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Pazopanib in Treating Patients With Recurrent or Metastatic Breast Cancer

A Phase 2 Study of GW786034 (Pazopanib) in Patients With Recurrent and/or Metastatic Invasive Breast Carcinoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00509587
Enrollment
21
Registered
2007-07-31
Start date
2007-06-30
Completion date
2013-08-31
Last updated
2018-08-08

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

Conditions

Breast Cancer, Recurrent Breast Cancer, Stage IV Breast Cancer

Brief summary

This phase II trial is studying how well giving pazopanib works in treating patients with recurrent or metastatic invasive breast cancer. Pazopanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor.

Detailed description

PRIMARY OBJECTIVE: I. To determine the antitumor activity of pazopanib, in terms of objective response rate (partial and complete response), in patients with recurrent or metastatic invasive breast cancer. SECONDARY OBJECTIVES: I. To determine the duration of objective response, rate and duration of stable disease. II. To determine 6-month progression-free and median and overall survival rates in patients treated with this drug. III. To document the safety and tolerability of this drug in these patients. OUTLINE: This is a multicenter, open label study. Patients receive oral pazopanib once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Blood samples are collected at baseline and at 1, 4, and 8 weeks for correlative laboratory studies. Blood samples are evaluated for the following tumor markers by ELISA: VEGF, bFGF, sFLT-1, sTIE-2, sE-Selectin, VCAM-1, PDGF-AA, PDGF-AB and PDGF-BB. TSP-1 in plasma is measured by Accucyte™ competitive immunoassay. After completion of study treatment, patients are followed every 3 months.

Interventions

DRUGpazopanib hydrochloride

Given orally

PROCEDUREpharmacological study

Correlative studies

PROCEDURElaboratory biomarker analysis

Correlative studies

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

Criteria: * No prior bevacizumab * Histologically or cytologically confirmed invasive breast carcinoma (recurrent or metastatic disease) * Measurable disease, defined as \>= 1 unidimensionally measurable lesion \>= 20 mm by conventional techniques or \>= 10 mm by spiral CT scan * Patients who may still benefit from hormonal therapy are ineligible (patients with hormone receptor-positive breast cancer should have received appropriate sequential hormonal therapy for metastatic disease until disease progression) * Patients with HER-2 positive disease who have not yet received trastuzumab (Herceptin®) to maximal benefit are ineligible (patients with disease progression during trastuzumab therapy are eligible) * No known brain metastases * ECOG performance status (PS) 0-1 or Karnofsky PS 60-100% * Life expectancy \> 12 weeks * Absolute neutrophil count \>= 1,500/mm³ * Platelets \>=100,000/mm³ * Total bilirubin normal (exception made for patients with known Gilbert's disease) * AST/ALT =\< 2.5 times upper limit of normal (ULN) * No proteinuria \> +1 on two consecutive dipsticks taken \>= 1 week apart * PT/INR/PTT =\< 1.2 times ULN * No allergic reactions attributed to compounds of similar chemical or biologic composition to pazopanib or other study agents * No QTc prolongation (defined as a QTc interval \>= 500 msecs) or other significant ECG abnormalities * No condition (e.g., gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation, or active peptic ulcer disease) that would impair ability to swallow and retain study drug * No poorly controlled hypertension (systolic blood pressure \[BP\] \>= 140 mm Hg or diastolic BP \>= 90 mm Hg) Initiation or adjustment of BP medication is allowed prior to study entry provided that the average of 3 BP readings prior to study entry is \< 140/90 mm Hg * No serious or non-healing wound, ulcer, or bone fracture * No abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the last 4 weeks * No cerebrovascular accident within the last 6 months * No myocardial infarction, cardiac arrhythmia, hospital admission for unstable angina within the last 12 weeks * No venous thrombosis within the last 12 weeks * No NYHA class III-IV heart failure Patients with a history of class II heart failure may be considered eligible provided they are asymptomatic on treatment * No concurrent uncontrolled illness including, but not limited to, ongoing or active infection or psychiatric illness/social situations that would preclude study compliance * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C), radiotherapy, or surgery * No cardiac angioplasty or stenting within the last 12 weeks * No more than 1 prior chemotherapy regimen for recurrent disease * No prior surgical procedures affecting absorption * No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment, including any of the following: Therapeutic warfarin Low molecular weight heparin or prophylactic low-dose warfarin are allowed * No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment, including any of the following: * Erectile dysfunction agents: sildenafil, tadalafil, or vardenafil * Antiarrhythmics: bepridil, flecainide, lidocaine, mexilitine, amiodarone, or quinidine * Immune modulators: cyclosporine, tacrolimus, or sirolimus * Miscellaneous: theophylline, quetiapine, or risperidone * No CYP2C9 substrates during or for 1-2 weeks after completion of study treatment, including any of the following: * Oral hypoglycemics: glipizide, glyburide, or tolbutamide * Ergot derivatives: dihydroergotamine, ergonovine, ergotamine, or methylergonovine * Neuroleptics: pimozide * No concurrent combination antiretroviral therapy for HIV-positive patients * No other concurrent investigational agents * No other concurrent anticancer therapy * WBC \>= 3,000/mm³ * No more than 2 prior palliative systemic chemotherapy regimens for de novo metastatic disease * Creatinine normal OR creatinine clearance \>= 60 mL/min * At least 3 months since prior trastuzumab

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Partial and Complete Response.Up to 3 yearsPer Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT / MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Secondary

MeasureTime frameDescription
Duration of Objective ResponseFrom the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented, assessed up to 3 years
Duration of Stable DiseaseFrom the start of the treatment until the criteria for progression are met, assessed up to 3 years
Progression-free Survival6 monthsProgression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a nontarget lesion, or the appearance of new lesions
Overall SurvivalUp to 3 yearsComputed using the Kaplan-Meier method.
Adverse Events Graded According to the NCI CTCAE Version 3.0Up to 3 yearsgrade 3- 4 toxicities - transaminitis, hypertension, and neutropenia in three patients each (14% each) and grade 3 gastrointestinal hemorrhage in one patient (5%).

Countries

Canada

Participant flow

Participants by arm

ArmCount
Treatment (Pazopanib Hydrochloride)
Patients receive oral pazopanib once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. pazopanib hydrochloride: Given orally pharmacological study: Correlative studies laboratory biomarker analysis: Correlative studies
21
Total21

Baseline characteristics

CharacteristicTreatment (Pazopanib Hydrochloride)
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
4 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
Age, Continuous54 years
Region of Enrollment
Canada
21 participants
Sex: Female, Male
Female
21 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
21 / 21
serious
Total, serious adverse events
1 / 21

Outcome results

Primary

Number of Participants With Partial and Complete Response.

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT / MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Time frame: Up to 3 years

ArmMeasureValue (NUMBER)
Treatment (Pazopanib Hydrochloride)Number of Participants With Partial and Complete Response.1 participant
Secondary

Adverse Events Graded According to the NCI CTCAE Version 3.0

grade 3- 4 toxicities - transaminitis, hypertension, and neutropenia in three patients each (14% each) and grade 3 gastrointestinal hemorrhage in one patient (5%).

Time frame: Up to 3 years

ArmMeasureGroupValue (NUMBER)
Treatment (Pazopanib Hydrochloride)Adverse Events Graded According to the NCI CTCAE Version 3.0Grade 3-4 Hypertension14 percentage of patients
Treatment (Pazopanib Hydrochloride)Adverse Events Graded According to the NCI CTCAE Version 3.0Grade 3-4Neutropenia14 percentage of patients
Treatment (Pazopanib Hydrochloride)Adverse Events Graded According to the NCI CTCAE Version 3.0Grade 3-4 transaminitis14 percentage of patients
Treatment (Pazopanib Hydrochloride)Adverse Events Graded According to the NCI CTCAE Version 3.0Grade 3 gastrointestinal hemorrhage5 percentage of patients
Secondary

Duration of Objective Response

Time frame: From the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented, assessed up to 3 years

Population: Duration of objective response was not analyzed for 1 patient who achieved PR

Secondary

Duration of Stable Disease

Time frame: From the start of the treatment until the criteria for progression are met, assessed up to 3 years

ArmMeasureValue (MEDIAN)
Treatment (Pazopanib Hydrochloride)Duration of Stable Disease5.3 months
Secondary

Overall Survival

Computed using the Kaplan-Meier method.

Time frame: Up to 3 years

ArmMeasureValue (MEDIAN)
Treatment (Pazopanib Hydrochloride)Overall Survival12.8 months
Secondary

Progression-free Survival

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a nontarget lesion, or the appearance of new lesions

Time frame: 6 months

ArmMeasureValue (NUMBER)
Treatment (Pazopanib Hydrochloride)Progression-free Survival22 percentage of patients

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