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This open-label, dose-finding, multi-center study is designed to determine the safety and the maximum tolerated dose of AMG 706 given once daily in combination with either weekly paclitaxel (Arm A) or once-every-3 week docetaxel (Arm B) in subjects with locally recurrent or metastatic breast cancer. Secondarily, this study will evaluate the pharmacokinetic (PK) profile of AMG 706 in both treatment arms, the PK profile of paclitaxel in Arm A and the PK profile of docetaxel in Arm B. Additionally, this study will assess objective tumor response and duration of response. Exploratory endpoints include the investigation of potential biomarker development and to assess the effects of genetic variation in drug metabolism genes, cancer genes and drug target genes on subject response to AMG 706 in combination with paclitaxel or docetaxel.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| B1 | Experimental | AMG 706 50 mg daily + Docetaxel (100 mg/m2 D1 every 21 days) |
|
| A4 | Experimental | 75 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8 and D15 every 28 days) |
|
| A1 | Experimental | AMG 706 50 mg daily + Paclitaxel (90 mg/m2 D1, D8, D15 every 28 days) |
|
| B4 | Experimental | 75 mg AMG 706 daily + Docetaxel (100 mg/m2, D1 every 21 days) |
|
| B5 | Experimental | MTD of AMG 706 + Docetaxel (75mg/m2 D1 every 21 days) |
|
| B3 | Experimental | 100 mg AMG 706 daily + Docetaxel (100 mg/m2 on D1 every 21 days) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Docetaxel | Drug | Subjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicities (DLTs) | Cycle 1 of treatment. For Arm A, 1 cycle = 28 days. For Arm B, 1 cycle = 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of AMG 706 when administered with paclitaxel (Arm A) or docetaxel (Arm B) | Cycle 1 (Arms A and B) and Cycle 2 Arm B only) | |
| Pharmacokinetics of paclitaxel (Arm A) when administered with AMG 706 | Cycle 1, D1 and D8 for subjects in Arm A only |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22872523 | Result | De Boer RH, Kotasek D, White S, Koczwara B, Mainwaring P, Chan A, Melara R, Ye Y, Adewoye AH, Sikorski R, Kaufman PA. Phase 1b dose-finding study of motesanib with docetaxel or paclitaxel in patients with metastatic breast cancer. Breast Cancer Res Treat. 2012 Aug;135(1):241-52. doi: 10.1007/s10549-012-2135-0. Epub 2012 Jul 29. |
| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009362 | Neoplasm Metastasis |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000077143 | Docetaxel |
| D017239 | Paclitaxel |
| C000625785 | motesanib diphosphate |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
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|
| B2 | Experimental | AMG 706 125 mg daily + Docetaxel (100 mg/m2 D1 every 21 days) |
|
| A2 | Experimental | AMG 706 125 mg daily + paclitaxel 90 mg/m2 D1, D8, D15 every 28 days |
|
| A3 | Experimental | 100 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8, and D15 every 28 days) |
|
| Paclitaxel | Drug | Subjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond. |
|
| AMG 706 | Drug | Subjects assigned to Arm A will receive AMG 706 at 50, 75, 100 or 125 mg daily (based on cohort assignment) on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond in combination wth paclitaxel 90 mg/m2. Paclitaxel will be administered on Days 1, 8 and 15 every 28 days. Subjects assigned to Arm B will receive AMG 706 at 50, 75, 100 or 125 mg daily(based on cohort assignment) on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond in combination with docetaxel. Docetaxel will be administered at either 75 mg/m2 or 100 mg/m2 on Day 1 every 21 days. |
|
| Pharmacokinetics of docetaxel (Arm B) when administered with AMG 706 | Cycles 1 and 2 for subjects in Arm B only |
| Incidence of adverse events and clinical laboratory abnormalities not defined as DLTs | From study entry through 30 days post discontinuation of study treatment |
| Objective tumor response (complete or partial response) according to modified RECIST | Subjects in Arm A: every 8 weeks until discontuation. Subjects in Arm B:every 6 weeks until discontinuation. |
| Duration of response (calculated for those subjects who respond): time from first objective tumor response to objective disease progression or death. | Subjects in Arm A: every 8 weeks until discontuation. Subjects in Arm B:every 6 weeks until discontinuation. |
| D009385 |
| Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |