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Phase II Studies of Two Different Schedules of Dasatinib (NSC-732517) in Bone Metastasis Predominant Metastatic Breast Cancer


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Breast Cancer, Metastatic Cancer

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Trial Information

Phase II Studies of Two Different Schedules of Dasatinib (NSC-732517) in Bone Metastasis Predominant Metastatic Breast Cancer


OBJECTIVES:

- Compare the progression-free survival of patients with stage IV bone
metastasis-predominant breast cancer treated with 1 of 2 treatment schedules of
dasatinib.

- Compare the response rate (complete and partial, confirmed and unconfirmed) in patients
treated with these regimens.

- Compare the MUC-1 antigen response rate (CA 15-3 or CA 27-29) in patients treated with
these regimens.

- Compare the circulating tumor cell response rate in patients treated with these
regimens.

- Compare the anti-osteoclast activity, as measured by changes in bone turnover markers,
in patients treated with these regimens.

- Compare the frequency and severity of toxicities of these regimens in these patients.

- Compare the pain profiles of these patients and explore changes over time.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to
concurrent trastuzumab (Herceptin®) treatment (yes vs no). Patients are randomized to 1 of 2
treatment arms.

- Arm I: Patients receive oral dasatinib once daily.

- Arm II: Patients receive oral dasatinib twice daily. In both treatment arms, treatment
continues for at least 24 weeks in the absence of disease progression or unacceptable
toxicity.

Blood samples are acquired from patients once weekly in weeks 1, 4, 8, 16, and 24. Samples
are analyzed for tumor markers, circulating tumor cells, and bone markers.

Patients complete a self-reported brief pain inventory questionnaire at baseline and once in
weeks 8, 16, and 24.

After completion of study treatment, patients are followed every 3-6 months for up to 2
years.

PROJECTED ACCRUAL: A total of 80 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Diagnosis of breast carcinoma meeting the following criteria:

- Stage IV disease

- Bone metastasis-predominant disease, defined as the presence of ≥ 1 bone
metastasis with or without nonbone (visceral or soft tissue) disease where the
number of bone metastases is at least the number of measurable visceral target
lesions

- Visceral disease that does not cause a reduction in ECOG performance status
allowed

- Must meet 1 of the following criteria:

- Measurable disease within the past 28 days

- Nonmeasurable disease with rising serum CA 15-3, CA 27-29, CEA, or CA-125
documented by 2 consecutive measurements taken ≥ 14 days apart with the most
recent measurement being within the past 42 days

- These measurements need not be consecutive, and the prior measurement could
have been months to years prior to the current measurement if the marker is
considered by the investigator to reflect disease progression

- The second serum marker value must be greater than the institution's upper
limit of normal and show ≥ a 20% increase over the first measurement

- No symptomatic brain or CNS metastases

- Prior CNS or brain metastasis allowed provided it was treated with radiotherapy
≥ 8 weeks ago

- No pleural or pericardial effusion

- Hormone receptor status known

- Estrogen receptor- and/or progesterone receptor-positive disease must have
progressed on ≥ 1 hormonal therapy in the metastatic setting

PATIENT CHARACTERISTICS:

- Male or female

- Menopausal status not specified

- Zubrod performance status 0-2

- QTc < 450 msec by EKG

- Ejection fraction ≥ 50% by MUGA or 2-dimensional echocardiogram with no significant
abnormalities within the past 12 weeks for patients on trastuzumab

- No active infection requiring systemic therapy

- No uncontrolled concurrent condition that would preclude the ability to take oral
medication, including the following:

- Nausea

- Vomiting

- Diarrhea

- Lack of physical integrity of the upper gastrointestinal tract

- Malabsorption syndrome

- No clinically significant cardiac disease, including the following:

- Congestive heart failure

- Symptomatic coronary artery disease

- Cardiac arrhythmias not well controlled

- Myocardial infarction within the past 12 months

- No concurrent active malignancy

- Prior malignancies allowed provided the patient is currently disease-free

- Not pregnant or nursing

- Fertile patients must use effective contraception during and for 3 months after
completion of study therapy

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

- No prior RankL inhibitor therapy

- No more than 1 prior cytotoxic chemotherapy for metastatic disease

- At least 3 weeks since prior chemotherapy and recovered

- At least 1 week since prior radiotherapy to non-CNS disease and recovered

- At least 3 weeks since prior and no concurrent intravenous bisphosphates (e.g.,
zoledronate)

- At least 7 days since prior and no concurrent antiplatelet agents, including any of
the following*:

- Anticoagulants (e.g., tirofiban, eptifibatide, ticlopidine)

- Aspirin or aspirin-containing combinations

- Dipyridamole

- Epoprostenol

- Clopidogrel

- Cilostazol

- Abciximab NOTE: *Nonsteroidal anti-inflammatory drugs and medically indicated
platelet-inhibiting medication allowed

- At least 7 days since prior and no concurrent CYP3A4 inhibitors, including any of the
following:

- HIV protease inhibitors (e.g., amprenavir, atazanavir, fosamprenavir, indinavir,
nelfinavir, ritonavir)

- Select antibiotics (e.g., ciprofloxacin, clarithromycin, doxycycline, enoxacin,
isoniazid, telithromycin)

- Azole antifungals (e.g., itraconazole, ketoconazole, miconazole, voriconazole)

- Select anesthetics (e.g., ketamine, propofol)

- Hypericum perforatum (St. John's wort)

- Nefazodone

- Nicardipine

- Diclofenac

- Quinidine

- Imatinib mesylate

- At least 7 days since prior and no concurrent medications that prolong the QTc
interval, including any of the following:

- Antiarrhythmic agents (e.g., quinidine, procainamide, disopyramide phosphate,
amiodarone, sotalol hydrochloride, ibutilide, dofetilide)

- Antipsychotic agents (e.g., chlorpromazine, mesoridazine, thioridazine,
pimozide, haloperidol, droperidol)

- Select antibiotics (e.g., erythromycin, clarithromycin, sparfloxacin,
pentamidine)

- Narcotic analgesics (e.g., levomethadyl, methadone, domperidone)

- Calcium channel blockers (e.g., bepridil, lidoflazine)

- Antimalarial agents (e.g., halofantrine, chloroquine)

- Parasympathomimetic agents (e.g., cisapride)

- Arsenic trioxide

- No other concurrent antineoplastic therapy for breast cancer, including any of the
following:

- Radiotherapy

- Chemotherapy

- Immunotherapy

- Biologic therapy

- Hormonal therapy

- Gene therapy

- No concurrent grapefruit juice consumption

- No concurrent short-acting antacid agents within 2 hours of dasatinib administration

- Concurrent trastuzumab (Herceptin®) therapy for HER-2 positive patients allowed
provided patients have been on continuous trastuzumab for ≥ 12 weeks

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Progression-free survival, with disease progression defined as an increase in measurable disease, the appearance of new lesions, and/or clinical deterioration related to disease progression

Outcome Description:

Time from date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression-free are censored at last date of contact.

Outcome Time Frame:

Disease assessed every 8 weeks for up to 2 years until progression.

Safety Issue:

No

Principal Investigator

Anne F. Schott, MD

Investigator Role:

Study Chair

Investigator Affiliation:

University of Michigan Cancer Center

Authority:

United States: Food and Drug Administration

Study ID:

CDR0000520348

NCT ID:

NCT00410813

Start Date:

March 2007

Completion Date:

September 2013

Related Keywords:

  • Breast Cancer
  • Metastatic Cancer
  • stage IV breast cancer
  • male breast cancer
  • recurrent breast cancer
  • bone metastases
  • Breast Neoplasms
  • Neoplasm Metastasis
  • Neoplasms
  • Neoplasms, Second Primary

Name

Location

University of Michigan Comprehensive Cancer Center Ann Arbor, Michigan  48109-0752
Cardinal Bernardin Cancer Center at Loyola University Medical Center Maywood, Illinois  60153-5500
CCOP - Upstate Carolina Spartanburg, South Carolina  29303
Hurley Medical Center Flint, Michigan  48503
CCOP - Michigan Cancer Research Consortium Ann Arbor, Michigan  48106
Saint Joseph Mercy Cancer Center Ann Arbor, Michigan  48106-0995
Oakwood Cancer Center at Oakwood Hospital and Medical Center Dearborn, Michigan  48123-2500
Genesys Hurley Cancer Institute Flint, Michigan  48503
Van Elslander Cancer Center at St. John Hospital and Medical Center Grosse Pointe Woods, Michigan  48236
Sparrow Regional Cancer Center Lansing, Michigan  48912-1811
St. John Macomb Hospital Warren, Michigan  48093
CCOP - Bay Area Tumor Institute Oakland, California  94609-3305
CCOP - Montana Cancer Consortium Billings, Montana  59101
CCOP - Columbus Columbus, Ohio  43206
Charles M. Barrett Cancer Center at University Hospital Cincinnati, Ohio  45267-0526
MultiCare Regional Cancer Center at Tacoma General Hospital Tacoma, Washington  98405
CCOP - Northwest Tacoma, Washington  98405-0986
University of California Davis Cancer Center Sacramento, California  95817
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences Little Rock, Arkansas  72205
McDowell Cancer Center at Akron General Medical Center Akron, Ohio  44307
Presbyterian Cancer Center at Presbyterian Hospital Charlotte, North Carolina  28233-3549
Interlakes Oncology/Hematology PC Rochester, New York  14623
James P. Wilmot Cancer Center at University of Rochester Medical Center Rochester, New York  14642
Alaska Regional Hospital Cancer Center Anchorage, Alaska  99508
William Beaumont Hospital - Royal Oak Campus Royal Oak, Michigan  48073
Northern Rockies Radiation Oncology Center Billings, Montana  59101
Hematology-Oncology Centers of the Northern Rockies - Billings Billings, Montana  59101
Big Sky Oncology Great Falls, Montana  59405
St. Peter's Hospital Helena, Montana  59601
Kalispell Regional Medical Center Kalispell, Montana  59901
Glacier Oncology, PLLC Kalispell, Montana  59901
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center Missoula, Montana  59802
Montana Cancer Specialists at Montana Cancer Center Missoula, Montana  59802
Wayne Memorial Hospital, Incorporated Goldsboro, North Carolina  27534
Adena Regional Medical Center Chillicothe, Ohio  54601
Doctors Hospital at Ohio Health Columbus, Ohio  43228
Riverside Methodist Hospital Cancer Care Columbus, Ohio  43214
Grady Memorial Hospital Delaware, Ohio  43015
Fairfield Medical Center Lancaster, Ohio  43130
Strecker Cancer Center at Marietta Memorial Hospital Marietta, Ohio  45750
Licking Memorial Cancer Care Program at Licking Memorial Hospital Newark, Ohio  43055
Community Hospital of Springfield and Clark County Springfield, Ohio  45505
Genesis - Good Samaritan Hospital Zanesville, Ohio  43701
University of Mississippi Cancer Clinic Jackson, Mississippi  39216-4505
CCOP - Nevada Cancer Research Foundation Las Vegas, Nevada  89109-2306
University of New Mexico Cancer Center Albuquerque, New Mexico  87131-5636
Decatur Memorial Hospital Cancer Care Institute Decatur, Illinois  62526
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center Hartford, Connecticut  06105
Mount Carmel Health - West Hospital Columbus, Ohio  43222
University Medical Center of Southern Nevada Las Vegas, Nevada  89102
Eden Medical Center Castro Valley, California  94546
Alta Bates Summit Medical Center - Summit Campus Oakland, California  94609
Valley Care Medical Center Pleasanton, California  94588
Genesis Medical Center - West Campus Davenport, Iowa  52804
Genesis Regional Cancer Center at Genesis Medical Center Davenport, Iowa  52803
Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center Kingsport, Tennessee  37662
Danville Regional Medical Center Danville, Virginia  24541
Welch Cancer Center at Sheridan Memorial Hospital Sheridan, Wyoming  82801
St. Francis Hospital Federal Way, Washington  98003
St. Clare Hospital Lakewood, Washington  98499-0998
Providence St. Peter Hospital Regional Cancer Center Olympia, Washington  98506
Good Samaritan Cancer Center Puyallup, Washington  98371
Allenmore Hospital Tacoma, Washington  98411-0414
Highland General Hospital Oakland, California  94602
Northeast Georgia Medical Center Gainesville, Georgia  30501
Pearlman Comprehensive Cancer Center at South Georgia Medical Center Valdosta, Georgia  31603
Crossroads Cancer Center Effingham, Illinois  62401
Tammy Walker Cancer Center at Salina Regional Health Center Salina, Kansas  67401
Foote Memorial Hospital Jackson, Michigan  49201
St. Mary Mercy Hospital Livonia, Michigan  48154
St. Joseph Mercy Oakland Pontiac, Michigan  48341-2985
Mercy Regional Cancer Center at Mercy Hospital Port Huron, Michigan  48060
Seton Cancer Institute at Saint Mary's - Saginaw Saginaw, Michigan  48601
Billings Clinic - Downtown Billings, Montana  59107-7000
Bozeman Deaconess Cancer Center Bozeman, Montana  59715
St. James Healthcare Cancer Care Butte, Montana  59701
Great Falls Clinic - Main Facility Great Falls, Montana  59405
Sletten Cancer Institute at Benefis Healthcare Great Falls, Montana  59405
Northern Montana Hospital Havre, Montana  59501
Kalispell Medical Oncology at KRMC Kalispell, Montana  59901
Mary Rutan Hospital Bellefontaine, Ohio  43311
Grant Medical Center Cancer Care Columbus, Ohio  43215
Knox Community Hospital Mount Vernon, Ohio  43050
Mount Carmel St. Ann's Cancer Center Westerville, Ohio  43081
Salem Hospital Regional Cancer Care Services Salem, Oregon  97309-5014
Southwest Virginia Regional Cancer Center at Wellmonth Health Norton, Virginia  24273
Providence Centralia Hospital Centralia, Washington  98531-9027
Franciscan Cancer Center at St. Joseph Medical Center Tacoma, Washington  98405-3004
Rocky Mountain Oncology Casper, Wyoming  82609
Regional Cancer Center at Memorial Medical Center Springfield, Illinois  62781-0001
Pardee Memorial Hospital Hendersonville, North Carolina  28791
Rutherford Hospital Rutherfordton, North Carolina  28139
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center Spartanburg, South Carolina  29303
Providence Cancer Center Anchorage, Alaska  99508
Highlands Oncology Group - Springdale Springdale, Arkansas  72764
Great Falls, Montana  59405
Guardian Oncology and Center for Wellness Missoula, Montana  59804
Doctors Medical Center - San Pablo Campus San Pablo, California  94806
Boston University Cancer Research Center Boston, Massachusetts  02118
St. Vincent Healthcare Cancer Care Services Billings, Montana  59101
Providence Cancer Center at Providence Hospital Mobile, Alabama  36608
East Bay Radiation Oncology Center Castro Valley, California  94546
Contra Costa Regional Medical Center Martinez, California  94553-3156
Tibotec Therapeutics - Division of Ortho Biotech Products, LP Marysville, California  95901
El Camino Hospital Cancer Center Mountain View, California  94040
Larry G Strieff MD Medical Corporation Oakland, California  94609
Tom K Lee, Incorporated Oakland, California  94609
Bay Area Breast Surgeons, Incorporated Oakland, California  94609
Valley Medical Oncology Consultants - Pleasanton Pleasanton, California  94588
AnMed Cancer Center Anderson, South Carolina  29621
University of Colorado Cancer Center at UC Health Sciences Center Aurora, Colorado  80045
Lovelace Medical Center - Downtown Albuquerque, New Mexico  87102
Hematology Oncology Associates, PC Albuquerque, New Mexico  87106
Valley Medical Oncology Consultants - Castro Valley Castro Valley, California  94546
Valley Medical Oncology Fremont, California  94538
Ravenel Oncology Center at Memorial Hospital of Martinsville and Henry County Martinsville, Virginia  24115
Cancer Care Center of Decatur Decatur, Illinois  62526