Clinical Trial Results:
            Phase II study of irinotecan weekly in combination with trastuzumab in patients
with locally advanced or metastatic HER2-positive breast cancer and increased 
cancer cell copy number of TOP1”
    
|     Summary | |
|     EudraCT number | 2012-002347-23 | 
|     Trial protocol | DK | 
|     Global end of trial date | 
                                    16 Sep 2015
                             | 
|     Results information | |
|     Results version number | v1(current) | 
|     This version publication date | 
                                    27 Nov 2019
                             | 
|     First version publication date | 
                                    27 Nov 2019
                             | 
|     Other versions | |
        Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
    
    
    Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
| 
 | |||
|     Trial identification | |||
|     Sponsor protocol code | 
                                    MA1213
                             | ||
|     Additional study identifiers | |||
|     ISRCTN number | - | ||
|     US NCT number | - | ||
|     WHO universal trial number (UTN) | - | ||
|     Sponsors | |||
|     Sponsor organisation name | 
                                    Danish Breast Cancer Group (DBCG)
                             | ||
|     Sponsor organisation address | 
                                    Blegdamsvej 9, Copenhagen, Denmark, 2100
                             | ||
|     Public contact | 
                                    Dep. of Oncology, Herlev Hospital, 0045 38686472, iben.kumler@regionh.dk
                             | ||
|     Scientific contact | 
                                    Dep. of Oncology, Herlev Hospital, 0045 38686472, iben.kumler@regionh.dk
                             | ||
|     Paediatric regulatory details | |||
|     Is trial part of an agreed paediatric investigation plan (PIP) | 
                                        No
                                 | ||
|     Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Results analysis stage | |||
|     Analysis stage | 
                                    Final
                             | ||
|     Date of interim/final analysis | 
                                    12 Aug 2016
                             | ||
|     Is this the analysis of the primary completion data? | 
                                        Yes
                                 | ||
|     Primary completion date | 
                                    16 Sep 2015
                             | ||
|     Global end of trial reached? | 
                                        Yes
                                 | ||
|     Global end of trial date | 
                                    16 Sep 2015
                             | ||
|     Was the trial ended prematurely? | 
                                        Yes
                                 | ||
|     General information about the trial | |||
|     Main objective of the trial | 
                                    Response rate and Clinical benefit rate defined as the fraction of patients with stable disease >= 4 months, complete or partial response according to RECIST 1.1
                             | ||
|     Protection of trial subjects | 
                                    Eligibility criteria, standard safety monitoring
                             | ||
|     Background therapy | - | ||
|     Evidence for comparator | - | ||
|     Actual start date of recruitment | 
                                    01 Oct 2012
                             | ||
|     Long term follow-up planned | 
                                        No
                                 | ||
|     Independent data monitoring committee (IDMC) involvement? | 
                                        No
                                 | ||
|     Population of trial subjects | |||
|     Number of subjects enrolled per country | |||
|     Country: Number of subjects enrolled | 
                                    Denmark: 3
                             | ||
|     Worldwide total number of subjects | 
                                    3
                             | ||
|     EEA total number of subjects | 
                                    3
                             | ||
|     Number of subjects enrolled per age group | |||
|     In utero | 
                                    0
                             | ||
|     Preterm newborn - gestational age < 37 wk | 
                                    0
                             | ||
|     Newborns (0-27 days) | 
                                    0
                             | ||
|     Infants and toddlers (28 days-23 months) | 
                                    0
                             | ||
|     Children (2-11 years) | 
                                    0
                             | ||
|     Adolescents (12-17 years) | 
                                    0
                             | ||
|     Adults (18-64 years) | 
                                    1
                             | ||
|     From 65 to 84 years | 
                                    2
                             | ||
|     85 years and over | 
                                    0
                             | ||
| 
 | |||||||||||
|     Recruitment | |||||||||||
|     Recruitment details | Recruitment was open at 6 sites in Denmark from October 2012 til September 2015. Patient were recruited from the pool of patients participating in a pre-screening protocol (not part of this trial) that analyses the copy number of topoisomerase 1 gene in patients with metastatic breast cancer. | ||||||||||
|     Pre-assignment | |||||||||||
|     Screening details | Patients with metastatic breast cancer, positive for Her2 and increased copy number of topoisomerase 1 gene. Measurable disease according to RECIST 1.1, Max 3 (after amendment 4) lines of chemotherapy for advanced or metastatic disease | ||||||||||
| Period 1 | |||||||||||
| Period 1 title | 
                                    Overall trial (overall period)
                             | ||||||||||
|     Is this the baseline period? | Yes | ||||||||||
|     Allocation method | 
                                    Not applicable
                             | ||||||||||
|     Blinding used | Not blinded | ||||||||||
|     Arms | |||||||||||
|     Arm title | Study treatment | ||||||||||
|     Arm description | Irinotecan + Trastuzumab | ||||||||||
|     Arm type | Experimental | ||||||||||
|     Investigational medicinal product name | 
                                    Irinotecan
                             | ||||||||||
|     Investigational medicinal product code | |||||||||||
|     Other name | |||||||||||
|     Pharmaceutical forms | 
                                    Concentrate for solution for infusion
                             | ||||||||||
|     Routes of administration | 
                                    Intravenous use
                             | ||||||||||
|     Dosage and administration details | 
                                    75 mg/m2 given weekly for 4 weeks followed by 2 weeks without administration. In case of non-PD this treatment was repeated every 6 weeks. 
                             | ||||||||||
|     Investigational medicinal product name | 
                                    Herceptin
                             | ||||||||||
|     Investigational medicinal product code | |||||||||||
|     Other name | |||||||||||
|     Pharmaceutical forms | 
                                    Powder for concentrate for solution for infusion
                             | ||||||||||
|     Routes of administration | 
                                    Intravenous use
                             | ||||||||||
|     Dosage and administration details | 
                                    8 mg/kg on day 1, followed by 6 mg/kg every 3 weeks
                             | ||||||||||
| 
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| 
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|     Baseline characteristics reporting groups     | ||||||||||||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Overall trial
                             | |||||||||||||||||||||||||||||||||||||||
|     Reporting group description | - | |||||||||||||||||||||||||||||||||||||||
| 
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| 
 | |||
|     End points reporting groups | |||
|     Reporting group title | 
                                    Study treatment
                             | ||
|     Reporting group description | Irinotecan + Trastuzumab | ||
| 
 | |||||||||
|     End point title | Clinical Benefit Rate [1] | ||||||||
|     End point description | |||||||||
|     End point type | 
                                    Primary
                             | ||||||||
|     End point timeframe | 
                                    Tumor assessments were done every 6th week
                             | ||||||||
| Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No statistical analyses performed du to low number of patients | |||||||||
| 
 | |||||||||
| No statistical analyses for this end point | |||||||||
| 
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|     Adverse events information     | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Timeframe for reporting adverse events | 
                                    From treatment start to 28 days after last treatment
                             | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Assessment type | Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary used for adverse event reporting | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary name | NCI-CTCAE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Dictionary version | 
                                    4.0
                             | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting groups | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting group title | 
                                    Study treatment
                             | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|     Reporting group description | Irinotecan + Trastuzumab | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 
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| 
 | |||
| Substantial protocol amendments (globally) | |||
| Were there any global substantial amendments to the protocol? Yes | |||
|     Date |     Amendment | ||
| 22 Aug 2013 | Inclusion criteria amendment from maximum of previously 3 lines of treatment for advanced of metastatic disease allowed to maximum of previously 4 lines of treatment for advanced of metastatic disease allowed  | ||
| 03 Mar 2014 | Starting dose of Irinotecan reduced from 100 mg/m2 to 75 mg/m2 | ||
| Interruptions (globally) | |||
| Were there any global interruptions to the trial? No | |||
| Limitations and caveats | |||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
| slow recruitment, Adequate patient number not reached at premature end of trial | |||
| Online references | |||
| http://www.ncbi.nlm.nih.gov/pubmed/31196001 | |||
 
				
