Phase 2
Completed N=31
Toll-like Receptor (TLR) 7 Agonist, Cyclophosphamide, and Radiotherapy for Breast Cancer With Skin Metastases
Breast Cancer · Recurrent Breast Cancer
Source: ClinicalTrials.gov NCT01421017 ↗
Enrolled (actual)
31
Serious AEs
19.4%
Results posted
Nov 2021
Primary outcomePrimary: Systemic Tumor Response Rates (Complete Response+Partial Response) — .25; .083; 0 proportion of tumors
Summary
This study is to find an optimal dose of Imiquimod (IMQ) in the first part (Phase I) and test the effectiveness of the combination treatment of IMQ, cyclophosphamide (CTX), and radiotherapy (RT) in patients with skin metastases from breast cancer in the second part (Phase II). Currently this trial is in its Phase II part.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Systemic Tumor Response Rates (Complete Response+Partial Response) |
.25; .083; 0 | — |
| SECONDARY Local Skin Tumor Response Rates (Complete Response + Partial Response) |
0.83; 0.75; .33; .083 | — |
Eligibility Criteria
Inclusion Criteria
- Patients with biopsy-confirmed breast cancer.
- Patients with at least measurable skin metastases and distant, measurable metastases (outside of skin) by Response Evaluation Criteria in Solid Tumors (RECIST). For patients without distant measurable metastases, an area of the skin metastases designated to not receive local therapy can be substituted. Patients with multiple (>= 2) metastatic sites (skin involvement not required), with at least one site measurable by RECIST, will be eligible for the CTX/RT cohort.
- Age >= 18 years.
- Eastern Cooperative Oncology Group performance status 0-2.
- Patients must agree to tumor fine-needle aspiration required by protocol.
- Concurrent systemic cancer therapy (hormones, biologics or chemotherapy) can be continued if distant metastases are non-responsive (i.e. no complete response or partial response) on that regimen for >= 8 weeks as assessed by the investigator.
- Patients must have adequate organ and bone marrow function as defined below:
- absolute neutrophil count >= 1,300/microliter
- hemoglobin >= 9.0 grams/deciliter
- platelets >= 75,000/microliter
- total bilirubin = 4 months)
- Informed consent.
Exclusion Criteria
- Brain metastases unless resected or irradiated and stable >= 4 weeks.
- Concurrent treatment with other investigational agents.
- Patients who have received any local therapy (radiotherapy, high-potency corticosteroids, intralesional therapy, laser therapy or surgery) other than biopsy to the target area within 4 weeks prior to first dosing of study agent.
- Patients who have received hyperthermia to the target area within 10 weeks prior to first dosing of study agent.
- Patients with an uncontrolled bleeding disorder.
- Patients (with skin metastases only) who will be therapeutically anticoagulated with heparins or coumadin at the time of the biopsy (they are eligible if anticoagulation can be held prior to biopsy as per investigator). Patients on aspirin and other platelet agents are eligible.
- Patients with known immunodeficiency or receiving immunosuppressive therapies.
- History of allergic reactions to imiquimod or its excipients.
- Uncontrolled intercurrent medical illness or psychiatric illness/social situations that would limit compliance with study requirements.
- Pregnancy or lactation.
- Women of childbearing potential not using a medically acceptable means of contraception.
Data sourced from ClinicalTrials.gov (NCT01421017). 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.