E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced hormono-dependent breast cancer |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 10.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10006204 |
E.1.2 | Term | <Manually entered code. Term in E.1.1> |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of the study is to evaluate the clinical efficacy of AVE1642 in combination with fulvestrant in terms of clinical benefit (CB) rate defined as the rate of complete responses (CR) + partial responses (PR) + the rate of stable disease (SD) lasting at least 24 weeks, in female patients with advanced hormonodependent breast cancer. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of the study are efficacy endpoints e.g. Progression Free Survival rate (PFSR) at 6 months and Progression Free Survival (PFS). Other secondary endpoints include safety (TEAEs, hematology, biochemistry parameters including glucose metabolism), detection of HAHA (human anti humanized antibodies), and potential pharmacokinetic interaction between AVE1642 and fulvestrant. Biological activity will be assessed on tumor tissue (ARNm) when possible.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Post-menopausal women (age ≥ 60 years or history of bilateral oophorectomy or prior castration or age ≥ 50 years amenorrheic with FSH > 50 IU/L ) who failed to no more than 2 prior anti-hormonotherapy • Histologically proven invasive breast adenocarcinoma with positive hormone receptor (ER+ and/or Pg+) (defined as ≥ 10% tumor staining by IHC method) • Aromatase inhibitor as the last hormonal treatment • Histologically proven metastasis in case of a unique site • Measurable disease as per RECIST definition (longest diameter ≥ 20mm using conventional technique or ≥ 10 mm with spiral CT scan) • Written informed consent
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E.4 | Principal exclusion criteria |
• Methodology related: < 18 years old ECOG performance status (PS) > 2 Inadequate organ function: 1. Neutrophils (ANC) < 1,500/mm3 2. Hemoglobin < 10g/dl 3. Platelets < 100,000/mm3 4. Total bilirubin > 1.5 ULN 5. ASAT ALAT > 2.5 ULN 6. Creatininemia > 1.5 ULN (or ≥ 2.0 mg/dl) 7. INR > 1.6 HbA1c > 8% No measurable disease as defined by RECIST criteria Previous radiotherapy on the only measurable metastatic site History of cerebral metastasis symptomatic or not, leptomeningeal disease Patients with only bone metastasis, pleural effusion, ascitis or lung lymphangitis carcinomatosis No evidence of hormonosensitivity defined in the case of an early relapse (within the first 12 months during adjuvant therapy and in case of advanced disease setting as tumor response or stabilization for less than 12 weeks before progression). HER 2-neu positive tumor More than one prior regimen of chemotherapy for metastatic disease Prior exposure to fulvestrant or to anti IGF1-R compound Biphosphonate treatment initiated less than 1 week before study entry Any of the following within 6 months prior to enrollment: myocardial infarction, severe/ unstable angina, or coronary/peripheral artery bypass graft surgery, clinically symptomatic and uncontrolled cardiovascular disease, or clinically significant cardiac arrhytmias (grade 3-4) Other severe underlying medical conditions, which could impair the ability to participate in the study Patient unwilling and /or unable to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures.
• Related to the active comparator (fulvestrant): Known contraindication to fulvestrant: hypersensitivity to the active substance or to any of the excipients Anti-coagulant continuous treatment.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint is the clinical benefit that is defined as a confirmed complete response (CR) or a confirmed partial response (PR) or a stable disease (SD) lasting at least 24 weeks (6 cycles), during the treatment period as defined by the RECIST criteria and assessed by an Independent Radiological Review Committee (IRRC). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 7 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 15 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial 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
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |