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Phase 2 N=48 Treatment

Brostallicin and Cisplatin in Treating Patients With Metastatic Breast Cancer

Triple-negative Breast Cancer

Enrolled (actual)
48
Serious AEs
60.4%
Results posted
Mar 2017
Primary outcome: Primary: 3-month Progression-free Survival (3-mo PFS) Rate — 0.511 proportion of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
brostallicin (Drug); cisplatin (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Alliance for Clinical Trials in Oncology
Primary completion
Jun 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
3-month Progression-free Survival (3-mo PFS) Rate
0.511
SECONDARY
Confirmed Response Rate
22
SECONDARY
Duration of Response
4
SECONDARY
6-month Progression-free Survival (6-mo PFS) Rate
0.277
SECONDARY
Time to Disease Progression
3.2
SECONDARY
Survival Time
8.3

Summary

This phase II trial studies how well brostallicin and cisplatin work in treating patients with breast cancer that has spread to other parts of the body (metastatic) and does not have estrogen receptors, progesterone receptors, or large amounts of human epidermal growth factor receptor 2 (HER2) on its cells (triple-negative). Drugs used in chemotherapy, such as brostallicin and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from spreading.

Eligibility Criteria

Inclusion Criteria

  • Histologically or cytologically confirmed adenocarcinoma of the breast with clinical evidence of metastatic disease
  • Triple negative breast cancer defined as HER2-(according to current American Society of Clinical Oncology [ASCO] College of American Pathologists [CAP] guidelines), ER- (defined as = = 10.0 g/dL
  • Absolute neutrophil count (ANC) >= 1500/mm^3
  • Platelet count >= 100,000/mL
  • Total bilirubin = 3 months
  • Has written informed consent
  • Willingness to return to NCCTG enrolling institution for treatment and follow-up
  • Patient willing to provide blood samples for research purposes

Exclusion Criteria

  • HER2 positive (3+ by IHC or fluorescence in situ hybridization [FISH] amplified) breast cancer by ASCO/CAP guidelines
  • Estrogen receptor (ER) and/or progesterone receptor (PR/PgR) positive breast cancer (defined as > 1% of either receptor by IHC)
  • Any of the following
  • Pregnant women
  • Nursing women
  • Men or women of childbearing potential who are unwilling to employ adequate contraception (as determined by the treating physician) while on this study and for 30 days after end of treatment with the study drugs
  • Stage III or IV invasive non-breast malignancy in = = 2 (using the CTEP active version of the CTCAE)
  • Major surgery =< 4 weeks prior to registration
  • Chemotherapy or immunologic therapy =< 3 weeks prior to registration
  • Radiotherapy =< 2 weeks prior to registration, except if to a non-target lesion only
  • NOTES:
  • Prior radiation to a target lesion is permitted only if there has been clear progression of the lesion since radiation was completed
  • If patient receives single dose radiation for palliation or radiation to non-target lesion, they may immediately proceed to registration without waiting 2 weeks
  • Acute adverse events from radiation must have resolved to =< grade 1 (according to the CTEP active version of the CTCAE)
  • Evidence of active brain metastasis including leptomeningeal involvement
  • NOTE: Central nervous system (CNS) metastasis controlled by prior surgery and/or radiotherapy is allowed; to be considered controlled, there must be at least 2 months of no symptoms or evidence of progression prior to study entry and corticosteroid therapy given to control brain edema must have been discontinued
  • History of allergy or hypersensitivity to the drugs used in this study (or their excipients) including platinum compounds (cisplatin, carboplatin)
  • Active, unresolved infection
  • Uncontrolled intercurrent illness including, but not limited to psychiatric illness/social situations or co-morbid systemic illnesses or other severe concurrent disease which, in the judgment of the investigator, would make the patient inappropriate for entry into this study or would interfere significantly with the proper assessment of safety of the prescribed regimens or would limit compliance with study requirements or would make it undesirable for patient to participate in the trial
  • Clinically significant cardiovascular or cerebrovascular disease, including any history of the following =< 6 months prior to registration:
  • Myocardial infarction
  • Unstable angina
  • New York Heart Association (NYHA) class II or greater congestive heart failure
  • Uncontrolled or clinically significant cardiac arrhythmia (patients with controlled atrial fibrillation are eligible)
  • Currently receiving treatment in a different clinical study in which investigational procedures are performed or investigational therapies are administered
  • NOTE: Patient may not enroll in such clinical trials while participating in this study; exception may be granted for trials related to symptom management (cancer control) which do not employ hormonal treatments or treatments that may block the path of the targeted agents used in this trial
  • Immunocompromised patients (other than that related to the use of corticosteroids) including patients known to be human immunodeficiency virus (HIV) positive with an acquired immune deficien
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01091454). 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.

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