Breast Cancer Clinical Trial
Official title:
Phase I/II Dose Escalation Trial to Assess Safety of Intrathecal Trastuzumab for the Treatment of Leptomeningeal Metastases in HER2 Positive Breast Cancer
The drug being studied is Trastuzumab, a medicine that is used to slow or stop the growth of
cancerous tumors that are HER-2 positive. Patients are being asked to participate in this
study because they have been diagnosed with having tumor cells in their spinal fluid. This
study will investigate the safety and effects of this drug when given directly into the
spinal fluid.
Phase I/II Dose Escalation Trial to Assess Safety of Intrathecal Trastuzumab for the
Treatment of Leptomeningeal Metastases in HER2 Positive Breast Cancer The purpose of this
research study is to determine a safe dose of the drug Trastuzumab and then determine how
effective this treatment is.
Phase I: Patients will be treated in cohorts of 3-6 based on standard phase I dose escalation parameters requiring 0/3 or 1/6 patients per cohort to have a DLT before dose escalation. Dosing is as follows: Cohort 1-10 mg IT, cohort 2-20 mg IT, cohort 3-30 mg IT and cohort 4-40 mg IT. Patients will be treated twice a week for 4 weeks, then once a week for 4 weeks, and then every 2 weeks. Toxicity for DLT will be assessed during first 4 weeks of treatment. Phase II: Patients will be treated with the MTD or maximal defined dose. Patients will be treated twice a week for 4 weeks, then once a week for 4 weeks, and then every 2 weeks. ;
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