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Completed

NCT Number: NCT02435680

Efficacy Study of MCS110 Given With Carboplatin and Gemcitabine in Advanced Triple Negative Breast Cancer (TNBC)

To determine whether MCS110 antibody therapy improves the efficacy of carboplatin and gemcitabine (carbo/gem) in advanced TNBC patients

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigative Site, Nedlands, Western Australia, Australia

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult women (≥ 18 years of age) with advanced TNBC.
  • Histological or cytological evidence of estrogen-receptor negative (ER-), progesterone receptor negative (PgR-) and human epidermal growth factor-2 receptor negative (HER2-) Breast Cancer by local laboratory testing, based on last available tumor tissue.
  • ER/PgR negativity to follow local guidelines
  • If IHC HER2 2+, a negative FISH test is required
  • A pre-treatment tumor biopsy demonstrating high TAM content as assessed per the central laboratory
  • Patients must have:

At least one measurable lesion per RECIST 1.1. (Note: Measurable lesions include lytic or mixed (lytic + blastic) bone lesions, with an identifiable soft tissue component that meets the measurability criteria)

Exclusion criteria

  • Prior chemotherapy for advanced BC. Previous adjuvant/neoadjuvant chemotherapy is allowed (carboplatin, cisplatin or gemcitabine only if > 12 months has passed since last administration).
  • Therapy for underlying malignancy within 2 weeks prior to start of study treatment:
  • Chemotherapy, biologic therapy (antibodies and biologically targeted small molecules)
  • Radiotherapy
  • Major surgery
  • Patients receiving concomitant immunosuppressive agents or chronic corticosteroids (≥10 mg of prednisone or equivalent) at the time of first study dose.
  • Clinically significant cardiovascular disease such as uncontrolled or symptomatic arrhythmias, congestive heart failure, or myocardial infarction within 6 months of screening.
  • Known history of human immunodeficiency virus or active infection with hepatitis virus or any uncontrolled active systemic infection.
  • Patients with the following laboratory values during screening and on Day 1 predose:
  • Absolute Neutrophil Count (ANC) < 1.5x109/L
  • Hemoglobin < 9 g/dL
  • Platelets < 100x109/L
  • Serum creatinine > 1.5 x ULN
  • Serum total bilirubin > 1.5 x ULN
  • AST/SGOT and ALT/SGPT > 3.0 x ULN

Treatment and study plan

MCS110

Drug

taken by I.V

carboplatin

Drug

taken by I.V

Gemcitabine

Drug

taken by I.V

Primary outcomes

  1. Progression Free Survival (PFS) as Per RECIST v1.1 (by Local Investigator Assessment)

    Time frame: 4 years

    PFS Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

Secondary outcomes

  1. Free MCS110 : Derived Pharmacokinetics (PK) Parameters: AUCtau

    Time frame: day 21 (end cycle 1); day 84 (end cycle 4)

    AUC tau derived from day 0 to 21 (cycle 1) from day 0 to 21 (cycle 4) Cycle duration is 21 days

  2. Free MCS110 : Derived Pharmacokinetics (PK) Parameters: Cmax

    Time frame: day 21 (end cycle 1); day 84 (end cycle 4)

  3. Cmax Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU)

    Time frame: day 21, day 84

    day 21 (end cycle 1); day 84 (end cycle 4)

  4. AUClast Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU)

    Time frame: day 21, day 84

    day 21 (end cycle 1); day 84 (end cycle 4)

  5. Total Colony Stimulation Factor -1 (CSF-I) Circulating Levels

    Time frame: baseline, day 1, 4, 15, 22, 43, 64, 85, 106, 127, 148

    results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days. These Biomarker Analyses were performed for MCS110 treated patients only.

  6. Serum C-terminal Telopeptide of Type I Collagen (CTX-I)

    Time frame: baseline, day 2, 4, 15, 22, 43, 64, 85, 106, 127, 148

    results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days.

    Biomarker Analyses performed for MCS110 treated patients only.

  7. Tumor Response Per RECIST v1.1 (by Local Investigator Assessment)

    Time frame: 4 years

    CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

  8. Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) Duration of Response

    Time frame: 4 years

    CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

  9. Number of Patients With at Least One MCS110 Dose Reduction, and Number of Patients With at Least One MCS110 Dose Interruption

    Time frame: 4 years

    patients treated with MCS110 only

  10. MCS110 Dose Intensity

    Time frame: 4 years

    Relative dose intensity by categories.

    Patients treated with MCS110 only. The dose intensity measures the dose actually taken versus the planned dose, and is expressed in percentage:

    <50%: less than 50 % of the planned dose received; 50-<75 %: dose received is 50% or more, but less than 75 %; 75-<90 %: dose received is 75% or more, but less than 90%; 90-<110 %: dose received is 90% or more, but less than 110%

  11. Tumor Associated Macrophage (TAM) and Tumor Infiltrating Lymphocyte (TIL) Content in Pre- and Post-dose Tumor Biopsies.

    Time frame: Baseline, Day 29-43

    results expressed as a the ratio change from baseline expressed in percentage: Biopsies were taken at baseline and between Day 29 and Day 43. Patients treated with MCS110 only

  12. Circulating Monocytes Cells in Blood

    Time frame: day 15, 29, 43, 50

    Cycle duration is 21 days results expressed in percentage of cells. Only 1 arm reported as results were available for 1 patient only.

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Randomized Phase II Study of MCS110 Combined With Carboplatin and Gemcitabine in Advanced Triple Negative Breast Cancer (TNBC)

Acronym: TNBC

Important dates

Study start
2015
Primary completion
2020
Study completion
2020
First posted
May 6, 2015
Registry last updated
Jun 21, 2021

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.