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| Sponsor: | National Cancer Institute (NCI) |
|---|---|
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00647062 |
Purpose
RATIONALE: AZD2281 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving AZD2281 together with carboplatin may kill more tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of AZD2281 when given together with carboplatin in treating patients with BRCA1/BRCA2-associated, hereditary, or triple negative metastatic or unresectable breast cancer or ovarian epithelial cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
brca1 Mutation Carrier brca2 Mutation Carrier Breast Cancer Hereditary Breast/Ovarian Cancer (brca1, brca2) Ovarian Cancer |
Drug: carboplatin Drug: olaparib Genetic: polymorphism analysis Other: enzyme-linked immunosorbent assay Other: laboratory biomarker analysis Other: pharmacogenomic studies |
Phase I |
| Study Type: | Interventional |
| Study Design: | Treatment, Non-Randomized, Open Label, Uncontrolled |
| Official Title: | A Phase I Study With an Expansion Cohort of the PARP Inhibitor AZD2281 (KU-0059436) Combined With Carboplatin in Breast and Ovarian Cancer in BRCA1/2 Mutation Carriers (Familial Breast and Ovarian Cancer) and Sporadic Triple Negative Breast Cancer and Ovarian Cancer |
| Estimated Enrollment: | 101 |
| Study Start Date: | December 2007 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a dose-escalation study of AZD2281. Patients are initially enrolled in cohort 1. Once the maximum tolerated dose (MTD) of AZD2281 is determined, additional patients are enrolled in cohort 2 and treated at the MTD.
NOTE: *Patients who experience a partial response or stable disease may receive 8-10 courses of carboplatin (more than 10 courses will be at the investigator's discretion); patients with complete response (CR) may receive no more than 2 courses of carboplatin past CR.
Patients in both cohorts undergo blood sample collection periodically for analysis of PARP inhibition by ELISA. Blood samples from patients in cohort 2 are also analyzed for PARP/XRCC1 polymorphism, γ-H2AX determination by immunofluorescence assay, and pharmacogenomics. Patients in cohort 2 also undergo tumor tissue sample collection at baseline for analysis of apoptosis by TUNEL assay, PARP inhibition by ELISA, γ-H2AX determination by immunofluorescence assay, and tissue proteomics.
After completion of study treatment, patients are followed periodically for 4 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically or cytologically confirmed breast and/or ovarian epithelial cancer, meeting one of the following criteria:
Metastatic or unresectable disease for which standard curative measures do not exist or are no longer effective
Patients with locally advanced, unresectable breast cancer must have been previously treated with standard therapy
Disease can be safely biopsied, as determined by an interventional radiologist (cohort 2)
No diagnosis of brain metastases within the past year
PATIENT CHARACTERISTICS:
No history of grade 4 allergic reaction to platinum
No concurrent uncontrolled illness including, but not limited to, any of the following:
PRIOR CONCURRENT THERAPY:
Recovered from prior therapy (≤ CTC grade 1)
At least 6 months since prior platinum drugs
Contacts and Locations| United States, Maryland | |
| Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office | Recruiting |
| Bethesda, Maryland, United States, 20892-1182 | |
| Contact: Clinical Trials Office - Warren Grant Magnusen Clinical Center 888-NCI-1937 | |
| Principal Investigator: | Elise C. Kohn, MD | NCI - Medical Oncology Branch |
More Information
| Study ID Numbers: | CDR0000590680, NCI-08-C-0092, NCI-P07253 |
| Study First Received: | March 28, 2008 |
| Last Updated: | October 20, 2009 |
| ClinicalTrials.gov Identifier: | NCT00647062 History of Changes |
| Health Authority: | Unspecified |
|
BRCA1 mutation carrier BRCA2 mutation carrier male breast cancer recurrent ovarian epithelial cancer recurrent breast cancer stage IV breast cancer stage IV ovarian epithelial cancer stage IIIA breast cancer |
stage IIIB breast cancer stage IIIC breast cancer stage III ovarian epithelial cancer hereditary breast/ovarian cancer (BRCA1, BRCA2) HER2-negative breast cancer estrogen receptor-negative breast cancer progesterone receptor-negative breast cancer ovarian serous cystadenocarcinoma |
|
Ovarian Neoplasms Skin Diseases Antineoplastic Agents Gonadal Disorders Genital Neoplasms, Female Breast Neoplasms Endocrine System Diseases Urogenital Neoplasms Carboplatin |
Ovarian Diseases Pharmacologic Actions Adnexal Diseases Genital Diseases, Female Neoplasms Neoplasms by Site Therapeutic Uses Breast Diseases Endocrine Gland Neoplasms |