Last reviewed · How we verify

NCT03051659

A Randomized Phase II Study Of Eribulin Mesylate With or Without Pembrolizumab For Metastatic Hormone Receptor Positive Breast Cancer

Completed Phase 2 Results posted Last updated 6 March 2024
What this trial tests

Phase 2 trial testing Eribulin Mesylate in Breast Cancer in 90 participants. Completed in 5 September 2023.

Timeline
22 March 2017
Primary endpoint
11 October 2018
5 September 2023

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment90
Start date22 March 2017
Primary completion11 October 2018
Estimated completion5 September 2023
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, any sex, 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 · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. Median follow-up 10.5 months with range 0.43-19 months.

Progression-free survival based on the Kaplan-Meier method is defined as the duration of time from study entry to documented disease progression (PD) or death. Per RECIST 1.1 criteria: progressive disease (PD) is at least a 20% increase in the sum of longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions.

GroupValue95% CI
Eribulin Mesylate4.23.7 – 6.1
Eribulin Mesylate Combine With Pembrolizumab4.13.5 – 6.2
Objective Response Rate (ORR) Secondary · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. If after Cycle 18 scans, a participant has SD or better by RECIST the frequency of assessments may be reduced to every 4 cycles, up to a maximum of 18 months.

The objective response rate (ORR) was defined as the percentage of participants achieving complete response (CR) or partial response (PR) based on RECIST 1.1 criteria on treatment. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions.

GroupValue95% CI
Eribulin Mesylate3420.5 – 49.9
Eribulin Mesylate Combine With Pembrolizumab2714.9 – 42.8
Median Overall Survival (OS) Secondary · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. Median follow-up 10.5 months with range 0.43-19 months.

OS based on the Kaplan-Meier method is defined as the time from study entry to death or censored at date last known alive. Patients who discontinued treatment to pursue potentially curative resection were censored for progression-free survival at the time of surgery. Patients who had not experienced cancer progression or died were censored at their last known follow-up date.

GroupValue95% CI
Eribulin Mesylate12.58.6 – NA
Eribulin Mesylate Combine With Pembrolizumab13.410.4 – NA
Median Duration of Response (DOR) Secondary · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. If after Cycle 18 scans, a participant has SD or better by RECIST the frequency of assessments may be reduced to every 4 cycles.

DOR is defined as the time from CR or PR achieved until renewed disease progression is detected. DOR will be calculated per RECIST 1.1 and irRECIST criteria.

GroupValue95% CI
Eribulin Mesylate2.11.0 – 4.6
Eribulin Mesylate Combine With Pembrolizumab0.60 – 1.0
Clinical Benefit Rate (CBR) Secondary · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. If after Cycle 18 scans, a participant has SD or better by RECIST the frequency of assessments may be reduced to every 4 cycles, up to a maximum of 18 months.

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

GroupValue95% CI
Eribulin Mesylate21
Eribulin Mesylate Combine With Pembrolizumab22
Number of Participants With Grade 3 or Higher Treatment-Related Toxicity Secondary · Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. If after Cycle 18 scans, a participant has SD or better by RECIST the frequency of assessments may be reduced to every 4 cycles, up to a maximum of 18 months.

All grade 3 or higher adverse events (AE) with treatment attribution of possibly, probably or definite based on CTCAEv4 as reported on case report forms were counted. Incidence is the number of patients experiencing at least one treatment-related grade 3 or higher AE of any type during the time of observation.

GroupValue95% CI
Eribulin Mesylate44
Eribulin Mesylate Combine With Pembrolizumab44

Adverse events — posted to ClinicalTrials.gov

Time frame: Disease assessments is performed every 3 cycles (3 weeks/cycle) for the first 18 cycles. If after Cycle 18 scans, a participant has SD or better by RECIST the frequency of assessments may be reduced to every 4 cycles, up to a maximum of 18 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Eribulin Mesylate Combine With Pembrolizumab
Serious: 27/44 (61%)
Deaths: 19/44
Eribulin Mesylate
Serious: 25/44 (57%)
Deaths: 21/44

Serious adverse events (44 terms)

ReactionSystemEribulin Mesylate Combine …Eribulin Mesylate
Neutrophil count decreasedInvestigations
Aspartate aminotransferase increasedInvestigations
Febrile neutropeniaBlood and lymphatic system disorders
Alanine aminotransferase increasedInvestigations
HypokalemiaMetabolism and nutrition disorders
Peripheral sensory neuropathyNervous system disorders
Alkaline phosphatase increasedInvestigations
AnemiaBlood and lymphatic system disorders
FatigueGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
Lung infectionInfections and infestations
Mucositis oralGastrointestinal disorders
White blood cell decreasedInvestigations
ColitisGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Muscle weakness lower limbMusculoskeletal and connective tissue disorders
Thromboembolic eventVascular disorders
VomitingGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
AnorexiaMetabolism and nutrition disorders
Blood bilirubin increasedInvestigations
Cardiac disorders - Other, specifyCardiac disorders
DehydrationMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
Other adverse events (138 terms — click to expand)

ReactionSystemEribulin Mesylate Combine …Eribulin Mesylate
FatigueGeneral disorders
NauseaGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
Aspartate aminotransferase increasedInvestigations
Neutrophil count decreasedInvestigations
PainGeneral disorders
AnorexiaMetabolism and nutrition disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Alanine aminotransferase increasedInvestigations
CoughRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
FeverGeneral disorders
HeadacheNervous system disorders
Alkaline phosphatase increasedInvestigations
InsomniaPsychiatric disorders
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Mucositis oralGastrointestinal disorders
Abdominal painGastrointestinal disorders
AnxietyPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Flu like symptomsGeneral disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
HypothyroidismEndocrine disorders
MyalgiaMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
HypokalemiaMetabolism and nutrition disorders
Weight lossInvestigations
Blood bilirubin increasedInvestigations
Bone painMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
DepressionPsychiatric disorders
HyperglycemiaMetabolism and nutrition disorders
HypertensionVascular disorders
HyperthyroidismEndocrine disorders
Muscle weakness lower limbMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Neutrophil count decreased, Aspartate aminotransferase increased, Febrile neutropenia, Alanine aminotransferase increased, Hypokalemia, Peripheral sensory neuropathy, Alkaline phosphatase increased, Anemia.

Data from ClinicalTrials.gov NCT03051659 adverse events section.

Sponsor's own description

This research study is exploring chemotherapy in combination with immunotherapy (a therapy that uses the body's own immune system to control cancer) as a possible treatment for metastatic hormone receptor positive breast cancer.

Publications & conference data

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

  1. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer.
    Ye F, Dewanjee S, Li Y, Jha NK, et al · · 2023 · cited 361× · PMID 37415164 · DOI 10.1186/s12943-023-01805-y
  2. Mechanism insights and therapeutic intervention of tumor metastasis: latest developments and perspectives.
    Shi X, Wang X, Yao W, Shi D, et al · · 2024 · cited 139× · PMID 39090094 · DOI 10.1038/s41392-024-01885-2
  3. Effect of Eribulin With or Without Pembrolizumab on Progression-Free Survival for Patients With Hormone Receptor-Positive, ERBB2-Negative Metastatic Breast Cancer: A Randomized Clinical Trial.
    Tolaney SM, Barroso-Sousa R, Keenan T, Li T, et al · · 2020 · cited 123× · PMID 32880602 · DOI 10.1001/jamaoncol.2020.3524
  4. The Immunology of Hormone Receptor Positive Breast Cancer.
    Goldberg J, Pastorello RG, Vallius T, Davis J, et al · · 2021 · cited 115× · PMID 34135901 · DOI 10.3389/fimmu.2021.674192
  5. 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
  6. Immunotherapy for HER2-positive breast cancer: recent advances and combination therapeutic approaches.
    Ayoub NM, Al-Shami KM, Yaghan RJ. · · 2019 · cited 69× · PMID 30697064 · DOI 10.2147/bctt.s175360
  7. An Overview of Antibody Conjugated Polymeric Nanoparticles for Breast Cancer Therapy.
    Juan A, Cimas FJ, Bravo I, Pandiella A, et al · · 2020 · cited 68× · PMID 32854255 · DOI 10.3390/pharmaceutics12090802
  8. Luminal Breast Cancer: Risk of Recurrence and Tumor-Associated Immune Suppression.
    Pellegrino B, Hlavata Z, Migali C, De Silva P, et al · · 2021 · cited 52× · PMID 33974235 · DOI 10.1007/s40291-021-00525-7

Verify or expand the search:

Other trials of Eribulin Mesylate

Trials testing the same drug.

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other Dana-Farber Cancer Institute 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/NCT03051659.

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