Study Assessing Efficacy of ZARNESTRA™ Combined With Tamoxifen in Patients With Advanced or Metastatic Breast Cancer
Open, Single-Arm Phase II Study Assessing Efficacy of ZARNESTRA™ Combined With Tamoxifen in Patients With Advanced or Metastatic Breast Cancer Expressing the Estrogen and/or Progesterone Receptor
1 other identifier
interventional
40
1 country
3
Brief Summary
The purpose of this study is to evaluate the objective response rate when ZARNESTRA is added to treatment with tamoxifen
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Aug 2003
Longer than P75 for phase_2
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 21, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2008
CompletedNovember 14, 2006
November 1, 2006
September 13, 2005
November 10, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the objective response rate when ZARNESTRA is added to administration of tamoxifen in patients suffering from metastatic or advanced inoperable breast cancer, who are progressing on tamoxifen treatment
Secondary Outcomes (5)
To evaluate the time to progression
To evaluate the clinical benefit (response + stable disease at 6 months)
To evaluate the safety of the combination ZARNESTRA and tamoxifen
To evaluate a possible pharmacokinetic interaction between ZARNESTRA and tamoxifen
To evaluate the biological predictive and prognostic factors of a response
Interventions
Eligibility Criteria
You may qualify if:
- Histologically proven, metastatic or locally advanced inoperable breast cancer
- Tumor considered potentially hormone-sensitive, i.e. presence by IHC of hormone receptors for estrogens (ER+ for more than 10% of cells) and/or progesterone (Pg+ for more than 10% of cells) or both. This expression may have been detected on the primary tumor or at a metastatic site. The method used will be reassessed by IHC if it involves a radioligand technique whenever it is possible to obtain histological material.
- Progressing on treatment with tamoxifen, given either as adjuvant treatment or for advanced/metastatic breast cancer. Any previous treatment with a steroidal or nonsteroidal antiaromatase in a neo-adjuvant, adjuvant or metastatic situation is permitted. Likewise, any previous treatment with chemotherapy and/or herceptin in a nonmetastatic situation is permitted.
- Post-menopausal patients
- Age \> 18 years
- At least one measurable lesion according to the Response Evaluation Criteria for Solid Tumors (RECIST) criteria; for patients who only have bone metastases, an evaluable non-irradiated lytic lesion is required
- Performance Status (WHO): PS ≤ 2 (Appendix 1).
- Laboratory tests in accordance with the following criteria:
- Neutrophils ≥ 2x109/l,Platelets ≥ 100x109/l,Hemoglobin ≥ 10 g/dl, ASAT, ALAT ≤ 2.5 N , or \< 5 N when liver metastasis,bilirubin ≤ 1.5 N creatinin ≤ 1.5 N
- Signed, written consent before any study-related procedure
You may not qualify if:
- Men
- Pre-menopausal patients who are not receiving concurrent LHRH agonist therapy
- ER- and PR-negative patients
- Contraindication to antiestrogens (thromboembolic risk) or ZARNESTRA
- Non metastatic tumor susceptible to management by radiotherapeutic and/or surgical means
- T4d inflammatory tumor (PEV 2 or 3).
- Short-term, life-threatening lesions: hepatic invasion \> 1/3 of liver volume, pulmonary lymphangitis, uncontrolled cerebral metastases, carcinomatous meningitis
- Sensory neuropathy \> or = grade 1 (WHO)
- Previous history of uncontrolled cancers or controlled for less than 5 years, except basal cell skin cancers and in situ cancers of the cervix.
- Chronic diseases (somatic or psychiatric) with a poor prognosis
- subjects with enzyme-inducing anti-convulsants (e.g., phenytoin, phenobarbital, carbamazepine) : this treatment is not permitted while taking ZARNESTRA
- Patients who, for family, social, geographic or psychological reasons, could not be followed up correctly.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Institut Claudius Regaudlead
- Janssen-Cilag Ltd.collaborator
Study Sites (3)
Institut Bergonie
Bordeaux, France
Institut Val d'Aurelle_ Paul Lamarque
Montpellier, France
Institut Claudius Regaud
Toulouse, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Henri Roché, Pr
Institut Claudius Regaud
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 21, 2005
Study Start
August 1, 2003
Study Completion
August 1, 2008
Last Updated
November 14, 2006
Record last verified: 2006-11