Phase I-II Study to Determine the Maximum Tolerated Dose (MTD) of AUY922 in Advanced Solid Malignancies, and Efficacy in HER2+ or ER+ Locally Advanced or Metastatic Breast Cancer Patients
A Phase I Dose Escalation, Multi-center, Open-label Study of AUY922 Administered IV on a Once Weekly Schedule in Adult Patients With Advanced Solid Malignancies Including Phase II Expansion Arms in Patients With Either HER2 Positive or ER Positive Locally Advanced or Metastatic Breast Cancer.
2 other identifiers
interventional
117
4 countries
10
Brief Summary
This is a phase I/II, open-label, multicenter study of AUY922 administered intravenously in patients with advanced solid malignancies to determine the maximum tolerated dose. Phase II expansion arms will investigate efficacy in patients with either HER2 positive or ER positive locally advanced or metastatic breast cancer. Additional patients with advanced solid malignancies will also be investigated in a separate expansion arm. Safety, pharmacokinetics and pharmacodynamics will be assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 breast-cancer
Started Jul 2007
Typical duration for phase_1 breast-cancer
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2007
CompletedFirst Submitted
Initial submission to the registry
September 5, 2007
CompletedFirst Posted
Study publicly available on registry
September 6, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2012
CompletedDecember 17, 2020
May 1, 2013
4.8 years
September 5, 2007
December 11, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The safe dose of AUY922 when administered once a week
54 weeks (MTD determination)
Secondary Outcomes (2)
Efficacy of AUY922 administered once a week
Baseline, and every 2 cycles (time to document tumor progression)
Pharmacokinetics of AUY922 and Pharmacodynamics by PET response, blood and tumor biomarkers at baseline and post-AUY922
Baseline and every 2 cycles
Study Arms (3)
Escalation
EXPERIMENTALHER2 Positive
EXPERIMENTALER+ breast cancer
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Dose-escalation and MTD dose expansion arm: Patients with histologically confirmed, advanced malignant solid tumors whose disease has progressed on standard therapy or for whom no standard therapy exists.
- Breast cancer phase II expansion arms only:
- Females patients with HER2 positive non-operable locally advanced or metastatic breast cancer must have:
- History of trastuzumab resistance, defined as either local or systemic disease progression on treatment with at least 8 weeks of a trastuzumab containing regimen.
- Received up to 3 prior anti HER2 based regimens (i.e. trastuzumab and/or lapatinib in combination with other agents) for metastatic disease
- Patients who develop metastases while receiving adjuvant or neo-adjuvant trastuzumab are eligible.
- HER2 positive patients, tumor/s must demonstrate HER2 over-expression based on either:
- Immunohistochemistry (IHC) at the 3+ level, or
- IHC 2+ confirmed by fluorescence in-situ hybridization (FISH). Tumors tested by FISH must be positive by the specific FISH assay for the amplification of HER2.
- Female patients with ER positive non-operable locally advanced or metastatic breast cancer patients who received standard sequence lines of endocrine therapy and whose disease has progressed on at least one and up to 3 lines of endocrine and/or cytotoxic therapy for advanced disease.
- All patients must have at least one measurable lesion as defined by RECIST. Irradiated lesions are only evaluable for disease progression.
- All patients must have progressive disease before entering the study
- Age ≥ 18 years.
- World Health Organization (WHO) Performance Status of ≤ 2.
- Life expectancy of ≥ 12 weeks.
- +1 more criteria
You may not qualify if:
- Patients with CNS metastasis which are:
- Symptomatic or
- Require treatment for symptom control and/or
- Growing
- Note: patients without clinical signs or symptoms of CNS involvement are not required to have a CT/MRI of the brain
- Prior treatment with any HSP90 or HDAC inhibitor compound.
- Patient who received systemic anti-cancer treatment prior to the first dose of AUY922 within the following time frames:
- Chemotherapy within 4 weeks
- Radiotherapy within 4 weeks
- Palliative radiotherapy: within 2 weeks
- Trastuzumab treatment within 4 weeks
- Nitrosoureas, mitomycin and monoclonal antibodies (except trastuzumab): within 6 weeks
- Any continuous-dosing (i.e. daily dosing, every-other-day dosing, Monday- Wednesday-Friday dosing, weekly etc) of systemic anticancer treatment for which the recovery period is not known, or investigational drugs (i.e. targeted agents) within a duration of ≤ 5 half lives of the agent and their active metabolites (if any)
- Patients who have not recovered from side effects of previous systemic anticancer therapy to less than grade 2 CTCAE prior to the first dose.
- Pregnant or lactating women.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (10)
UCLA/ University of California Los Angeles UCLA
Los Angeles, California, 90095, United States
Georgia Health Sciences University Med College of GA
Augusta, Georgia, 30912, United States
Dana Farber Cancer Institute StudyCoordinator:CAUY922A2101
Boston, Massachusetts, 02115, United States
Washington University School Of Medicine-Siteman Cancer Ctr Dept. of Siteman Cancer Ctr.
St Louis, Missouri, 63110, United States
Nevada Cancer Institute Clinical Trials Office
Las Vegas, Nevada, 89135, United States
MD Anderson Cancer Center/University of Texas Thoractic Head/Neck Med.Onc(2)
Houston, Texas, 77030-4009, United States
Cancer Therapy & Research Center / UT Health Science Center InstituteForDrugDevelopment(3)
San Antonio, Texas, 78229, United States
Novartis Investigative Site
Groningen, 9713 GZ, Netherlands
Novartis Investigative Site
Bellinzona, 6500, Switzerland
Novartis Investigative Site
Sutton, SM2 5PT, United Kingdom
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 5, 2007
First Posted
September 6, 2007
Study Start
July 1, 2007
Primary Completion
April 1, 2012
Study Completion
April 1, 2012
Last Updated
December 17, 2020
Record last verified: 2013-05