Breast CancerPhase 2NCT00632723
IRESSA™ (Gefitinib) in Breast Cancer Patients
A Phase 2 study testing gefitinib (IRESSA™, ZD1839) in people with Breast Cancer, run by AstraZeneca.
Trial summary
This is a phase II trial to assess whether IRESSA™ (gefitinib) has anti-tumour efficacy in patients with breast cancer. The trial proposes to enter 27 patients who have acquired resistance to tamoxifen and 27 patients with ER negative tumours. 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?
- gefitinib (IRESSA™, ZD1839)
- Type of treatment
- Pill or oral medicine
- How many people
- 54 participants
- Where
- No sites listed yet
- Study dates
- Apr 2001to Oct 2005
- Phase
- Phase 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
- histological or cytological confirmation of breast cancer that is either
- a primary tumour in a patient unfit for or who has declined surgery
- advanced (locally or metastatic) disease
- acquired resistance to tamoxifen or ER negative tumour
- at least one measurable or assessable lesion
- WHO performance status 0 - 2
- life expectancy of 12 weeks or more
Who cannot join
- more than one previous chemotherapy regimens for advanced disease
- prior anthracycline chemotherapy (> 250 mg/m2 adriamycin)
- radiotherapy completed within 14 days prior to Day 1 of treatment
- incomplete healing from prior oncologic or other major surgery
- signs of neurological symptoms consistent with spinal cord compression
- any evidence of clinically active interstitial lung disease (patients with chronic stable
About this study
Official title: A Phase II Trial to Assess the Efficacy of IRESSA™ (Gefitinib) 500 mg/Day in Patients With Breast Cancer Who Have Failed Tamoxifen or Have an Oestrogen Receptor Negative Tumour and Would be Considered for Systemic Therapy
This is a phase II trial to assess whether IRESSA™ (gefitinib) has anti-tumour efficacy in patients with breast cancer. The trial proposes to enter 27 patients who have acquired resistance to tamoxifen and 27 patients with ER negative tumours. However for each of these two types of patients recruitment will stop after 14 patients have been entered in order to confirm that IRESSA™ (gefitinib)has anti-tumour efficacy. If no patient out of 14 in a group has shown clinical benefit (ie an objective response (CR or PR) or stable disease (SD) for at least 24 weeks) then a clinical benefit rate of >20% can be ruled out with >95% certainty. If one or more of the objective response or stable disease (> 24 weeks) has been seen in the first 14 patients recruited in a group then recruitment to that group will recommence to a total of 27 patients. If 14 patients are entered into an arm but not all 14 patients are available for final analysis and the toxicity/safety and tolerability profile of the therapy is acceptable and documented and a clinical benefit is seen in the patients, enrolment of additional patients beyond the initial 14 may be made based on overall clinical assessment.
- Conditions
- Breast Cancer
- Being tested
- gefitinib (IRESSA™, ZD1839)
- Keywords
- oestrogen receptor, ER negative tumours, epidermal growth factor receptor (EGFR)
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
gefitinib (IRESSA™, ZD1839)Drug
Also called IRESSA™, ZD1839
250 mg tablet; daily dose 500 mg daily
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective tumour response (complete + partial response) based on Union International Contre le Cancer (UICC) Criteria
Measured: Assessed after 24 weeks
Clinical benefit (CR + PR + SD > 24 wks)
Measured: After 24 weeks of treatment
Frequency and severity of adverse events (AEs)
Measured: Assessed at each visit
Secondary outcomes (2)
Progression-free survival
Measured: Time to death
Duration of response
Measured: Time to progression
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Mar 2008 (estimated)
- Study startApr 2001
- Study completionOct 2005
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.
- More trials run by AstraZenecaThe 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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 54 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- R Robertson, MD, Principal investigator, City Hospital, Nottingham , UK
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00632723
- Sponsor's protocol ID
- 1839IL/0057
- Status last verified
- Apr 2009
- First submitted
- 17 Jan 2008
- Last updated
- 22 Apr 2009
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Apr 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Trial to Assess the Efficacy of IRESSA™ (Gefitinib) 500 mg/Day in Patients With Breast Cancer Who Have Failed Tamoxifen or Have an Oestrogen Receptor Negative Tumour and Would be Considered for Systemic Therapy
- ClinicalTrials.gov ID
- NCT00632723
- Acronym / sponsor ID
- 1839IL/0057
- Conditions
- Breast Cancer
- Keywords
- oestrogen receptor, ER negative tumours, epidermal growth factor receptor (EGFR)
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 54 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- Apr 2001
- Study completion
- Oct 2005 (actual)
- First posted
- 11 Mar 2008 (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.
This is a phase II trial to assess whether IRESSA™ (gefitinib) has anti-tumour efficacy in patients with breast cancer. The trial proposes to enter 27 patients who have acquired resistance to tamoxifen and 27 patients with ER negative tumours. However for each of these two types of patients recruitment will stop after 14 patients have been entered in order to confirm that IRESSA™ (gefitinib)has anti-tumour efficacy. If no patient out of 14 in a group has shown clinical benefit (ie an objective response (CR or PR) or stable disease (SD) for at least 24 weeks) then a clinical benefit rate of >20% can be ruled out with >95% certainty. If one or more of the objective response or stable disease (> 24 weeks) has been seen in the first 14 patients recruited in a group then recruitment to that group will recommence to a total of 27 patients. If 14 patients are entered into an arm but not all 14 patients are available for final analysis and the toxicity/safety and tolerability profile of the therapy is acceptable and documented and a clinical benefit is seen in the patients, enrolment of additional patients beyond the initial 14 may be made based on overall clinical assessment.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- histological or cytological confirmation of breast cancer that is either
- acquired resistance to tamoxifen or ER negative tumour
- at least one measurable or assessable lesion
- WHO performance status 0 - 2
- life expectancy of 12 weeks or more
Key exclusion criteria (6 listed)
- more than one previous chemotherapy regimens for advanced disease
- prior anthracycline chemotherapy (> 250 mg/m2 adriamycin)
- radiotherapy completed within 14 days prior to Day 1 of treatment
- incomplete healing from prior oncologic or other major surgery
- signs of neurological symptoms consistent with spinal cord compression
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 |
|---|---|---|
| gefitinib (IRESSA™, ZD1839)Also: IRESSA™, ZD1839250 mg tablet; daily dose 500 mg daily | Drug | – |
Primary outcome
Objective tumour response (complete + partial response) based on Union International Contre le Cancer (UICC) Criteria
Time frame: Assessed after 24 weeks
Clinical benefit (CR + PR + SD > 24 wks)
Time frame: After 24 weeks of treatment
Frequency and severity of adverse events (AEs)
Time frame: Assessed at each visit
2 secondary outcomes
Progression-free survival
Time frame: Time to death
Duration of response
Time frame: Time to progression
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Apr 2009.
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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.
R Robertson, MD principal investigator
City Hospital, Nottingham , UK
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing gefitinib (IRESSA™, ZD1839) in people with Breast Cancer, run by AstraZeneca.
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 7 inclusion and 6 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: finished, as of the sponsor's last update on 22 Apr 2009. Status can change between updates, so confirm with the study contact before making plans.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Objective tumour response (complete + partial response) based on Union International Contre le Cancer (UICC) Criteria (time frame: Assessed after 24 weeks). The study lists 3 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 22 Apr 2009.