Metastatic breast cancer (MBC) remains an incurable disease and despite an improvement of the effect of systemic treatments. After relapse on first-line non-steroidal aromatase inhibitor, current clinical practice and treatment guidelines include tamoxifen, fulvestrant (an ER antagonist) and exemestane as available options (NCCN treatment guidelines 2012), but in this context of resistance, their efficacy are poor. Some results confirm the possibility to improve the efficacy of tamoxifen in metastatic setting by a combination with therapy targeting signal transduction pathways. Other transduction pathways seem to be involved in endocrine sensitivity/resistance, such as RAS/RAF/MEK/MAK pathway. LY2228820 inhibits the activity of p38 MAPK (selective inhibitor of the α and β isoforms of p38 MAPK in vitro) and reduces phosphorylation of its cellular target, MAPK-activated protein kinase 2 (MAPKAP-K2).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
8
hormonotherapy
Institut Bergonié
Bordeaux, France
Centre François Baclesse
Caen, France
Centre Jean Perrin
Clermont-Ferrand, France
Centre Georges-François Leclerc
Dijon, France
Centre Léon Bérard
Lyon, France
Institut Paoli Calmettes
Marseille, France
Institut de Cancérologie de l'Ouest
Nantes, France
Hegp, Ap-Hp
Paris, France
Hôpital St Louis, AP-HP
Paris, France
Centre Eugène Marquis
Rennes, France
...and 4 more locations
To define the efficacy (progression-free survival rate at 6 months) of LY2228820 in combination with tamoxifen for postmenopausal women with an ER positive and HER2 negative advanced or metastatic breast cancer who progressed on aromatase inhibitors.
Time frame: at 6 months after treatment start.
- To evaluate the toxicity profile (Safety and Tolerability) of the LY2228820 in combination with tamoxifen
Adverse events description and grade in all participants
Time frame: From date of randomization until study participation (during average 12 months)
- To estimate the Progression-Free Survival of the LY2228820 in combination with tamoxifen
Time frame: evaluated every 8-12 weeks (during average 12 months)
- To assess the overall survival of the LY2228820 in combination with tamoxifen
Time frame: From date of randomization until the date of first documented date of death from any cause, whichever came first, assessed up to 60 months
- To assess response duration of the LY2228820 in combination with tamoxifen
Time frame: evaluated every 8-12 weeks during treatment to progression or death for any cause.(during average 12 months)
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