The purpose of this study is to determine the safety profile, the maximum tolerated dose (MTD) and the associated dose-limiting toxicities (DLTs) of S 81694 in combination with paclitaxel in metastatic breast cancer (mBC) patients, and to investigate the antitumour activity of the combination in metastatic triple negative breast cancer (mTNBC) patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
22
Dose escalation S 81694 (IV); paclitaxel started at 80 mg/m²,(IV)
Paclitaxel (IV) at 80 mg/m²/week
S 81694 (IV) at RP2D; paclitaxel (IV) at 80 mg/m²/week
Institut Jules Bordet Clinique Oncologie Médicale
Brussels, Belgium
UZ Leuven Campus Gasthuisberg Dept. of General Medical
Leuven, Belgium
Institut de Cancérologie de l'Ouest site Saint Herblain
Saint-Herblain, France
Chiba cancer center Breast surgery
Chiba, Japan
Incidence of DLTs (dose-limiting toxicities)
Safety criterion - A DLT is defined as any toxicity attributable to S81694 or the combination that occurs before the end of Cycle 1
Time frame: Through study completion, an average of 4 years
Safety and tolerability assessed by incidence of Adverse Events
Safety and tolerability criteria - Incidence of treatment-emergent adverse events (AEs) graded according to NCI CTCAE v4.03
Time frame: Through study completion, an average of 4 years
Abnormalities in laboratory tests (haematology, blood biochemistry and urinalysis)
Safety and tolerability criteria disease progression according to RECIST v1.1 or death due to any cause
Time frame: Through study completion, an average of 4 years
Abnormalities in physical examination and performance status (ECG) (mm/s)
Safety and tolerability criteria
Time frame: Through study completion, an average of 4 years
Abnormalities in blood pressure (mmHg)
Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment
Time frame: Through study completion, an average of 4 years
Abnormalities in heart rate (BPM (beat per minute))
Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment
Time frame: Through study completion, an average of 4 years
Abnormalities in body temperature (C°degree celsius)
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Osaka International Cancer Institute
Osaka, Japan
Erasmus MC Section Clinical Pharmacology
Rotterdam, Netherlands
Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment
Time frame: Through study completion, an average of 4 years
Abnormalities in respiration rate (cycles per minute)
Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment
Time frame: Through study completion, an average of 4 years
Abnormalities in body weight (Kg)
Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment
Time frame: Through study completion, an average of 4 years
Progression free survival (PFS) [based on Investigator review of the images according to RECIST 1.1]
Efficacy criterion - time from the date of first study drug intake until the date of the investigator-assessed disease progression or death due to any cause whichever occurs first.
Time frame: Through study completion, an average of 4 years
The PK (pharmacokinetic) profile of S 81694 and paclitaxel plasma concentration : Area under the plasma concentration-time curve (AUC)
Safety and tolerability criteria
Time frame: Through study completion, an average of 3 years
The PK profile of S 81694 and paclitaxel plasma concentration : Elimination half-life (T½)
Safety and tolerability criteria
Time frame: Through study completion, an average of 3 years
The PK profile of S 81694 and paclitaxel plasma concentration : Maximum plasma concentration (Cmax)
Safety and tolerability criteria
Time frame: Through study completion, an average of 3 years
The PK profile of S 81694 and paclitaxel plasma concentration : Minimum plasma concentration (Cmin)
Safety and tolerability criteria
Time frame: Through study completion, an average of 3 years
Overall Response Rate (ORR) [ based on Investigator review of the images according to RECIST 1.1]
Efficacy criterion
Time frame: Through study completion, an average of 4 years
Incidence of treatment-emergent adverse events (AEs) graded according to NCI CTCAE v4.03
Safety criterion
Time frame: Through study completion, an average of 4 years