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PS-341 in Combination With Herceptin in Advanced Breast Cancer That Overexpresses HER-2

A Phase I, Open Label, Dose-escalating Study of the Proteasome Inhibitor PS-341 in Combination With Two Schedules of Herceptin, in Patients With Advanced Breast Cancer That Overexpresses HER-2

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00199212
Enrollment
19
Registered
2005-09-20
Start date
2003-10-31
Completion date
2007-12-31
Last updated
2011-02-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Carcinoma Breast Stage IV

Keywords

HER-2 positive, metastatic breast cancer patients

Brief summary

The main objective of this study is to determine the feasibility of the combination of the proteasome inhibitor bortezomib (PS-341, Velcade) with trastuzumab (Herceptin) and to determine the best dose of bortezomib to combine with two trastuzumab schedules, weekly and 3-weekly.

Detailed description

Phase 1 study to determine the feasibility of the combination of the proteasome inhibitor bortezomib (PS-341, Velcade) with trastuzumab (Herceptin) given either weekly or 3-weekly. Additionally, hints about efficacy of the combination will be looked upon.

Interventions

DRUGCombination of trastuzumab and PS-341

Trastuzumab and velcade are used according standard procedure

Sponsors

Jules Bordet Institute
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Female gender 2. Age \>= 18 years 3. ECOG performance status \< 2 4. Histologically proven diagnosis of breast cancer 5. Locally advanced and/or metastatic disease 6. Life expectancy of three months or longer 7. No concurrent second malignancy (except for adequately treated basal cell carcinoma of the skin, in situ carcinoma of the cervix or contralateral breast cancer). Any prior second malignancy must be in remission for \>= 5 years (except for contralateral breast cancer). 8. No other serious illness or medical condition including: * History of documented congestive heart failure; angina pectoris requiring antianginal medication; evidence of recent (\< 6 months) transmural infarction on electrocardiogram (ECG); poorly controlled hypertension (e.g. systolic \> 180 mmHg or diastolic greater than 100 mmHg); clinically significant valvular heart disease; or high-risk uncontrolled arrhythmias. * Chronic lung disease * History of significant neurological or psychiatric disorders that would prohibit the understanding and giving of informed consent, including psychotic disorders, mental retardation, and dementia. * Active concurrent infection 9. No symptomatic central nervous system (CNS) metastases 10. No rapidly progressive visceral metastases requiring immediate chemotherapy 11. No concurrent anti-cancer treatment is allowed. 12. Prior investigational biological agents are allowed, with the exception of anti-HER-2 therapy for any reason. 13. Previous hormonal therapy is allowed, as adjuvant and/or for metastatic breast cancer (MBC). 14. Adjuvant and MBC chemotherapy allowed, provided that a minimum of 4 weeks interval has elapsed between last chemotherapy administration and first study drug dose. All patients who, in the opinion of the investigator, could benefit from single agent Herceptin® and are not considered suitable for treatment with chemotherapy plus Herceptin® can be considered for this protocol. 15. A maximum cumulative dose of previous doxorubicin \< 360 mg/m2 or a maximum cumulative dose of epirubicin \< 720 mg/m2 16. Concomitant use of bisphosphonates is allowed, however if bisphosphonates are started during the trial for worsening bone pain, patients should be assessed for possible progressive disease. 17. Adequate organ function as defined by: * Neutrophils \>= 1.5 x 10\^9/L * Platelets \>= 100 x 10\^9/L * Bilirubin \<= 1.5 x upper limit of normal (ULN) * Transaminases \<= 2.5 x ULN or \<= 5 x ULN if liver metastasis * Creatinine \<= 1.5 x ULN 18. Overexpression of HER-2 in the invasive component of the primary tumor, according to one of the following definitions: * 3+ overexpression by immunohistochemistry (IHC) or * 2+ overexpression by IHC and fluorescence in situ hybridization (FISH) test demonstrating c-erbB2 gene amplification (ratio of c-erbB2 gene signals to centromere 17 signals \> 2) 19. Baseline left ventricular ejection fraction (LVEF) \> 50% measured by multiple gated acquisition scan (MUGA) or echocardiography 20. Evaluable or uni-dimensionally measurable disease according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria 21. Women of childbearing potential must have a negative serum or urine pregnancy test and be willing to use acceptable methods of birth control. 22. Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial. 23. Before patient registration/randomization, informed consent must be given according to International Conference of Harmonization/European Union Good Clinical Practice (ICH/EU GCP), and national/local regulations.

Design outcomes

Primary

MeasureTime frameDescription
Feasibility and maximum tolerated dosebefore recurrenceCombination of Velcade and Herceptine in breast metastatic patients
Time of recurrencetime of recurrencesafety and tolerability of combinaison before recurrence of metastatic breast cance

Secondary

MeasureTime frameDescription
Response ratetime before response rateTolerability and safety of combination of velcade and Herceptine

Countries

Belgium

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026