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Phase 2 Study - Aurora + Angiogenic Kinase Inhibitor ENMD-2076 in Previously Treated Locally Advanced + Metastatic TNBC

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ClinicalTrials.gov Identifier: NCT01639248
Recruitment Status : Completed
First Posted : July 12, 2012
Last Update Posted : June 26, 2017
Sponsor:
Collaborators:
University of Colorado, Denver
Indiana University Melvin and Bren Simon Cancer Center
Information provided by (Responsible Party):
CASI Pharmaceuticals, Inc.

Brief Summary:
The purpose of this study is to determine the activity of ENMD-2076 as defined by the clinical benefit rate when patients with previously treated locally advanced or metastatic triple negative breast cancer are treated with daily oral ENMD-2076.

Condition or disease Intervention/treatment Phase
Triple Negative Breast Cancer Drug: ENMD-2076 Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 41 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Study of the Aurora and Angiogenic Kinase Inhibitor ENMD-2076 in Previously Treated Locally Advanced and Metastatic Triple-Negative Breast Cancer
Study Start Date : July 2012
Actual Primary Completion Date : June 2017
Actual Study Completion Date : June 2017

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer
U.S. FDA Resources

Arm Intervention/treatment
Experimental: ENMD-2076 Treatment
ENMD-2076
Drug: ENMD-2076
250 mg per day in oral capsules in 28 day continuous cycles



Primary Outcome Measures :
  1. Clinical benefit rate [ Time Frame: 24 weeks ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients must have histologically or cytologically diagnosed locally advanced or metastatic triple-negative breast cancer defined as negative for estrogen receptor, progesterone receptor and HER2.
  2. Patients must have measurable disease as defined by revised RECIST criteria (version 1.1, Appendix C) with one or more lesions that can be accurately measured in one or more dimensions within 4 weeks of entry. Areas of previous radiation may not serve as measurable disease.
  3. Prior treatment with one to three lines of systemic chemotherapy for locally advanced or metastatic disease and two weeks from any previous anticancer therapy including biologics and recovered from expected toxicity; at least 4 weeks from major surgery and recovered; at least 3 weeks from radiation affecting more than 25% of bone marrow and recovered; and 2 weeks from other palliative radiation and recovered. No more than 450 mg/m2 cumulative dose of doxorubicin is allowed.
  4. Because no dosing or adverse event data are currently available on the use of ENMD-2076 in patients <18 years of age, children are excluded from this study but will be eligible for future pediatric single-agent trials, if applicable.
  5. ECOG performance status ≤ 1 (Karnofsky ≥ 70%; see Appendix B).
  6. Patients must have normal organ and marrow function
  7. Patients must have a pre-study echocardiogram or multigated acquisition (MUGA) scan with an actual left ventricular ejection fraction of greater than or equal to the institution lower limit of normal within one month prior to start of study.
  8. If the maximum number of non-biopsy subjects has accrued to the study, willingness to undergo 2 tumor biopsies. NOTE: Tumor biopsies may be required, depending on the number of subjects who have agreed to undergo correlative studies.
  9. Ability to tolerate oral medications.
  10. Women of child producing potential must agree to use effective contraceptive methods prior to study entry, during study participation, and for at least 30 days after the last administration of study medication. A serum pregnancy test within 72 hours prior to the initiation of therapy will be required for women of childbearing potential.
  11. Have the ability to understand the requirements of the study, provide written informed consent which includes authorization for release of protected health information, abide by the study restrictions, and agree to return for the required assessments.
  12. Availability of archival tumor tissue (core biopsy or surgical tumor blocks) for analysis. Sites will be asked to submit archival tissue (subjects may start the study if tissue is available at an outside hospital, but not yet requested or received).

Exclusion Criteria:

  1. Women who are pregnant or nursing.
  2. Have active, acute, or chronic clinically significant infections or bleeding.
  3. Have uncontrolled hypertension (systolic blood pressure greater than 150mmHg or diastolic blood pressure greater than 100mmHg); or history of congestive heart failure (equal to or greater than Grade 2).
  4. Have active angina pectoris, stroke or recent myocardial infarction (within 6 months).
  5. Have chronic atrial fibrillation or QTc interval corrected for heart rate of greater than 470 msec.
  6. Have additional uncontrolled serious medical or psychiatric illness.
  7. Require therapeutic doses of any anti-coagulant.
  8. CNS metastases.
  9. Have any medical condition that would impair the administration of oral agents including recurrent bowel obstructions, inflammatory bowel disease or uncontrolled nausea, vomiting or diarrhea.
  10. Have persistent 2+ protein by urinalysis (patients with 2+ proteinuria that have a spot protein:creatinine ratio of less than 0.3 may be enrolled) or a history of nephrotic syndrome.
  11. Have an additional malignancy diagnosed within 5 years of study enrollment with the exception of basal or squamous cell skin cancer or cervical cancer in situ.
  12. Patients may not be receiving any other investigational agents.
  13. For patients undergoing serial tumor biopsies, known bleeding diathesis or history of abnormal bleeding or require anti-coagulation therapy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01639248


Locations
United States, Colorado
University of Colorado Cancer Center
Aurora, Colorado, United States, 80045
United States, Indiana
Inidiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, United States, 46202
China
Cancer Hospital of Chinese Academy of Medical Science
Beijing, China, 100021
Sponsors and Collaborators
CASI Pharmaceuticals, Inc.
University of Colorado, Denver
Indiana University Melvin and Bren Simon Cancer Center
Investigators
Study Director: Rong Chen, MD CASI Pharmaceuticals, Inc.

Responsible Party: CASI Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier: NCT01639248     History of Changes
Other Study ID Numbers: 2076-CL-005
First Posted: July 12, 2012    Key Record Dates
Last Update Posted: June 26, 2017
Last Verified: June 2017

Keywords provided by CASI Pharmaceuticals, Inc.:
Breast Cancer

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