Details

Details

Title Treatment of Brain Metastases from Breast Cancer with Eribulin Mesylate

IRB CASE7113

CC 15-1658

Hospital Main Campus

Disease Brain Metastases from Breast Cancer

Drug Eribulin Mesylate

Description

Description

Primary Objectives:
  • To determine the 3-month central nervous system (CNS)-progression free survival (PFS) for patients with metastatic breast cancer with brain metastases treated with eribulin mesylate.
Secondary Objective(s):
  • Estimate CNS complete and partial response rates (CR and PR) and duration of CNS response in this patient population.
  • Evaluate toxicity in patients with breast cancer with brain metastases treated with eribulin mesylate.
  • Estimate clinical benefit rate (CBR) at 3 months in breast cancer patients with brain metastases treated with eribulin mesylate. (CBR is the sum of CR, PR and stable disease at 3 months).
  • To estimate systemic disease (extra cranial) response rate and duration of systemic response in this patient population.
  • Overall survival in this patient population.
Inclusion Criteria

Inclusion Criteria

  1. Female with histologically documented advanced stage breast cancer.
  2. Radiologically confirmed metastatic brain lesion by MRI.
  3. Brain metastases from breast cancer with or without prior WBRT, STS of surgical resection. Progression must be documented in an at least one lesion untreated by SRS or in any site after surgery or WBRT.
  4. Patients must be neurologically stable and with stable dose steroids and anticonvulsants for at least 1 week prior to obtaining the baseline MRI of the brain, and/or at least 1 week prior to beginning study treatment.
  5. No presence of uncontrolled systemic disease or tumor related complication which, in opinion of the investigator, might restrict life expectancy to less than 3 months.
  6. Patients should not be on any cytotoxic chemotherapy except for trastuzumab which is allowed in HER-2 positive patients.
  7. Subject age ≥ 18 years
  8. Able to comprehend and willing to sign an Informed Consent Form (ICF)
  9. Karnofsky performance status ≥ 60
  10. No brain radiation therapy > 4 weeks
  11. Adequate bone marrow, renal, and hepatic function, per local reference laboratory ranges as follows:
    • Absolute neutrophil count (ANC) ≥ 1,500/mm3
    • Platelet count ≥ 100,000/mm3
    • Hemoglobin ≥ 10 g/dL
    • Calculated creatinine clearance (CrCl) ≥ 30mL/min (Cockcroft-Gault method)
    • Patients with normal, mild or moderate hepatic dysfunction are eligible.
    • Calcium <10.1 mg/dL (corrected to serum albumin as follows: Corrected Calcium = (0.8 x (4 - patient albumin)) + serum Ca
  12. Females of child-bearing potential must have a negative pregnancy test at screening and agree to take appropriate precautions to avoid pregnancy (double barrier method of birth control or abstinence) from screening through 3 months after the last dose of treatment
  13. Able to undergo MRI evaluation with gadolinium contrast
Exclusion Criteria

Exclusion Criteria

  1. Patients with the presence of an active infection, abscess or fistula
  2. Known leptomeningeal disease or CNS midline shifts.
  3. Any evidence of severe or uncontrolled systemic disease such as clinically significant cardiovascular, pulmonary, hepatic, renal or metabolic disease.
  4. Severe conduction abnormality including significant QTc prolongation >450ms.
  5. Patients with grade 3/4 peripheral neuropathy.
  6. Patients with pacemaker or an ICD devices.
  7. Previous treatment with eribulin mesylate.