Trial Outcomes & Findings for Endocrine Therapy + OSI-906 With or Without Erlotinib for Hormone-Sensitive Metastatic Breast Cancer (NCT NCT01205685)

NCT ID: NCT01205685

Last Updated: 2012-09-11

Results Overview

Time to progression measured in months from study entry to date of disease progression

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

From study entry to 6 months

Results posted on

2012-09-11

Participant Flow

This study was conducted from May 2010 and closed early one year later, May 2011.

12 patients consented, one of which was determined to be ineligible.

Participant milestones

Participant milestones
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Overall Study
STARTED
11
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
11

Reasons for withdrawal

Reasons for withdrawal
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Overall Study
Disease Progression
10
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Endocrine Therapy + OSI-906 With or Without Erlotinib for Hormone-Sensitive Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=11 Participants
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age Continuous
59 years
STANDARD_DEVIATION 1 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
11 participants
n=5 Participants

PRIMARY outcome

Timeframe: From study entry to 6 months

Population: Patients who received treatment and who were available for determination of disease progression. One patient withdrew after beginning of treatment and was not available for determination of the duration of disease progression.

Time to progression measured in months from study entry to date of disease progression

Outcome measures

Outcome measures
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=10 Participants
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Anti-tumor Activity of OSI-906
2 months
Interval 0.0 to 2.0

SECONDARY outcome

Timeframe: Every 4 weeks up to 24 weeks

Population: Patients who received treatment and experienced an adverse event.

According to National Cancer Institute Common Toxicity Criteria for Adverse Events with 1 = mild, 2 = moderate, 3 = severe, 4 = life threatening/disabling, and 5 = death.

Outcome measures

Outcome measures
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=11 Participants
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
Patients with worst grade toxicity of 1
2 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
Patients with worst grade toxicity of 2
6 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
Patients with worst grade toxicity of 3
3 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
Patients with worst grade toxicity of 4
0 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
Patients with worst grade toxicity of 5
0 participants

SECONDARY outcome

Timeframe: Every 12 weeks to tumor progression

Population: Patients who were available for measurement of tumor response.

Per RECIST criteria v. 1.1: measurable lesions: complete response (CR) disappearance of target lesions, partial response (PR) \> 30% decrease in the sum of the longest diameter (LD) of target lesions, progressive disease (PD) \> 20% increase in the sum of the LD of target lesions or appearance of new lesions, stable disease (SD) neither sufficient decrease nor increase of the sum of smallest sum of the LD of target lesions

Outcome measures

Outcome measures
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=10 Participants
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Number of Participants With Tumor Response Per RECIST
Complete Response
0 participants
Number of Participants With Tumor Response Per RECIST
Partial Response
0 participants
Number of Participants With Tumor Response Per RECIST
Stable Disease
0 participants
Number of Participants With Tumor Response Per RECIST
Progressive disease
10 participants

SECONDARY outcome

Timeframe: < or = to 2 weeks before initiation of Phase II study treatment period

Population: No correlative studies were performed because the study did not move to the Phase II portion

Biomarkers associated with response to OSI-906 + Erlotinib + Letrozole + Goserelin

Outcome measures

Outcome data not reported

Adverse Events

OSI-906 + Erlotinib + Letrozole + Goserelin

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=11 participants at risk
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Renal and urinary disorders
Acute kidney injury
9.1%
1/11 • Number of events 1
Metabolism and nutrition disorders
Hypercalcemia
18.2%
2/11 • Number of events 2
General disorders
Fatigue
9.1%
1/11 • Number of events 1

Other adverse events

Other adverse events
Measure
OSI-906 + Erlotinib + Letrozole + Goserelin
n=11 participants at risk
* OSI-906 in a pill form, by mouth, twice a day (12 hours a part) * Erlotinib in a pill form, by mouth, once a day * Letrozole in a pill form, by mouth, once a day * Goserelin, by injection once per month for women who are pre-menopausal
Investigations
alanine aminotransferase increased
36.4%
4/11 • Number of events 7
Investigations
alkaline phosphatase increased
27.3%
3/11 • Number of events 4
Blood and lymphatic system disorders
anemia
27.3%
3/11 • Number of events 5
Metabolism and nutrition disorders
anorexia
9.1%
1/11 • Number of events 1
Investigations
aspartate aminotransferase increased
45.5%
5/11 • Number of events 5
Musculoskeletal and connective tissue disorders
back pain
9.1%
1/11 • Number of events 1
Renal and urinary disorders
bladder spasm
9.1%
1/11 • Number of events 1
Investigations
creatinine increased
9.1%
1/11 • Number of events 3
Psychiatric disorders
depression
18.2%
2/11 • Number of events 2
Gastrointestinal disorders
diarrhea
36.4%
4/11 • Number of events 4
Nervous system disorders
dizziness
9.1%
1/11 • Number of events 1
Eye disorders
dry eye
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
dry mouth
9.1%
1/11 • Number of events 1
Skin and subcutaneous tissue disorders
dry skin
18.2%
2/11 • Number of events 2
Cardiac disorders
electrocardiagram QT interval prolonged
18.2%
2/11 • Number of events 2
Respiratory, thoracic and mediastinal disorders
epistaxis
9.1%
1/11 • Number of events 2
Eye disorders
eye disorders
9.1%
1/11 • Number of events 2
Metabolism and nutrition disorders
hypercalcemia
18.2%
2/11 • Number of events 5
Metabolism and nutrition disorders
hyperglycemia
45.5%
5/11 • Number of events 5
Metabolism and nutrition disorders
hypocalcemia
18.2%
2/11 • Number of events 2
Metabolism and nutrition disorders
hypoglycemia
9.1%
1/11 • Number of events 1
Metabolism and nutrition disorders
hypokalemia
36.4%
4/11 • Number of events 5
Metabolism and nutrition disorders
hyponatremia
27.3%
3/11 • Number of events 4
Psychiatric disorders
insomnia
9.1%
1/11 • Number of events 1
Blood and lymphatic system disorders
leukocytosis
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
mucositis oral
18.2%
2/11 • Number of events 2
Gastrointestinal disorders
nausea
18.2%
2/11 • Number of events 2
Musculoskeletal and connective tissue disorders
non-cardiac chest pain
9.1%
1/11 • Number of events 1
General disorders
pain
9.1%
1/11 • Number of events 1
Skin and subcutaneous tissue disorders
rash acneiform
63.6%
7/11 • Number of events 8
Skin and subcutaneous tissue disorders
rash macro-papular
9.1%
1/11 • Number of events 1
Skin and subcutaneous tissue disorders
skin and subcutaneous tissue disorders Other
9.1%
1/11 • Number of events 1
Respiratory, thoracic and mediastinal disorders
upper respiratory infection
9.1%
1/11 • Number of events 1
Renal and urinary disorders
urinary incontinence
9.1%
1/11 • Number of events 1
General disorders
flu-like symptoms
9.1%
1/11 • Number of events 1
General disorders
fatigue
18.2%
2/11 • Number of events 3
Skin and subcutaneous tissue disorders
pruritis
9.1%
1/11 • Number of events 1
Gastrointestinal disorders
gastrointestinal disorders Other
9.1%
1/11 • Number of events 1
General disorders
general disorders and administrative site disorders-other
9.1%
1/11 • Number of events 2
Endocrine disorders
hypothyroidism
9.1%
1/11 • Number of events 1
Musculoskeletal and connective tissue disorders
pain-bone
9.1%
1/11 • Number of events 1
Investigations
neutrophil count decreased
9.1%
1/11 • Number of events 1
Investigations
white blood cells decreased
9.1%
1/11 • Number of events 1
Renal and urinary disorders
acute kidney injury
9.1%
1/11 • Number of events 1

Additional Information

Dr. Ingrid Mayer

Vanderbilt-Ingram Cancer Center

Phone: 615-936-2033

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place