117 sitesUnited States
- Study dates
- Mar 2007to Jan 2014
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Diagnosis of breast carcinoma meeting the following criteria:
- Stage IV disease
- Bone metastasis-predominant disease, defined as the presence of ≥ 1 bone metastasis with or without nonbone (visceral or soft tissue) disease where the number of bone metastases is at least the number of measurable visceral target lesions
- Visceral disease that does not cause a reduction in ECOG performance status allowed
- Must meet 1 of the following criteria:
- Measurable disease within the past 28 days
- Nonmeasurable disease with rising serum CA 15-3, CA 27-29, CEA, or CA-125 documented by 2 consecutive measurements taken ≥ 14 days apart with the most recent measurement being within the past 42 days
- These measurements need not be consecutive, and the prior measurement could have been months to years prior to the current measurement if the marker is considered by the investigator to reflect disease progression
- The second serum marker value must be greater than the institution's upper limit of normal and show ≥ a 20% increase over the first measurement
- No symptomatic brain or CNS metastases
- Prior CNS or brain metastasis allowed provided it was treated with radiotherapy ≥ 8 weeks ago
- No pleural or pericardial effusion
- Hormone receptor status known
- Estrogen receptor- and/or progesterone receptor-positive disease must have progressed on ≥ 1 hormonal therapy in the metastatic setting
PATIENT CHARACTERISTICS:
- Male or female
- Menopausal status not specified
- Zubrod performance status 0-2
- QTc < 450 msec by EKG
- Ejection fraction ≥ 50% by MUGA or 2-dimensional echocardiogram with no significant abnormalities within the past 12 weeks for patients on trastuzumab
- No active infection requiring systemic therapy
- No uncontrolled concurrent condition that would preclude the ability to take oral medication, including the following:
- Nausea
- Vomiting
- Diarrhea
- Lack of physical integrity of the upper gastrointestinal tract
- Malabsorption syndrome
- No clinically significant cardiac disease, including the following:
- Congestive heart failure
- Symptomatic coronary artery disease
- Cardiac arrhythmias not well controlled
- Myocardial infarction within the past 12 months
- No concurrent active malignancy
- Prior malignancies allowed provided the patient is currently disease-free
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for 3 months after completion of study therapy
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior RankL inhibitor therapy
- No more than 1 prior cytotoxic chemotherapy for metastatic disease
- At least 3 weeks since prior chemotherapy and recovered
- At least 1 week since prior radiotherapy to non-CNS disease and recovered
- At least 3 weeks since prior and no concurrent intravenous bisphosphates (e.g., zoledronate)
- At least 7 days since prior and no concurrent antiplatelet agents, including any of the following*:
- Anticoagulants (e.g., tirofiban, eptifibatide, ticlopidine)
- Aspirin or aspirin-containing combinations
- Dipyridamole
- Epoprostenol
- Clopidogrel
- Cilostazol
- Abciximab NOTE: *Nonsteroidal anti-inflammatory drugs and medically indicated platelet-inhibiting medication allowed
- At least 7 days since prior and no concurrent CYP3A4 inhibitors, including any of the following:
- HIV protease inhibitors (e.g., amprenavir, atazanavir, fosamprenavir, indinavir, nelfinavir, ritonavir)
- Select antibiotics (e.g., ciprofloxacin, clarithromycin, doxycycline, enoxacin, isoniazid, telithromycin)
- Azole antifungals (e.g., itraconazole, ketoconazole, miconazole, voriconazole)
- Select anesthetics (e.g., ketamine, propofol)
- Hypericum perforatum (St. John's wort)
- Nefazodone
- Nicardipine
- Diclofenac
- Quinidine
- Imatinib mesylate
- At least 7 days since prior and no concurrent medications that prolong the QTc interval, including any of the following:
- Antiarrhythmic agents (e.g., quinidine, procainamide, disopyramide phosphate, amiodarone, sotalol hydrochloride, ibutilide, dofetilide)
- Antipsychotic agents (e.g., chlorpromazine, mesoridazine, thioridazine, pimozide, haloperidol, droperidol)
- Select antibiotics (e.g., erythromycin, clarithromycin, sparfloxacin, pentamidine)
- Narcotic analgesics (e.g., levomethadyl, methadone, domperidone)
- Calcium channel blockers (e.g., bepridil, lidoflazine)
- Antimalarial agents (e.g., halofantrine, chloroquine)
- Parasympathomimetic agents (e.g., cisapride)
- Arsenic trioxide
- No other concurrent antineoplastic therapy for breast cancer, including any of the following:
- Radiotherapy
- Chemotherapy
- Immunotherapy
- Biologic therapy
- Hormonal therapy
- Gene therapy
- No concurrent grapefruit juice consumption
- No concurrent short-acting antacid agents within 2 hours of dasatinib administration
- Concurrent trastuzumab (Herceptin®) therapy for HER-2 positive patients allowed provided patients have been on continuous trastuzumab for ≥ 12 weeks
Trial locations and contacts
117 sites in 1 country.
117 sites in 1 country
United States117 sites
McDowell Cancer Center at Akron General Medical Center
Akron, Ohio, 44307
Lovelace Medical Center - Downtown
Albuquerque, New Mexico, 87102
Hematology Oncology Associates, PC
Albuquerque, New Mexico, 87106
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87131-5636
Alaska Regional Hospital Cancer Center
Anchorage, Alaska, 99508
Providence Cancer Center
Anchorage, Alaska, 99508
AnMed Cancer Center
Anderson, South Carolina, 29621
Saint Joseph Mercy Cancer Center
Ann Arbor, Michigan, 48106-0995
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109-0942
University of Colorado Cancer Center at UC Health Sciences Center
Aurora, Colorado, 80045
Mary Rutan Hospital
Bellefontaine, Ohio, 43311
Highlands Oncology Group - Springdale
Bentonville, Arkansas, 72712
CCOP - Montana Cancer Consortium
Billings, Montana, 59101
Northern Rockies Radiation Oncology Center
Billings, Montana, 59101
St. Vincent Healthcare Cancer Care Services
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies - Billings
Billings, Montana, 59102
Billings Clinic - Downtown
Billings, Montana, 59107-7000
Boston University Cancer Research Center
Boston, Massachusetts, 02118
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
St. James Healthcare Cancer Care
Butte, Montana, 59701
Rocky Mountain Oncology
Casper, Wyoming, 82609
East Bay Radiation Oncology Center
Castro Valley, California, 94546
Eden Medical Center
Castro Valley, California, 94546
Valley Medical Oncology Consultants - Castro Valley
Castro Valley, California, 94546
Providence Centralia Hospital
Centralia, Washington, 98531-9027
Presbyterian Cancer Center at Presbyterian Hospital
Charlotte, North Carolina, 28233-3549
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Charles M. Barrett Cancer Center at University Hospital
Cincinnati, Ohio, 45267
Riverside Methodist Hospital Cancer Care
Columbus, Ohio, 43214-3998
CCOP - Columbus
Columbus, Ohio, 43215
Grant Medical Center Cancer Care
Columbus, Ohio, 43215
Mount Carmel Health - West Hospital
Columbus, Ohio, 43222
Doctors Hospital at Ohio Health
Columbus, Ohio, 43228
Danville Regional Medical Center
Danville, Virginia, 24541
Genesis Regional Cancer Center at Genesis Medical Center
Davenport, Iowa, 52803
Genesis Medical Center - West Campus
Davenport, Iowa, 52804
Oakwood Cancer Center at Oakwood Hospital and Medical Center
Dearborn, Michigan, 48123-2500
Cancer Care Center of Decatur
Decatur, Illinois, 62526
Decatur Memorial Hospital Cancer Care Institute
Decatur, Illinois, 62526
Grady Memorial Hospital
Delaware, Ohio, 43015
Crossroads Cancer Center
Effingham, Illinois, 62401
St. Francis Hospital
Federal Way, Washington, 98003
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Hurley Medical Center
Flint, Michigan, 48503
Valley Medical Oncology
Fremont, California, 94538
Northeast Georgia Medical Center
Gainesville, Georgia, 30501
Wayne Memorial Hospital, Incorporated
Goldsboro, North Carolina, 27534
Big Sky Oncology
Great Falls, Montana, 59405-5309
Great Falls Clinic - Main Facility
Great Falls, Montana, 59405
Sletten Cancer Institute at Benefis Healthcare
Great Falls, Montana, 59405
Study site
Great Falls, Montana, 59405
Van Elslander Cancer Center at St. John Hospital and Medical Center
Grosse Pointe Woods, Michigan, 48236
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
Hartford, Connecticut, 06105
Northern Montana Hospital
Havre, Montana, 59501
St. Peter's Hospital
Helena, Montana, 59601
Pardee Memorial Hospital
Hendersonville, North Carolina, 28791
Foote Memorial Hospital
Jackson, Michigan, 49201
University of Mississippi Cancer Clinic
Jackson, Mississippi, 39216
Glacier Oncology, PLLC
Kalispell, Montana, 59901
Kalispell Medical Oncology at KRMC
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center
Kingsport, Tennessee, 37662
Fairfield Medical Center
Lancaster, Ohio, 43130
Sparrow Regional Cancer Center
Lansing, Michigan, 48912-1811
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
CCOP - Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
St. Mary Mercy Hospital
Livonia, Michigan, 48154
Strecker Cancer Center at Marietta Memorial Hospital
Marietta, Ohio, 45750
Contra Costa Regional Medical Center
Martinez, California, 94553-3156
Ravenel Oncology Center at Memorial Hospital of Martinsville and Henry County
Martinsville, Virginia, 24115
Tibotec Therapeutics - Division of Ortho Biotech Products, LP
Marysville, California, 95901
Cardinal Bernardin Cancer Center at Loyola University Medical Center
Maywood, Illinois, 60153
Guardian Oncology and Center for Wellness
Missoula, Montana, 59804
Montana Cancer Specialists at Montana Cancer Center
Missoula, Montana, 59807-7877
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
Missoula, Montana, 59807
Providence Cancer Center at Providence Hospital
Mobile, Alabama, 36608
Knox Community Hospital
Mount Vernon, Ohio, 43050
El Camino Hospital Cancer Center
Mountain View, California, 94040
Licking Memorial Cancer Care Program at Licking Memorial Hospital
Newark, Ohio, 43055
Southwest Virginia Regional Cancer Center at Wellmonth Health
Norton, Virginia, 24273
Highland General Hospital
Oakland, California, 94602
Alta Bates Summit Medical Center - Summit Campus
Oakland, California, 94609
Bay Area Breast Surgeons, Incorporated
Oakland, California, 94609
CCOP - Bay Area Tumor Institute
Oakland, California, 94609
Larry G Strieff MD Medical Corporation
Oakland, California, 94609
Tom K Lee, Incorporated
Oakland, California, 94609
Providence St. Peter Hospital Regional Cancer Center
Olympia, Washington, 98506-5166
Valley Care Medical Center
Pleasanton, California, 94588
Valley Medical Oncology Consultants - Pleasanton
Pleasanton, California, 94588
St. Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Mercy Regional Cancer Center at Mercy Hospital
Port Huron, Michigan, 48060
Good Samaritan Cancer Center
Puyallup, Washington, 98372
Interlakes Oncology/Hematology PC
Rochester, New York, 14623
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642
William Beaumont Hospital - Royal Oak Campus
Royal Oak, Michigan, 48073
Rutherford Hospital
Rutherfordton, North Carolina, 28139
University of California Davis Cancer Center
Sacramento, California, 95817
Seton Cancer Institute at Saint Mary's - Saginaw
Saginaw, Michigan, 48601
Salem Hospital Regional Cancer Care Services
Salem, Oregon, 97309-5014
Tammy Walker Cancer Center at Salina Regional Health Center
Salina, Kansas, 67401
Doctors Medical Center - San Pablo Campus
San Pablo, California, 94806
Welch Cancer Center at Sheridan Memorial Hospital
Sheridan, Wyoming, 82801
CCOP - Upstate Carolina
Spartanburg, South Carolina, 29303
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Regional Cancer Center at Memorial Medical Center
Springfield, Illinois, 62781-0001
Community Hospital of Springfield and Clark County
Springfield, Ohio, 45505
Franciscan Cancer Center at St. Joseph Medical Center
Tacoma, Washington, 98405-3004
Allenmore Hospital
Tacoma, Washington, 98405
CCOP - Northwest
Tacoma, Washington, 98405
MultiCare Regional Cancer Center at Tacoma General Hospital
Tacoma, Washington, 98405
St. Clare Hospital
Tacoma, Washington, 98499
Pearlman Comprehensive Cancer Center at South Georgia Medical Center
Valdosta, Georgia, 31603
St. John Macomb Hospital
Warren, Michigan, 48093
Mount Carmel St. Ann's Cancer Center
Westerville, Ohio, 43081
Genesis - Good Samaritan Hospital
Zanesville, Ohio, 43701
About this study
Official title: Phase II Studies of Two Different Schedules of Dasatinib (NSC-732517) in Bone Metastasis Predominant Metastatic Breast Cancer
RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This randomized phase II trial is studying two different schedules of dasatinib to compare how well they work in treating patients with stage IV breast cancer that has spread to the bone.
Read the detailed description
OBJECTIVES:
- Compare the progression-free survival of patients with stage IV bone metastasis-predominant breast cancer treated with 1 of 2 treatment schedules of dasatinib.
- Compare the response rate (complete and partial, confirmed and unconfirmed) in patients treated with these regimens.
- Compare the MUC-1 antigen response rate (CA 15-3 or CA 27-29) in patients treated with these regimens.
- Compare the circulating tumor cell response rate in patients treated with these regimens.
- Compare the anti-osteoclast activity, as measured by changes in bone turnover markers, in patients treated with these regimens.
- Compare the frequency and severity of toxicities of these regimens in these patients.
- Compare the pain profiles of these patients and explore changes over time.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to concurrent trastuzumab (Herceptin®) treatment (yes vs no). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral dasatinib once daily.
- Arm II: Patients receive oral dasatinib twice daily. In both treatment arms, treatment continues for at least 24 weeks in the absence of disease progression or unacceptable toxicity.
Blood samples are acquired from patients once weekly in weeks 1, 4, 8, 16, and 24. Samples are analyzed for tumor markers, circulating tumor cells, and bone markers.
Patients complete a self-reported brief pain inventory questionnaire at baseline and once in weeks 8, 16, and 24.
After completion of study treatment, patients are followed every 3-6 months for up to 2 years.
PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study.
- Conditions
- Breast Cancer, Metastatic Cancer
- Being tested
- dasatinib
- Keywords
- stage IV breast cancer, male breast cancer, recurrent breast cancer, bone metastases
- Medical subject headings
- Breast Neoplasms, Neoplasm Metastasis, Breast Neoplasms, Male
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dasatinibDrug
given orally
| Study group | Role | What they receive |
|---|---|---|
| Arm I | Experimental | Patients receive oral dasatinib once daily. Receives: Drug: dasatinib |
| Arm II | Experimental | Patients receive oral dasatinib twice daily. Receives: Drug: dasatinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival
RECIST progression defined as 20% increase in the sum of longest diameters of target measurable lesions over the smallest sum observed, unequivocal progression of non-measurable disease, the appearance of any new lesion/site, death due to disease without prior documentation of progression and without symptomatic deterioration, development of one or more new bone lesions from baseline, or symptomatic deterioration related to disease progression. Time from date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at last date of contact.
Measured: Up to 2 years
Secondary outcomes (11)
Response Rate (Complete and Partial, Confirmed and Unconfirmed)
Complete Response (CR) is complete disappearance of all measurable and non-measurable disease. No new lesions, no disease related symptoms, normalization of markers and other abnormal lab values. Partial Response (PR) is greater than or equal to 30% decrease under baseline of the sum of longest diameters of all target measurable lesions. No unequivocal progression of non-measurable disease. No new lesions. Confirmation of CR or PR means a repeat scan at least 4 weeks apart documented before progression or symptomatic deterioration. Progression is 20% increase in sum of longest diameters of target measurable lesions over smallest sum observed, unequivocal progression of non-measurable disease, appearance of any new lesion/site, death due to disease without prior documentation of progression and without symptomatic deterioration. Symptomatic deterioration is global deterioration of health status requiring discontinuation of treatment without objective evidence of progression.
Measured: Up to 2 years
MUC-1 Antigen Response
MUC-1 Complete Response is reduction in MUC-1 such that MUC-1 <= ULN. MUC-1 Partial Response is greater than or equal to a 50% reduction in MUC-1 from baseline, but not qualifying as a CR. MUC-1 Progression is greater than or equal to a 50% increase in MUC-1 from baseline. MUC-1 Stable Disease is MUC-1 response not qualifying as CR, PR, or Progression.
Measured: at 4, 8, 16, and 24 weeks
Circulating Tumor Cells (CTC) Response Rate
CTC response at 4 weeks is defined as the number of patients with initially elevated CTCs (>= 5 cells/7.5 ml), whose CTC level drops to < 5.
Measured: Up to 4 weeks
Change in Serum Bone Turnover Markers Over Time -- NTx
Analysis included mean values of the serum biomarker NTx at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- BAP
Analysis included mean values of the serum biomarker BAP at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time
Analysis included mean values of the serum biomarkers sRANKL, IL-6, DKK, VEGF at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- OC
Analysis included mean values of the serum biomarker OC at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- OPG
Analysis included mean values of the serum biomarker OPG at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- TRAP
Analysis included mean values of the serum biomarker TRAP at baseline, 4, and 8 weeks.
Measured: at baseline, 4, and 8 weeks
Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug
Only adverse events that are possibly, probably or definitely related to study drug are reported.
Measured: Up to 2 years
Mean Patient-reported Pain
Patient's rating of "worst pain" experienced between prestudy and week 24. Changes of >=2 points on the Brief Pain Inventory (BPI) are of interest. Pain is self-reported on the Brief Pain Inventory Short Form, on a 0-10 response scale, with higher scores reflecting more pain and more interference with functioning.
Measured: Baseline, 8, 16, and 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Dec 2006 (estimated)
- Study startMar 2007
- Primary completionJan 2013
- Study completionJan 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by SWOG Cancer Research NetworkThe sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 85 participants (actual)
Sponsor and investigators
- Lead sponsor
- SWOG Cancer Research Network
- Sponsor type
- Research network
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Anne F. Schott, MD, Study chair, University of Michigan Rogel Cancer CenterCatherine Van Poznak, MD, Study chair, University of Michigan Rogel Cancer Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00410813
- Sponsor's protocol ID
- CDR0000520348
- Other IDs
- S0622, U10CA032102
- Status last verified
- May 2017
- First submitted
- 11 Dec 2006
- Last updated
- 2 Jul 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Studies of Two Different Schedules of Dasatinib (NSC-732517) in Bone Metastasis Predominant Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT00410813
- Acronym / sponsor ID
- CDR0000520348
- Conditions
- Breast Cancer, Metastatic Cancer
- Keywords
- stage IV breast cancer, male breast cancer, recurrent breast cancer, bone metastases
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 85 participants (actual)
- Lead sponsor
- SWOG Cancer Research NetworkResearch network
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Mar 2007
- Primary completion
- Jan 2013 (actual)
- Study completion
- Jan 2014 (actual)
- First posted
- 13 Dec 2006 (estimated)
- Results
- Posted 2 Jul 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Dasatinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PURPOSE: This randomized phase II trial is studying two different schedules of dasatinib to compare how well they work in treating patients with stage IV breast cancer that has spread to the bone.
Detailed description
OBJECTIVES:
- Compare the progression-free survival of patients with stage IV bone metastasis-predominant breast cancer treated with 1 of 2 treatment schedules of dasatinib.
- Compare the response rate (complete and partial, confirmed and unconfirmed) in patients treated with these regimens.
- Compare the MUC-1 antigen response rate (CA 15-3 or CA 27-29) in patients treated with these regimens.
- Compare the circulating tumor cell response rate in patients treated with these regimens.
- Compare the anti-osteoclast activity, as measured by changes in bone turnover markers, in patients treated with these regimens.
- Compare the frequency and severity of toxicities of these regimens in these patients.
- Compare the pain profiles of these patients and explore changes over time.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to concurrent trastuzumab (Herceptin®) treatment (yes vs no). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral dasatinib once daily.
- Arm II: Patients receive oral dasatinib twice daily. In both treatment arms, treatment continues for at least 24 weeks in the absence of disease progression or unacceptable toxicity.
Blood samples are acquired from patients once weekly in weeks 1, 4, 8, 16, and 24. Samples are analyzed for tumor markers, circulating tumor cells, and bone markers.
Patients complete a self-reported brief pain inventory questionnaire at baseline and once in weeks 8, 16, and 24.
After completion of study treatment, patients are followed every 3-6 months for up to 2 years.
PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm I | Experimental | Drug: dasatinibPatients receive oral dasatinib once daily. |
| Arm II | Experimental | Drug: dasatinibPatients receive oral dasatinib twice daily. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| dasatinibgiven orally | Drug | Arm I, Arm II |
Primary outcome
Progression-free Survival
Time frame: Up to 2 years
RECIST progression defined as 20% increase in the sum of longest diameters of target measurable lesions over the smallest sum observed, unequivocal progression of non-measurable disease, the appearance of any new lesion/site, death due to disease without prior documentation of progression and without symptomatic deterioration, development of one or more new bone lesions from baseline, or symptomatic deterioration related to disease progression. Time from date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at last date of contact.
11 secondary outcomes
Response Rate (Complete and Partial, Confirmed and Unconfirmed)
Time frame: Up to 2 years
MUC-1 Antigen Response
Time frame: at 4, 8, 16, and 24 weeks
Circulating Tumor Cells (CTC) Response Rate
Time frame: Up to 4 weeks
Change in Serum Bone Turnover Markers Over Time -- NTx
Time frame: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- BAP
Time frame: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time
Time frame: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- OC
Time frame: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- OPG
Time frame: at baseline, 4, and 8 weeks
Change in Serum Bone Turnover Markers Over Time -- TRAP
Time frame: at baseline, 4, and 8 weeks
Number of Patients With Grade 3 Through 5 Adverse Events That Are Related to Study Drug
Time frame: Up to 2 years
Mean Patient-reported Pain
Time frame: Baseline, 8, 16, and 24 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Anne F. Schott, MD study chair
University of Michigan Rogel Cancer Center
Catherine Van Poznak, MD study chair
University of Michigan Rogel Cancer Center
117 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing dasatinib in people with Breast Cancer and Metastatic Cancer, run by SWOG Cancer Research Network at 117 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?
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: finished, as of the sponsor's last update on 2 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 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 phase mean?
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?
Yes. Results are posted in the registry (first posted 2 Jul 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Progression-free Survival (time frame: Up to 2 years). 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 2 Jul 2017; AzTrials last refreshed its copy on 8 Nov 2026.