Phase 1
Completed N=31
A Clinical Study to Determine the Pharmacokinetics of Oraxol in Breast Cancer Patients
Breastcancer
Source: ClinicalTrials.gov NCT03165955 ↗
Enrolled (actual)
31
Serious AEs
28.6%
Results posted
Jul 2020
Primary outcomePrimary: PK Parameters for paclitaxel_AUC (0-52) — 3419; 3224 ng*hr/mL
Summary
This is a multicenter, open-label, single-arm PK study in patients for whom paclitaxel treatment is indicated.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY PK Parameters for paclitaxel_AUC (0-52) |
3419; 3224 | — |
| PRIMARY PK Parameters for paclitaxel_Cmax |
366; 356 | — |
| PRIMARY PK Parameters for paclitaxel_Ctrough(24) |
11.0; 12.5 | — |
| PRIMARY PK Parameters for paclitaxel_Ctrough(48) |
12.6; 11.7 | — |
| PRIMARY PK Parameters for paclitaxel_Cmax(0-24) |
312; 267 | — |
| PRIMARY PK Parameters for paclitaxel_Cmax(24-48) |
274; 298 | — |
| PRIMARY PK Parameters for paclitaxel_Cmax(48-52) |
287; 288 | — |
| PRIMARY PK Parameters for paclitaxel_tmax(0-24) |
1.05; 1.07 | — |
| PRIMARY PK Parameters for paclitaxel_tmax(24-48) |
25.03; 25.00 | — |
| PRIMARY PK Parameters for paclitaxel_tmax(48-52) |
49.02; 49.03 | — |
| SECONDARY Safety of Oraxol in Breast Cancer Patients |
27; 19; 2; 2; 8; 27 | — |
| SECONDARY Response Rate |
0; 11; 13; 1; 1; 0 | — |
| SECONDARY Progression-free Survival |
NA; 15.86 | — |
| SECONDARY Overall Survival |
NA | — |
Eligibility Criteria
Inclusion Criteria
- Signed written informed consent
- Women ≥18 years of age on day of consent
- Breast cancer in patients for whom treatment with IV paclitaxel at 80 mg/m2 as monotherapy has been recommended by their oncologist
- Measurable disease as per RECIST v1.1 criteria
- Adequate hematological status as demonstrated by not requiring transfusion support or granulocyte-colony stimulating factor (G-CSF) maintain:
- Absolute neutrophil count (ANC) ≥1.5 x 10^9/L
- Platelet count ≥100 x 10^9/L
- Hemoglobin (Hgb) ≥9 g/dL
- Adequate liver function
- Total bilirubin of ≤1.5 mg/dL
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3 x upper limit of normal (ULN) or ≤5 x ULN if liver metastasis is present
- Alkaline phosphatase (ALP) ≤3 x ULN or ≤5 x ULN if bone metastasis is present
- Gamma glutamyl transferase (GGT) 12 months without menses) or surgically sterile (ie, by hysterectomy and/or bilateral oophorectomy) or must be using effective contraception (ie, oral contraceptives, intrauterine device, double barrier method of condom and spermicide) and agree to continue use of contraception for 30 days after their last dose of assigned study treatment.
- Subjects who are of childbearing potential must have a negative serum pregnancy test at Screening and within 96 hours before dosing.
Exclusion Criteria
- Have not recovered to ≤ Grade 1 toxicity from previous anticancer treatments or previous investigational products (IPs)
- If previously treated with a taxane (paclitaxel or docetaxel) as part of anthracycline-based adjuvant chemotherapy or for metastatic disease, the subject relapsed less than 1 year following treatment
- Subjects unable to swallow study medication in its intact form or have clinically significant malabsorption syndrome
- Only site of metastatic disease is unmeasurable according to RECIST v1.1 criteria
- Known CNS metastasis, including leptomeningeal involvement
- Received IPs within 14 days or 5 half-lives of the first study dosing day, whichever is longer
- Are currently receiving other medications intended for the treatment of their malignancy
- Women who are pregnant or breastfeeding
- Taking prohibited medications:
- Use of warfarin. Subjects receiving warfarin who are otherwise eligible and who may be appropriately managed with low molecular weight heparin, in the opinion of the Investigator, may be enrolled in the study provided they are switched to low molecular weight heparin at least 7 days prior to receiving study treatment.
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, myocardial infarction within the last 6 months, unstable angina pectoris, cardiac arrhythmia, chronic pulmonary disease requiring oxygen, known bleeding disorders, or any concomitant illness or social situation that would limit compliance with study requirements
- Known allergic reaction or intolerance to study medication components
- Known allergic reaction or intolerance to contrast media
- Subjects who, in the Investigator's opinion, are not suitable for participation in this study
Data sourced from ClinicalTrials.gov (NCT03165955). 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.