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The purpose of the study is to evaluate dose limiting toxicity (DLT), investigate the tolerability and safety of eribulin mesylate with trastuzumab combination therapy, and estimate the recommended dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E7389 | Drug | Eribulin mesylate (iv) will be administered on Day 1 and Day 8 of each cycle (3 weeks as 1 cycle). Trastuzumab (iv) will be administered as weekly use or tri-weekly use. Trastuzumab will be administered immediately after eribulin mesylate administration when used concomitantly. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Dose Limiting Toxicity (DLT) | For DLT evaluation, severity (grade) was classified according to common terminology criteria for adverse events version 4.0 (CTCAE v4.0). DLTs were defined as grade 4 neutropenia persisting for more than 7 days; grade 3 or above febrile neutropenia; grade 4 thrombocytopenia or grade 3 thrombocytopenia requiring blood transfusion; non-hematologic toxicity (excluding toxicity related to neutrophils, leukocytes, lymphocytes, platelets, CD4 lymphocytes, anemia, and bone marrow density) greater than or equal to grade 3 (Exceptions: Dose reduction was not required even when the following conditions were met: grade 3 nausea, vomiting, or diarrhea controllable with anti-emetic or anti-diarrheal medication and abnormal laboratory parameter not requiring treatment); and day 8 administration was delayed or skipped as a result of the subject did not meet the dosing riteria within cycle. | Up to 3 weeks |
| Number of Participants With Adverse Events | The number of subjects who developed 'treatment-emergent adverse events (AEs) and serious adverse events (SAEs) were evaluated. | From signing of informed consent up to 30 days after participant's last treatment dose or up to approximately 2 years |
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Inclusion Criteria
Females aged greater than or equal to 20 years and less than 75 years at the time of informed consent.
Histologically or cytologically confirmed with breast cancer
Score 3+ by immunohistochemistry (IHC) or HER2 positive by Fluorescence in Situ Hybridization (FISH) method
Subjects who meet any of the following criteria:
Adequate organ function
Eastern Cooperative Oncology Group (ECOG)-Performance Status (PS) is 0 or 1
Subjects who have submitted written informed consent for study entry
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Tadashi Nakanishi | Eisai Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kashiwa-shi | Chiba | Japan | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25242374 | Derived | Mukai H, Saeki T, Shimada K, Naito Y, Matsubara N, Nakanishi T, Obaishi H, Namiki M, Sasaki Y. Phase 1 combination study of eribulin mesylate with trastuzumab for advanced or recurrent human epidermal growth factor receptor 2 positive breast cancer. Invest New Drugs. 2015 Feb;33(1):119-27. doi: 10.1007/s10637-014-0161-y. Epub 2014 Sep 23. |
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| ID | Title | Description |
|---|---|---|
| FG000 | E7389 With Weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously weekly, with an initial dose of 4 mg/kg followed by 2 mg/kg for the remaining doses. |
| FG001 | E7389 With Tri-weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously tri-weekly, with an initial dose of 8 mg/kg followed by 6 mg/kg for the remaining doses. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | E7389 With Weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously weekly, with an initial dose of 4 mg/kg followed by 2 mg/kg for the remaining doses. |
| BG001 | E7389 With Tri-weekly Trastuzumab |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Dose Limiting Toxicity (DLT) | For DLT evaluation, severity (grade) was classified according to common terminology criteria for adverse events version 4.0 (CTCAE v4.0). DLTs were defined as grade 4 neutropenia persisting for more than 7 days; grade 3 or above febrile neutropenia; grade 4 thrombocytopenia or grade 3 thrombocytopenia requiring blood transfusion; non-hematologic toxicity (excluding toxicity related to neutrophils, leukocytes, lymphocytes, platelets, CD4 lymphocytes, anemia, and bone marrow density) greater than or equal to grade 3 (Exceptions: Dose reduction was not required even when the following conditions were met: grade 3 nausea, vomiting, or diarrhea controllable with anti-emetic or anti-diarrheal medication and abnormal laboratory parameter not requiring treatment); and day 8 administration was delayed or skipped as a result of the subject did not meet the dosing riteria within cycle. | The DLT analysis set included those participants who received at least one dose of study drug and had a DLT assessment in cycle 1 (3 weeks) without deviations from the eribulin mesylate/trastuzumab dosing regimens and other major protocol prescripts. Participants with a DLT, regardless of this criterion, were also included in the DLT analysis set. | Posted | Number | Participants | Up to 3 weeks |
From signing of informed consent up to 30 days after participant's last treatment dose or up to approximately 2 years
The safety analysis set included all participants who received at least one dose of study drug and had at least one post dose safety evaluation. A subject with two or more treatment emergent adverse events in the same system organ class/preferred term is counted only once for that system organ class/preferred term.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | E7389 With Weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously weekly, with an initial dose of 4 mg/kg followed by 2 mg/kg for the remaining doses. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 16.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Tadashi Nakanishi | Eisai Co., Ltd. | 81-3-3817-5252 | 5252 |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| C490954 | eribulin |
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|
| Hidaka-shi |
| Saitama |
| Japan |
Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously tri-weekly, with an initial dose of 8 mg/kg followed by 6 mg/kg for the remaining doses. |
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | E7389 With Weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously weekly, with an initial dose of 4 mg/kg followed by 2 mg/kg for the remaining doses. |
| OG001 | E7389 With Tri-weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously tri-weekly, with an initial dose of 8 mg/kg followed by 6 mg/kg for the remaining doses. |
|
|
| Primary | Number of Participants With Adverse Events | The number of subjects who developed 'treatment-emergent adverse events (AEs) and serious adverse events (SAEs) were evaluated. | The safety analysis set included all participants who received at least one dose of study drug and had at least one post dose safety evaluation. | Posted | Number | Participants | From signing of informed consent up to 30 days after participant's last treatment dose or up to approximately 2 years |
|
|
|
| 0 |
| 6 |
| 6 |
| 6 |
| EG001 | E7389 With Tri-weekly Trastuzumab | Eribulin mesylate (E7389) was administered intravenously on Day 1 and Day 8 of each 3 week cycle. Trastuzumab was administered intravenously tri-weekly, with an initial dose of 8 mg/kg followed by 6 mg/kg for the remaining doses. | 0 | 6 | 6 | 6 |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Lymphopenia | Blood and lymphatic system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Atrioventricular block second degree | Cardiac disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Ocular hyperaemia | Eye disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Cheilitis | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Dental caries | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Oral dysaesthesia | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Chest discomfort | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Implant site pain | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Inflammation | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Infusion site extravasation | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Injection site reaction | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Mucosal inflammation | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Lung infection | Infections and infestations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Tonsillitis | Infections and infestations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Contrast media reaction | Injury, poisoning and procedural complications | MedDRA version 16.1 | Non-systematic Assessment |
|
| Excoriation | Injury, poisoning and procedural complications | MedDRA version 16.1 | Non-systematic Assessment |
|
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA version 16.1 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Ejection fraction decreased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA version 16.1 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Hyperlipidaemia | Metabolism and nutrition disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Hypertriglyceridaemia | Metabolism and nutrition disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Spondylolisthesis | Musculoskeletal and connective tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Tumour pain | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA version 16.1 | Non-systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Organising pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Nail discolouration | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Nail disorder | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
| Phlebitis | Vascular disorders | MedDRA version 16.1 | Non-systematic Assessment |
|
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| D017437 |
| Skin and Connective Tissue Diseases |