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Metastatic Breast CancerPhase 1/2NCT02723877

PQR309 and Eribulin in Metastatic HER2 Negative and Triple-negative Breast Cancer (PIQHASSO)

A Phase 1/2 study testing PQR309 and Eribulin in people with Metastatic Breast Cancer, run by PIQUR Therapeutics AG at 5 sites in 2 countries.

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

This study is an open-label,non randomized, multi-center, phase 1/2b (dose escalation followed by expansion part) study evaluating clinical safety, efficacy and pharmacokinetics of PQR309 in combination with standard dose of eribulin in patients with locally advanced or metastatic HER2-negative (escalation part) and… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Metastatic Breast Cancer
What is being tested?
PQR309 and Eribulin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
5 sitesin 2 countries
Study dates
28 Mar 2016to 3 Oct 2018
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

  • Histologically/cytologically confirmed diagnosis of breast cancer. Radiological evidence of inoperable locally advanced or metastatic breast cancer.
  • HER2 negative breast cancer (based on the most recent analyzed biopsy) defined as a negative in situ hybridization test or an immunohistochemistry status of 0, 1+ or 2+.
  • Received at least 2 and no more than 5 prio chemotherapeutic regimens in locally advanced and/or metastatic setting.
  • Prior therapy has to include an anthracycline and a taxane in any combination or order.
  • For Expansion part:
  • Triple-negative breast cancer defined as a negative in situ hybridization test or an immunohistochemistry (IHC) status of 0,1+ or 2+ER abnd PR status <10% by local laboratory testing.

Who cannot join

  • Previous systemic treatment with PI3K,mTOR or AKT inhibitors (allowed in the escalation part).
  • Previous treatment with eribulin (allowed in the escalation part). Known hypersensitivity to any of the excipients of PQR309 or eribulin.Concurrent treatment with other approved or investigational antineoplastic agent.
  • Symptomatic Central Nervous System metastases. The patient must have completed any prior local treatment for CNS metastases > 28 days prior to first dose of the study drug (including radiotherapy and/or surgery).
  • Clinically manifested diabetes mellitus(treated and/or clinical signs with fasting glucose >125mg/dl or HbA1c>7%), or documented steroid induced diabetes mellitus.

Trial locations and contacts

5 sites in 2 countries.

5 sites in 2 countries

Spain3 sites
  • Hospital Universitarsi Vall d'Hebron

    Barcelona, Catalan, 08035

  • Insitut Català d´Oncologia

    Barcelona

  • Fundación Instituto Valenciano de Oncología

    Valencia

Other trials in Spain

United Kingdom2 sites
  • Barts Cancer Institute

    London

  • Churchill hospital

    Oxford

Other trials in United Kingdom

About this study

Official title: An Open Label, Non Randomized, Multicenter Phase 1/2b Study Investigating Safety and Efficacy of PQR309 and Eribulin Combination in Patients With Locally Advanced or Metastatic HER2 Negative and Triple-Negative Breast Cancer

This study is an open-label,non randomized, multi-center, phase 1/2b (dose escalation followed by expansion part) study evaluating clinical safety, efficacy and pharmacokinetics of PQR309 in combination with standard dose of eribulin in patients with locally advanced or metastatic HER2-negative (escalation part) and Triple Negative Breast Cancer (expansion part).

Read the detailed description
  • The primary objective of the escalation part is to assess the maximum tolerated dose (MTD) of PQR309 combined with the standard eribulin dose in patients with HER2 negative breast cancer following a "modified" 3 by 3 design.
  • For the expansion part the objective is to evaluate efficacy of PQR309 in combination with eribulin in patients with Triple Negative Breast Cancer
  • Once the MTD of continuous daily PQR309 dosing has been established, intermittent schedules of PQR309 ("2 days on/ 5 days off" or "Monday / Thursday") will be evaluated.
Being tested
PQR309, Eribulin
Keywords
TNBC
Medical subject headings
Breast Neoplasms

What participants receive

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

  • PQR309Drug

    Dual phosphatidylinositol 3-kinase phosphoinositide 3-kinase/ mammalian target of rapamycin Inhibitor (= PI3K/mTOR Inhibitor)

  • EribulinDrug

    Also called eribulin mesylate, Halaven®

    non.taxane microtubule dynamics inhibitor

Study groups in NCT02723877
Study groupRoleWhat they receive
Eribulin and PQR309ExperimentalPQR309 in combination with standard approved dose of eribulin mesylate 1.4 mg/m2 intravenous (iv) on days 1 and 8 in a period of 21 days per cycle will be investigated. . PQR309 will be administered maximum 15 minutes after eribulin iv dosing.
Receives: Drug: PQR309; Drug: Eribulin

What is being measured

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

  1. Number of patients with treatment related Adverse Events and Serious Adverse Events as assessed by NCI CTCAEV4.03

    Continous dosing and intermittent schedules of PQR309

    Measured: Up to 6 months

  2. RECIST the Response criteria for solid tumors will be used to identify clinical benefit rate (CBR) including complete Response (CR), partial Response (PR) and stable disease (SD)

    Continous dosing and intermittent schedules of PQR309

    Measured: Up to 15 months

Secondary outcomes (35)
  1. Number of patients with Adverse Events and Serious Adverse Events and number of anormal laboratory values that constitute an Adverse Events on their own

    Continous dosing and intermittent schedules of PQR309

    Measured: Up to 12 months

  2. Number and percent of patients having each ECOG (Eastern Oncology Cooperative Group) performance status level will be presented for baseline and each post-baseline measurement.

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  3. Assessment of PQR309 and Eribulin blood concentration

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  4. Physical examination, Body weight in kg

    Continous dosing and intermittent schedules

    Measured: up to 12 months

  5. Physical examination, ECG

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  6. Vital signs like heart rate

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  7. Vital signs like blood pressure

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  8. Vital signs like body temperature

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  9. Objective Response Rate (ORR), is defined as the best overall response (confirmed CR or PR) recorded for each patient since baseline.

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  10. Time to Response (TTR) is defined, for patients with tumor response, as the time from the date of study entry to the first documentation of response (complete or partial)

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  11. Duration of response (DOR) is defined, for the patients with tumor response, as the time from the date of the first confirmed response to disease progression.

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  12. Progression- free survival (PFS) is defined as the time from study entry to progression or death due to any cause

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  13. Time to treatment failure (TTF) is defined as the time from study entry to any treatment failure including disease progression or discontinuation of treatment

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  14. 1-year survival, defined as the time from study entry to death as a result of any cause at 1-year cut-off date

    Continous dosing and intermittent schedules of PQR309

    Measured: up to 12 months

  15. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: tmax

    Intermittent schedule B: "Monday/ Thursday"

    Measured: On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose

  16. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: cmax

    Intermittent schedule B: "Monday/ Thursday"

    Measured: On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose

  17. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-24

    Intermittent schedule B: "Monday/ Thursday"

    Measured: On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose

  18. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-∞

    Intermittent schedule B: "Monday/ Thursday"

    Measured: On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose

  19. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC(Racemate)

    Intermittent schedule B: "Monday/ Thursday"

    Measured: On Cycle 1 Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion and on Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose

  20. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: cmax

    Intermittent schedule A: 2 days on/5 days off

    Measured: PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.

  21. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: tmax

    Intermittent schedule A: 2 days on/5 days off

    Measured: PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.

  22. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-24

    Intermittent schedule A: 2 days on/5 days off

    Measured: PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.

  23. PK parameters of PQR309 and eribulin will include: AUC0-∞

    Intermittent schedule A: 2 days on/5 days off

    Measured: PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.

  24. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC

    Intermittent schedule A: 2 days on/5 days off

    Measured: PK is being assessed during Cycle 1 on Day 8: pre-dose, end of eribulin infusion, 2h and 6h post end of eribulin infusion. On Cycle 1 Day 15: pre-dose and one sample between 1 and 3 hours post PQR309 dose.

  25. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: cmax

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1

  26. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-24

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1

  27. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: AUC0-∞

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 day on 1 and 8 and beyond cycle 1 on day 1

  28. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: t1/2

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1

  29. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: tmax

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1

  30. Pharmacokinetic (PK) parameters of PQR309 and eribulin will include: RAC (Racemate)

    Continous Dosing

    Measured: It will be measured pre-dose and at the end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end and at end of eribulin infusion and 0.5h, 1h, 2h, 4h, and 8h post end of eribulin during Cycle 1 on day 1 and 8 and beyond cycle 1 on day 1

  31. Changes in glucose levels

    Continous dosing and intermittent schedules of PQR309

    Measured: 12 months

  32. Changes in Insulin levels

    Continous dosing and intermittent schedules of PQR309

    Measured: 12 months

  33. Changes of Routine laboratory -Haematology

    Continous dosing and intermittent schedules of PQR309

    Measured: 12 months

  34. Changes of Routine laboratory -blood chemistry

    Continous dosing and intermittent schedules of PQR309

    Measured: 12 months

  35. Changes of Routine laboratory -urinanalysis

    Continous dosing and intermittent schedules of PQR309

    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 posted31 Mar 2016 (estimated)
  2. Study start28 Mar 2016
  3. Primary completion3 Oct 2018
  4. Study completion3 Oct 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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02723877
Sponsor's protocol ID
PQR309-007
Status last verified
Mar 2019
First submitted
21 Dec 2015
Last updated
22 Mar 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PQR309 and Eribulin in people with Metastatic Breast Cancer, run by PIQUR Therapeutics AG at 5 sites in 2 countries.

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 6 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 22 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Spain, United Kingdom. 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 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?

Number of patients with treatment related Adverse Events and Serious Adverse Events as assessed by NCI CTCAEV4.03 (time frame: Up to 6 months). The study lists 2 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 Mar 2019.

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