The phase Ib part of the trial will assess the MTD of AUY922 in combination with Trastuzumab in patients with Trastuzumab-refractory locally advanced or metastatic HER2+. The MTD is defined as the highest drug dosage not causing in the first cycle of treatment (28 days) medically unacceptable dose limiting toxicity (DLT). The phase II part of the trial will assess any potential effect on efficacy of adding AUY922 to Trastuzumab in patients with Trastuzumab-refractory locally advanced or metastatic HER2+ breast cancer. Both AUY922 and Trastuzumab will be administered as a weekly IV infusion. Treatment should be continued as long as the patient does not have disease progression and tolerates the treatment. The following reasons are examples of acceptable reasons for discontinuing the study; tumor progression (by RECIST, as assessed by the investigator), unacceptable toxicity, death, or discontinuation from the study for any other reason, such as patient refusal, withdrawn consent, lost to follow-up or investigator decision.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
45
Highlands Oncology Group Dept of Highlands Oncology Grp
Fayetteville, Arkansas, United States
Novartis Investigative Site
Dijon, France
Novartis Investigative Site
Saint-Herblain Cédex, France
Novartis Investigative Site
Essen, Germany
Novartis Investigative Site
Tübingen, Germany
Novartis Investigative Site
Prato, PO, Italy
Novartis Investigative Site
Candiolo, TO, Italy
Novartis Investigative Site
Singapore, Singapore
Novartis Investigative Site
Málaga, Andalusia, Spain
Novartis Investigative Site
Santiago de Compostela, Galicia, Spain
...and 6 more locations
Maximum tolerated dose (MTD) and/or recommended phase two dose (RPTD) of AUY922 in combination with Trastuzumab (phase lb)
Time frame: 4 weeks
Overall Response Rate as assessed by RECIST (phase ll)
Time frame: Every 8 weeks for the first 24 weeks and every 12 weeks thereafter
Assess concentration of AUY922 and BJP762 in the blood at different time points (phase lb & ll)
Time frame: 4 weeks
Assess frequency, intensity and duration of Adverse Events as a Measure of Safety and Tolerability (phase lb & ll)
Time frame: average 6 months
Progression Free Survival (PFS) at the RPTD dose (phase ll only)
Time frame: every 3 months until 24 months after the last patient has been enrolled
Overall Survival (OS) at the RPTD dose
Time frame: every 3 months until 24 months after the last patient has been enrolled
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