Skip to main content
OpenTrials
Completed

NCT Number: NCT00322374

Phase I Combination w/ Epirubicin

Tumor response information was obtained for all participants who received at least 2 cycles of study drug, underwent requisite baseline and on-treatment disease assessments and had at least one post-treatment assessment. Tumor response assessment in evaluable participants was done according to the Response Evaluation Criteria in Solid Tumors (RECIST) criteria.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Local Institution, Toulouse, France

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Women ≥18 years
  • Histologically or cytologically confirmed diagnosis of metastatic breast cancer
  • Measurable or nonmeasurable disease defined by Response Evaluation Criteria In Solid Tumors (RECIST)

Exclusion criteria

  • Number of prior chemotherapy lines of treatment in the metastatic setting ≥2

Treatment and study plan

ixabepilone

Drug

Infusion, intravenous (IV), Cycle = 21 days. Dose escalation study.

Other names: IXEMPRA®, BMS-247550, Epothilone

Epirubicin

Drug

Infusion, intravenous (IV): 75 mg/m^2. Cycle = 21 days, up to 10 cycles or cumulative dose of 800 mg/m².

Primary outcomes

  1. Number of Participants With a Dose Limiting Toxicity (DLT)

    Time frame: From Baseline to the end of Cycle 1 (Day 21)

    DLT: any of the following considered related to ixabepilone, epirubicin or combination occurring in Cycle 1: Absolute neutrophil count <500 cells/mm^3 for ≥7 consecutive days or febrile neutropenia of any duration;Grade(Gr)4 thrombocytopenia <25,000 cells/mm^3 or Gr3 w/bleeding requiring platelet transfusion;Any other drug-related Gr3/4 non-hematologic toxicity except Gr3 injection site reaction, fatigue, transient arthralgia/myalgia;Delayed recovery to Gr≤1 or baseline (except for alopecia) from toxicity related to treatment w/ ixabepilone + epirubicin delaying initiation of next cycle ≥3 wks

  2. Ixabepilone Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (R2PD)

    Time frame: Day 21 of Cycle 1

    The MTD was the highest dose in which 0/6 or 1/6 participants experienced DLT with at least 2 out of no more than 6 participants experiencing DLT at the next higher dose level. The RP2D was based on the MTD and the assessment of any relevant chronic toxicity. To obtain further confidence in the RP2D, a total maximum of 30 evaluable participants were enrolled at the MTD.

Secondary outcomes

  1. Number of Participants With Death, Adverse Events (AEs), Serious Adverse Events (SAEs), Grade 3/4 AEs, or AEs Leading to Discontinuation

    Time frame: Evaluated continuously on study from Baseline to ≤30 days after the last dose of study drug.

    AEs and SAEs considered possibly, probably, or certainly related to study treatment, graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening or disabling, Grade 5=Death).SAE= any untoward medical occurrence that at any dose results in death, is life-threatening, requires inpatient hospitalization/prolongation of existing hospitalization, results in persistent/significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event

  2. Maximum Plasma Concentration (Cmax) of Single-dose Ixabepilone

    Time frame: From the start of the ixabepilone infusion on Day 1 to 120 hours after the first infusion.

    Pharmacokinetics (PK) is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmax=maximum observed plasma concentration of single-dose ixabepilone administered with IV dose of epirubicin 75 mg/m^2, derived from plasma concentration versus time data.

  3. Area Under the Curve, Extrapolated to Infinity (AUC[INF]) of Single-dose Ixabepilone

    Time frame: From the start of the ixabepilone infusion on Day 1 to 120 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. AUC(INF)=area under the plasma concentration-time curve from time zero extrapolated to infinite time of single-dose ixabepilone administered with IV dose of epirubicin 75 mg/m^2.

  4. Terminal Half-life (T-Half) of Single-dose Ixabepilone

    Time frame: From the start of the ixabepilone infusion on Day 1 to 120 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. T-Half=terminal-phase elimination half-life in plasma of single-dose ixabepilone administered with IV dose of epirubicin 75 mg/m^2, derived from plasma concentration versus time data.

  5. Clearance (CLT) of Single-dose Ixabepilone

    Time frame: From the start of the ixabepilone infusion on Day 1 to 120 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. CLT= Total body clearance from plasma of single-dose ixabepilone administered with IV dose of epirubicin 75 mg/m^2, derived from plasma concentration versus time data.

  6. Volume of Distribution at Steady State (Vss) of Single-dose Ixabepilone

    Time frame: From the start of the ixabepilone infusion on Day 1 to 120 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Vss= Volume of distribution at steady-state of single-dose ixabepilone administered with IV dose of epirubicin 75 mg/m^2, derived from plasma concentration versus time data.

  7. Epirubicin Cmax

    Time frame: From the start of the ixabepilone infusion on Day 1 to 24 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Cmax=maximum observed plasma concentration of epirubicin administered IV 75 mg/m^2, derived from plasma concentration versus time data.

  8. Epirubicin AUC(INF)

    Time frame: From the start of the ixabepilone infusion on Day 1 to 24 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. AUC(INF)=the area under the plasma concentration-time curve from time zero extrapolated to infinity of epirubicin administered IV 75 mg/m^2, derived from plasma concentration versus time data.

  9. Epirubicin T-Half

    Time frame: From the start of the ixabepilone infusion on Day 1 to 24 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. T-Half=terminal-phase elimination half-life in plasma of epirubicin administered IV dose 75 mg/m^2, derived from plasma concentration versus time data.

  10. Epirubicin CLT

    Time frame: From the start of the ixabepilone infusion on Day 1 to 24 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. CLT= Total body clearance from plasma of epirubicin administered IV 75 mg/m^2, derived from plasma concentration versus time data.

  11. Epirubicin Vss

    Time frame: From the start of the ixabepilone infusion on Day 1 to 24 hours after the first infusion.

    PK is a branch of pharmacology concerned with the rate at which drugs are absorbed, distributed, metabolized, and eliminated by the body. Vss= Volume of distribution at steady-state of epirubicin administered IV 75 mg/m^2, derived from plasma concentration versus time data.

  12. Number Of Participants With A Best Overall Tumor Response of Complete Response, Partial Response, Stable Disease, And Progressive Disease

    Time frame: From Baseline (up to 2 weeks prior to starting therapy) to the end Cycle 2

    Information on all tumor lesions was obtained at baseline by radiologic techniques, or if appropriate by physical examination (e.g. subcutaneous nodules). Measurable tumors were evaluated using Response Evaluation Criteria In Solid Tumors (RECIST) criteria, wherein complete response (CR) = disappearance of all target lesions; partial response (PR) = ≥30% decrease in the sum of the longest diameter of target lesions; progressive disease (PD)= ≥20% increase in the sum of the longest diameter of target lesions, and stable disease (SD) = small changes that do not meet above criteria.

  13. Duration of Tumor Response

    Time frame: Time (in months) when criteria for CR or PR are met (which ever occurs first) up to date of progressive disease.

    Defined as the interval measured from the time that the measurement criteria are first met for CR or PR, whichever occurs first, until the date of documented progressive disease or death. CR= disappearance of all target lesions; PR= ≥30% decrease in the sum of the longest diameter of target lesions.

  14. Number Of Participants With Tumor Response by Duration of Response Category

    Time frame: Time (in months) when criteria for CR or PR are met (which ever occurs first) up to date of progressive disease.

    Duration of response was defined as the interval measured from the time that the measurement criteria are first met for CR or PR, whichever occurs first, until the date of documented progressive disease or death; PR= ≥30% decrease in the sum of the longest diameter of target lesions.

Sponsors and collaborators

Lead sponsor

R-Pharm

Industry

Registry information

Official study title

A Phase I Study of Ixabepilone in Combination With Epirubicin in Patients With Metastatic Breast Cancer

Important dates

Study start
2006
Primary completion
2009
Study completion
2009
First posted
May 5, 2006
Registry last updated
Mar 10, 2016

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.

Published trials that share one or more normalized conditions with this study.