Last reviewed · How we verify

NCT02774681

Palbociclib in Treating Patients With Metastatic HER-2 Positive Breast Cancer With Brain Metastasis

Terminated Phase 2 Results posted Last updated 14 April 2020
What this trial tests

Phase 2 trial testing Cognitive Assessment in Breast Carcinoma Metastatic in the Brain in 12 participants. Terminated before completion.

Timeline
31 August 2016
Primary endpoint
13 February 2019
16 February 2020

Quick facts

Lead sponsorNorthwestern University
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date31 August 2016
Primary completion13 February 2019
Estimated completion16 February 2020
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwestern University

Who can join

18 and older, any sex, with Breast Carcinoma Metastatic in the Brain or Estrogen Receptor Negative. 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.

Radiographic Response Rate (RRR) in the CNS in Patients With HER2-positive Breast Cancer Who Have Brain Metastasis Treated With Palbociclib Primary · Up to 3 years

Assess the Radiographic Response Rate (RRR) in the CNS by modified Response Assessment in Neuro-Oncology Criteria Brain Metastasis (modifiedRANO-BM). Maximum response prior to disease progression will be used. In General: Complete Response : Disappearance of all lesions Partial Response: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Stable Disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum of diameters while on study. Progressive Disea

GroupValue95% CI
Treatment (Palbociclib)6
Treatment (Palbociclib)6
Incidence of Adverse Events Secondary · Up to 3 years

Determine the safety and tolerability of palbociclib in patients with HER2-positive breast cancer by evaluating number, frequency, and severity of adverse events using Common Terminology Criteria for Adverse Events version 4.03. The number of patients that experienced SAEs that were determined to be at least possibly related to study drug are reported below.

GroupValue95% CI
Treatment (Palbociclib)1
Overall Survival (OS) Secondary · Up to 3 years

Evaluate OS in patients with HER2-positive breast cancer who have brain metastasis treated with palbociclib. OS is defined as the time from treatment initiation until death due to any cause. Number of patients remaining alive as of the last follow up date, is reported below.

GroupValue95% CI
Treatment (Palbociclib)0
Progression Free Survival (PFS) Secondary · Up to 3 years

Determine the PFS in patients with HER2-positive breast cancer who have brain metastasis treated with palbociclib where PFS is defined as the time from treatment initiation to documented disease progression or death for any reason. Below shows the number of patient who discontinued treatment due to progression of disease.

GroupValue95% CI
Treatment (Palbociclib)11
Overall Response Rate (ORR) Secondary · Up to 3 years

Evaluate systemic ORR defined as partial response or complete response assessed by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 where: Complete Response = complete disappearance of all lesions Partial Response = At least 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.

GroupValue95% CI
Treatment (Palbociclib)0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected over a 2 and half year period for the study. For each patient they were collected from treatment initiation until 30 days post the last treatment with range of cycles completed by patients being less than 1 Cycle to 5 Cycles (1 Cycle = 28 Days). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Palbociclib)
Serious: 6/12 (50%)
Deaths: 11/12

Serious adverse events (4 terms)

ReactionSystemTreatment (Palbociclib)
Thromboembolic EventVascular disorders
SeizureNervous system disorders
ConfusionPsychiatric disorders
HydrocephalusNervous system disorders
Other adverse events (55 terms — click to expand)

ReactionSystemTreatment (Palbociclib)
White Blood Cell DecreasedInvestigations
AnemiaBlood and lymphatic system disorders
Neutrophil Count DecreasedInvestigations
Lymphocyte Count DecreasedInvestigations
Platelet count DecreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
FatigueGeneral disorders
Aspartate aminotransferase increasedInvestigations
NauseaGastrointestinal disorders
HypoalbuminemiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
VomitingGastrointestinal disorders
Gait DisturbanceGeneral disorders
PainGeneral disorders
Alanine aminotransferase increasedInvestigations
Creatinine IncreasedInvestigations
HyponatremiaMetabolism and nutrition disorders
HeadacheNervous system disorders
AnxietyPsychiatric disorders
HypothyroidismEndocrine disorders
Blurred VisionEye disorders
Watery EyesEye disorders
Abdominal PainGastrointestinal disorders
Stomach PainGastrointestinal disorders
Flu Like SymptomsGeneral disorders
MalaiseGeneral disorders
Tooth InfectionInfections and infestations
Alkaline phosphatase increasedInvestigations
Chest Wall PainMusculoskeletal and connective tissue disorders
Pain in ExtremityMusculoskeletal and connective tissue disorders
Cognitive DisturbanceNervous system disorders
DysphasiaNervous system disorders
Memory ImpairmentNervous system disorders
ParesthesiaNervous system disorders
Peripheral Motor NeuropathyNervous system disorders
Peripheral Sensory NeuropathyNervous system disorders
SeizureNervous system disorders
SomnolenceNervous system disorders
ConfusionPsychiatric disorders
DepressionPsychiatric disorders

Most-reported serious reactions: Thromboembolic Event, Seizure, Confusion, Hydrocephalus.

Data from ClinicalTrials.gov NCT02774681 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate if the study drug palbociclib has anti-tumor activity against the breast cancer that has spread to the brain and also to determine the overall radiographic response rate in the CNS. Palbociclib is an anti-cancer medication that has been shown to stop cancer cells from growing. It has been approved in hormone positive breast cancer, along with other hormone therapies and has been found to be effective. The preclinical studies suggest that the drug may also have activity in other types of breast cancer, such as HER2 positive breast cancer. The purpose of this study is to see if the study drug is effective in patients with brain metastasis, who have HER2-positive breast cancer.

Publications & conference data

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

  1. Cyclin D1, cancer progression, and opportunities in cancer treatment.
    Qie S, Diehl JA. · · 2016 · cited 527× · PMID 27695879 · DOI 10.1007/s00109-016-1475-3
  2. The Roles of Cyclin-Dependent Kinases in Cell-Cycle Progression and Therapeutic Strategies in Human Breast Cancer.
    Ding L, Cao J, Lin W, Chen H, et al · · 2020 · cited 385× · PMID 32183020 · DOI 10.3390/ijms21061960
  3. Inhibiting CDK4/6 in Breast Cancer with Palbociclib, Ribociclib, and Abemaciclib: Similarities and Differences.
    Braal CL, Jongbloed EM, Wilting SM, Mathijssen RHJ, et al · · 2021 · cited 277× · PMID 33369721 · DOI 10.1007/s40265-020-01461-2
  4. Treatment strategies for breast cancer brain metastases.
    Bailleux C, Eberst L, Bachelot T. · · 2021 · cited 170× · PMID 33250512 · DOI 10.1038/s41416-020-01175-y
  5. Abemaciclib: a CDK4/6 inhibitor for the treatment of HR+/HER2- advanced breast cancer.
    Corona SP, Generali D. · · 2018 · cited 106× · PMID 29497278 · DOI 10.2147/dddt.s137783
  6. 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
  7. Understanding patterns of brain metastasis in breast cancer and designing rational therapeutic strategies.
    Brosnan EM, Anders CK. · · 2018 · cited 98× · PMID 29911111 · DOI 10.21037/atm.2018.04.35
  8. Molecular subtype predicts incidence and prognosis of brain metastasis from breast cancer in SEER database.
    Kim YJ, Kim JS, Kim IA. · · 2018 · cited 87× · PMID 29971531 · DOI 10.1007/s00432-018-2697-2

Verify or expand the search:

Other trials of Cognitive Assessment

Trials testing the same drug.

Other Northwestern University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02774681.

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