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NCT02291913

Everolimus Combined With Anti-estrogen Therapy in Hormone-Receptor-Positive HER-2 Negative Advanced Breast Cancer

Completed Phase 2 Results posted Last updated 17 February 2020
What this trial tests

Phase 2 trial testing Everolimus in Breast Cancer in 48 participants. Completed in 31 January 2019.

Timeline
18 December 2014
Primary endpoint
31 January 2019
31 January 2019

Quick facts

Lead sponsorSCRI Development Innovations, LLC
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment48
Start date18 December 2014
Primary completion31 January 2019
Estimated completion31 January 2019
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

SCRI Development Innovations, LLC — full company profile →

Who can join

18 and older, female only, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Progression Free Survival (PFS) Primary · up to 3 years

PFS is defined as the time from Day 1 of study drug administration to disease progression as defined by RECIST (Response Evaluation Criteria in Solid Tumors) version 1.1 criteria, or death on study. Participants who are alive and free from disease progression will be censored at the date of last radiologic tumor assessment. Participants who receive non-protocol therapy (subsequent therapy) prior to incurring an event will be censored at the date of last tumor assessment prior to the start of subsequent therapy. Participants who do not have a post-baseline tumor assessment will be censored at t

GroupValue95% CI
Everolimus7.24.1 – 10.0
Number of Patients With Adverse Events (AEs) as a Measure of Safety and Tolerability Secondary · Up to 20 months

Assessments were made through analysis of the reported incidence of treatment-emergent AEs. All participants who received at least one dose of protocol treatment were followed for safety. Adverse events were collected from day of first dose to 30 days after last protocol treatment and graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

GroupValue95% CI
Everolimus48
Number of Patients With an Objective Response (CR or PR) Also Called the Overall Response Rate (ORR). Secondary · every 8 weeks until discontinuation, up to 20 months

Defined as the number of patients with objective evidence of complete or partial response (CR or PR) using RECIST version 1.1. A CR is the complete disappearance of all target lesions. A PR is a decrease of 30% or more of the diameter(s) of all target lesions from the baseline sum of diameters.

GroupValue95% CI
Everolimus2
Number of Participants With CR, PR, or 6 Months of SD Also Called Clinical Benefit Rate (CBR) Secondary · Up to 20 months

The proportion of patients with Complete Response (CR) or Partial Response (PR) or 6 months or more of Stable Disease (SD). A CR is the complete disappearance of all target lesions. A PR is a decrease of 30% or more of the diameter(s) of all target lesions from the baseline sum of diameters. SD is not meeting the criteria for PR or a 20% increase in target lesions called Progressive Disease (PD).

GroupValue95% CI
Everolimus12
Median Time From First Occurrence of CR or PR to Disease Progression or Death Also Called Duration of Response (DOR) Secondary · every 8 weeks until discontinuation, up to 20 months

Only those patients who achieved Complete Response or Partial Response will be included in the summaries of DOR. DOR is defined as time from first date of response of CR or PR to disease progression or death as defined by RECIST v1.1 criteria. Participants who are alive and free from disease progression will be censored at the date of last tumor assessment. Patients who receive non-protocol therapy (subsequent therapy) prior to incurring an event will be censored at the date of last tumor assessment prior to the start of subsequent therapy. A CR is the complete disappearance of all target lesi

GroupValue95% CI
Everolimus8.81.8 – 11.8
Median Overall Survival (OS) Secondary · up to 3 years from first treatment

Defined as the time from date of first study treatment to date of death due to any cause. Patients who are alive will be censored at the date of last known date alive.

GroupValue95% CI
Everolimus26.716.3 – 26.7

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 20 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Everolimus
Serious: 15/48 (31%)
Deaths: 32/48

Serious adverse events (19 terms)

ReactionSystemEverolimus
ConstipationGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
EsophagitisGastrointestinal disorders
Gastrointestinal hemorrhageGastrointestinal disorders
Non-Cardiac chest painGeneral disorders
PainGeneral disorders
CholecystitisHepatobiliary disorders
DiverticulitisInfections and infestations
CellulitisInfections and infestations
GastroenteritisInfections and infestations
SepsisInfections and infestations
DehydrationMetabolism and nutrition disorders
Endometrial cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DyspneaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
EmbolismVascular disorders
Other adverse events (38 terms — click to expand)

ReactionSystemEverolimus
FatigueGeneral disorders
NauseaGastrointestinal disorders
StomatitisGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
Mucosal InflammationGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
Urinary Tract InfectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Decreased AppetiteMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
Musculoskeletal PainMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Oedema PeripheralGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Aspartate Aminotransferase IncreasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Abdominal PainGastrointestinal disorders
Dry MouthGastrointestinal disorders
HaemorrhoidsGastrointestinal disorders
PyrexiaGeneral disorders
CellulitisInfections and infestations
SinusitisInfections and infestations
Alanine Aminotransferase IncreasedInvestigations
Weight DecreasedInvestigations
DehydrationMetabolism and nutrition disorders
Muscle SpasmsMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
Rash PruriticSkin and subcutaneous tissue disorders

Most-reported serious reactions: Constipation, Anemia, Cardiac failure congestive, Esophagitis, Gastrointestinal hemorrhage, Non-Cardiac chest pain, Pain, Cholecystitis.

Data from ClinicalTrials.gov NCT02291913 adverse events section.

Sponsor's own description

Many patients with ER-positive or PR-positive breast cancer are treated with endocrine therapy. Although most ER/PR-positive tumors initially respond to hormonal therapy, patients often experience disease progression. Everolimus, in combination with exemestane, has shown activity in endocrine-resistant disease. This study will evaluate the efficacy of Everolimus+ anti-estrogen therapy in patients with ER-positive metastatic breast cancer who have progressed after receiving anti-estrogen therapy.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Investigational chemotherapy and novel pharmacokinetic mechanisms for the treatment of breast cancer brain metastases.
    Shah N, Mohammad AS, Saralkar P, Sprowls SA, et al · · 2018 · cited 102× · PMID 29604436 · DOI 10.1016/j.phrs.2018.03.021
  2. Chemoresistance in breast cancer: PI3K/Akt pathway inhibitors vs the current chemotherapy.
    Kaboli PJ, Imani S, Jomhori M, Ling KH. · · 2021 · cited 51× · PMID 34765318
  3. Targeting Myeloid-Derived Suppressor Cells in Cancer Immunotherapy.
    Wang Y, Jia A, Bi Y, Wang Y, et al · · 2020 · cited 45× · PMID 32942545 · DOI 10.3390/cancers12092626
  4. Molecular Mechanisms of Anti-Estrogen Therapy Resistance and Novel Targeted Therapies.
    Ozyurt R, Ozpolat B. · · 2022 · cited 31× · PMID 36358625 · DOI 10.3390/cancers14215206
  5. Current status of PI3K-mTOR inhibition in hormone-receptor positive, HER2-negative breast cancer.
    Sobhani N, Generali D, Zanconati F, Bortul M, et al · · 2018 · cited 8× · PMID 30622925 · DOI 10.5306/wjco.v9.i8.172

Verify or expand the search:

Other trials of Everolimus

Trials testing the same drug.

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other SCRI Development Innovations, LLC trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing