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Trial record 37 of 61 for:    PD-1 and breast cancer | Recruiting, Not yet recruiting, Available Studies

Atezolizumab Combined With Immunogenic Chemotherapy in Patients With Metastatic Triple-negative Breast Cancer (ALICE)

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ClinicalTrials.gov Identifier: NCT03164993
Recruitment Status : Recruiting
First Posted : May 24, 2017
Last Update Posted : March 5, 2019
Sponsor:
Collaborators:
Hoffmann-La Roche
Norwegian Cancer Society
St. Olavs Hospital
Helse Stavanger HF
University Hospital of North Norway
Information provided by (Responsible Party):
Jon Amund Kyte, Oslo University Hospital

Brief Summary:
This is a randomized, double-blind, placebo-controlled phase II study evaluating the safety and efficacy of Atezolizumab when combined with immunogenic chemotherapy in subjects with metastatic triple-negative breast cancer. Atezolizumab, pegylated liposomal doxorubicin and cyclophosphamide are the Investigational Medicinal Products (IMPs).

Condition or disease Intervention/treatment Phase
Cancer, Breast Triple Negative Breast Cancer Drug: Atezolizumab Drug: Pegylated liposomal doxorubicin Drug: Cyclophosphamide Other: Placebo Phase 2

Detailed Description:
Breast cancer is rarely curable after metastasis, and the therapeutic options for metastatic triple negative breast cancer (TNBC) are limited. The host immune response is strongly predictive for the effect of chemotherapy in patients with TNBC. In the present trial, we combine Atezolizumab, an inhibitory antibody against Programmed Death Ligand-1 (PD-L1), with chemotherapy. Thereby, we aim to release the brake on the chemo-induced immune response. The chemotherapeutic regime is a combination of anthracycline and cyclophosphamide, applied in a semi-metronomic fashion (pegylated liposomal doxorubicin every 2nd week and daily cyclophosphamide for 2/4 weeks). The investigators hypothesize that the semi-metronomic regime will induce immunological cell death and counter T regulatory cells, while maintaining the leukocyte counts and the ability of the effector immune cells to respond. The use of pegylated liposomal doxorubicin (Caelyx) minimizes the adverse effects of anthracyclines on the heart and allows for continued treatment beyond the otherwise mandatory anthracycline limits.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 75 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Randomized, double-blind, placebo-controlled
Masking: Double (Participant, Investigator)
Masking Description: Randomization will be performed using the eCRF. The subject will allocated to a randomization number and the randomization number will be sent to the hospital pharmacy. The pharmacy keeps the randomization listing and prepares the infusion according to the given randomization number. The pharmacy will keep a log of all infusions prepared. All other study personell will be blinded to the treatment code.
Primary Purpose: Treatment
Official Title: ALICE: A Randomized Placebo-controlled Phase II Study Evaluating Atezolizumab Combined With Immunogenic Chemotherapy in Patients With Metastatic Triple-negative Breast Cancer
Actual Study Start Date : June 1, 2017
Estimated Primary Completion Date : November 1, 2020
Estimated Study Completion Date : March 1, 2024

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer

Arm Intervention/treatment
Placebo Comparator: Arm Chemotherapy + Placebo
Chemo (pegylated liposomal doxorubicin + cyclophosphamide) + placebo
Drug: Pegylated liposomal doxorubicin
Chemotherapy

Drug: Cyclophosphamide
Chemotherapy

Other: Placebo
Placebo

Active Comparator: Arm Chemotherapy + Atezolizumab
Chemo (pegylated liposomal doxorubicin + cyclophosphamide) + Atezolizumab
Drug: Atezolizumab
Atezolizumab is a monoclonal antibody designed to target and bind to a protein called PD-L1 (programmed death ligand-1), which is expressed on tumour cells and tumour-infiltrating immune cells. PD-L1 interacts with PD-1 and B7.1, both found on the surface of T cells, causing inhibition of T cells. By blocking this interaction, Atezolizumab may enable the activation of T cells, restoring their ability to effectively detect and attack tumour cells.
Other Name: Tecentriq

Drug: Pegylated liposomal doxorubicin
Chemotherapy

Drug: Cyclophosphamide
Chemotherapy




Primary Outcome Measures :
  1. Assessment of toxicity of combined treatment with Atezolizumab, pegylated liposomal doxorubicin and cyclophosphamide [ Time Frame: From inclusion until last follow-up visit (12 weeks after end of treatment if progressive disease; 12 months after end of treatment if no disease progression) ]
    Incidence, nature, and severity of adverse events graded according to NCI CTCAE v4.0 and Adverse Event of Special Interest (AESIs) for Atezolizumab

  2. Progression-free survival (PFS) [ Time Frame: Data-driven time point for PFS-analysis (95% PFS events in all patients). If 95% PFS events have not occured within 18 months after inclusion of the last patient, the PFS-analysis will be performed at this time point. ]
    Compare the PFS rates in the two study arms


Secondary Outcome Measures :
  1. Objective tumor response rate [ Time Frame: 3 years ]
  2. Overall survival [ Time Frame: 5 years ]
  3. Duration of response [ Time Frame: 3 years ]
  4. Durable tumor response rate (DRR; >6 months) [ Time Frame: 3 years ]
  5. Patient reported outcome [ Time Frame: 3 years ]
    Measured by the Chalder Fatigue Questionnaire (FQ)

  6. Patient reported outcome [ Time Frame: 3 years ]
    11 point Numerical Rating Scale (NRS) for pain intensity

  7. Patient reported outcome [ Time Frame: 3 years ]
    EORTC quality of life questionnaire (QLQ-C15-PAL)



Information from the National Library of Medicine

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

Inclusion Criteria:

  • Metastatic or incurable locally advanced, histologically documented TNBC (absence of human epidermal growth factor receptor (HER2), endocrine receptor (ER), and progesterone receptors (PR) expression). HER2 negativity is defined as either of the following by local laboratory assessment: In situ hybridization (ISH) non-amplified (ratio of HER2 to chromosome 17 centromere(CEP17) < 2.0 or single probe average HER2 gene copy number < 4 signals/cell), or Immunohistochemistry (IHC) 0 or IHC 1+ (if more than one test result is available and not all results meet the inclusion criterion definition, all results should be discussed with the principal investigator to establish eligibility of the patient). ER and PR negativity are defined as < 1% and <10%, respectively, of cells expressing hormonal receptors via IHC analysis
  • Adequate newly obtained core or excisional biopsy of a tumor lesion not previously irradiated. No anti-tumor treatment is allowed between the time point for biopsy and study entry. If a patient has undergone chemotherapy in the metastatic setting, a new biopsy must be obtained after this therapy
  • Measurable disease according to Immune-related Response Evaluation Criteria In Solid Tumors (irRECIST)
  • Signed Informed Consent Form
  • Women or men aged ≥ 18 years
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • In patients that have received (neo) adjuvant treatment with anthracyclines or cyclophosphamide, a minimum of 12 months from treatment with anthracyclines or cyclophosphamide until relapse of disease is required
  • A maximum of one previous line with chemotherapy in the metastatic setting
  • Female subject of childbearing potential should have a negative urine or serum pregnancy within 7 days prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required
  • Female subjects of childbearing potential should agree to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of < 1% per year, during the treatment period and for at least 5 months after the last dose of study therapy. A woman is considered to be of childbearing potential if she is postmenarcheal, has not reached a postmenopausal state (≥ 12 continuous months of amenorrhea with no identified cause other than menopause), and has not undergone surgical sterilization (removal of ovaries and/or uterus). Examples of contraceptive methods with a failure rate of < 1% per year include bilateral tubal ligation, male sterilization, proper use of hormonal contraceptives that inhibit ovulation and hormone-releasing intrauterine devices (IUDs). Periodic abstinence (e.g., calendar, ovulation, symptothermal, or postovulation methods) and withdrawal are not acceptable methods of contraception
  • Male subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 5 months after the last dose of study therapy

Exclusion Criteria:

  • Malignancies other than breast cancer within 5 years prior to randomization, with the exception of those with a negligible risk of metastasis or death and treated with expected curative outcome (such as adequately treated carcinoma in situ of the cervix or basal or squamous cell skin cancer)
  • Known Breast Cancer gene (BRCA) mutation, unless the patient has already received carboplatin or for other reasons should not receive carboplatin treatment, according to own preferences or recommendations by the treating physician.
  • Spinal cord compression not definitively treated with surgery and/or radiation, or previously diagnosed and treated spinal cord compression without evidence that disease has been clinically stable for > 2 weeks prior to randomization
  • Known central nervous system (CNS) disease, except for treated asymptomatic CNS metastases, provided all of the following criteria are met:

    1. Measurable disease outside the CNS
    2. No metastases to mesencephalon, pons, medulla oblongata, or spinal cord
    3. No evidence of progression after completion of CNS-directed therapy
    4. No ongoing requirement for dexamethasone as therapy for CNS disease
    5. No radiation of brain lesions within 14 days prior to randomization
    6. No leptomeningeal disease
    7. Patients with new asymptomatic CNS metastases detected at the screening scan must receive radiation therapy and/or surgery for CNS metastases. Following treatment, these patients may be eligible without the need for an additional brain scan prior to enrolment, if all other criteria are met
  • Uncontrolled pleural effusion, pericardial effusion, or ascites. Patients with indwelling catheters (e.g., PleurX®) are allowed
  • Uncontrolled tumor-related pain. Patients requiring narcotic pain medication must be on a stable regimen at study entry. Symptomatic lesions (e.g., bone metastases or metastases causing nerve impingement) amenable to palliative radiotherapy should be treated prior to randomization. Asymptomatic metastatic lesions whose further growth would likely cause functional deficits or intractable pain (e.g., epidural metastasis that is not presently associated with spinal cord compression) should be considered for loco-regional therapy if appropriate prior to randomization
  • Ionized calcium > 1.2 x upper normal limit (UNL). The use of bisphosphonates is allowed
  • Pregnant or breastfeeding
  • Evidence of significant uncontrolled concomitant disease that could affect compliance with the protocol or interpretation of results, including significant liver disease (such as cirrhosis, uncontrolled major seizure disorder, or superior vena cava syndrome)
  • Significant cardiovascular disease, such as New York Heart Association (NYHA) cardiac disease (Class II or greater), myocardial infarction within 3 months prior to randomization, unstable arrhythmias, or unstable angina Patients with a known left ventricular ejection fraction (LVEF) < 40% will be excluded. Patients with known coronary artery disease congestive heart failure not meeting the above criteria, or LVEF < 50% must be on a stable medical regimen that is optimized in the opinion of the treating physician, in consultation with a cardiologist if appropriate
  • Severe infection within 21 days prior to randomization, requiring hospitalization
  • Received oral or IV antibiotics within 1 week prior to Cycle 1, Day 1. Patients receiving routine antibiotic prophylaxis (e.g., to prevent chronic obstructive pulmonary disease exacerbation or for dental extraction) are eligible
  • Major surgical procedure within 21 days prior to randomization or anticipation of the need for a major surgical procedure during the course of the study other than for diagnosis. Placement of central venous access catheter(s) is not considered a major surgical procedure and is therefore permitted
  • A history of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins
  • Known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or any component of the Atezolizumab formulation
  • Known hypersensitivity to doxorubicin or cyclophosphamide or any of their excipients
  • A history of autoimmune disease that has required systemic treatment in the past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxin, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment. Patients with eczema, psoriasis, lichen simplex chronicus or vitiligo with dermatologic manifestations only (e.g., no psoriatic arthritis) are permitted provided that they meet all of the following conditions:

    1. Rash must cover less than 10% of body surface area.
    2. Disease is well controlled at baseline and only requiring low potency topical steroids
    3. No acute exacerbations of underlying condition within the last 12 months (not requiring psoralen plus ultraviolet A radiation (PUVA), methotrexate, retinoids, biologic agents, oral calcineurin inhibitors, high potency or oral steroids)
  • Undergone allogeneic stem cell or solid organ transplantation
  • A history of idiopathic pulmonary fibrosis (including pneumonitis), drug-induced pneumonitis, organizing pneumonia (i.e., bronchiolitis obliterans, cryptogenic organizing pneumonia), or evidence of active pneumonitis on screening chest CT scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted
  • A positive test for HIV
  • Active hepatitis B (defined as having a positive hepatitis B surface antigen [HBsAg] test at screening) or hepatitis C. Patients with past hepatitis B virus (HBV) infection or resolved HBV infection (defined as having a negative HBsAg test and a positive antibody to hepatitis B core antigen (anti-HBc) antibody test) are eligible. Patients positive for hepatitis C virus (HCV) antibody are eligible only if polymerase chain reaction (PCR) is negative for HCV RNA
  • Active tuberculosis
  • Currently receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks of the first dose of treatment
  • Received treatment with immune checkpoint modulators, including anti−CTLA-4, anti−PD-1, or anti−PD-L1 therapeutic antibodies
  • Received treatment with systemic immunostimulatory agents (including but not limited to interferons or Interleukin-2) within 4 weeks or five half-lives of the drug (whichever is shorter) prior to randomization
  • Received treatment with systemic corticosteroids or other systemic immunosuppressive medications (including but not limited to prednisone, dexamethasone, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti−tumor necrosis factor (TNF) agents) within 2 weeks prior to randomization, or anticipated requirement for systemic immunosuppressive medications during the trial

    1. Patients who have received acute, low-dose, systemic immunosuppressant medications (e.g., a one-time dose of dexamethasone for nausea) may be enrolled in the study
    2. Patients with a history of allergic reaction to IV contrast requiring steroid pre-treatment should have baseline and subsequent tumor assessments performed using MRI
    3. The use of inhaled corticosteroids for chronic obstructive pulmonary disease, mineralocorticoids (e.g., fludrocortisone) for patients with orthostatic hypotension, and low-dose supplemental corticosteroids for adrenocortical insufficiency are allowed
  • Received anti-cancer therapy (medical agents or radiation) within 3 weeks prior to study Cycle 1, Day 1. However the following are allowed:

    a. Palliative radiotherapy for bone metastases > 2 weeks prior to Cycle 1, Day 1

  • A history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating Investigator
  • Known psychiatric or substance abuse disorders that would interfere with cooperation and the requirements of the trial
  • Received a live vaccine within 30 days of planned start of study therapy, or is expected to receive such a vaccine while on therapy a. Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live attenuated vaccines, and are not allowed.

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): NCT03164993


Contacts
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Contact: Jon Amund Kyte, M.D.-Ph.D. +4722934000 Jon.Amund.Kyte@rr-research.no
Contact: Bjørn Naume, M.D.-Ph.D +4722934000 bjorn.naume@medisin.uio.no

Locations
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Denmark
Rigshospitalet Recruiting
Copenhagen, Denmark, 2100
Contact: Christina Bjerre, M.D.-Ph.d.    +45 35457965    christina.annette.bjerre@regionh.dk   
Principal Investigator: Christina Bjerre, M.D.-Ph.d.         
Vejle Sygehus Recruiting
Vejle, Denmark, 7100
Contact: Erik Hugger Jakobsen, M.D.-Ph.d    +4579406015    erik.hugger.jakobsen@rsyd.dk   
Principal Investigator: Erik Hugger Jakobsen, M.D.-Ph.d         
Norway
Oslo University Hospital Recruiting
Oslo, Norway
Contact: Jon Amund Kyte, M.D.-Ph.D.    +4722934000    Jon.Amund.Kyte@rr-research.no   
Principal Investigator: Jon Amund Kyte, M.D.-Ph.D.         
Sub-Investigator: Bjørn Naume, M.D.-Ph.D.         
Stavanger University Hospital Recruiting
Stavanger, Norway
Contact: Bjørnar Gilje, M.D.-Ph.D.    +4741432221    bjornar.gilje@sus.no   
Principal Investigator: Bjørnar Gilje, M.D.-Ph.D.         
University Hospital of North Norway Not yet recruiting
Tromsø, Norway
Contact: Egil Støre Blix, M.D.-Ph.D.       Egil.Store.Blix@unn.no   
Principal Investigator: Egil Støre Blix, M.D.-Ph.D.         
St. Olavs Hospital Recruiting
Trondheim, Norway
Contact: Sunil Xavier Raj, M.D.-Ph.D.       Sunil.Xavier.Raj@stolav.no   
Principal Investigator: Sunil Xavier Raj, M.D         
Sponsors and Collaborators
Oslo University Hospital
Hoffmann-La Roche
Norwegian Cancer Society
St. Olavs Hospital
Helse Stavanger HF
University Hospital of North Norway
Investigators
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Principal Investigator: Jon Amund Kyte, M.D.-Ph.D. Oslo University Hospital

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Responsible Party: Jon Amund Kyte, National coordinating investigator, Oslo University Hospital
ClinicalTrials.gov Identifier: NCT03164993     History of Changes
Other Study ID Numbers: ML39079_ALICE
First Posted: May 24, 2017    Key Record Dates
Last Update Posted: March 5, 2019
Last Verified: March 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Jon Amund Kyte, Oslo University Hospital:
Neoplasms

Additional relevant MeSH terms:
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Breast Neoplasms
Triple Negative Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Cyclophosphamide
Doxorubicin
Liposomal doxorubicin
Atezolizumab
Antibodies, Monoclonal
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Antirheumatic Agents
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Myeloablative Agonists
Antibiotics, Antineoplastic
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors