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NCT Number: NCT06900647

Bortezomib Plus Cisplatin in Recurrent or Metastatic Breast Cancer

This a phase 1 study to evaluate the safety and preliminary efficacy of cisplatin combined with bortezomib in patients with recurrent or metastatic breast cancer.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Sun Yat-Sen University Cancer Center

Guangzhou, Guangdong, 510000, China

Location status: Recruiting

Location contact

Yanxia Shi, Doctor

CONTACT

[email protected]

86-020-87343486

Yanxia Shi, Doctor

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women aged 18 years and above with pathologically confirmed recurrent or metastatic advanced breast cancer ;
  • The patient has tumor specimens (formalin-fixed, paraffin-embedded or fresh pre-treated recurrent tumor tissue);
  • Patients who have failed standard treatment in the late stage;
  • At least one measurable lesion;
  • ECOG PS : 0-2 points;
  • Estimated survival period ≥12 weeks;
  • The function level of major organs meets the following standards:
  • The blood routine examination standards must meet: ANC ≥1.5×109/L, PLT ≥75×109/L, Hb ≥85g/L (no blood transfusion and blood products within 14 days, no use of G-CSF and other hematopoietic stimulating factors for correction) 2) Biochemical examinations must meet the following standards: TBIL <1.5×ULN, ALT, AST <2.5×ULN, ALT, AST <5×ULN for patients with liver metastasis, BUN and Cr ≤1×ULN or endogenous creatinine clearance ≥50ml/min (Cockcroft-Gault formula); 8. Women of childbearing age must have taken reliable contraceptive measures, or have undergone a pregnancy test (serum or urine) within 7 days before enrollment, with a negative result, and are willing to use appropriate contraceptive methods during the trial and 8 weeks after the last administration of the trial drug.
  • The subjects voluntarily join this study, have good compliance, and cooperate with follow-up.

Exclusion criteria

Any of the following will be considered as meeting the exclusion criteria of the study:

  • Patients with acute active hepatitis B or acute active hepatitis C;
  • Any serious underlying disease, comorbidity and active infection
  • Currently receiving other anti-tumor treatments;
  • History of epilepsy or epileptic-induced condition;
  • Patients who are pregnant or breastfeeding;
  • Those with poor compliance or unable to undergo normal follow-up;
  • Allergic to study drugs;
  • Patients diagnosed with other malignant tumors within 5 years, except for the following: surgically resected non-melanoma skin cancer, adequately treated cervical carcinoma in situ, surgically radically treated ductal carcinoma in situ, or malignant tumors diagnosed 2 years ago with no current evidence of disease and untreated ≤ 2 years before randomization;
  • The researcher determines other situations that may affect the conduct of the clinical study and the determination of the study results.

Treatment and study plan

Bortezomib (B)

Drug

1.3mg/m2, IV, D1, D4, D8 and D11, every 3 weeks

Cisplatin (CDDP)

Drug

50mg/m2, IV, D1-3, every 3 weeks

Primary outcomes

  1. Dose-limiting toxicities (DLTs)

    Time frame: Within 28 days after the first dose.

    The DLT assessment period is from day 1 to day 21 of the subject's first dose plus 24 hours after the second dose, that is, 22 days.

    Each dose group must first enroll 3 subjects. If no DLT occurs in the first cycle (within 28 days after the first dose), the dose will be increased to the next cohort; if 1 subject develops DLT, 3 subjects will be added to the cohort, and if no DLT occurs in the last 3 subjects, the dose will be increased to the next dose. If 2 or more subjects in 3 or 6 subjects in a dose group develop DLT, the dose escalation will be stopped, and the previous dose of the dose will be the MTD. DLT is defined as a treatment-related adverse event of Grade 3 or higher, based on the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

  2. Maximum Tolerated Dose (MTD)

    Time frame: Within 28 days after the first dose.

    If 2 or more subjects in 3 or 6 subjects in a dose group develop DLT, the dose escalation will be stopped , and the previous dose of the dose will be the MTD. If the MTD is not reached in this trial, the researchers will discuss whether to continue the subsequent escalation trial.

Secondary outcomes

  1. Progression- free survival ( PFS )

    Time frame: Within approximately 48 months.

    PFS assessed by investigators according to RECIST version 1.1 criteria.

  2. Objective Response Rate (ORR)

    Time frame: Within approximately 48 months

    ORR assessed by investigators according to RECIST version 1.1 criteria.

  3. Disease Control Rate (DCR)

    Time frame: Within approximately 48 months

    DCR assessed by investigators according to RECIST version 1.1 criteria.

  4. Area Under the Curve (AUC)

    Time frame: Blood samples for PK analysis were collected within 60 minutes before dosing, at 0.5, 2, 6, 24, 72 hours, and on days 8, 15, and 22 after the start of dosing.

    The area under the plasma concentration-time curve (AUC) will be measured to evaluate the systemic exposure of bortezomib and cisplatin. Blood samples will be collected at specified time points to calculate AUC using non-compartmental analysis.

  5. Maximum Plasma Concentration (Cmax)

    Time frame: Blood samples for PK analysis were collected within 60 minutes before dosing, at 0.5, 2, 6, 24, 72 hours, and on days 8, 15, and 22 after the start of dosing.

    The maximum observed plasma concentration (Cmax) of bortezomib and cisplatin will be determined from the collected blood samples. Cmax reflects the peak concentration of the drug in plasma after administration.

  6. Time to Maximum Plasma Concentration (Tmax)

    Time frame: Blood samples for PK analysis were collected within 60 minutes before dosing, at 0.5, 2, 6, 24, 72 hours, and on days 8, 15, and 22 after the start of dosing.

    The time to reach the maximum plasma concentration (Tmax) will be assessed for bortezomib and cisplatin. Tmax will be determined directly from the plasma concentration-time data.

  7. Half-Life (T1/2)

    Time frame: Blood samples for PK analysis were collected within 60 minutes before dosing, at 0.5, 2, 6, 24, 72 hours, and on days 8, 15, and 22 after the start of dosing.

    The terminal elimination half-life (T1/2) of bortezomib and cisplatin will be calculated using non-compartmental analysis. T1/2 represents the time required for the plasma concentration of the drug to decrease by 50%.

Study contacts

Contact information is provided by the study sponsor or research team.

Yanxia Shi, Doctor

CONTACT

[email protected]

86-020-87343486

Sponsors and collaborators

Lead sponsor

Sun Yat-sen University

Other

Registry information

Official study title

Phase I Study to Evaluate the Safety and Preliminary Efficacy of Bortezomib Combined With Cisplatin in Patients With Recurrent or Metastatic Breast Cancer

Acronym: BOCIS

Important dates

Study start
2025
Primary completion
2026
Study completion
2028
First posted
Mar 28, 2025
Registry last updated
Apr 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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