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    Summary
    EudraCT Number:2006-005573-21
    Sponsor's Protocol Code Number:A4021004
    National Competent Authority:Netherlands - Competent Authority
    Clinical Trial Type:EEA CTA
    Trial Status:Temporarily Halted
    Date on which this record was first entered in the EudraCT database:2008-03-06
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedNetherlands - Competent Authority
    A.2EudraCT number2006-005573-21
    A.3Full title of the trial
    A TWO-ARM RANDOMIZED OPEN LABEL PHASE 2 STUDY OF CP-751,871 IN COMBINATION WITH EXEMESTANE VERSUS EXEMESTANE ALONE AS FIRST LINE TREATMENT FOR POSTMENOPAUSAL PATIENTS WITH HORMONE RECEPTOR POSITIVE ADVANCED BREAST CANCER
    A.4.1Sponsor's protocol code numberA4021004
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorPfizer Inc, 235 East 42nd Street, New York, NY 10017
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCP-751,871
    D.3.2Product code CP-751,871
    D.3.4Pharmaceutical form Intravenous infusion
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPIntravenous use
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) Yes
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Aromasin
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAromasin
    D.3.2Product code Exemestane
    D.3.4Pharmaceutical form Coated tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Hormone receptor positive advanced breast cancer in postmenopausal women.
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 9.1
    E.1.2Level LLT
    E.1.2Classification code 10057654
    E.1.2Term Breast cancer female
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To compare the efficacy, in terms of progression free survival (PFS), of CP 751,871 in combination with exemestane vs. exemestane alone as first line treatment of postmenopausal women with hormone-dependent advanced breast cancer.
    E.2.2Secondary objectives of the trial
    • To define the efficacy, in terms of clinical benefit (CR+PR+ [SD≥6 months]) of exemestane alone and in combination with CP 751,871.
    • To assess the safety and tolerability of multiple doses of CP 751,871 in combination with exemestane.
    • To define the proportion of patients with measurable circulating tumor cells that express surface IGF 1R (CTCs IGF-1R positive) at study entry.
    • To evaluate the effect of CP-751,871 therapy on serum markers relevant to the IGF 1R pathway (such as: hGH, insulin, IGF-1, IGF-2, IGF-BP and ErbB-1,2).
    • To evaluate the PK of CP 751,871 given in combination with exemestane.
    • To test for the occurrence of HAHA response to CP 751,871.
    • To examine the Patient Reported Outcomes of Health-Related Quality of Life (PROs of HRQoL; hereafter referred to as HRQoL) of CP 751,871 in combination with exemestane vs. exemestane alone.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1.Females >18 years of age.
    2.Histologically or cytologically confirmed adenocarcinoma of the breast, either metastatic, or locally advanced Stage IIIB, or loco-regional recurrent and not amenable to curative treatment with surgery or radiotherapy.
    3.Measurable or evaluable disease (See Appendix 7).
    4.Patients must be postmenopausal. Postmenopausal is defined by any of the following:
    •Woman >60 yrs
    •Woman of age 45-59 yrs with spontaneous amenorrhea for >1 year prior to randomization
    •Woman of age 45-59 yrs with cessation of menses duration <1 year or secondary to hysterectomy AND with FSH levels pre-randomization clearly in the laboratory postmenopausal range (or >34.4 IU/L if institutional range is not available)
    •Woman of age 45-59 yrs previously on HRT who discontinued HRT at breast cancer diagnosis and who has FSH level pre-chemotherapy or pre-randomization clearly in the laboratory postmenopausal range (or >34.4 IU/L if institutional range is not available)
    •Bilateral oophorectomy
    •Ovarian ablation by radiotherapy confirmed by FSH level in the postmenopausal range
    5.Evidence of hormone sensitivity (ER+ and/or PR+) of primary or secondary tumor tissue. Positivity is defined either as ≥10 fmol of H3 -estrogen binding per mg of cytosol protein for dextran coated charcoal and sucrose density methods or ≥0.10 fmol of H3 -estrogen binding per mg of DNA for IF/EIA technique. In case of use of immunohistochemistry, the report should mention positive receptor status according to the standards of the laboratory.
    6.Must be appropriate to receive endocrine therapy as treatment for advanced disease.
    7.Prior radiotherapy (more than 3 weeks prior to randomization) is allowed. A measurable or evaluable lesion that has been previously irradiated will be evaluated only after it is considered to have progressed before randomization. Patients must have recovered from all acute radiation toxicities.
    8.Concurrent bisphosphonate treatment is allowed if established 2 weeks prior to randomization. Patients on bisphosphonates at randomization must be kept on bisphosphonate during the study (see also Concomitant Medications Section).
    9.Patients must have an ECOG performance status 0, 1, or 2 (See Appendix 5).
    10.Patients must have adequate hematologic function as defined by:
    •ANC ≥1500/mm3
    •Platelets ≥100000/mm3
    •Hemoglobin ≥8.5 g/dL
    11.Patients must have adequate renal and liver function as defined by:
    •Serum creatinine and serum bilirubin level 1.5 x ULN
    •ALT and AST ≤2.5 x ULN (or ≤5 in case of liver metastasis).
    12.Serum calcium ≤11.6 mg/dL (or ≤2.75 mmol/L).
    13.Written and voluntary informed consent understood, signed and dated.
    E.4Principal exclusion criteria
    1.Male patients.
    2.Presence of life threatening metastatic disease defined as extensive (more than one third of the organ) hepatic involvement, any past or present brain or leptomeningeal involvement, or symptomatic pulmonary lymphangitic spread (>50% lung involvement). Patients with discrete pulmonary parenchymal metastases will not be excluded as long as their respiratory function is not compromised.
    3.Presence of unevaluated central nervous system (CNS) symptoms suggestive of brain metastases within 2 weeks prior to randomization. CNS symptoms must be evaluated by CT or MRI scan.
    4.Patients who are highly symptomatic from their breast cancer, or who require urgent palliative chemotherapy, as decided by their treating physician.
    5.Adjuvant/neoadjuvant therapy with aromatase inhibitors within 12 months of randomization.
    6.Adjuvant/neoadjuvant tamoxifen within 2 weeks of randomization.
    7.Adjuvant/neoadjuvant chemotherapy (excluding anthracycline) within 4 weeks of randomization.
    8.Adjuvant/neoadjuvant anthracycline and/or trastuzumab therapy within 6 months of randomization.
    9.Prior anti IGF 1R investigational therapy.
    10.Surgery within 4 weeks prior to randomization or not fully recovered from side effects of previous procedures.
    11.Any previous chemotherapy, hormonal (eg, tamoxifen, SERMs, aromatase inhibitors, LHRH agonists, ovariectomy, radiocastration) or targeted therapy, including immunotherapy, for advanced disease.
    12.Patients with a known hypersensitivity to exemestane or to any of its excipients.
    13.Patients with a known hypersensitivity to antibody therapy.
    14.History of malignancy other than breast cancer within 5 years before study start with the exception of appropriately treated cervical carcinoma in situ, basal cell carcinoma, or squamous cell carcinoma of the skin.
    15.A serious uncontrolled medical disorder or active infection that would impair the ability to receive study treatment.
    16.Significant active cardiac disease including: uncontrolled high blood pressure (ie, systolic blood pressure ≥180 mm Hg, diastolic blood pressure ≥95 mm Hg), unstable angina, deep venous thrombosis, pulmonary embolism, cerebro vascular attack, valvular disease, congestive heart failure, myocardial infarction within the previous 6 months, or serious cardiac arrhythmias.
    17.Use of high dose corticosteroids within 2 weeks prior to randomization (≥100 mg prednisone per day or ≤40 mg dexamethasone per day).
    18.Dementia or significantly altered mental status that would limit the understanding or rendering of informed consent and compliance with the requirements of this protocol.
    19.Any other major illnesses that, in the Investigator’s judgment, will substantially increase the risk associated with the patient’s participation in the study.
    E.5 End points
    E.5.1Primary end point(s)
    PFS
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others Yes
    E.6.13.1Other scope of the trial description
    Quality of life
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned Information not present in EudraCT
    E.8.4 The trial involves multiple sites in the Member State concerned Information not present in EudraCT
    E.8.5The trial involves multiple Member States Yes
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    End of Study in a Member State of the European Union is defined as the time at which it is deemed that sufficient patients have been recruited and completed the study as stated in the regulatory application (ie, Clinical Study Application (CTA)) and ethics application in the Member State. Poor recruitment (recruiting less than the anticipated number in the CTA) by a Member State is not a reason for premature termination but is considered a normal conclusion to the study in that Member State.
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years
    E.8.9.1In the Member State concerned months
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months30
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male No
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2008-03-25
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2008-07-30
    P. End of Trial
    P.End of Trial StatusTemporarily Halted
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
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