UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026046
Receipt number R000029875
Scientific Title Phase Ib/II study to assess efficacy, safety & immunological biomarker of anti PD-1 antibody with radiation therapy in patients with HER-2-negative metastatic breast cancer
Date of disclosure of the study information 2017/02/08
Last modified on 2024/02/19 13:54:05

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Basic information

Public title

Phase Ib/II study to assess efficacy, safety & immunological biomarker of anti PD-1 antibody with radiation therapy in patients with HER-2-negative metastatic breast cancer

Acronym

Phase Ib/II study to assess efficacy, safety & immunological biomarker of anti PD-1 antibody with radiation therapy in patients with HER-2-negative metastatic breast cancer(KBCRN-B-002

Scientific Title

Phase Ib/II study to assess efficacy, safety & immunological biomarker of anti PD-1 antibody with radiation therapy in patients with HER-2-negative metastatic breast cancer

Scientific Title:Acronym

Phase Ib/II study to assess efficacy, safety & immunological biomarker of anti PD-1 antibody with radiation therapy in patients with HER-2-negative metastatic breast cancer(KBCRN-B-002

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate safety, antitumor effect and improved prognosis of Nivolumab with radiation therapy in patients with HER-2-negative metastatic breast cancer have bone metastasis that possible to irradiate.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I,II


Assessment

Primary outcomes

Phase Ib
dose-limiting toxicity rate

Phase II
Response rate based on RECIST1.1

Key secondary outcomes

Phase II
Duration of response
Disease control rate
Progression-free survival
Response rate based on irRECIST


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Cohort A
Radiation + Nivolumab + hormone therapy

Cohort B
Radiation + Nivolumab

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Cohort A
1) Documentation of ER-positive and/or PR-positive tumor (>=1% positive stained cells) .
2) Patients must satisfy the following criteria for prior therapy:
- Progressed during treatment or within 12 months of completion of adjuvant hormone therapy.
or
- Progressed while prior hormone therapy for advanced/metastatic breast cancer.
Two previous line of hormone therapy for advanced/metastatic disease is allowed.
3) Patients who have hormone therapy that can be expected for advanced /metastatic disease.

Cohort B
4) Patients who have come to be non-responsive more than two line of chemotherapy
5) Prior chemotherapy with anthracycline and taxane agent

Cohort A and B
6) Female patients who are histologically or cytologically confirmed to have breast cancer
7) Patients who have distant metastatic lesion as follow
- More than one bone lesion for radiation therapy
8) Patients with cancer confirmed to be HER2-negative.
9) Patients with a measurable lesion based on RECIST 1.1.
10) Patients aged >= 20 years at informed consent
11) Patients with ECOG PS of 0 to 1.
12) Patients without any severe disorder in the major organs.
13) Patients expected to survive for >= 90 days.
14) Patients of childbearing potential must be using an acceptable method of contraception to avoid pregnancy and must not be breastfeeding for 18 weeks after the last dose of investigational product
15) Patients who have provided written informed consent themselves.

Key exclusion criteria

1) Patients who have neuropathy (more than Grade 2)
2) Patients with any active autoimmune disease or a history of known autoimmune disease.
3) Patients who has a history of pneumonitis or interstitial lung disease.
4) Active, untreated central nervous system metastasis.
5) Patients with pericardial effusion, pleural effusion or ascites requiring treatment
6) Patients with uncontrolled diabetes mellitus
7) Patients with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 28 days of the enrollment.
8) Patients who has received radiotherapy within 28 days of study registration, or radiotherapy for thorax within 56 days of the enrollment.
9) Pregnant or breast-feeding women.
10) Prior therapy with Nivolumab, anti CTLA-4 antibody therapies, any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
11) Patients considered ineligible for participation in this study by their attending physicians

Target sample size

32


Research contact person

Name of lead principal investigator

1st name Masakazu
Middle name
Last name Toi

Organization

Kyoto University Hospital

Division name

Breast Surgery

Zip code

606-8507

Address

54 Kawaharacho, Shogoin, Sakyo-ku Kyoto,606-8507, Japan

TEL

075-751-3660

Email

toi@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name toshiaki
Middle name
Last name SOMEHARA

Organization

General Incorporated Association Kyoto Breast Cancer Research Network

Division name

KBCRN Study Office

Zip code

601-8001

Address

1-10 Higashikujoumuromachi, MInami-ku, Kyoto 601-8001 Japan

TEL

075-585-7861

Homepage URL


Email

info.kbcrnct@gmail.com


Sponsor or person

Institute

General Incorporated Association
Kyoto Breast Cancer Research Network

Institute

Department

Personal name



Funding Source

Organization

ONO PHARMACEUTICAL CO, LTD.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto University Certified Review Board

Address

54 Kawaharacho, Shogoin, Sakyo-ku Kyoto,606-8507, Japan

Tel

075-751-4389

Email

tiken@kuhp.kyoto-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 02 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

32

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 12 Month 06 Day

Date of IRB

2016 Year 11 Month 22 Day

Anticipated trial start date

2017 Year 06 Month 22 Day

Last follow-up date

2019 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete

2020 Year 05 Month 30 Day

Date analysis concluded

2020 Year 08 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 02 Month 08 Day

Last modified on

2024 Year 02 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029875


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name