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Study Of SU011248 In Combination With Docetaxel And Trastuzumab In Patients With Advanced Breast Cancer HER-2 Positive

An Explorative Study Of The Tolerability Of SU011248 In Combination With Docetaxel And Trastuzumab As First-Line Treatment In Patients With Breast Cancer Over-Expressing HER-2

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00372424
Enrollment
26
Registered
2006-09-07
Start date
2006-12-31
Completion date
2011-09-30
Last updated
2012-12-28

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

Conditions

Breast Cancer

Keywords

Breast cancer over-expressing HER2. First-line treatment with sunitinib/docetaxel/trastuzumab.

Brief summary

This is an exploratory trial evaluating the tolerability and preliminary anti-tumor activity of SU011248 combined with docetaxel and trastuzumab in patients with locally recurrent or metastatic breast cancer over-expressing Her-2, who have not received chemotherapy treatment in the advanced disease setting.

Interventions

DRUGHerceptin

Trastuzumab will be administered intravenously on Day 1 before docetaxel - loading dose of 4 mg/kg over 90-minute on Day 1 followed by weekly maintenance doses of 2 mg/kg on Days 1, 8, 15 given as 30-minute infusions if the initial loading dose was well tolerated. Loading dose of 8 mg/kg over 90-minute on Day 1 followed by 3-weekly maintenance doses of 6 mg/kg given as 90-minute infusions. The administration of 6 mg/kg will be repeated on Day 1 every 3 weeks.

DRUGSunitinib

SU011248 will be administered at 37.5 mg once daily for 2 weeks every 3 weeks (Schedule 2/1) starting from Day 2, when in combination with docetaxel. SU011248 will be administered at the starting dose of 37.5 mg daily in a continuous regimen when docetaxel is discontinued.

DRUGTaxotere

The starting dose of docetaxel will be 75 mg/m2 every 3 weeks, administered on Day 1 of each cycle as a 1-hour IV infusion.

Sponsors

Pfizer
Lead SponsorINDUSTRY

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

* Breast cancer with evidence of unresectable, locally recurrent, or metastatic disease. * Tumors over-expressing Her-2 * Candidate for treatment with docetaxel/trastuzumab

Exclusion criteria

* Histology of inflammatory carcinoma * AST and/or ALT \>1.5 x ULN concomitant with ALP \>2.5 x ULN

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)From screening until 28 days post last dose of study drugAn AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Secondary

MeasureTime frameDescription
Percentage of Participants With Objective Response (OR)Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as disappearance of all target lesions. PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.
Progression-free Survival (PFS)Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)Time in weeks from start of study treatment to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from adverse event (AE) data (where the outcome was Death).
Duration of Response (DR)Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response.
Maximum Observed Plasma Concentration (Cmax) of DocetaxelEnd of infusion (1 H) on Day 1 of Cycle 1, 2, 4 and 6Concentration values below the lower limit of quantification were taken as zero.
Plasma Trough Concentrations (Ctrough) of TrastuzumabWeekly trastuzumab: Pre-dose (0 H) on Day 1 and 15 of Cycle 1, 2, 4 and 6; 3-weekly trastuzumab: Pre-dose (0 H) on Day 1 of Cycle 1, 2, 4 and 6Ctrough = the concentration prior to study medication administration.
Plasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Pre-dose (0 hours [H]) on Day 1 and Day 15 of Cycle 2, 4, 6 and additionally Day 15 of Cycle 1Ctrough = the concentration prior to study medication administration. Ctrough was calculated for SU011248 (Sunitinib), SU012662 (Sunitinib metabolite) and total drug (SU011248+SU012662). Concentration values below the lower limit of quantification were taken as zero.

Other

MeasureTime frame
Maximum Observed Plasma Concentration (Cmax) of PaclitaxelEnd of infusion (1 H) on Day 1 of Cycle 1, 2, 4 and 6

Countries

Belgium, Italy

Participant flow

Participants by arm

ArmCount
Sunitinib + Docetaxel + Trastuzumab
Sunitinib 37.5 milligram (mg) capsule orally once daily continuously starting from Day 2 up to Day 15 in each cycle, in schedule 2/1 (2 week on treatment, 1 week off treatment) along with docetaxel 75 milligram/square meter (mg/m\^2) intravenous infusion over 1 hour on Day 1 of each cycle and trastuzumab either weekly: loading dose of 4 milligram/kilogram (mg/kg) intravenous infusion over 90 minutes on Day 1 followed by weekly maintenance doses of 2 mg/kg intravenous infusion over 30 minutes; or every 3 weeks: loading dose of 8 mg/kg intravenous infusion over 90 minutes on Day 1 followed by maintenance doses of 6 mg/kg intravenous infusion over 90 minutes every 3 weeks. Cycle length was 3 weeks.
25
Total25

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event2
Overall StudyDeath1
Overall StudyEnrolled, Not Treated1
Overall StudyObjective Progression or Relapse14
Overall StudyOther7
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicSunitinib + Docetaxel + Trastuzumab
Age Continuous57.0 years
STANDARD_DEVIATION 12.8
Sex: Female, Male
Female
25 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
23 / 25
serious
Total, serious adverse events
11 / 25

Outcome results

Primary

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Time frame: From screening until 28 days post last dose of study drug

Population: Safety population included all participants enrolled in the study who received at least 1 dose of study medication.

ArmMeasureGroupValue (NUMBER)
Sunitinib + Docetaxel + TrastuzumabNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs24 participants
Sunitinib + Docetaxel + TrastuzumabNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs11 participants
Secondary

Duration of Response (DR)

Time in weeks from the first documentation of objective tumor response to objective tumor progression or death due to any cancer. Duration of tumor response was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first CR or PR that was subsequently confirmed plus 1) divided by 7. DR was calculated for the subgroup of participants with a confirmed objective tumor response.

Time frame: Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)

Population: Study population, subgroup of participants with a confirmed objective tumor response (CR or PR).

ArmMeasureValue (MEDIAN)
Sunitinib + Docetaxel + TrastuzumabDuration of Response (DR)51.3 weeks
Secondary

Maximum Observed Plasma Concentration (Cmax) of Docetaxel

Concentration values below the lower limit of quantification were taken as zero.

Time frame: End of infusion (1 H) on Day 1 of Cycle 1, 2, 4 and 6

Population: PK analysis set included participants from study population who had completed sampling for pharmacokinetic profiles for study medication. 'n' is number of participants who were evaluable at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Sunitinib + Docetaxel + TrastuzumabMaximum Observed Plasma Concentration (Cmax) of DocetaxelCycle1/Day1 (n= 23)1117.05 ng/mLStandard Deviation 1159.53
Sunitinib + Docetaxel + TrastuzumabMaximum Observed Plasma Concentration (Cmax) of DocetaxelCycle2/Day1 (n= 19)1388.63 ng/mLStandard Deviation 1260.94
Sunitinib + Docetaxel + TrastuzumabMaximum Observed Plasma Concentration (Cmax) of DocetaxelCycle4/Day1 (n= 16)1316.88 ng/mLStandard Deviation 1096.97
Sunitinib + Docetaxel + TrastuzumabMaximum Observed Plasma Concentration (Cmax) of DocetaxelCycle6/Day1 (n= 15)1670.40 ng/mLStandard Deviation 1614.07
Secondary

Percentage of Participants With Objective Response (OR)

Percentage of participants with objective response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed responses are those that persist on repeat imaging study at least 4 weeks after initial documentation of response. CR are defined as disappearance of all target lesions. PR are those with at least 30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum longest dimensions.

Time frame: Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)

Population: Per protocol (PP) population included all participants who received at least 1 dose of sunitinib and had at least a tumor assessment post baseline.

ArmMeasureValue (NUMBER)
Sunitinib + Docetaxel + TrastuzumabPercentage of Participants With Objective Response (OR)72.7 percentage of participants
Secondary

Plasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)

Ctrough = the concentration prior to study medication administration. Ctrough was calculated for SU011248 (Sunitinib), SU012662 (Sunitinib metabolite) and total drug (SU011248+SU012662). Concentration values below the lower limit of quantification were taken as zero.

Time frame: Pre-dose (0 hours [H]) on Day 1 and Day 15 of Cycle 2, 4, 6 and additionally Day 15 of Cycle 1

Population: Pharmacokinetic (PK) analysis set included participants from study population who had completed sampling for pharmacokinetic profiles for study medication. 'n' is number of participants who were evaluable at given time points.

ArmMeasureGroupValue (MEAN)Dispersion
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle1/Day15 (n= 19)40.17 nanogram/milliliter (ng/mL)Standard Deviation 32.17
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle2/Day1 (n= 17)5.96 nanogram/milliliter (ng/mL)Standard Deviation 6.17
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle2/Day15 (n= 16)37.29 nanogram/milliliter (ng/mL)Standard Deviation 31.07
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle4/Day1 (n= 17)5.26 nanogram/milliliter (ng/mL)Standard Deviation 5.71
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle4/Day15 (n= 16)43.21 nanogram/milliliter (ng/mL)Standard Deviation 27.31
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle6/Day1 (n= 16)3.36 nanogram/milliliter (ng/mL)Standard Deviation 4.34
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib: Cycle6/Day15 (n= 13)28.46 nanogram/milliliter (ng/mL)Standard Deviation 21.19
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle1/Day15 (n= 19)16.15 nanogram/milliliter (ng/mL)Standard Deviation 12.09
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle2/Day1 (n= 17)4.76 nanogram/milliliter (ng/mL)Standard Deviation 3.92
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle2/Day15 (n= 16)14.43 nanogram/milliliter (ng/mL)Standard Deviation 11.34
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle4/Day1 (n= 17)3.95 nanogram/milliliter (ng/mL)Standard Deviation 2.57
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle4/Day15 (n= 16)17.62 nanogram/milliliter (ng/mL)Standard Deviation 11.17
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle6/Day1 (n= 16)2.96 nanogram/milliliter (ng/mL)Standard Deviation 2.89
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Sunitinib Metabolite: Cycle6/Day15 (n= 13)11.54 nanogram/milliliter (ng/mL)Standard Deviation 9.66
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle1/Day15 (n= 19)56.31 nanogram/milliliter (ng/mL)Standard Deviation 42.7
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle2/Day1 (n= 17)10.72 nanogram/milliliter (ng/mL)Standard Deviation 9.8
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle2/Day15 (n= 16)51.72 nanogram/milliliter (ng/mL)Standard Deviation 41.45
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle4/Day1 (n= 17)9.21 nanogram/milliliter (ng/mL)Standard Deviation 7.97
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle4/Day15 (n= 16)60.83 nanogram/milliliter (ng/mL)Standard Deviation 37.43
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle6/Day1 (n= 16)6.32 nanogram/milliliter (ng/mL)Standard Deviation 7.02
Sunitinib + Docetaxel + TrastuzumabPlasma Trough Concentrations (Ctrough) of SU011248 (Sunitinib), SU012662 (Sunitinib Metabolite) and Total Drug (SU011248+SU012662)Total Drug: Cycle6/Day15 (n= 13)40.00 nanogram/milliliter (ng/mL)Standard Deviation 30.04
Secondary

Plasma Trough Concentrations (Ctrough) of Trastuzumab

Ctrough = the concentration prior to study medication administration.

Time frame: Weekly trastuzumab: Pre-dose (0 H) on Day 1 and 15 of Cycle 1, 2, 4 and 6; 3-weekly trastuzumab: Pre-dose (0 H) on Day 1 of Cycle 1, 2, 4 and 6

Population: Data was not summarized since majority of observed Ctrough values were below lower limit of quantification.

Secondary

Progression-free Survival (PFS)

Time in weeks from start of study treatment to first documentation of objective tumor progression or death due to any cause. PFS was calculated as (first event date minus the date of first dose of study medication plus 1) divided by 7. Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease \[PD\]), or from adverse event (AE) data (where the outcome was Death).

Time frame: Baseline, assessed every 6 weeks starting from Day1 of Cycle 3 up to end of treatment (Day 1344)

Population: Study population included all participants who received at least 1 dose of study medication.

ArmMeasureValue (MEDIAN)
Sunitinib + Docetaxel + TrastuzumabProgression-free Survival (PFS)58.4 weeks
Other Pre-specified

Maximum Observed Plasma Concentration (Cmax) of Paclitaxel

Time frame: End of infusion (1 H) on Day 1 of Cycle 1, 2, 4 and 6

Population: Data not analyzed since paclitaxel was not administered in the study.

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