Breast Cancer Clinical Trial
Official title:
A Phase II Open-label Study of Subcutaneous CPG ODN (PF03512676) in Combination With Trastuzumab in Patients With Metastatic Breast Cancer
RATIONALE: Biological therapies, such as agatolimod, may stimulate the immune system in
different ways and stop tumor cells from growing. Monoclonal antibodies, such as
trastuzumab, can block tumor growth in different ways. Some block the ability of tumor cells
to grow and spread. Others find tumor cells and help kill them or carry tumor-killing
substances to them. Giving agatolimod together with trastuzumab may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving agatolimod together with
trastuzumab works in treating patients with locally advanced or metastatic breast cancer.
OBJECTIVES:
Primary
- To evaluate the progression-free survival of patients with HER2-overexpressing locally
advanced or metastatic breast cancer treated with trastuzumab (Herceptin®) and
agatolimod sodium.
Secondary
- To determine if agatolimod sodium augments antibody-mediated cytoxicity (ADCC) against
trastuzumab-coated target cells by evaluating the ability of patient immune-effector
cells to conduct ADCC and produce interferon gamma.
OUTLINE: This is a multicenter study.
Patients receive trastuzumab (Herceptin®) IV over 30-90 minutes on day 1. Patients also
receive agatolimod sodium subcutaneously on days 15 and 22 of course 1 and on days 1, 8, 15,
and 22 of all subsequent courses. Treatment repeats every 28 days in the absence of disease
progression or unacceptable toxicity.
Blood samples are collected periodically for correlative laboratory studies. Samples are
analyzed for antibody-mediated cytotoxicity (ADCC) by chromium-release assay; IFN-γ
production and quantification by flow cytometry and reverse transcriptase-polymerase chain
reaction (RT-PCR); and levels of cytokines (IFN-γ and TNF-α) by ELISA.
After completion of study therapy, patients are followed periodically.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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