Study of SAR240550 (BSI-201) in Combination With Gemcitabine/Carboplatin, in Patients With Metastatic Triple Negative Breast Cancer

NCT ID: NCT01045304

Last Updated: 2014-01-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2012-11-30

Brief Summary

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Primary Objective:

* To assess the objective response rate (ORR) of iniparib (SAR240550) administered as a 60min intravenous (IV) infusion twice weekly or weekly, in combination with gemcitabine/carboplatin chemotherapy regimen in patients with metastatic Triple Negative Breast Cancer (mTNBC).

Secondary Objectives:

* To assess the clinical benefit rate (CBR) defined as the rate of complete response (CR), partial response (PR) and stable disease (SD) lasting at least 24 weeks;
* To assess Progression-free survival (PFS) and the overall survival (OS);
* To assess the safety profile of each schedule of iniparib;
* To assess the biological activity in tumor tissue (substudy);
* To evaluate the pharmacokinetic (PK) profile of iniparib (substudy);
* To characterize molecular and biological profile of tumors (substudy);
* To assess the effect of iniparib on poly(ADP)-ribose (PAR) level in peripheral blood mononuclear cells (PBMC) (substudy).

Detailed Description

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The duration of the study for a patient includes a period for inclusion of up to 3 weeks. The patients may continue treatment until disease progression, unacceptable toxicity or consent withdrawal, followed by a minimum of 30-day follow-up after the last study treatment administration.

In case of discontinuation of study treatment, the patient will be considered as withdrawn from study treatment, and will be followed as planned for at least 30 days after the last administration of study treatment for safety purpose. In case of study treatment discontinuation without disease progression, efficacy data will be collected every 6 weeks until disease progression, death or end of study whatever comes first. After disease progression, the patient will be followed-up every 12 weeks (3 months) for overall survival until death or end of study.

The patients who benefit from the study treatment can continue until disease progression, toxicity or willingness to stop.

Conditions

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Breast Cancer, Metastatic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Gencitabine + iniparib twice weekly

Gemcitabine, 1000 mg/m² IV over 30 minutes and carboplatin, area under the curve (AUC) = 2, IV over 60 minutes, both on Days 1 and 8 of 3-week cycles.

Iniparib, 5.6 mg/kg IV over 60 minutes on Days 1, 4, 8 and 11 of 3-week cycles

Group Type EXPERIMENTAL

Iniparib

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Gemcitabine

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Carboplatin

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Gencitabine + iniparib weekly

Gemcitabine, 1000 mg/m² IV over 30 minutes and carboplatin, area under the curve (AUC) = 2, IV over 60 minutes, both on Days 1 and 8 of 3-week cycles.

Iniparib, 11.2 mg/kg IV over 60 minutes on Days 1 and 8 of 3-week cycles

Group Type EXPERIMENTAL

Iniparib

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Gemcitabine

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Carboplatin

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Interventions

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Iniparib

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Intervention Type DRUG

Gemcitabine

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Intervention Type DRUG

Carboplatin

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Intervention Type DRUG

Other Intervention Names

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SAR240550 BSI-201

Eligibility Criteria

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Inclusion Criteria

* Histologically documented breast cancer (either primary or metastatic site) that is ER (estrogen receptor)-negative, PgR (progesterone receptor)-negative ( \<10% tumor staining by immunohistochemistry \[IHC\]) and HER2 (human epidermal growth factor 2) non-overexpressing by IHC (0,1+) or, IHC 2+ and FISH (fluorescence In situ hybridization) negative.
* Metastatic breast cancer with measurable disease by the revised guideline for Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1 criteria);
* Prior treatment that includes:

* never having received anticancer therapy for metastatic disease OR
* having received 1 or 2 prior chemotherapy regimens in the metastatic setting (prior neo-adjuvant/adjuvant systemic therapy is considered as a prior chemotherapy if the first relapse occurred less than one year after the last treatment administration).

Exclusion Criteria

* Prior treatment with gemcitabine, carboplatin, cisplatin or any PARP inhibitor;
* Bone metastasis as only disease location (except for bone metastasis with measurable soft tissue component);
* Major medical conditions that might affect study participation e.g., uncontrolled pulmonary, renal, or hepatic dysfunction, uncontrolled infection, cardiac disease.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Investigational Site Number 036002

Parkville, , Australia

Site Status

Sanofi-Aventis Investigational Site Number 036001

Perth, , Australia

Site Status

Sanofi-Aventis Investigational Site Number 036003

Westmead, , Australia

Site Status

Sanofi-Aventis Investigational Site Number 056001

Brussels, , Belgium

Site Status

Sanofi-Aventis Investigational Site Number 056002

Leuven, , Belgium

Site Status

Sanofi-Aventis Investigational Site Number 250005

Besançon, , France

Site Status

Sanofi-Aventis Investigational Site Number 250003

Bordeaux, , France

Site Status

Sanofi-Aventis Investigational Site Number 250002

Dijon, , France

Site Status

Sanofi-Aventis Investigational Site Number 250006

Paris, , France

Site Status

Sanofi-Aventis Investigational Site Number 250004

Paris, , France

Site Status

Sanofi-Aventis Investigational Site Number 250001

Toulouse, , France

Site Status

Sanofi-Aventis Investigational Site Number 380004

Genova, , Italy

Site Status

Sanofi-Aventis Investigational Site Number 380001

Milan, , Italy

Site Status

Sanofi-Aventis Investigational Site Number 380002

Modena, , Italy

Site Status

Sanofi-Aventis Investigational Site Number 380003

Udine, , Italy

Site Status

Sanofi-Aventis Investigational Site Number 528001

Rotterdam, , Netherlands

Site Status

Sanofi-Aventis Investigational Site Number 724002

Barcelona, , Spain

Site Status

Sanofi-Aventis Investigational Site Number 724004

Madrid, , Spain

Site Status

Sanofi-Aventis Investigational Site Number 724001

Málaga, , Spain

Site Status

Sanofi-Aventis Investigational Site Number 724003

Valencia, , Spain

Site Status

Countries

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Australia Belgium France Italy Netherlands Spain

References

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Dieras V, Bonnefoi H, Alba E, Awada A, Coudert B, Pivot X, Gligorov J, Jager A, Zambelli S, Lindeman GJ, Charpentier E, Emmons GT, Garcia-Ribas I, Paridaens R, Verweij J. Iniparib administered weekly or twice-weekly in combination with gemcitabine/carboplatin in patients with metastatic triple-negative breast cancer: a phase II randomized open-label study with pharmacokinetics. Breast Cancer Res Treat. 2019 Sep;177(2):383-393. doi: 10.1007/s10549-019-05305-w. Epub 2019 Jun 6.

Reference Type DERIVED
PMID: 31172407 (View on PubMed)

Other Identifiers

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2009-016091-80

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TCD11418

Identifier Type: -

Identifier Source: org_study_id

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