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TPI 287 in Breast Cancer Metastatic to the Brain
This study is ongoing, but not recruiting participants.

First Received on April 7, 2011.   Last Updated on April 24, 2012   History of Changes
Sponsor: M.D. Anderson Cancer Center
Collaborator: Archer Biosciences, Inc.
Information provided by (Responsible Party): M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT01332630
  Purpose

The goal of this clinical research study is to learn if TPI-287 can control breast cancer that has spread to the brain.

Objectives:

Primary Objective:

To estimate the efficacy of TPI 287 by assessing the overall response rate [ORR (CR + PR)] of recurrent brain metastases using the MacDonald Criteria.

Secondary Objectives:

  1. To evaluate response duration of breast brain metastases on TPI 287
  2. To evaluate rate and duration of the clinical benefit (CR+PR+SD)
  3. To assess activity of TPI 287 on extracranial metastatic disease
  4. To measure median progression free and overall survival of patients with metastatic breast cancer treated with TPI 287.
  5. To determine the safety of TPI 287, administered intravenously on days 1, 8 and 15 every four weeks in patients with metastatic breast cancer.

Condition Intervention Phase
Breast Cancer
Drug: TPI 287
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Open-Label Study of TPI 287 in Patients With Breast Cancer Metastatic to the Brain

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Overall Response Rate [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
    Overall response rate [ORR = Complete Responses plus Partial Responses (CR + PR)] where response rates for brain metastases evaluated by MacDonald criteria, and for extracranial disease by standard RECIST, through a combination of radiologic scans and neurological examination and MRI brain scans.


Estimated Enrollment: 51
Study Start Date: August 2011
Estimated Primary Completion Date: August 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: TPI 287
TPI 287 will be administered intravenously at 125 mg/m2 weekly for three out every four weeks.
Drug: TPI 287
125 mg/m2 by vein over 60 minutes on Days 1, 8, and 15 of every 28 day cycle.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients must have histologically proven breast cancer with metastatic disease to the brain.
  2. Patients must have measurable disease on MRI that has progressed after prior therapy. PD will be defined as a >/=25% increase in the sum of the products of greatest perpendicular diameters of index measurable lesion(s) on Gd-MRI, the appearance of new lesions on scan, or clinical or neurologic worsening despite stable disease on the last 2 scans.
  3. Patients may have had any number of prior surgeries, radiation and/or chemotherapy regimens as adjuvant, neoadjuvant or palliative therapy for the treatment of their disease
  4. Patients must be >/=18 years of age.
  5. Patients must have an ECOG performance status of 0,1 or 2.
  6. Patients must have adequate bone marrow function as evidenced by an absolute neutrophil count >/=1,500/microliters and a platelet count >/=100,000/microliter, adequate renal function as evidenced by serum creatinine </=2.0 mg/dL, adequate hepatic function as evidenced by serum total bilirubin </=2.0 mg/dL, AST/SGOT and ALT/SGPT </= 3X the ULN.
  7. Patients must have recovered from the effects of any prior surgery, radiotherapy or other chemotherapy at least 2 weeks, and at least 12 weeks must have elapsed from the completion of radiotherapy, unless in the case there are new lesions appearing on imaging within this 12 weeks frame.
  8. Women of child-bearing potential (i.e. </= 50 years of age or has had menstrual cycle within the past 12 months, if > 50 years of age. If in doubt, check FSH, LH and estradiol level) must have a negative urine or serum pregnancy test at screening.
  9. Sexually active patients must agree to use adequate contraception (abstinence or barrier contraceptives must be used throughout the trial and one month after end of treatment) for the duration of the study .
  10. Patients or their legal representative must be able to read, understand and sign an informed consent form (ICF).
  11. TPI 287 may interfere with coumadin dosing and patients who are taking this combination will require monitoring of their PT, PTT and INR.

Exclusion Criteria:

  1. Patients who are receiving concurrent enzyme-inducing anti-epileptic drugs (EIAEDs) (e.g., carbamazepine, oxcarbazepine, phenytoin, fosphenytoin, phenobarbital and primidone) or who received EIAEDs within 2 weeks prior to the first dose of study drug.
  2. Patients with uncontrolled intracranial hypertension syndrome (defined as: persistence of headache, transient visual obscurations, and/or diplopia despite optimal clinical management) or uncontrolled seizure activity (i.e. recorded despite optimal medical management).
  3. Patients who are not on a stable or decreasing steroid dose for the previous week prior to the first dose of study enrollment
  4. Patients with an active infection (i.e., clinical signs or symptoms, including, but not limited to: bleeding/pustulant skin infections; productive cough associated with fever) on antibiotics or with a fever >/=38.5°C within 3 days prior to registration (i.e. date when the patient signs the consent and/or the patient is registered in CORE).
  5. Patients who are taking bevacizumab or have taken bevacizumab within the past 2 weeks for treatment of their brain metastases
  6. Patients with NYHA Class 3 or 4 congestive heart failure.
  7. Patients with known HIV or Hepatitis B or C
  8. Patients who are pregnant or lactating or not practicing adequate contraception
  9. Patients with any other medical condition, including mental illness or substance abuse, deemed by the Investigator to be likely to interfere with the patient's ability to sign the ICF or his/her ability to cooperate and participate in the study, or to interfere with the interpretation of the results.
  10. Patients who are receiving concomitant systemic therapy for breast cancer.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01332630

Locations
United States, Texas
UT MD Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
M.D. Anderson Cancer Center
Archer Biosciences, Inc.
Investigators
Principal Investigator: Nuhad K. Ibrahim, MD,BS UT MD Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT01332630     History of Changes
Other Study ID Numbers: 2010-0198
Study First Received: April 7, 2011
Last Updated: April 24, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Breast cancer
Brain metastases
TPI 287
Computed Tomography
CT
Magnetic Resonance Imaging
MRI

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases

ClinicalTrials.gov processed this record on May 23, 2012