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CP-724,714 in Treating Patients With Metastatic Breast Cancer



CP-724,714 in Treating Patients With Metastatic Breast Cancer

For Condition: stage 4 breast cancer,Male Breast Cancer,recurrent breast cancer
Status: Recruiting
Sponsor(s): Jonsson Comprehensive Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: CP-724,714 may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. PURPOSE: Phase I trial to study the effectiveness of CP-724,714 in treating patients who have metastaticHER2-overexpressing breast cancer.
Details: OBJECTIVES: - Determine the safety and tolerability of CP-724,714 in patients with metastatic HER2-overexpressing breast cancer. - Determine the maximum tolerated dose of this drug in these patients. - Determine, preliminarily, any antitumor activity of this drug in these patients. - Determine the pharmacokinetics of this drug in these patients. - Determine the relationship of drug-related adverse events to pharmacokinetic exposure parameters in these patients. - Determine the relationship of changes in serum HER2 extracellular domain and HER2 receptor tyrosine kinase phosphorylation to pharmacokinetic exposure parameters and clinical outcome in patients treated with this drug. OUTLINE: This is an open-label, dose-escalation, multicenter study. Patients receive oral CP-724,714 on days 1 and 3-21 during course 1 and then daily during subsequent courses. Courses repeat every 3 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of CP-724,714 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed for at least 30 days. PROJECTED ACCRUAL: A total of 3-20 patients will be accrued for this study within 6 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed HER2-overexpressing breast cancer - Prior or newly documented HER2 amplification by fluorescence in situ hybridization (FISH) - Progressive metastatic disease - Must have received at least one prior chemotherapy regimen for metastatic breast cancer - At least 1 measurable or evaluable lesion - At least 1 lesion accessible for 2 separate core biopsies for pharmacodynamic evaluation - No known or clinically suspected brain metastases or leptomeningeal disease - No symptomatic edema or third-space fluid (e.g., ascites or pleural effusions) - Hormone receptor status: - Not specified PATIENT CHARACTERISTICS: Age - 18 and over Sex - Male or female Menopausal status - Not specified Performance status - ECOG 0-1 Life expectancy - More than 3 months Hematopoietic - Absolute neutrophil count at least 1,500/mm^3* - Platelet count at least 100,000/mm^3* NOTE: *Without hematopoietic growth factors or transfusions Hepatic - Bilirubin no greater than 1.5 mg/dL - AST/ALT no greater than 2.5 times upper limit of normal (ULN) (5 times ULN if liver metastases are present) - No known hepatitis B or C infection Renal - Creatinine no greater than 1.5 times ULN OR - Creatinine clearance at least 60 mL/min Cardiovascular - 12-lead ECG with normal tracing - No significant ECG changes that require medical intervention - QTc interval less than 460 msec - No history of torsade or other symptomatic QTc abnormality - LVEF greater than 50% by MUGA - No history of cardiovascular disease (i.e., ischemic heart disease, arrhythmia, or congestive heart failure) unless asymptomatic for the past year with no requirement for antiarrhythmics or a clinically significant medical management change Gastrointestinal - Able to take oral medication - No gastrointestinal abnormality that would require medications (including all antacids) - No persistent symptoms of an esophageal or digestive disorder Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No known HIV infection - No active infection - No concurrent uncontrolled systemic disorders or laboratory abnormalities that would preclude study drug safety evaluation - No mental disorder that would preclude study compliance or ability to give informed consent PRIOR CONCURRENT THERAPY: Biologic therapy - See Chemotherapy - At least 4 weeks since prior trastuzumab (Herceptin) - No more than 2 prior trastuzumab-based regimens for advanced disease - At least 4 weeks since other prior biologic therapy or immunotherapy - No concurrent immunotherapy Chemotherapy - See Disease Characteristics - At least 4 weeks since prior chemotherapy (6 weeks for mitomycin or nitrosoureas) - At least 6 months since prior doxorubicin or doxorubicin equivalents without any prior or developing signs or symptoms of cardiomyopathy - No cumulative doses of more than 300 mg/m^2 - No more than 1 prior anthracycline- or anthracenedione-containing regimen (except with approval of the sponsor) - No prior high-dose chemotherapy with hematopoietic stem cell transplantation - No concurrent anticancer chemotherapy Endocrine therapy - At least 2 weeks since prior hormonal therapy for the primary disease - Concurrent hormone replacement therapy or luteinizing hormone-releasing hormone agonists allowed - No concurrent anticancer hormonal therapy, including tamoxifen Radiotherapy - At least 4 weeks since prior radiotherapy - No prior radiotherapy to the only disease site that would be assessed for response - No concurrent radiotherapy Surgery - At least 3 weeks since prior major surgery (2 weeks for minor surgery) - No prior partial or complete gastrectomy Other - Recovered from prior therapy - At least 4 weeks since prior investigational treatment - No concurrent antiarrhythmics - No concurrent antacids - No concurrent anticoagulant at therapeutic doses - Coumarin or heparin derivatives allowed for the prevention of deep vein thrombosis or port patency - No other concurrent experimental anticancer medications for breast cancer
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
CarolynBritten,  Principal Investigator,  Jonsson Comprehensive Cancer Center

Jonsson Comprehensive Cancer Center, UCLA *Recruiting*
Los Angeles,  California,  90095-1781
United States
Recruiting Carolyn  Britten 310-825-8195


Additional Information:
Study ID Numbers:
  CDR0000271533;  PFIZER-A4031001,UCLA-0209105
Study Start Date: 
Record last reviewed: February 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00055926

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