Study of Poziotinib in Participants With HER2-Positive Metastatic Breast Cancer

NCT ID: NCT02659514

Last Updated: 2022-03-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-22

Study Completion Date

2020-03-11

Brief Summary

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The purpose of this study is to establish the dose regimen and evaluate the preliminary efficacy and the safety/tolerability of poziotinib in participants with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer who have received at least two prior HER2-directed treatment regimens.

Detailed Description

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This is a phase 2, open-label, multicenter study to establish the dose regimen and evaluate the preliminary efficacy and the safety/tolerability of poziotinib in participants with HER2-positive metastatic breast cancer who have received at least two prior HER2-directed treatment regimens.

Each treatment cycle will be 21 days in duration. During each 21-day cycle, participants who are eligible for participation will receive poziotinib orally once daily.

All treated participants will be followed up until disease progression, death, intolerable adverse events or up to a maximum of 24 months whichever comes earlier.

Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: Poziotinib 24 mg

Participants received poziotinib 24 milligrams (mg), administered as three 8 mg tablets, orally, once daily (QD) on an intermittent dosing schedule of 14 days on treatment followed by 7 days off treatment, in a 21-day cycle until disease progression, death, intolerable adverse events (AEs) or for up to a maximum of 24 months, whichever occurs first.

Group Type EXPERIMENTAL

Poziotinib

Intervention Type DRUG

8 mg oral tablets, administered QD.

Cohort 2: Poziotinib 16 mg

Participants received poziotinib 16 mg, administered as two 8 mg tablets, orally, QD, on a continuous dosing schedule in a 21-day cycle until disease progression, death, intolerable AEs or for up to a maximum of 24 months, whichever occurs first.

Group Type EXPERIMENTAL

Poziotinib

Intervention Type DRUG

8 mg oral tablets, administered QD.

Interventions

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Poziotinib

8 mg oral tablets, administered QD.

Intervention Type DRUG

Other Intervention Names

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HM781-36B

Eligibility Criteria

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Inclusion Criteria

1. Histopathologically confirmed primary breast cancer with metastatic lesions.
2. Confirmed HER2 overexpression or gene-amplified tumor
3. At least two prior HER2-directed therapy regimens for breast cancer, including trastuzumab and trastuzumab emtansine
4. Measurable disease per Response Evaluation Criteria for Solid Tumors version 1.1 (RECIST v1.1)
5. Participant is at least 18, and ≤90 years of age.
6. Adequate hematologic, hepatic, and renal function
7. Eastern Cooperative Oncology Group (ECOG) performance status \<= 2

Exclusion Criteria

1. Previous treatment with poziotinib prior to study participation
2. Brain metastases that are symptomatic or require therapy to control symptoms, as well as any history of radiation, surgery, or other therapy, including steroids, to control symptoms from brain metastases within 15 days of enrollment.
3. Anticancer chemotherapy, biologics, immunotherapy, cure-intent radiotherapy, or investigational treatment within 15 days, except for hormone therapy, palliative therapy, or supportive therapy.
4. History of congestive heart failure Class III/IV according to the New York Heart Association (NYHA) Functional Classification or serious cardiac arrhythmias requiring treatment.
5. Cardiac ejection fraction \<50%
6. History of other malignancies within the last 5 years
7. Participant is pregnant or breast-feeding.
8. Unable to take drugs orally
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spectrum Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shanta Chawla, MD

Role: STUDY_DIRECTOR

Spectrum Pharmaceuticals, Inc

Locations

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Clearview Cancer Center

Huntsville, Alabama, United States

Site Status

Pacific Cancer Medical Center, Inc.

Anaheim, California, United States

Site Status

Marin Cancer Care, Inc

Greenbrae, California, United States

Site Status

Alliance Research Centers

Laguna Hills, California, United States

Site Status

PacificShores Medical Group

Long Beach, California, United States

Site Status

Valley Medical Oncology Consultants

Pleasanton, California, United States

Site Status

Innovative Clinical Research Institute

Whittier, California, United States

Site Status

AMPM Research Clinic

Miami Gardens, Florida, United States

Site Status

FL Cancer Research Institute

Plantation, Florida, United States

Site Status

Bond Clinic, P.A.

Winter Haven, Florida, United States

Site Status

Triple Army Medical Cente

Honolulu, Hawaii, United States

Site Status

Franciscan St. Francis Health

Indianapolis, Indiana, United States

Site Status

The University of Kansas Cancer Center and Medical Pavilion

Westwood, Kansas, United States

Site Status

Hattiesburg Clinic Hematology Oncology

Hattiesburg, Mississippi, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

St. Vincent Frontier Cancer Center

Billings, Montana, United States

Site Status

North Shore Hematology Oncology Associates

East Setauket, New York, United States

Site Status

Hudson Valley Hematology Oncology Associates

Poughkeepsie, New York, United States

Site Status

White Plain Hospital

White Plains, New York, United States

Site Status

Waverly Hematology Oncology

Cary, North Carolina, United States

Site Status

Aultman Hospital

Canton, Ohio, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Oklahoma Cancer Specialists & Research Institute, LLC

Tulsa, Oklahoma, United States

Site Status

Magee Womens Hospital of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

Charleston Cancer Center

Charleston, South Carolina, United States

Site Status

Carolina Blood and Cancer Care Associates PA

Rock Hill, South Carolina, United States

Site Status

Oncology Consultants, P.A.

Houston, Texas, United States

Site Status

SAMMC - Hem/Onc Clinic

Houston, Texas, United States

Site Status

Texas Oncology-McAllen

McAllen, Texas, United States

Site Status

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

Scott & White Memorial Hospital

Temple, Texas, United States

Site Status

Providence Regional Cancer System

Lacey, Washington, United States

Site Status

Medical Oncology Associates, PS

Spokane, Washington, United States

Site Status

Northwest Medical Specialties, PLLC

Tacoma, Washington, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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SPI-POZ-201

Identifier Type: -

Identifier Source: org_study_id

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