Phase I/II Study of Neoadjuvant Carboplatin, Eribulin Mesylate and Trastuzumab (ECH) for Operable HER2 Positive Breast Cancer
Inclusion Criteria:
- Written informed consent
- Females; 18 years of age or greater
- Histologically proven invasive breast cancer
- American Joint Committee on Cancer (AJCC) clinical stage IIA - IIIB
- Tumor size greater than 10 millimeters
- HER2 positive
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Estrogen receptor (ER) positive or negative
- Ejection fraction greater than or equal to lower limit of normal for the institution
by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA)
- Less than or equal to Grade 1 neuropathy according to Common Terminology Criteria for
Adverse Events (CTCAE) version 4.0
- Planned lumpectomy or mastectomy
- Eligible for radiation therapy
- No prior treatment for invasive breast cancer
- Adequate organ system function per protocol as determined within 7 days prior to
first dose of study treatment
- Women of childbearing potential must have a negative pregnancy test within 7 days
prior to the first dose of study treatment and must agree to use adequate
contraception methods during study treatment and for a minimum of 6 months following
trastuzumab discontinuation
- Female subjects who are lactating should discontinue nursing prior to the first dose
of study treatment and should refrain from nursing throughout the treatment period
Exclusion Criteria:
- Fine needle cytology only without other histologic evidence of invasive breast cancer
- Inflammatory breast cancer
- AJCC clinical stage T1a-b breast cancer (primary tumor less than or equal to 10
millimeters)
- Evidence of metastatic disease
- HER2 negative
- Ejection fraction less than lower limit of normal for the institution by ECHO or MUGA
- Corrected QT interval greater than 480 milliseconds
- Pre-existing cardiac dysfunction
- Prior history of invasive cancer within the past 3 years
- Synchronous bilateral breast cancer
- Pre-existing CTCAE v4.0 Grade 2 or greater neuropathy
- Hypersensitivity to halichondrin B or halichondrin B chemical derivative
- History of severe allergic reactions to cisplatin or other platinum containing
compounds, or mannitol
- Mild, moderate, or severe hepatic impairment
- Moderate or severe renal impairment
- Hypokalemia or hypomagnesemia if it cannot be corrected prior to the first dose of
study treatment
- Organ allografts requiring immunosuppression
- Known positive human immunodeficiency virus (HIV) status
- Prior major surgery within 28 days prior to the first dose of study treatment and/or
presence of any non-healing wound, fracture, or ulcer
- Minor surgery or radiation therapy within 14 days prior to the first dose of study
treatment
- Any serious and/or unstable pre-existing medical, psychiatric, or other condition
that could interfere with subject's safety, provision of informed consent, or
compliance to study procedures