A Study to Evaluate the Pharmacokinetics of Margetuximab in Chinese Patients With HER2+ MBC

HER2 Positive Metastatic Breast Cancer Clinical Trial

Official title:

An Open-Label, Single-arm, Phase I Study to Evaluate the Pharmacokinetics, Tolerability and Safety of Margetuximab Plus Chemotherapy in the Treatment of Chinese Patients With HER2+ Metastatic Breast Cancer Who Have Received Prior Anti-HER2 Therapies

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04398108
• Other study ID #: ZL-MG-BC-001
• Status: Completed
• Phase: Phase 1
• Start date: August 25, 2020
• Est. completion date: April 27, 2021

Study information

• Verified date: June 2021
• Source: Zai Lab (Shanghai) Co., Ltd.
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is an open-label, Single-arm, Phase I clinical study to evaluate the pharmacokinetics, tolerability and safety of margetuximab plus chemotherapy in Chinese patients with advanced HER2+ breast cancer who have received standard anti-HER2 directed therapy in the metastatic setting (mandatory including trastuzumab). The primary endpoint of this study is PK parameters of margetuximab.

Description:

Approximately 16~20 Chinese subjects will be enrolled. Eligible subjects are HER2 positive, metastatic breast cancer who has received standard anti-HER2 directed therapy in the metastatic setting in Chinese patients. Subjects should have received treatment with at least one, and no more than four lines of therapy overall in the metastatic setting. Eligible subjects will receive margetuximab plus chemotherapy. The dosage and administering of margetuximab is 15 mg/kg IV Q3W. Investigators selected one of three backbone chemotherapy regimens given at standard doses: capecitabine, vinorelbine or gemcitabine. Subject will receive the treatment until disease progression, unacceptable toxicity, withdrawal of consent, initiation of subsequent anti-tumor treatment therapy, or death (whichever occurs first).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 16
• Est. completion date: April 27, 2021
• Est. primary completion date: April 27, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Written informed consent obtained prior to performing any protocol-related procedures
• Male or female, age = 18 years old at the time of screening.
• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
• Subject has histologically confirmed HER2 positive metastatic breast cancer.
• Have received standard anti-HER2 directed therapy in the metastatic setting (mandatory to have trastuzumab), regardless of having received (neo)adjuvant anti-HER2 therapy or not.
• Have received treatment with no more than four lines of therapy overall in the metastatic setting (including anti-HER2 targeted therapy or chemotherapy) and must have disease progressed on or after, the most recent line of therapy. per RECIST 1.1.
• Previous adverse events associated with anti-tumor therapy have been recovered to NCI-CTCAE v4.03 Grade =1 (except NCI-CTCAE v4.03 Grade =2 alopecia, stable sensory neuropathy, or stabilized electrolyte disturbance after fluid transfusion).
• Subject has life expectancy =12 weeks.
• Subject has no supportive therapy of blood transfusion or growth factor within 4 weeks before dosed and has adequate organ functions
• Subject has a negative test result of pregnancy test at screening.

Exclusion Criteria:

• Subject has symptomatic, uncontrolled brain or pia mater metastasis.
• Subject has third interstitial effusion that cannot be controlled by drainage or other means.
• Subject has local or systemic anti-tumor treatment within 2 weeks prior to enrollment
• Subject has any investigational treatment within 4 weeks prior to enrollment (including margetuximab)
• Subject has history of major surgery with unrecovered surgical effect within 4 weeks prior to enrollment
• Subject has other malignant tumor (complete cured in situ cervical cancer, cutaneous basal cell carcinoma or cutaneous squamous cell carcinoma are not included) within 5 years prior to enrollment
• Subject has severe and uncontrolled disease

Related Conditions & MeSH terms

• Breast Neoplasms
• HER2 Positive Metastatic Breast Cancer

Intervention

Drug:
• Margetuximab Margetuximab-IV
Drug: Chosen Chemotherapy (Capecitabine) -Oral Capecitabine tablet Drug: Chosen Chemotherapy (Vinorelbine) Vinorelbine -IV Drug: Chosen Chemotherapy (Gemcitabine) Gemcitabine -IV

Locations

Country	Name	City	State
China	The fifth medical center of the General Hospital of people's Liberation Army of China	Beijing	Beijing
China	The fourth hospital of Hebei Medical University	Shijiazhuang	Hebei
China	Henan Cancer Hospital	Zhengzhou	Henan

Sponsors (1)

Lead Sponsor	Collaborator
Zai Lab (Shanghai) Co., Ltd.

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Evaluation of pharmacokinetic parameter of margetuximab Cmax		Approximately 18 months after the first subject is randomized; anticipated evaluation Jul 2020
Primary	Evaluation of pharmacokinetic parameter of margetuximab Tmax		Approximately 18 months after the first subject is randomized; anticipated evaluation Jul 2020
Primary	Evaluation of pharmacokinetic parameter of margetuximab T1/2		Approximately 18 months after the first subject is randomized; anticipated evaluation Jul 2020
Primary	Evaluation of pharmacokinetic parameter of margetuximab AUC		Approximately 18 months after the first subject is randomized; anticipated evaluation Jul 2020
Secondary	Incidence of Treatment-Emergent Adverse Events	Incidence of Treatment-Emergent Adverse Events as assessed by CTC AE 4.03	Approximately 18 months after the first subject is randomized; anticipated evaluation Jul 2020