Study of Sotatercept for the Treatment of Chemotherapy Induced Anemia in Patients With Metastatic Breast Cancer (MK-7962-012)

NCT ID: NCT00931606

Last Updated: 2023-09-13

Study Results

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-01

Study Completion Date

2010-11-18

Brief Summary

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The purpose of this study is to evaluate the percentage of participants in each sotatercept dose regimen who achieve a hematopoietic response during the treatment period including up to 2 months after the last dose of sotatercept treatment of chemotherapy-induced anemia (CIA) in participants with metastatic breast cancer. Hematopoietic response was defined as an increase in hemoglobin concentration of ≥ 1 g/dL relative to baseline for 28 consecutive days during the treatment period including up to 2 months after the last dose of sotatercept in the absence of red blood cell (RBC) transfusion or treatment with an erythropoiesis-stimulating agent (ESA).

Detailed Description

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Conditions

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Chemotherapy Induced Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sotatercept 0.1 mg/kg

Participants will receive sotatercept 0.1 mg/kg subcutaneously every 28 days up to 4 doses.

Group Type EXPERIMENTAL

Sotatercept

Intervention Type BIOLOGICAL

up to 4 subcutaneous doses of sotatercept given once every 28 days

Sotatercept 0.3 mg/kg

Participants will receive sotatercept 0.3 mg/kg subcutaneously every 28 days up to 4 doses.

Group Type EXPERIMENTAL

Sotatercept

Intervention Type BIOLOGICAL

up to 4 subcutaneous doses of sotatercept given once every 28 days

Sotatercept 0.5 mg/kg

Participants will receive sotatercept 0.5 mg/kg subcutaneously every 28 days up to 4 doses.

Group Type EXPERIMENTAL

Sotatercept

Intervention Type BIOLOGICAL

up to 4 subcutaneous doses of sotatercept given once every 28 days

Placebo

Participants will receive placebo subcutaneously every 28 days up to 4 doses.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

up to 4 subcutaneous doses of placebo given once every 28 days

Interventions

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Sotatercept

up to 4 subcutaneous doses of sotatercept given once every 28 days

Intervention Type BIOLOGICAL

Placebo

up to 4 subcutaneous doses of placebo given once every 28 days

Intervention Type DRUG

Other Intervention Names

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ACE-011

Eligibility Criteria

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Inclusion Criteria

* Has a histologically confirmed diagnosis of breast cancer documented by cytology or biopsy.
* Has evidence of metastatic breast cancer with a minimum of one lesion per Response Evaluation Criteria in Solid Tumors v 1.1 (RECIST v 1.1) criteria.
* Is receiving a chemotherapy regimen including one of the following: anthracycline, taxane, gemcitabine, vinorelbine or capecitabine.
* Has planned treatment with the same chemotherapy regimen for a minimum of 9 weeks after Day 1 of study intervention administration.
* ≥ 30 days elapsed (from Day 1) since previous treatment with an erythropoiesis stimulating agent (ESA) (including treatment with intravenous (IV) iron) for chemotherapy induced anemia.
* ≥ 7 days elapsed (from Day 1) since the last red blood cell (RBC) transfusion and receipt of ≤ 2 units of blood in the past 30 days.
* Life expectancy of ≥ 6 months.

Exclusion Criteria

* Has had prior radiation therapy to \> 20% of the whole skeleton.
* Has had \> 5 prior chemotherapy treatment regimens for metastatic breast cancer.
* Has a history of autoimmune or hereditary hemolysis or gastrointestinal bleeding.
* Has clinically significant pulmonary, endocrine, neurologic, gastrointestinal, hepatic or genitourinary disease unrelated to underlying hematologic disorder.
* Has heart failure as classified by the New York Heart Association (NYHA) classification of 3 or higher.
* Has a recent history of thrombosis, deep vein thrombosis (DVT), pulmonary emboli, or embolic stroke, occurring within the last 6 months.
* Has untreated central nervous system (CNS) metastases or CNS metastases treated with whole brain radiotherapy \< 6 months prior to Day 1.
* Has a diagnosis of a myeloid malignancy or known history of myelodysplasia.
* Has a history of second malignancy within 5 years (except excised and cured basal cell carcinoma, squamous cell carcinoma of the skin or cervical carcinoma in situ).
* Has had administration of IV antibiotics or febrile (temperature elevation \> 38 ° C) within 14 days of Day 1.
* Has uncontrolled hypertension.
* Has known history of hepatitis B surface antigen (HBsAg and HB core antibody (Ab)), human immunodeficiency virus (HIV) antibody or active hepatitis C.
* Has clinically significant iron (transferrin saturation \< 20%), vitamin B12, or folate deficiency.
* Has a history of anemia as a result of inherited hemoglobinopathy such as sickle cell anemia or thalassemia.
* Has a history of autoimmune or hereditary hemolysis; active gastrointestinal bleeding (within the last 6 months as compared to Day 1).
* Has received treatment with another investigational drug or device within 1 month prior to Day 1.
* Is pregnant or lactating.
* Has a history of severe allergic or anaphylactic reactions or hypersensitivity to recombinant proteins or excipients in the investigational product.
* Has had major surgery within 30 days prior to Day 1 (patients must have completely recovered from any previous surgery prior to Day 1).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp and Dohme LLC

Locations

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Investigative Site

Sedona, Arizona, United States

Site Status

Investigative Site

Hot Springs, Arkansas, United States

Site Status

Investigative Site

Beverly Hills, California, United States

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Corona, California, United States

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Investigative Site

Fountain Valley, California, United States

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Montebello, California, United States

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Riverside, California, United States

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Investigative Site

Denver, Colorado, United States

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Boynton Beach, Florida, United States

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Hinsdale, Illinois, United States

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Evansville, Indiana, United States

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Wichita, Kansas, United States

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Baltimore, Maryland, United States

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Grand Rapids, Michigan, United States

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Tupelo, Mississippi, United States

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Kansas City, Missouri, United States

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Nyack, New York, United States

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Goldsboro, North Carolina, United States

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High Point, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Bismarck, North Dakota, United States

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Middletown, Ohio, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Tyler, Texas, United States

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Lacey, Washington, United States

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Investigative Site

Krasnodar, , Russia

Site Status

Investigative Site

Moscow, , Russia

Site Status

Investigative Site

Nizhny Novgorod, , Russia

Site Status

Investigative Site

Nizhny Novograd (2), , Russia

Site Status

Investigative Site

Pyatigorsk, , Russia

Site Status

Investigative Site

Saint Petersburg, , Russia

Site Status

Investigative Site

Stavropol, , Russia

Site Status

Countries

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United States Russia

References

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Raftopoulos H, Laadem A, Hesketh PJ, Goldschmidt J, Gabrail N, Osborne C, Ali M, Sherman ML, Wang D, Glaspy JA, Puccio-Pick M, Zou J, Crawford J. Sotatercept (ACE-011) for the treatment of chemotherapy-induced anemia in patients with metastatic breast cancer or advanced or metastatic solid tumors treated with platinum-based chemotherapeutic regimens: results from two phase 2 studies. Support Care Cancer. 2016 Apr;24(4):1517-25. doi: 10.1007/s00520-015-2929-9. Epub 2015 Sep 14.

Reference Type BACKGROUND
PMID: 26370220 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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A011-08

Identifier Type: OTHER

Identifier Source: secondary_id

MK-7962-012

Identifier Type: OTHER

Identifier Source: secondary_id

7962-012

Identifier Type: -

Identifier Source: org_study_id

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