Advanced Triple Negative Breast Cancer MedDRA version: 20.0 Level: LLT Classification code 10072737 Term: Advanced breast cancer System Organ Class: 100000020819
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Adult women (= 18 years of age) with advanced TNBC. - Histological or cytological evidence of estrogen-receptor negative (ER-), progesterone receptor negative (PgR-) and human epidermal growth factor-2 receptor negative (HER2-) BC by local laboratory testing, based on last available tumor tissue. - ER/PgR negativity to follow local guidelines - If IHC HER2 2+, a negative FISH test is required - Patients must have: - At least one measurable lesion per RECIST 1.1. (Note: Measurable lesions include lytic or mixed (lytic + blastic) bone lesions, with an identifiable soft tissue component that meets the measurability criteria) or - Bone lesions: non-measurable lytic or mixed (lytic + blastic) in the absence of measurable disease as defined above. Patients with only non-measurable lesions (e.g. pleural effusion, ascites) and no lytic or mixed bone lesions are not eligible. Other inclusion criteria may apply 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 55 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 23
Exclusion criteria
Exclusion criteria: - Prior chemotherapy for advanced BC. Previous adjuvant/neoadjuvant chemotherapy is allowed (carboplatin, cisplatin or gemcitabine only if >12 months has passed since last administration). - Therapy for underlying malignancy within 2 weeks prior to start of study treatment: - Chemotherapy, biologic therapy (antibodies and biologically targeted small molecules) - Radiotherapy - Major surgery - Patients receiving concomitant immunosuppressive agents or chronic corticosteroids (=10 mg of prednisone or equivalent) at the time of first dose of study drug. - Known history of human immunodeficiency virus or active infection with hepatitis virus or any uncontrolled active systemic infection. - Patients with the following laboratory values during screening and on Day 1 pre-dose: - Absolute Neutrophil Count (ANC) 1.5 x ULN - Serum total bilirubin > 1.5 x ULN - AST/SGOT and ALT/SGPT > 3.0 x ULN Other exclusion criteria may apply
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the anti-tumor activity of MCS110 combined with carboplatin/gemcitabine (carbo/gem) compared to carbo/gem alone.;Primary end point(s): PFS as per RECIST v1.1 (by local investigator assessment);Timepoint(s) of evaluation of this end point: Tumor evaluation at sreening and then every six weeeks until the end of cycle 8. Thereafter every 9 weeks (after cycle 8).;Secondary Objective: 1. Characterize the safety and tolerability of MCS110 given in combination with carbo/gem. 2. Characterize PK of MCS110 when combined with carbo/gem. 3. Characterize PK of carbo and gem in the presence and absence of MCS110. 4. Characterize PD effect of MCS110 when combined with carbo/gem 5. To assess the anti-tumor activity of MCS110 given in combination with carbo/gem as measured by additional efficacy measures. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Safety: adverse event (AEs), serious adverse events (SAEs) Tolerability: Dose interruptions, reductions and dose intensity 2. Serum concentration of free MCS110 and derived PK parameters 3. Plasma concentration of carboplatin, gemcitabine and dFdU (the primary metabolite of gem), and derived PK parameters 4. Total CSF-I circulating levels, serum CTX-I and circulating monocytes in blood. TAM and TIL content in pre- and post-dose tumor biopsies 5. Tumor response per RECIST v1.1 (by local investigator assessment): Overall Response Rate (ORR), Duration of Response (DOR), Clinical Benefit Rate (Complete Response (CR) + Partial Response (PR) + Stable Disease (SD) = 6 months) and Overall Survival (OS).;Timepoint(s) of evaluation of this end point: 1. Continuously 2. Please refer to protocol section 7 3. Please refer to protocol section 7 4. Please refer to protocol section 7 5. ORR:Tumor evaluation at screening and then every six weeks until the end of cycle 8. Thereafter every 9 weeks (after cycle 8). DOR: Tumor evaluation at screening and then every six weeks until the end of cycle 8. Thereafter every 9 weeks (after cycle 8). Clinical benefit rate: Tumor evaluation at screening and then every six weeks until the end of cycle 8. Thereafter every 9 weeks (after cycle 8). Overall survival: 4, 6, 9, 12 and 18 months | — |
Countries
Australia, Austria, Belgium, Czech Republic, France, Germany, Hong Kong, Italy, Korea, Republic of, Spain, Taiwan, Turkey, United States
Contacts
Novartis s.r.o.