Pilot Study Using Molecular Profiling to Find Potential Targets and Select Treatments for Patients With Metastatic Breast Cancer. (Side-Out)
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Purpose
The purpose of this study is to determine the response rate, that is the % of patients with non-progression of their metastatic breast cancer after 4 months on treatment that was selected by molecular testing and proteomics.
| Condition | Intervention |
|---|---|
|
Metastatic Breast Cancer |
Drug: (will be assigned based on molecular profile and RPMA) |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Pilot Study Utilizing Molecular Profiling by IHC, FISH, DNA Microarray, and Reverse Phase Protein Microarray (RPMA) of Patients' Tumors to Find Potential Targets and Select Treatments for Patients With Metastatic Breast Cancer. |
- Time to progression [ Time Frame: 6-8 weeks ] [ Designated as safety issue: No ]disease status will be accessed every 6-8 weeks while on treatment.
| Enrollment: | 25 |
| Study Start Date: | February 2010 |
| Study Completion Date: | July 2012 |
| Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
-
Drug: (will be assigned based on molecular profile and RPMA)
To determine the percent of patients with refractory breast cancer where molecular profiling and RPMA-based protein pathway activation analysis of their tumor, can change the clinical course of their disease (i.e. produce a Growth Modulation Index (GMI) ≥1.3). The GMI is calculated as the ratio of Progression-free survival (PFS) under molecular profiling and RPMA analysis selected treatment to the time to progression (TTP) for the most recent regimen the patient has progressed on.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have a life expectancy of greater than 3 months
- metastatic breast cancer, with measurable or evaluable non-measurable disease
- Have progressed on at least 3 prior chemotherapeutic or biological regimens
- Be defined as refractory to the last line of therapy according to the following criteria: Documented disease progression under the last treatment or within two months of the last treatment dosing AND Have received ≥ 30 days of the last treatment AND Have discontinued for progression by RECIST 1.1 criteria
- ≥18 years of age
- ECOG 0-1
- willing to undergo a biopsy or surgical procedure to obtain tissue
- Must have been off their prior regimen for ≥ 3 weeks or 5 x half life of drug
- Have adequate organ and bone marrow function as defined below:
- Female patients of child-bearing potential must have a negative pregnancy test and agree to use at least one form of contraception during the study and for at least one month after treatment discontinuation. For the purposes of this study, child-bearing potential is defined as: all female patients unless they are post-menopausal for at least one year or are surgically sterile
- Male patients must use a form of barrier contraception approved by the Investigator during the study and for at least one month after treatment discontinuation.
Exclusion Criteria:
- Tumor biopsy intended for use in the current study which was performed more than 2 months prior
- Frozen material is not available/obtained
- Metastatic lesion is not accessible to biopsy
- Patients with > 6 months treatment under the last line of therapy
- Patients with symptomatic CNS metastasis. Patients with a history of CNS metastases who have been treated must be stable without symptoms for 4 weeks after completion of treatment, with image documentation required, and must be either off steroids or on a stable dose of steroids for ≥ 2 weeks prior to enrollment
- Any previous history of another malignancy (other than cured basal cell carcinoma of the skin or cured in-situ carcinoma of the cervix) within 5 years of study entry
- Uncontrolled concurrent illness including, but not limited to, ongoing or active serious infection, symptomatic congestive heart failure, unstable angina pectoris, unstable cardiac arrhythmias, psychiatric illness, or situations that would limit compliance with the study requirements or the ability to willingly give written informed consent
- Known HIV, HBV, HCV infection
- Pregnant or breast-feeding patients or any patient with childbearing potential not using adequate contraception.
Contacts and Locations| United States, Arizona | |
| Tgen Clinical Research Services | |
| Scottsdale, Arizona, United States, 85258 | |
| United States, Virginia | |
| Fairfax North Virginia Hematology Oncology | |
| Fairfax, Virginia, United States, 22031 | |
| United States, Washington | |
| Evergreen Hematology and Oncology | |
| Spokane, Washington, United States, 99218 | |
| Principal Investigator: | Gayle Jameson, MSN, ACNP-BC, AOCN | Scottsdale Healthcare |
More Information
No publications provided
| Responsible Party: | Gayle S. Jameson, MSN, ACNP-BC, AOCN, Tgen Clinical Research Services at Scottsdale Healthcare |
| ClinicalTrials.gov Identifier: | NCT01074814 History of Changes |
| Other Study ID Numbers: | SO-BCA-001 |
| Study First Received: | February 22, 2010 |
| Last Updated: | July 16, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by TGen Drug Development Services:
|
Metastatic Breast Cancer Molecular profiling |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on June 18, 2013