Trial Outcomes & Findings for Study of Cirmtuzumab and Paclitaxel for Metastatic or Locally Advanced, Unresectable Breast Cancer (NCT NCT02776917)

NCT ID: NCT02776917

Last Updated: 2025-08-07

Results Overview

Clinically significant adverse events per CTCAE Version 4.03 at least possibly related to cirmtuzumab or the combination of cirmtuzumab and paclitaxel during the first four weeks of investigational treatment.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

23 participants

Primary outcome timeframe

Within 4 weeks of starting study treatment

Results posted on

2025-08-07

Participant Flow

Participant milestones

Participant milestones
Measure
Cirmtuzumab + Paclitaxel
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Overall Study
STARTED
23
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Cirmtuzumab + Paclitaxel
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Overall Study
Screen failures. One subject ended treatment early due to disease related symptoms
7

Baseline Characteristics

Study of Cirmtuzumab and Paclitaxel for Metastatic or Locally Advanced, Unresectable Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cirmtuzumab + Paclitaxel
n=16 Participants
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Age, Continuous
52.56 years
STANDARD_DEVIATION 11.34 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 4 weeks of starting study treatment

Clinically significant adverse events per CTCAE Version 4.03 at least possibly related to cirmtuzumab or the combination of cirmtuzumab and paclitaxel during the first four weeks of investigational treatment.

Outcome measures

Outcome measures
Measure
Cirmtuzumab + Paclitaxel
n=16 Participants
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Dose-limiting Toxicities During the First 4 Weeks of Treatment
0 participants

SECONDARY outcome

Timeframe: 55 weeks

Treatment-emergent adverse events beginning from the start of study treatment to 30 days after study treatment completion or start of new anti-cancer therapy.

Outcome measures

Outcome measures
Measure
Cirmtuzumab + Paclitaxel
n=16 Participants
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Number of Participants With Treatment-emergent Adverse Events
16 participants

SECONDARY outcome

Timeframe: 55 weeks

Response and progression were evaluated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 guidelines.

Outcome measures

Outcome measures
Measure
Cirmtuzumab + Paclitaxel
n=16 Participants
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Objective Tumor Response Rate
6 Participants

SECONDARY outcome

Timeframe: 12 months

The proportion of patients that achieve a response of stable disease or better as assessed by RECIST v1.1

Outcome measures

Outcome measures
Measure
Cirmtuzumab + Paclitaxel
n=16 Participants
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Best Tumor Response Rate
12 Participants

Adverse Events

Cirmtuzumab + Paclitaxel

Serious events: 5 serious events
Other events: 16 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Cirmtuzumab + Paclitaxel
n=16 participants at risk
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
General disorders
Back Pain
6.2%
1/16 • Number of events 1 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Joint range of motion decreased cervical spine
6.2%
1/16 • Number of events 1 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Immune system disorders
Flu like symptoms
6.2%
1/16 • Number of events 1 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Abdominal pain
6.2%
1/16 • Number of events 1 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Colonic hemorrhage
6.2%
1/16 • Number of events 1 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.

Other adverse events

Other adverse events
Measure
Cirmtuzumab + Paclitaxel
n=16 participants at risk
Cirmtuzumab 600 mg is administered intravenously on Days 1 and 15 of the first 28-day cycle, then on Day 1 of each subsequent 28-day cycle. Paclitaxel 80 mg/m\^2 is administered weekly on Days 1, 8, 15, and 22 of each 28-day cycle. Cirmtuzumab + Paclitaxel: Cirmtuzumab and paclitaxel may be administered until disease progression or unacceptable toxicity. Cirmtuzumab or paclitaxel may be continued alone if the other drug is discontinued due to toxicity.
Blood and lymphatic system disorders
Anemia
12.5%
2/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Cardiac disorders
Supraventricular tachycardia
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Eye disorders
Blurred vision
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Eye disorders
Dry eye
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Eye disorders
Eye pain
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Bloating
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Constipation
56.2%
9/16 • Number of events 12 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Diarrhea
43.8%
7/16 • Number of events 11 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Dyspepsia
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Gastroesophageal reflux disease
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Nausea
68.8%
11/16 • Number of events 14 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Gastrointestinal disorders
Vomiting
25.0%
4/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Chills
18.8%
3/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Fatigue
81.2%
13/16 • Number of events 14 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Fever
25.0%
4/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Flu like symptoms
31.2%
5/16 • Number of events 8 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
General disorders and administration site conditions - Other, specify
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Non-cardiac chest pain
12.5%
2/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
General disorders
Pain
37.5%
6/16 • Number of events 12 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Infections and infestations
Infections and infestations - Other, specify
12.5%
2/16 • Number of events 5 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Infections and infestations
Upper respiratory infection
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Infections and infestations
Urinary tract infection
12.5%
2/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Investigations
Neutrophil count decreased
25.0%
4/16 • Number of events 7 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Musculoskeletal and connective tissue disorders
Arthralgia
18.8%
3/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Musculoskeletal and connective tissue disorders
Bone pain
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Musculoskeletal and connective tissue disorders
Myalgia
25.0%
4/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Musculoskeletal and connective tissue disorders
Pain in extremity
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Nervous system disorders
Dizziness
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Nervous system disorders
Headache
18.8%
3/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Nervous system disorders
Peripheral motor neuropathy
37.5%
6/16 • Number of events 7 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Nervous system disorders
Peripheral sensory neuropathy
43.8%
7/16 • Number of events 8 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Psychiatric disorders
Anxiety
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Psychiatric disorders
Insomnia
50.0%
8/16 • Number of events 8 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Renal and urinary disorders
Urinary retention
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Respiratory, thoracic and mediastinal disorders
Cough
18.8%
3/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Respiratory, thoracic and mediastinal disorders
Dyspnea
18.8%
3/16 • Number of events 5 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Respiratory, thoracic and mediastinal disorders
Epistaxis
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
18.8%
3/16 • Number of events 4 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Skin and subcutaneous tissue disorders
Alopecia
37.5%
6/16 • Number of events 6 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Skin and subcutaneous tissue disorders
Dry skin
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Skin and subcutaneous tissue disorders
Nail discoloration
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
12.5%
2/16 • Number of events 3 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.
Vascular disorders
Flushing
12.5%
2/16 • Number of events 2 • Adverse events were monitored weekly from the beginning of study procedures to 30 days following the last administration of study treatment or start of new anti-cancer therapy. The median time on study was 16 weeks with a median number of cycles ranging from 1 to 14.

Additional Information

Barbara Parker, MD

University of California, San Diego

Phone: (858) 657-6100

Results disclosure agreements

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