Unique ID issued by UMIN | UMIN000009612 |
---|---|
Receipt number | R000011224 |
Scientific Title | Phase I Clinical Study of Combination Therapy with Eribulin and Gemcitabine in Patients with Progressive Recurring Breast Cancer (JBCRG-18Gem) |
Date of disclosure of the study information | 2012/12/26 |
Last modified on | 2021/07/08 10:54:20 |
Phase I Clinical Study of Combination Therapy with Eribulin and Gemcitabine in Patients with Progressive Recurring Breast Cancer (JBCRG-18Gem)
JBCRG-18Gem
Phase I Clinical Study of Combination Therapy with Eribulin and Gemcitabine in Patients with Progressive Recurring Breast Cancer (JBCRG-18Gem)
JBCRG-18Gem
Japan |
Progressive Recurring Breast Cancer
Breast surgery |
Malignancy
NO
In this clinical study, the maximum tolerated dose (MTD) will be estimated, based on the dose limiting toxicity of the combination therapy of eribulin (HAL) and gemcitabine (GEM) in patients with progressive recurring breast cancer, and the recommended dose (RD) for Phase II clinical study will be determined.
Others
Dosage finding
Exploratory
Explanatory
Phase I
MTD, DLT, RD
AE, ORR, PK
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Combined therapy of Eribulin and Gemcitabine
20 | years-old | <= |
70 | years-old | >= |
Female
1) Female patients who were histologically diagnosed with infiltrating breast cancer.
2) Patients with distal metastasis, unresectable local/regional recurrence, and local advanced breast cancer.
3) Patients with ECOG performance status (PS) of 0 to 1.
4) Patients with history of prior treatment with anthracycline and taxane as pre/post-operative treatment or treatment to prevent recurrence.
5) Patients without history of prior treatment with eribulin or gemcitabine.
6) Patients in whom hematological toxicity and non-hematological toxicity regarding DLT are all G1 or lower.
7) Patients without impaired main organ function.
The values of laboratory findings within 14 days prior to registration meet all the criteria listed below.
(1) neutrophil count: >=2,000/mm3
(2) platelet count: >=100,000 mm3
(3) hemoglobin: >=9.0 g/dL
(4) total bilirubin: =<2.0 mg/dL
(5)AST (GOT), ALT (GPT), ALP: =<3 times the upper limit of center standard
(6) serum creatinine =<1.5 mg/dL
8) Patients with life expectancy of 6 months or longer from the start of the administration.
9) Patients submitted written informed consent to participate in this clinical study.
10) Patients at least 20 years of age but not older than 70 at the time of informed consent.
1) Patients with coexisting infection or cases with pyrexia suspected of infection.
2) Cases with serious drug allergy.
3) Cases with serious renal disorder and hepatic disorder (jaundice).
4) Cases with clear indications of interstitial pneumonia or pulmonary fibrosis in chest X-ray.
5) Cases with large pleural/peritoneal effusion (patients required drainage)
6) Cases with poorly-controlled hypertension and diabetes mellitus.
7) Cases with continuous systemic administration (oral or intravenous) of steroid.
8) Pregnant patients or cases with possible pregnancy.
9) Patients with active multiple primary cancer.
10) Cases with preexisting condition of psychiatric disorder or central nervous system disorder.
11) Cases with active brain metastasis.
12) Cases participating in other clinical study.
13) Cases that the investigator (subinvestigator) judged as inappropriate as the subject of this clinical study.
14) Patients with hepatitis B antibody.
9
1st name | Hiroji |
Middle name | |
Last name | Iwata |
Aichi Cancer Center Hospital
Dept. of Breast Oncology
464-8681
1-1 Kanokoden, Chikusa-ku, Nagoya 464-8681, Japan
052-762-6111
hiwata@aichi-cc.jp
1st name | Jun |
Middle name | |
Last name | Fukase |
JBCRG (Japan Breast Cancer Research Group)
Head Office
103-0016
9-4-3F, Nihonbashikoamicho, Chuo-ku, Tokyo 103-0016, Japan
03-6264-8873
https://www.jbcrg.jp/
office@jbcrg.jp
JBCRG (Japan Breast Cancer Research Group)
JBCRG (Japan Breast Cancer Research Group)
Self funding
Japan
N/A
N/A
N/A
N/A
NO
四国がんセンター(愛媛県)、愛知県がんセンター中央病院(愛知県)、岩手医科大学(岩手県)、都立駒込病院(東京都)、群馬県立がんセンター(群馬県)
2012 | Year | 12 | Month | 26 | Day |
https://upload.umin.ac.jp/cgi-bin/ctr/ctr_up_reg_f5.cgi
Published
http://www.pieronline.jp/content/article/0385-0684/45080/1165
7
Results
Grade 3 or higher hematological toxicities, including neutropenia, frequently occurred, it was difficult to conduct this combination therapy as scheduled. Drug-drug interactions between ERI and GEM were not observed.
Conclusions
The combination therapy with ERI and GEM is tolerated in patients with metastatic breast cancer, and it is crucial to manage hematological toxicities that frequently occur.
2021 | Year | 07 | Month | 01 | Day |
2018 | Year | 08 | Month | 20 | Day |
Metastatic breast cancer
Seven patients were enrolled in this study, 3 patients of whom received the Level 0 doses and the other 4 patients received the Level 1 doses.
A dose limiting toxicity was found in only 1 patients of the Level 1 group (grade 3 oral mucositis).
The primary endpoint: DLT
The secondary endpoint: Adverse events, ORR and PK
Completed
2012 | Year | 12 | Month | 03 | Day |
2012 | Year | 12 | Month | 03 | Day |
2014 | Year | 11 | Month | 30 | Day |
2012 | Year | 12 | Month | 22 | Day |
2021 | Year | 07 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011224