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Breast CancerPhase 2NCT01074970

PARP Inhibition for Triple Negative Breast Cancer (ER-/PR-/HER2-)With BRCA1/2 Mutations

A Phase 2 study testing Cisplatin and Rucaparib in people with Breast Cancer, run by Hoosier Cancer Research Network at 27 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this trial is to evaluate 2-year disease-free survival in this patient population treated with single agent cisplatin and patients treated with cisplatin in combination with Rucaparib following preoperative chemotherapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer
What is being tested?
Cisplatin and Rucaparib
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
135 participants
Where
27 sitesUnited States
Study dates
Feb 2010to 15 Dec 2018
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

Who may be able to join

  • Must have histologically or cytologically confirmed triple negative (ER-/PR-/HER2-) invasive breast cancer, stage I-III at diagnosis (AJCC 6th edition) based on initial evaluation by clinical examination and/or breast imaging. NOTE: Patients with ER+ and/or PR+ may enroll ONLY if they are known carriers of a deleterious mutation in BRCA1 or BRCA2. Patients with HER2+ tumors may not enroll regardless of BRCA status.
  • Must have completed preoperative (neoadjuvant) chemotherapy. NOTE: Acceptable preoperative regimens include an anthracycline or a taxane, or both. Patients may NOT have received cisplatin as part of their neoadjuvant therapy regimen. Patients who received preoperative therapy as part of a clinical trial may enroll. No adjuvant chemotherapy after surgery other than that specified in this protocol is allowed. Adjuvant bisphosphonate use is allowed.
  • Must have completed definitive resection of primary tumor. The last surgery for breast cancer must have been completed at least 14 days prior to registration for protocol therapy.
  • Must have significant residual invasive disease at the time of definitive surgery following preoperative chemotherapy. Significant residual disease is defined at least one of the following:
  • Miller-Payne response in the breast of 0-25.
  • Residual Cancer Burden (RBC) classification II or III6
Show all 16Show fewer
  • Residual carcinoma in one or more regional lymph nodes that would meet AJCC 6th edition criteria for N1 - N3 disease.
  • Alternatively, if Miller-Payne or RCB grading is not available, the patient will be eligible if the pathology report indicates that the area of residual invasive disease in the breast measures at least 2 cm following preoperative therapy. The presence of DCIS without invasion does not qualify as residual disease in the breast.
  • Whole breast radiotherapy is required for patients who underwent breast conserving therapy, including lumpectomy or partial mastectomy. Patients receiving adjuvant radiation therapy must have completed radiotherapy at least 14 days prior to registration for protocol therapy.
  • Written informed consent and HIPAA authorization for release of personal health information.
  • Age > 18 years at the time of consent.
  • Must consent to allow submission of archived tumor tissue sample from definitive surgery.
  • Must consent to collection of blood samples for PK analysis.
  • Women of childbearing potential and males must be willing to use an effective method of contraception from the time consent is signed until 4 weeks after treatment discontinuation.
  • Women of childbearing potential must have a negative pregnancy test within 14 days prior to registration for protocol therapy.
  • Women must not be breastfeeding.

Who cannot join

  • No stage IV (metastatic) disease, however no specific staging studies are required in the absence of symptoms or physical exam findings that would suggest distant disease.
  • No treatment with any investigational agent within 30 days prior to registration for protocol therapy.
  • No history of chronic hepatitis B or C
  • No clinically significant infections as judged by the treating investigator.

Trial locations and contacts

27 sites in 1 country.

27 sites in 1 country

United States27 sites
  • Presbyterian Medical Group

    Albuquerque, New Mexico, 87110

  • University of New Mexico Cancer Center: Albuquerque

    Albuquerque, New Mexico, 87131

  • HOPE a Women's Cancer Center

    Asheville, North Carolina, 28806

  • University of Colorado Cancer Center

    Aurora, Colorado, 80045

  • The Center for Cancer & Hematologic Disease

    Cherry Hill, New Jersey, 08003

  • Seidman Cancer Center

    Cleveland, Ohio, 44106

  • Fort Wayne Oncology & Hematology, Inc

    Fort Wayne, Indiana, 46815

  • St. Jude Heritage Healthcare

    Fullerton, California, 92835

  • Pinnacle Health Fox Chase Regional Cancer Center

    Harrisburg, Pennsylvania, 17110

  • Memorial Cancer Institute Breast Cancer Center

    Hollywood, Florida, 33021

  • Indiana University Melvin and Bren Simon Cancer Center

    Indianapolis, Indiana, 46202

  • Community Regional Cancer Center

    Indianapolis, Indiana, 46256

  • Horizon Oncology Research, Inc./IU Health Arnett

    Lafayette, Indiana, 47905

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89128

  • University of California Los Angeles

    Los Angeles, California, 90095

  • The West Clinic

    Memphis, Tennessee, 38138

  • University of Miami, Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • Virtua Health Cancer Program

    Mount Holly, New Jersey, 08060

  • Monroe Medical Associates

    Munster, Indiana, 46321

  • Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Oregon Health Sciences University

    Portland, Oregon, 97239

  • Central Coast Medical Oncology Corporation

    Santa Maria, California, 93454

  • Bux-Mont Oncology Hematology Associates (FCCC) at Grand View Hospital

    Sellersville, Pennsylvania, 18960

  • Northern Indiana Cancer Research Consortium

    South Bend, Indiana, 46601

  • Siteman Cancer Center

    St Louis, Missouri, 63110

  • South Jersey Health Care

    Vineland, New Jersey, 08360

  • Metro Health Cancer Care

    Wyoming, Michigan, 49519

Other trials in United States

About this study

Official title: PARP Inhibition After Preoperative Chemotherapy in Patients With Triple Negative Breast Cancer or ER/PR +, HER2 Negative With Known BRCA1/2 Mutations: Hoosier Oncology Group BRE09-146

The purpose of this trial is to evaluate 2-year disease-free survival in this patient population treated with single agent cisplatin and patients treated with cisplatin in combination with Rucaparib following preoperative chemotherapy. Side effects and tolerability of this treatment in patients with residual disease following preoperative chemotherapy will also be observed and characterized.

Read the detailed description

OUTLINE: This is a multi-center study.

Safety Run-in will be for the first 12 patients on study only (6 in cohort 1 and 6 in cohort 2). Patients in the safety run will be included in the efficacy analysis on intent to treat basis:

Cisplatin 75 mg/m2 IV D1 every 3 weeks x 4 cycles; Rucaparib 16-30 mg IV D 1,2,3 every 3 weeks x 4 cycles

If cycle 1 is well tolerated, the dose of Rucaparib will be escalated from 16 mg to 24 mg for subsequent cycles in the cohort 1, and 24 mg to 30 mg in the cohort 2.

If ≤ 1 of 6 patients in cohort 1 experiences DLT, cohort 2 will commence. If 2 or more of 6 patients in cohort 1 experience DLT, the study will be suspended and an amendment to explore lower doses will be considered.

If ≤ 1 of 6 patients in cohort 2 experiences DLT, the randomized portion of the study will commence. If 2 or more of 6 patients experience DLT, the study will be suspended and an amendment to proceed with the randomized portion at the cohort 2 dose (24 mg) will be considered.

During the randomized portion of the study, patients will be randomized to either Arm A or Arm B.

Stratification factors:

  • Anthracycline vs. not
  • Residual LN involvement vs. No Residual LN involvement

Arm A (Cisplatin Monotherapy) Cisplatin 75 mg/m2 IV D1 every 3 weeks x 4 cycles

Arm B (Combination Therapy) Cisplatin 75 mg/m2 IV D1 every 3 weeks x 4 cycles; Rucaparib 16-30 mg IV D1,2,3 every 3 weeks x 4 cycles

Rucaparib maintenance 30 mg IV weekly x 24 weeks

ECOG Performance Status 0-1

Life Expectancy: Not Specified

Hematopoietic:

  • Hemoglobin (Hgb) > 9.0 g/dL
  • Platelets > 100 K/ mm3
  • Absolute neutrophil count (ANC) > 1.5 K/mm3

Hepatic:

  • Bilirubin < upper limit of normal (except in patients with documented Gilbert's disease, who must have a total bilirubin < 3.0 mg/dL)
  • Aspartate aminotransferase (AST, SGOT) < 2.5 x ULN
  • Alanine aminotransferase (ALT, SGPT) < 2.5 x ULN

Renal:

  • Calculated creatinine clearance of > 50 cc/min using the Cockcroft-Gault formula

Cardiovascular:

  • Left ventricular ejection fraction within normal limits.
  • Patients with an unstable angina or myocardial infarction within 12 months of study entry are excluded.
  • No clinically significant arrhythmia or baseline ECG abnormalities in the opinion of the treating investigator.
Conditions
Breast Cancer
Being tested
Cisplatin, Rucaparib
Keywords
PARP inhibition + breast cancer, breast cancer, PARP inhibitor, Triple negative
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CisplatinDrug

    Cisplatin 75 mg/m2 IV infusion over 60 minutes, D1 every 21 days for 4 cycles

  • RucaparibDrug

    Rucaparib 24mg C1,30mg C2-4, D1,2,3 every 21 days for 4 cycles

  • CisplatinDrug

    Cisplatin 75 mg/m2 IV infusion over 60 minutes, D1 every 21 days for 4 cycles

Study groups in NCT01074970
Study groupRoleWhat they receive
Arm A: Cisplatin MonotherapyActive comparatorCisplatin 75 mg/m2 IV infusion over 60 minutes, D1 every 21 days for 4 cycles
Receives: Drug: Cisplatin
Arm B: Combination TherapyActive comparatorRucaparib 24mg C1,30mg C2-4, D1,2,3 every 21 days for 4 cycles Cisplatin 75 mg/m2 IV infusion over 60 minutes, D1 every 21 days for 4 cycles
Receives: Drug: Rucaparib; Drug: Cisplatin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Two-year Disease Free Survival

    To evaluate 2-year disease-free survival (DFS), in patients with confirmed TNBC or ER/PR + HER2-, known BRCA1/2 mutations treated with single agent cisplatin and patients treated with cisplatin in combination with Rucaparib following preoperative chemotherapy

    Measured: 24 months

Secondary outcomes (3)
  1. Five-year Disease Free Survival

    To evaluate 5-year DFS, in patients with confirmed TNBC or ER/PR + HER2-, known BRCA1/2 mutations treated with single agent cisplatin and patients treated with cisplatin in combination with Rucaparib following preoperative chemotherapy

    Measured: 60 months

  2. Overall Survival

    To determine 5-year overall survival

    Measured: 60 months

  3. Summarize Grade 2,3, # 4 Toxicities

    To characterize the side effects and tolerability of cisplatin and cisplatin plus Rucaparib in patients with residual disease following preoperative chemotherapy by summarizing Grade 2,3, # 4 toxicities according to CTCAE v3.0

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Feb 2010 (estimated)
  2. Study startFeb 2010
  3. Primary completion15 Dec 2018
  4. Study completion15 Dec 2018

Resources

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
135 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01074970
Sponsor's protocol ID
BRE09-146
Status last verified
Sep 2024
First submitted
23 Feb 2010
Last updated
19 Sep 2024
Data monitoring committee
Yes

Publications

  • S. R. Malireddy, S. M. Perkins, S. S. Badve, G. W. Sledge, K. Miller. PARP inhibition after preoperative chemotherapy in patients with triple negative breast cancer (TNBC) or known BRCA1/2 mutations: Hoosier oncology group BRE09-146. J Clin Oncol 29: 2011 (suppl; abstr TPS130)

  • S. Dwadasi, Y. Tong, T. Walsh, M.A. Danso, C.X. Ma, P.A Silverman, M.C. King, S.M. Perkins, S.S. Badve, K. Miller. Cisplatin with or without rucaparib after preoperative chemotherapy in patients with triple negative breast cancer: Hoosier Oncology Group BRE09-146. J Clin Oncol 32:5s, 2014 (suppl; abstr 1019^)

  • Miller K, Tong Y, Jones DR, Walsh T, Danso MA, Ma CX, Silverman P, King MC, Badve SS, Perkins SM. Cisplatin with or without rucaparib after preoperative chemotherapy in patients with triple negative breast cancer: Final efficacy results of Hoosier Oncology Group BRE09-146. J Clin Oncol 33:5s, 2015 (suppl; abstr 1082)

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cisplatin and Rucaparib in people with Breast Cancer, run by Hoosier Cancer Research Network at 27 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 16 inclusion and 4 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 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 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 19 Sep 2024). 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?

Two-year Disease Free Survival (time frame: 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01074970, which also lists 3 linked publications.

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 19 Sep 2024.

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