Study to Evaluate Exemestane With and Without Entinostat (SNDX-275) in Treatment of Postmenopausal Women With Advanced Breast Cancer

NCT ID: NCT00676663

Last Updated: 2022-05-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-13

Study Completion Date

2012-11-26

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of entinostat in combination with exemestane in the treatment of advanced breast cancer.

Detailed Description

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Conditions

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Breast Cancer Estrogen Receptor-Positive Breast Cancer Breast Cancer, Estrogen Receptor-Positive ER+ Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Exemestane 25 mg + Entinostat 5 mg

Exemestane (Aromasin®) 25 mg tablets orally once daily plus an entinostat 5 mg tablet orally once per week on Days 1, 8, 15 and 22 of each 28-day treatment cycle until development of progressive disease (PD) or unacceptable toxicity or closure of the study by the Sponsor, whichever occurred first.

Group Type EXPERIMENTAL

entinostat

Intervention Type DRUG

Entinostat 5 mg tablet orally once per week

exemestane

Intervention Type DRUG

Exemestane 25 mg tablet orally once daily

Exemestane 25 mg + Placebo

Exemestane (Aromasin®) 25 mg tablets orally once daily plus a placebo-matching entinostat tablet orally once per week on Days 1, 8, 15 and 22 of each 28-day treatment cycle until development of progressive disease (PD) or unacceptable toxicity or closure of the study by the Sponsor, whichever occurred first.

Group Type PLACEBO_COMPARATOR

exemestane

Intervention Type DRUG

Exemestane 25 mg tablet orally once daily

Placebo

Intervention Type DRUG

Placebo-matching entinostat tablet orally once per week

Interventions

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entinostat

Entinostat 5 mg tablet orally once per week

Intervention Type DRUG

exemestane

Exemestane 25 mg tablet orally once daily

Intervention Type DRUG

Placebo

Placebo-matching entinostat tablet orally once per week

Intervention Type DRUG

Other Intervention Names

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SNDX-275 Aromasin®

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal female patients
* Histologically or cytologically confirmed estrogen receptor positive (ER+) breast cancer
* Relapsed or progressed on prior treatment with aromatase inhibitor (AI)
* Metastatic disease must be measurable
* Patients receiving palliative radiation at the non-target lesions must have a 2 week wash out period following completion of the treatment prior to enrollment
* Patient may have had one prior chemotherapy as part of first line therapy as long as it was received before initiation of prior AI
* Eastern Cooperative Oncology Group (ECOG) performance status: 0 to 1
* Laboratory parameters: a)Hemoglobin ≥ 9.0 g/dL; platelets ≥ 100.0 x 10\^9/L; Absolute Neutrophil Count (ANC ≥) 1.5 x 10\^9/L without the use of hematopoietic growth factors b)Creatinine less than 2.5 times the upper limit of normal for the institution c)Aspartate transaminase (AST) and alanine transaminase (ALT) less than 2.5 times the upper limit of normal for the institution
* Able to understand and give written informed consent and comply with study procedures

Exclusion Criteria

* Relapse on treatment with non-steroidal AI after less than 12 months for patients in the adjuvant setting
* Progressive disease after less than 3 months treatment with most recent AI for patients with metastatic disease
* Rapidly progressive, life-threatening metastases
* Any palliative radiotherapy to the measurable lesion
* Previous treatment with SNDX-275 or any other histone deacetylase (HDAC) inhibitor including valproic acid
* Allergy to benzamides or inactive components of the study drug
* A history of allergies to any active or inactive ingredients of exemestane
* Any concomitant medical condition that precludes adequate study treatment compliance
* Patient is currently enrolled in (or completed within 30 days before study drug administration) another investigational drug study
* Patient is currently receiving treatment with valproic acid, Zolinza (vorinostat) or any other HDAC inhibitor or deoxyribonucleic acid (DNA) methyltransferase inhibitor or any systemic anticancer treatment (with the exception of Lupron)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Syndax Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Denise Yardley, MD

Role: PRINCIPAL_INVESTIGATOR

Sarah Cannon Cancer Center

Locations

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California Cancer Care

Greenbrae, California, United States

Site Status

Moores UCSD Cancer Center

La Jolla, California, United States

Site Status

Scripps Health

La Jolla, California, United States

Site Status

University of Colorado

Aurora, Colorado, United States

Site Status

Rocky Mountain Cancer Center

Denver, Colorado, United States

Site Status

Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Memorial Cancer Institute

Hollywood, Florida, United States

Site Status

University of Southern Florida -Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Palm Beach Cancer Institute

West Palm Beach, Florida, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Indiana University Indiana Cancer Pavilion

Indianapolis, Indiana, United States

Site Status

University of Maryland Greenebaum Cancer Center

Baltimore, Maryland, United States

Site Status

Kansas City Cancer Center

Kansas City, Missouri, United States

Site Status

Hematology-Oncology Associates of Northern New Jersey

Morristown, New Jersey, United States

Site Status

Carolinas Healthcare System Clinical Trials

Charlotte, North Carolina, United States

Site Status

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

Oncology Hematology Care

Cincinnati, Ohio, United States

Site Status

Cancer Centers of the Carolinas

Greenville, South Carolina, United States

Site Status

Chattanooga Oncology Hematology Associates

Chattanooga, Tennessee, United States

Site Status

Sarah Cannon Cancer Center

Nashville, Tennessee, United States

Site Status

South Texas Cancer Center

McAllen, Texas, United States

Site Status

Virginia Cancer Institute

Richmond, Virginia, United States

Site Status

Columbia Basin Hematology & Oncology

Kennewick, Washington, United States

Site Status

Puget Sound Cancer Center

Seattle, Washington, United States

Site Status

RSM Durham Regional Cancer Center - Lakeridge Health

Oshawa, Ontario, Canada

Site Status

St. Joseph's Health Centre

Toronto, Ontario, Canada

Site Status

Fakultni nemocnice Olomouc

Olomouc, , Czechia

Site Status

Radiologicke centrum Multiscan, s.r.o.

Pardubice, , Czechia

Site Status

Fakultani Nemocnice Kralavske Vinohadry

Praque, , Czechia

Site Status

Allami Egeszseguegi Koezpont

Budapest, , Hungary

Site Status

Semmelweis Egyetem

Budapest, , Hungary

Site Status

Radiologicke centrum Multiscan

Debrecen, , Hungary

Site Status

Clinfan Ltd SMO, County Hospital Szekszard

Szekszárd, , Hungary

Site Status

Arkhangelsk Regional Clinical Oncology Dispensary

Arkhangelsk, , Russia

Site Status

Blokhin Russian Oncology Research Center of Russian Academy of Medical Sciences

Moscow, , Russia

Site Status

Leningrad Regional Oncology Dispensary

Saint Petersburg, , Russia

Site Status

Russian Research Centre of Radiology and Surgery

Saint Petersburg, , Russia

Site Status

Stavropol Territory Clinical Oncology Dispensary

Stavropol, , Russia

Site Status

Countries

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United States Canada Czechia Hungary Russia

References

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Yardley DA, Ismail-Khan RR, Melichar B, Lichinitser M, Munster PN, Klein PM, Cruickshank S, Miller KD, Lee MJ, Trepel JB. Randomized phase II, double-blind, placebo-controlled study of exemestane with or without entinostat in postmenopausal women with locally recurrent or metastatic estrogen receptor-positive breast cancer progressing on treatment with a nonsteroidal aromatase inhibitor. J Clin Oncol. 2013 Jun 10;31(17):2128-35. doi: 10.1200/JCO.2012.43.7251. Epub 2013 May 6.

Reference Type DERIVED
PMID: 23650416 (View on PubMed)

Other Identifiers

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2009-012623-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SNDX-275-0301

Identifier Type: -

Identifier Source: org_study_id

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