Imetelstat in Combination With Paclitaxel (With or Without Bevacizumab) in Patients With Locally Recurrent or Metastatic Breast Cancer

NCT ID: NCT01256762

Last Updated: 2016-01-26

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

166 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-11-30

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of treatment with imetelstat + paclitaxel (with or without bevacizumab) versus paclitaxel (with or without bevacizumab) alone for patients with locally recurrent or metastatic breast cancer who have not received chemotherapy or have received one non-taxane based chemotherapy for metastatic breast cancer.

Detailed Description

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Patients will be randomized in a 1:1 ratio to imetelstat + paclitaxel (with or without bevacizumab) versus paclitaxel (with or without bevacizumab) alone.

Conditions

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Locally Recurrent or Metastatic Breast Cancer

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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Imetelstat + Paclitaxel (with or without bevacizumab)

Group Type EXPERIMENTAL

Imetelstat sodium

Intervention Type DRUG

Imetelstat is administered at a dose of 300 mg/m2 on day one of a 21 day cycle.

Bevacizumab

Intervention Type DRUG

Bevacizumab is administered at 15 mg/kg on day one of a 21 day cycle

Paclitaxel

Intervention Type DRUG

Paclitaxel is administered at 90 mg/m2 on days one and eight of a 21 day cycle

Paclitaxel (with or without bevacizumab) alone

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Bevacizumab is administered at 15 mg/kg on day one of a 21 day cycle

Paclitaxel

Intervention Type DRUG

Paclitaxel is administered at 90 mg/m2 on days one and eight of a 21 day cycle

Interventions

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Imetelstat sodium

Imetelstat is administered at a dose of 300 mg/m2 on day one of a 21 day cycle.

Intervention Type DRUG

Bevacizumab

Bevacizumab is administered at 15 mg/kg on day one of a 21 day cycle

Intervention Type DRUG

Paclitaxel

Paclitaxel is administered at 90 mg/m2 on days one and eight of a 21 day cycle

Intervention Type DRUG

Other Intervention Names

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GRN163L Avastin Taxol

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed adenocarcinoma of the breast that is either locally recurrent or metastatic. Locally recurrent disease must not be amenable to surgical resection or radiation with curative intent
* Either have not received chemotherapy or may have had one prior non-taxane chemotherapy regimen for metastatic disease (there are no restrictions on prior hormonal therapy)
* Prior use of bevacizumab is allowed provided that it was not administered in combination with a taxane
* ECOG performance status 0-1
* Adequate bone marrow reserve as indicated by:

* ANC \> 1500/uL (without use of growth factors within 7 days)
* Platelet count \> 100,000 (without transfusion in prior 7 days)
* Hemoglobin \> 9.0 g/dL

Exclusion Criteria

* Women who are pregnant or breast feeding
* Locally recurrent disease amenable to resection with curative intent
* HER-2-positive breast cancer
* Active central nervous system (CNS) metastatic disease including those patients receiving radiotherapy and/or steroid treatment (within the last 3 months)
* Prior adjuvant or neoadjuvant taxane chemotherapy within 12 months prior of first relapse
* Investigational therapy within 4 weeks of first study drug administration
* Prior radiation, cytotoxic, or hormonal therapy within 2 weeks of first study drug administration
* Therapeutic anti-coagulation or regular use of anti-platelet therapy within 2 weeks prior to first study drug administration (low dose anti-coagulant therapy to maintain patency of a vascular access device is allowed)
* Grade ≥ 2 neuropathy
* Uncontrolled clinically significant atrial or ventricular arrhythmias (unless pacemaker in place)
* Severe conduction disturbance including clinically significant QTC prolongation \> 450 ms (unless pacemaker in place)
* Active or chronically recurrent bleeding (e.g., active peptic ulcer disease)
* Clinically relevant active infection
* Known positive serology for human immunodeficiency virus (HIV)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Geron Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ted Shih, PharmD

Role: STUDY_DIRECTOR

Geron Corporation

Kathy Miller, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University School of Medicine

Locations

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Clearview Cancer Center

Huntsville, Alabama, United States

Site Status

Alta Bates Summit Medical Center

Berkeley, California, United States

Site Status

Southbay Oncology Hematology Partners

Campbell, California, United States

Site Status

Cancer Care Associates

Fresno, California, United States

Site Status

Memorial Miller Hospital

Long Beach, California, United States

Site Status

St. Joseph Hospital

Orange, California, United States

Site Status

Desert Regional Comprehensive Cancer Center

Palm Springs, California, United States

Site Status

UC San Diego

San Diego, California, United States

Site Status

Redwood Regional Medical Group

Santa Rosa, California, United States

Site Status

Univ. Colorado at Denver

Aurora, Colorado, United States

Site Status

Connecticut Oncology & Hematology

Torrington, Connecticut, United States

Site Status

Medical Oncology Hematology

Waterbury, Connecticut, United States

Site Status

Florida Oncology Associates

Jacksonville, Florida, United States

Site Status

Hematology Oncology Associates

Port Saint Lucie, Florida, United States

Site Status

H. Lee Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Northeast Georgia Cancer Care

Athens, Georgia, United States

Site Status

Peachtree Hematology Oncology

Atlanta, Georgia, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Central Georgia Cancer Care

Macon, Georgia, United States

Site Status

Summit Cancer Care

Savannah, Georgia, United States

Site Status

Kootenai Medical Center

Post Falls, Idaho, United States

Site Status

Ingalls Memorial Hospital

Chicago, Illinois, United States

Site Status

Rush University

Chicago, Illinois, United States

Site Status

Mid Illinois Hematology & Oncology

Normal, Illinois, United States

Site Status

Cancer Treatment Centers of America

Zion, Illinois, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

Community Hospitals of Indiana

Indianapolis, Indiana, United States

Site Status

Horizon Oncology Center

Lafayette, Indiana, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Montgomery Cancer Care

Mount Sterling, Kentucky, United States

Site Status

Michigan State University

East Lansing, Michigan, United States

Site Status

New Mexico Cancer Center

Albuquerque, New Mexico, United States

Site Status

Prohealth Associates

Lake Success, New York, United States

Site Status

Stony Brook University

Stony Brook, New York, United States

Site Status

Carolinas Hematology/Oncology

Charlotte, North Carolina, United States

Site Status

Moses Cone Medical System

Greensboro, North Carolina, United States

Site Status

Case Western Reserve Univ.

Cleveland, Ohio, United States

Site Status

Mercy Physicians of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Cancer Care Associates

Tulsa, Oklahoma, United States

Site Status

Kaiser Northwest

Portland, Oregon, United States

Site Status

Pinnacle Health

Harrisburg, Pennsylvania, United States

Site Status

Penn. State Univ.

Hershey, Pennsylvania, United States

Site Status

The Jones Clinic

Germantown, Tennessee, United States

Site Status

The West Clinic

Memphis, Tennessee, United States

Site Status

Scott & White Healthcare

Temple, Texas, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

Peninsula Cancer Institute

Newport News, Virginia, United States

Site Status

Medical Oncology Associates

Spokane, Washington, United States

Site Status

Northwest Medical Specialties

Tacoma, Washington, United States

Site Status

Grand River Regional Cancer Centre

Kitchener, Ontario, Canada

Site Status

Stronach Regional Cancer Centre at Southlake

Newmarket, Ontario, Canada

Site Status

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, Canada

Site Status

Sunnybrook Health Services Centre

Toronto, Ontario, Canada

Site Status

McGill University

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Hochreiter AE, Xiao H, Goldblatt EM, Gryaznov SM, Miller KD, Badve S, Sledge GW, Herbert BS. Telomerase template antagonist GRN163L disrupts telomere maintenance, tumor growth, and metastasis of breast cancer. Clin Cancer Res. 2006 May 15;12(10):3184-92. doi: 10.1158/1078-0432.CCR-05-2760.

Reference Type BACKGROUND
PMID: 16707619 (View on PubMed)

Goldblatt EM, Gentry ER, Fox MJ, Gryaznov SM, Shen C, Herbert BS. The telomerase template antagonist GRN163L alters MDA-MB-231 breast cancer cell morphology, inhibits growth, and augments the effects of paclitaxel. Mol Cancer Ther. 2009 Jul;8(7):2027-35. doi: 10.1158/1535-7163.MCT-08-1188. Epub 2009 Jun 9.

Reference Type BACKGROUND
PMID: 19509275 (View on PubMed)

Herbert BS, Wright WE, Shay JW. Telomerase and breast cancer. Breast Cancer Res. 2001;3(3):146-9. doi: 10.1186/bcr288. Epub 2001 Feb 22.

Reference Type BACKGROUND
PMID: 11305948 (View on PubMed)

Other Identifiers

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CP14B014

Identifier Type: -

Identifier Source: org_study_id

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