Breast Cancer
Conditions
Keywords
breast cancer, ridaforolimus, ridaforolimus/dalotuzumab combination therapy
Brief summary
This clinical trial will evaluate whether treatment with ridaforolimus, dalotuzumab, or ridforolimus/dalotuzumab combination therapy reduces Growth Factor Signature (GFS) Score among participants with breast cancer.
Interventions
Ridaforolimus (MK-8669) once daily for 5 consecutive days per week and Dalotuzumab (MK-0646) intravenously (IV) once weekly for 2 weeks
Ridaforolimus 40 mg (once daily for 5 consecutive days per week) for 2 weeks, 10 mg enteric-coated tablets
Dalotuzumab, intravenously (IV) at 10 mg/kg/week for 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Participant has operable Stage I-IIIa invasive breast cancer of the following subtype: ER-positive, HER2-negative tumor with histologic grade 2 or 3 and Ki67 ≥ 15% * Tumor is at least 2 cm in diameter as assessed by physical or radiographic exam * Participant consents to provide an existing tissue sample or to have a core needle biopsy before drug administration * Participant consents to provide tissue samples following drug administration by a second core needle biopsy or from a surgical specimen * Participant must have adequate organ function
Exclusion criteria
* Participant has received any prior chemotherapy, biological therapy or radiotherapy for breast cancer * Participant has a known hypersensitivity to the components of study drugs or their analogs, including hypersensitivity to macrolide antibiotics (e.g. clarithromycin, erythromycin, azithromycin). * Participant has poorly controlled diabetes mellitus, or requires insulin for glucose control. * Participant is unable to swallow capsules and/or absorb oral medications * Participant is pregnant or breastfeeding, or expecting to conceive children within the projected duration of the study. * Participant is known to be Human Immunodeficiency Virus (HIV)-positive * Participant has known history of active Hepatitis B or C. * Participant is concurrently using growth hormone (GH) or growth hormone inhibitors * Participant has significant or uncontrolled cardiovascular disease, including heart failure, unstable angina, or a myocardial infarction within the last 6 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The population mean change from baseline in GFS (Growth Factor Signature) score | Baseline and Day 15 |
Secondary
| Measure | Time frame |
|---|---|
| The population mean change from baseline in Ki67 among participants receiving ridaforolimus/dalotuzumab combination therapy | Baseline and Day 15 |
| The correlation between change in Ki67 expression and change in GFS after two weeks of treatment with ridaforolimus/dalotuzumab (MK-8669/MK-0646) combination therapy, ridaforolimus (MK-8669) monotherapy and/or dalotuzumab (MK-0646) monotherapy | Baseline and Day 15 |