Phase 1
Completed N=70
A Dose-Finding Study of Subcutaneous Herceptin (Trastuzumab) in Healthy Male Volunteers and Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Females
Source: ClinicalTrials.gov NCT00800436 ↗Enrolled (actual)
70
Serious AEs
0.0%
Results posted
Dec 2016
Primary outcomePrimary: Area Under the Concentration-Time Curve Extrapolated to Infinity (AUCinf) of Trastuzumab — 1610; 1800; 1350; 2500 days•μg/mL
Summary
This two-part study is designed to select the subcutaneous (SC) dose of Herceptin that results in comparable exposure to intravenous (IV) Herceptin in healthy male participants and in HER2-positive female participants. The study will also assess the safety and tolerability of the SC and IV formulations. In Part 1 of the study, four cohorts will be treated with a single dose of Herceptin as follows: Cohort 1 (6 milligrams per kilogram [mg/kg] IV in healthy male participants); Cohort 2 (6 mg/kg IV in HER2-positive female participants); Cohort 3 (6 mg/kg SC in healthy male participants); Cohort 4 (10 mg/kg SC in healthy male participants). An additional cohort of healthy volunteers (Cohort 5) will be opened if both SC dose levels from Cohorts 3 and 4 result in Herceptin exposures different from the target concentration produced by a single IV dose, or if the variability in pharmacokinetic (PK) parameter values cannot be used to define the target SC dose level. In Part 2 of the study, HER2-positive female participants will receive a single dose of SC Herceptin at the dose level defined in Part 1. Participants from Part 1 are eligible to enter Part 2 provided they receive the second (Part 2) study dose of Herceptin a minimum of 22 days after their first (Part 1) dose.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Concentration-Time Curve Extrapolated to Infinity (AUCinf) of Trastuzumab |
1610; 1800; 1350; 2500; 1960; 2090 | — |
| SECONDARY Trough Serum Concentration on Day 22 (CDay22) of Trastuzumab |
25.6; 27.5; 31.6; 51.4; 39.4; 37.8 | — |
| SECONDARY Maximum Observed Serum Concentration of Trastuzumab (Cmax) |
150; 185; 66.8; 102; 82.0; 88.4 | — |
| SECONDARY Time to Maximum Serum Concentration (Tmax) of Trastuzumab |
1.65; 3.00; 156.00; 132.12; 96.00; 97.13 | — |
| SECONDARY Terminal Elimination Half-Life (T1/2) of Trastuzumab |
254; 244; 227; 240; 236; 241 | — |
Eligibility Criteria
Inclusion Criteria
- Healthy Participants (Part 1 only)
- Males 18 to 45 to years of age
- Baseline left ventricular ejection fraction (LVEF) greater than (>) 60 percent (%)
- HER2-Positive Females (Parts 1 and 2)
- Females greater than or equal to (≥) 18 years of age
- Eastern Cooperative Oncology Group (ECOG) performance status of 0
- Previous non-metastatic operable primary invasive HER2-positive breast cancer
- Baseline LVEF >55%
Exclusion Criteria
- Healthy Participants (Part 1 only)
- Clinically significant abnormalities in laboratory test results or electrocardiogram
- History of significant allergies, gastrointestinal, renal, hepatic, cardiovascular, or pulmonary disease
- History of hypersensitivity or allergic reaction, spontaneous or following drug administration
- History of cardiac conditions
- HER2-Positive Females (Parts 1 and 2)
- Metastatic disease
- Concurrent other malignancy requiring therapy of any modality which may interfere with PK investigations or result in unexpected toxicity
- Use of Herceptin in previous 5 months
- Serious cardiac illness
Data sourced from ClinicalTrials.gov (NCT00800436). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.