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A Study Of The Safety And Effects Of One Or More Doses Of HSP-130 Injected Under The Skin In Women With Breast Cancer That Has Not Spread To Distant Sites In The Body.

Last updated on December 6, 2018

FOR MORE INFORMATION
Study Location
CRU Hungary Kft.,CRU Early Phase Unit, Miskolci Semmelweis Kórház és Egyetemi Oktató Kórház
Miskolc, BAZ Megye, 3529 Hungary
Contact
1-800-718-1021
Eligibility criteria
Condition
The disease, disorder, syndrome, illness, or injury that is being studied.
Non-metastatic Breast Cancer
Sex
Female
Age
Pediatric Trials: 0-17 Years
Adult Trials: 18+ Years
18 + years
Inclusion criteria
The factors, or reasons, that allow a person to participate in a clinical study.
Show details

- A subject will be eligible for study participation if all of the following criteria
are met at Screening:

1. Is informed, has been given ample time and opportunity to read about
participation in the study and has signed and dated the written informed consent
form approved by an Independent Ethics committee (IEC) prior to any study related
activities

2. Females ≥ 18 years

3. Histologically confirmed and documented invasive breast cancer

4. Breast cancer without evidence of distant metastases (Stage 4) based on staging
work-up

5. Chemotherapy naive, who have not received chemotherapy in the neoadjuvant setting
and who are candidates for chemotherapy in the adjuvant setting of
taxane/cyclophosphamide-based regimen, e.g., TAC, as background chemotherapy

6. Zubrod/WHO/ECOG performance status ≤ 2

7. Adequate bone marrow, hepatic, and renal function reserve as evidenced by:

1. Hemoglobin ≥ 10 mg/dl

2. ANC ≥ 1.5 x 10^9/L

3. Platelet count of ≥ 100 x 10^9/L

4. Total bilirubin ≤ 2 mg/dl

5. Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤ 3 x
the upper limit of normal (ULN) of the reference lab

6. Serum creatinine of ≤ 1.5 x ULN for reference lab or estimated glomerular
filtration rate (eGFR) of ≥ 60 mg/min

8. Body mass index (BMI) of 19 to 40 kg/m^2 , inclusive

9. Subjects of childbearing potential, and their partners, agree to pregnancy
prevention throughout the duration of the study (through the Follow-up Visit).
Specific type of pregnancy prevention should be discussed with, and acceptable
to, the treating oncologist in the context of the tumoral hormone receptor
status. Subjects and their partners must agree to use of an effective method of
contraception, to avoid impregnation of females throughout the course of the
study

Medically acceptable forms of birth control can include, with approval of the
treating physician:

1. Barrier methods (condom or diaphragm with spermicide)

2. Intrauterine device (IUD)

3. Hormone contraceptives (such as oral [pill], injection, skin patch, implant,
cervical ring)

4. Subjects using oral contraceptives must be on a stable regimen for at least
3 months prior to Screening. Sexually active subjects must use contraception
while on HSP-130 from admission to the final Follow-up Visit

10. Able to understand verbal or written instructions and comply with all study
requirements, to communicate effectively with study personnel and is available
for the planned duration of the study

Exclusion criteria
The factors, or reasons, that prevent a person from participating in a clinical study.
Show details

- A subject will NOT be eligible for study participation if any of the following
criteria are met at Screening:

1. Previous G-CSF exposure, including filgrastim, lenograstim, pegfilgrastim,
lipegfilgrastim, granulocyte/macrophage colony stimulating growth factor
(GM-CSF), or any other branded or biosimilar G-CSF

2. Prior autologous stem cell harvest of any type

3. Drug sensitivity, allergic reaction, or known hypersensitivity or idiosyncratic
reaction to E. coli - derived proteins, filgrastim, other G-CSFs, or pegylated
agents

4. Known hypersensitivity to docetaxel, polysorbate 80, or doxorubicin

5. For subjects receiving doxorubicin, no concurrent use of inhibitors and inducers
of CYP3A4, CYP2D6, and/or P-gp or with trastuzumab due to increased risk of
cardiac dysfunction

6. Chemotherapy other than that included in this study
(taxane/cyclophosphamide-based regimen, e.g., TAC or TC) or neoadjuvant
chemotherapy; or known immunosuppressive agents including chronic oral
corticosteroid use, or radiation therapy within 4 weeks of first dose of HSP-130,
prior bone marrow or stem cell transplantation, or malignancy within 5 years

7. Known HER2 + ( overexpressing breast cancer)

8. Known triple negative (estrogen receptor-negative, progesterone receptor-negative
and HER2-negative) breast cancer

9. ? Grade 2 underlying neuropathy

10. Current diagnosis of active tuberculosis or other severe infection, such as
sepsis, abscesses or opportunistic infections

11. Treatment with systemically active antibiotics within 72 hours before
chemotherapy

12. Known infection with HIV

13. Known sickle cell disease

14. Known severe persistent drug-induced myelosuppression

15. New York Heart Association (NYHA) class III or IV heart failure, severe
uncontrolled cardiac disease (unstable angina, clinically significant ECG
abnormalities) or MI within the previous 6 months before the first administration
of HSP-130

16. Any malignancy other than breast cancer, with exception of adequately treated
squamous or basal cell carcinoma of the skin or cervical carcinoma in situ,
within 5 years before the first administration of the HSP-130

17. Current or recent treatment (within 30 days before the first administration of
the HSP-130) with any other investigational medicinal product

18. Pregnancy or lactation; Subjects planning to be pregnant or to breastfeed before,
during, or within 12 months after administration of the HSP-130 are not permitted
to enroll in the study

19. Received a live, live-attenuated, or non-live vaccine within 4 weeks before the
first administration of the HSP-130

20. Patient has evidence of any other coexisting disease or medical or psychological
condition, metabolic dysfunction, physical examination finding or clinical lab
finding giving reasonable suspicion of a disease or condition that
contraindicated the use of an HSP-130, or patient is high risk for treatment
complication

NCT02650193
Pfizer
Completed
A Study Of The Safety And Effects Of One Or More Doses Of HSP-130 Injected Under The Skin In Women With Breast Cancer That Has Not Spread To Distant Sites In The Body.

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A Study Of The Safety And Effects Of One Or More Doses Of HSP-130 Injected Under The Skin In Women With Breast Cancer That Has Not Spread To Distant Sites In The Body.
A Phase 1-2 Ascending Dose Study To Assess The Pharmacodynamics, Pharmacokinetics, And Safety Of Hsp-130 In Subjects With Non-metastatic Breast Cancer Following Single Dose And Multiple-dose Administration By Subcutaneous Injection

This is a study of how one or more injections of HSP-130 under the skin effect the white blood cell counts and drug levels in women with breast cancer that has not spread to distant sites in the body (non-metastatic). This will be studied in women before breast surgery or while receiving chemotherapy. Safety will also be studied.

Additionally, the purpose of this study is to evaluate the effects and safety of single and multiple doses of HSP-130 in subjects with non-metastatic breast cancer. This study will determine the dose to move forward for future clinical trials.

This is an open-label, sequential enrollment study characterizing the pharmacodynamic (PD), pharmacokinetic (PK) and safety of HSP-130 in subjects with non-metastatic breast cancer who have not previously received chemotherapy at any point prior to enrollment in this study (ZIN-130-1504).

The purpose of this study is to evaluate the effects and safety of single and multiple doses of HSP-130 in subjects with non-metastatic breast cancer. This study will determine the dose to move forward for future clinical trials.

There are two aspects of the study. In the initial part of the study, 6 subjects will be sequentially enrolled to receive HSP-130 treatment (3 mg , or 6 mg by subcutaneous injection) during the period between biopsy and definitive surgery. This will determine whether 3 mg and 6 mg have similar or different effects on the PD variables (absolute neutrophil counts and CD34+ cell counts). This part of the study is referred to as Cycle 0 since study subjects will receive no chemotherapy while receiving HSP-130 until the effect of HSP-130 on the PD variables is known. A total of 12 subjects may be enrolled in Cycle 0.

The objective of Cycle 1-4 is to determine the dose to be taken forward to Phase 3 clinical trials. Cycles 1-4 subjects will receive HSP-130 after their definitive breast surgery at the time they receive TAC chemotherapy (docetaxel, doxorubicin, and cyclophosphamide). Subjects will receive up to 4 cycles of every 3 week TAC chemotherapy with HSP-130 given on Day 2 of the chemotherapy regimen.

  • If the 3 mg dose is found to be inferior (potentially subtherapeutic) to the 6 mg dose in Cycle 0, only the 6 mg dose will be studied in Cycles 1-4 (n=12), when subjects receive concomitant chemotherapy.
  • If the 3 mg dose is found to be comparable to the PD results obtained in Cycle 0 with 6 mg, the 3 mg dose (n=12) will also be studied in women receiving TAC chemotherapy.

Data from the HSP-130 6 mg regimen (plus 3 mg, as appropriate) will be analysed, discussed with the FDA and determination if a dose greater than 6 mg is appropriate to study (e.g., 12 mg). If all three doses are studied, a total enrollment of up to 36 subjects is projected for Cycles 1-4.

Interventional
Phase 2
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
Non-metastatic Breast Cancer
Drug: HSP-130
Dosage will vary per each cohort: (Five independent cohorts) Cycle 0 Regimen A - 3 mg Cycle 0 Regimen B - 6 mg Cycles 1-4 Regimen B - 6 mg Cycles 1-4 Regimen A (Potential)- 3 mg Cycles 1-4 Regimen C (Conditional)- 12 mg
Other Name: Pegylated filgrastim
Experimental: HSP-130

Cycle 0:

Regimen A: HSP 130, 3 mg, single SC injection in the deltoid region (n = 6) Regimen B: HSP 130, 6 mg, single SC injection in the deltoid region (n = 6)

Cycles 1-4:

Regimen B (n = 12): HSP 130, 6 mg, single SC injection in the deltoid region, at least 24 hours after administration of chemotherapy in Cycle 1, Cycle 2, Cycle 3, and Cycle 4.

Potential Regimen A (n = 12): 3 mg with background chemotherapy: Inclusion of this cohort will be based on assessment of comparability between Regimens A and B in Cycle 0 for ANC and CD34+ as defined above. If performed, this regimen will be HSP 130, 3 mg, single SC injection in the deltoid region, at least 24 hours after administration of chemotherapy in Cycle 1, Cycle 2, Cycle 3, and Cycle 4, as appropriate.

Conditional Regimen C (12 mg):This cohort will not be initiated until data from cycle 0 for 3 mg and 6 mg and Cycles 1-4 for 6 mg has been reviewed and analyzed.

Intervention: Drug: HSP-130
Not Provided


*   Includes publications given by the data provider as well as publications
identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
24
October 5, 2017
October 5, 2017   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • A subject will be eligible for study participation if all of the following criteria are met at Screening:

    1. Is informed, has been given ample time and opportunity to read about participation in the study and has signed and dated the written informed consent form approved by an Independent Ethics committee (IEC) prior to any study related activities
    2. Females ? 18 years
    3. Histologically confirmed and documented invasive breast cancer
    4. Breast cancer without evidence of distant metastases (Stage 4) based on staging work-up
    5. Chemotherapy naive, who have not received chemotherapy in the neoadjuvant setting and who are candidates for chemotherapy in the adjuvant setting of taxane/cyclophosphamide-based regimen, e.g., TAC, as background chemotherapy
    6. Zubrod/WHO/ECOG performance status ? 2
    7. Adequate bone marrow, hepatic, and renal function reserve as evidenced by:

      1. Hemoglobin ? 10 mg/dl
      2. ANC ? 1.5 x 10^9/L
      3. Platelet count of ? 100 x 10^9/L
      4. Total bilirubin ? 2 mg/dl
      5. Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ? 3 x the upper limit of normal (ULN) of the reference lab
      6. Serum creatinine of ? 1.5 x ULN for reference lab or estimated glomerular filtration rate (eGFR) of ? 60 mg/min
    8. Body mass index (BMI) of 19 to 40 kg/m^2 , inclusive
    9. Subjects of childbearing potential, and their partners, agree to pregnancy prevention throughout the duration of the study (through the Follow-up Visit). Specific type of pregnancy prevention should be discussed with, and acceptable to, the treating oncologist in the context of the tumoral hormone receptor status. Subjects and their partners must agree to use of an effective method of contraception, to avoid impregnation of females throughout the course of the study

      Medically acceptable forms of birth control can include, with approval of the treating physician:

      1. Barrier methods (condom or diaphragm with spermicide)
      2. Intrauterine device (IUD)
      3. Hormone contraceptives (such as oral [pill], injection, skin patch, implant, cervical ring)
      4. Subjects using oral contraceptives must be on a stable regimen for at least 3 months prior to Screening. Sexually active subjects must use contraception while on HSP-130 from admission to the final Follow-up Visit
    10. Able to understand verbal or written instructions and comply with all study requirements, to communicate effectively with study personnel and is available for the planned duration of the study

Exclusion Criteria:

  • A subject will NOT be eligible for study participation if any of the following criteria are met at Screening:

    1. Previous G-CSF exposure, including filgrastim, lenograstim, pegfilgrastim, lipegfilgrastim, granulocyte/macrophage colony stimulating growth factor (GM-CSF), or any other branded or biosimilar G-CSF
    2. Prior autologous stem cell harvest of any type
    3. Drug sensitivity, allergic reaction, or known hypersensitivity or idiosyncratic reaction to E. coli - derived proteins, filgrastim, other G-CSFs, or pegylated agents
    4. Known hypersensitivity to docetaxel, polysorbate 80, or doxorubicin
    5. For subjects receiving doxorubicin, no concurrent use of inhibitors and inducers of CYP3A4, CYP2D6, and/or P-gp or with trastuzumab due to increased risk of cardiac dysfunction
    6. Chemotherapy other than that included in this study (taxane/cyclophosphamide-based regimen, e.g., TAC or TC) or neoadjuvant chemotherapy; or known immunosuppressive agents including chronic oral corticosteroid use, or radiation therapy within 4 weeks of first dose of HSP-130, prior bone marrow or stem cell transplantation, or malignancy within 5 years
    7. Known HER2 + ( overexpressing breast cancer)
    8. Known triple negative (estrogen receptor-negative, progesterone receptor-negative and HER2-negative) breast cancer
    9. ? Grade 2 underlying neuropathy
    10. Current diagnosis of active tuberculosis or other severe infection, such as sepsis, abscesses or opportunistic infections
    11. Treatment with systemically active antibiotics within 72 hours before chemotherapy
    12. Known infection with HIV
    13. Known sickle cell disease
    14. Known severe persistent drug-induced myelosuppression
    15. New York Heart Association (NYHA) class III or IV heart failure, severe uncontrolled cardiac disease (unstable angina, clinically significant ECG abnormalities) or MI within the previous 6 months before the first administration of HSP-130
    16. Any malignancy other than breast cancer, with exception of adequately treated squamous or basal cell carcinoma of the skin or cervical carcinoma in situ, within 5 years before the first administration of the HSP-130
    17. Current or recent treatment (within 30 days before the first administration of the HSP-130) with any other investigational medicinal product
    18. Pregnancy or lactation; Subjects planning to be pregnant or to breastfeed before, during, or within 12 months after administration of the HSP-130 are not permitted to enroll in the study
    19. Received a live, live-attenuated, or non-live vaccine within 4 weeks before the first administration of the HSP-130
    20. Patient has evidence of any other coexisting disease or medical or psychological condition, metabolic dysfunction, physical examination finding or clinical lab finding giving reasonable suspicion of a disease or condition that contraindicated the use of an HSP-130, or patient is high risk for treatment complication
Sexes Eligible for Study: Female
Gender Based Eligibility: Yes
18 Years and older   (Adult, Senior)
No
Contact information is only displayed when the study is recruiting subjects
Hungary,   Spain
 
 
NCT02650193
ZIN-130-1504
C1221002 ( Other Identifier: Alias Study Number )
2015-002057-35 ( EudraCT Number )
No
Not Provided
Not Provided
Pfizer
Pfizer
Hospira, now a wholly owned subsidiary of Pfizer
Study Director: Pfizer CT.gov Call Center Pfizer
Pfizer
November 2017

ICMJE     Data element required by the

International Committee of Medical Journal Editors
and the
World Health Organization ICTRP

FOR MORE INFORMATION

Contact a representative by phone, email, or visiting thte study website. To get updates and notications about this trail, sign up using the form below.

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1-800-718-1021

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