An Open Label Phase 1B Dose-Finding Study of TRC105 in Combination With Capecitabine for Progressive or Recurrent Metastatic Breast Cancer
Inclusion Criteria:
- Histologically proven advanced solid cancer for which curative therapy is not
available (Part 1 only)
- Histologically proven metastatic Her-2-negative breast cancer (Part 2 only)
- Measurable disease by RECIST 1.1 criteria (Part 2 only)
- Willing and able to consent for self to participate in study
- Progressive or recurrent disease after prior systemic chemotherapy regimen
- Age ≥ 18 years
- ECOG performance status of 0 or 1
- Resolution of all acute toxic effects of prior therapy to NCI CTCAE Grade ≤ 1 or
baseline (except alopecia)
- Adequate organ function
Exclusion Criteria:
- Prior treatment with more than one systemic chemotherapy regimen for metastatic
disease.
- Prior treatment with TRC105
- History of hypersensitivity reaction to antimetabolite therapy
- Receipt of an investigational agent within 28 days of starting study treatment
- Prior surgery (including open biopsy), radiation therapy or systemic therapy within
28 days of starting study treatment
- Minor surgical procedures within 14 days prior to first dose of TRC105
- History of brain metastasis, spinal cord compression, or carcinomatous meningitis, or
new evidence of brain or leptomeningeal disease
- Angina, MI, symptomatic congestive heart failure, cerebrovascular accident, transient
ischemic attack, arterial embolism, pulmonary embolism, DVT, PTCA or CABG within the
past 6 months
- Uncontrolled chronic hypertension defined as systolic > 140 or diastolic > 90 despite
optimal therapy
- Past medical history of acquired or inherited coagulopathy including patients with
known hereditary hemorrhagic telangiectasia
- Thrombolytic or anticoagulant use (except to maintain i.v. catheters) within 10 days
prior to first dose with TRC105
- Cardiac dysrhythmias of NCI CTCAE Grade ≥ 2 within the last month
- Hemorrhage within 28 days of starting study treatment
- Unhealed wounds within 28 days of starting study treatment
- History of peptic ulcer disease or gastritis within the past 6 months, unless treated
for the condition and complete resolution has been documented by
esophagogastroduodenoscopy (EGD) within 28 days of starting study treatment
- Known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)
related illness
- Known active viral or nonviral hepatitis
- History of hypersensitivity reaction to human or mouse antibody products
- Lung cancer with central chest lesions
- Pregnancy or breastfeeding