Patients with BRCA1- or BRCA2-associated advanced breast- and ovarian cancer which are refractory to standard therapy and for which no suitable, effective/curative therapy exists. MedDRA version: 17.0 Level: SOC Classification code 10029104 Term: Neoplasms benign, malignant and unspecified (incl cysts and polyps) System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Female BRCA1 and BRCA2 mutation carriers • Histological confirmed breast or ovarian cancer • Refractory to standard therapies and for which no suitable effective standard therapy exists • Age =18 years • ECOG 0-2 with adequate cardiac, bone marrow (platelet count >/= 100x109/l), hepatic (total bilirubin /= 3 months • Postmenopausal or use of adequate contraceptive during chemotherapy and six months thereafter • Fully informed consent prior to study-specific procedures • Patient is willing and able to comply with the protocol for the duration of the study including treatment and scheduled visits and examinations • At least one lesion (measurable and/or non-measurable) at baseline that can be accurately assessed by CT/MRI and is suitable for repeated assessment at follow-up visits • All baseline radiological tumour assessments must be performed no earlier than 21 days before start of the study treatment. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 9 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1
Exclusion criteria
Exclusion criteria: • Pregnant or nursing patients • Prior chemotherapy with nitroso-urea substances for any malignancy • Concurrent treatment with other experimental drugs or any other anti-cancer therapy • Patients receiving any systemic chemotherapy, radiotherapy (except for palliative reasons) within 2 weeks from the last dose prior to study treatment. • Nicotine abuse • Limited pulmonary function • Pre-existing pulmonary diseases (e.g. chronic obstructive pulmonary disease/COPD, fibrosis) • Prior radiation including areas of the lung (except radiation of the breast after breast conserving surgery). • Pre-existing radiographical alterations of the lung • Any psychological, sociological or geographical condition potentially impeding compliance with study protocol or follow-up • Known or suspected allergy to the BCNU • Failure to use highly-effective contraceptive • Persistent toxicities (>CTCAE grade 2) caused by previous therapies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Tumor response (i.e. non-progressive disease) after 2 and 4 cycles of chemotherapy / at week 12 and 24 (assessed using the principles of RECIST 1.1, based on confirmed response);Secondary Objective: Tumor response (OR) after 6 cycles of chemotherapy /at week 36, PFS, OS, DOR and DCR, health-related quality of life (EORTC QLQ C30 and EQ-5D), ECOG Performance Status;Primary end point(s): Tumor response (i.e. non-progressive disease) after 2 and 4 cycles of chemotherapy / at week 12 and 24 (assessed using the principles of RECIST 1.1, based on confirmed response);Timepoint(s) of evaluation of this end point: After 12 and 24 weeks (2 and 4 cycles) of chemotherapy | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary objective is the efficacy of the treatment measured by tumor response after 6 cycles of chemotherapy /at week 36 (assessed by OR, PFS, OS, DOR and DCR, health-related quality of life (EORTC QLQ C30 and EQ-5D), ECOG Performance Status). ;Timepoint(s) of evaluation of this end point: After 36 weeks (6 cycles) of chemotherapy | — |
Countries
Germany
Contacts
Center of Familial Breast and Ovarian Cancer