Trial Outcomes & Findings for Retinoid 9cUAB30 in Producing a Biologic Effect in Patients With Early Stage Breast Cancer (NCT NCT02876640)

NCT ID: NCT02876640

Last Updated: 2024-06-18

Results Overview

Ki-67 was analyzed using immunohistochemistry. Absolute change was measured in looking at the baseline in comparison to that at the end of treatment.

Recruitment status

TERMINATED

Study phase

PHASE1

Target enrollment

27 participants

Primary outcome timeframe

Baseline up to 28 days (post-exposure)

Results posted on

2024-06-18

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Retinoid 9cUAB30)
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Overall Study
STARTED
27
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

3 of the cancers were estrogen receptor negative

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Retinoid 9cUAB30)
n=27 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Age, Customized
<18 years
0 Participants
n=27 Participants
Age, Customized
18-64 years
14 Participants
n=27 Participants
Age, Customized
>=65 years
13 Participants
n=27 Participants
Sex: Female, Male
Female
27 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=27 Participants
Race (NIH/OMB)
White
26 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=27 Participants
Body Mass Index
29.97 kg/m^2
STANDARD_DEVIATION 6.95 • n=27 Participants
Respirations
15.74 breaths per minute
STANDARD_DEVIATION 1.65 • n=27 Participants
Menopausal Status
Pre-menopausal
3 Participants
n=27 Participants
Menopausal Status
Post-menopausal
24 Participants
n=27 Participants
Time from Diagnosis to study Entry
32.85 days
STANDARD_DEVIATION 19.14 • n=27 Participants
Breast Cancer Location
Left Breast
13 Participants
n=27 Participants
Breast Cancer Location
Right Breast
14 Participants
n=27 Participants
Breast Cancer Biology
Invasive Lobular Carcinoma
4 Participants
n=27 Participants
Breast Cancer Biology
Invasive Ductal Carcinoma
20 Participants
n=27 Participants
Breast Cancer Biology
Invasive Mammary Carcinoma
3 Participants
n=27 Participants
Estrogen Receptor Status
Negative
3 Participants
n=27 Participants
Estrogen Receptor Status
Positive
24 Participants
n=27 Participants
HER2 IHC Result
0
14 Participants
n=22 Participants • 3 of the cancers were estrogen receptor negative
HER2 IHC Result
1+
5 Participants
n=22 Participants • 3 of the cancers were estrogen receptor negative
HER2 IHC Result
2+
2 Participants
n=22 Participants • 3 of the cancers were estrogen receptor negative
HER2 IHC Result
3+
1 Participants
n=22 Participants • 3 of the cancers were estrogen receptor negative
Estrogen Receptor Score
85.96 percentage
STANDARD_DEVIATION 31 • n=27 Participants
HER2 FISH
Equivocal
1 Participants
n=27 Participants
HER2 FISH
No result/not done not amplified
26 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline up to 28 days (post-exposure)

Population: One participant's sample did not have any tumor tissue to be analyzed

Ki-67 was analyzed using immunohistochemistry. Absolute change was measured in looking at the baseline in comparison to that at the end of treatment.

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=26 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Absolute Change in Ki-67 Expression in Breast Epithelial Cells of Patients Treated With 9cUAB30
0.2 Percent of cells
Standard Deviation 3.7

SECONDARY outcome

Timeframe: Baseline up to 28 days (post-exposure)

Population: One participant's sample did not have any tumor tissue to analyze

Will be assessed by caspase 3 assays and immunohistochemistry. Change between the treated and matched controls will be summarized with descriptive statistics. Difference in apoptosis will be compared between treatment and matched "control" group using a one-tailed paired t-test or Wilcoxon signed-rank test, as appropriate, at a significance level of 0.05.

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=26 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Change in Apoptosis in Breast Epithelial Cells of Patients Treated With 9cUAB30
0.62 percent of cells
Standard Deviation 2.75

SECONDARY outcome

Timeframe: Baseline up to 28 days (post-exposure)

Change in gene expression will be summarized with descriptive statistics.

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=27 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Change in Gene Expression of Breast Cancer Samples Using a Custom Gene Panel From Nanostring Technologies
Up regulated IL6 expression
9.49 % of protein
Interval 4.85 to 18.6
Change in Gene Expression of Breast Cancer Samples Using a Custom Gene Panel From Nanostring Technologies
Down regulated CDKN2A expression
0.34 % of protein
Interval 0.254 to 0.617

SECONDARY outcome

Timeframe: Pre-dose, 5 minutes, and 2 hours post-dose

Will be tested by a one-sided one-sample student t-test.

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=27 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Change in Maximum Concentration (Cmax)
990.7 ng/mL
Standard Error 312.9

SECONDARY outcome

Timeframe: Up to 28 days

Will be graded according to Common Terminology Criteria for Adverse Events version 4.0. Will be compared to know retinoid toxicity. These will be described in descriptive statistics and analyzed.

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=27 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Incidence of Observed Adverse Events
128 number of adverse events

SECONDARY outcome

Timeframe: Baseline up to 28 days (post-exposure)

Population: 19 patients had matched pre and post samples

Outcome measures

Outcome measures
Measure
Treatment (Retinoid 9cUAB30)
n=19 Participants
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Change in Activated Type I Dendritic Cells in Peripheral Blood
type 1 CD40+mDCs
0.12 percent of cells
Standard Deviation 0.22
Change in Activated Type I Dendritic Cells in Peripheral Blood
CD86+ mDCs
1.0 percent of cells
Standard Deviation 8.71
Change in Activated Type I Dendritic Cells in Peripheral Blood
type 1 CD86+ macrophages
-0.15 percent of cells
Standard Deviation 0.26
Change in Activated Type I Dendritic Cells in Peripheral Blood
HLADR+ pDCs
-6.42 percent of cells
Standard Deviation 12.11
Change in Activated Type I Dendritic Cells in Peripheral Blood
CD33+CD11b+HLA DR+ CD40+ cells
0.26 percent of cells
Standard Deviation 0.78

SECONDARY outcome

Timeframe: Baseline up to 28 days (post-exposure)

Population: Data was not collected

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Retinoid 9cUAB30)

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment (Retinoid 9cUAB30)
n=27 participants at risk
Patients receive retinoid 9cUAB30 PO QD for 14 to 28 days. Patients then undergo tumor resection surgery. Patients undergo blood and urine sample collection throughout the study. Biospecimen Collection: Undergo blood and urine sample collection Retinoid 9cUAB30: Given PO Therapeutic Conventional Surgery: Undergo tumor resection surgery
Gastrointestinal disorders
constipation
7.4%
2/27 • 28 days
Gastrointestinal disorders
diarrhea
14.8%
4/27 • 28 days
Gastrointestinal disorders
dry mouth
7.4%
2/27 • 28 days
Gastrointestinal disorders
nausea
7.4%
2/27 • 28 days
General disorders
fatigue
37.0%
10/27 • 28 days
General disorders
malaise
7.4%
2/27 • 28 days
Injury, poisoning and procedural complications
venous injury
7.4%
2/27 • 28 days
Investigations
cholesterol high ldl
18.5%
5/27 • 28 days
Investigations
Cholesterol non-hdl high
22.2%
6/27 • 28 days
Investigations
white blood cell decreased
7.4%
2/27 • 28 days
Metabolism and nutrition disorders
hypertriglyceridemia
7.4%
2/27 • 28 days
Musculoskeletal and connective tissue disorders
back pain
7.4%
2/27 • 28 days
Nervous system disorders
headache
29.6%
8/27 • 28 days
Skin and subcutaneous tissue disorders
dry skin
7.4%
2/27 • 28 days
Skin and subcutaneous tissue disorders
pruritis
11.1%
3/27 • 28 days
Skin and subcutaneous tissue disorders
rash acneiform
14.8%
4/27 • 28 days
Skin and subcutaneous tissue disorders
rash maculo-papular
7.4%
2/27 • 28 days
Vascular disorders
hypertension
51.9%
14/27 • 28 days
Investigations
Cholesterol high
22.2%
6/27 • 28 days

Additional Information

Lisa Barroilhet, MD, MS

University of Wisconsin - Madison

Phone: 608-264-3204

Results disclosure agreements

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

Restriction type: LTE60