CClinicalTrials.gg
TerminatedNCT00522457Updated Apr 29, 2011Results posted

Phase II Study With the Trifunctional Antibody Ertumaxomab to Treat Metastatic Breast Cancer After Progression on Trastuzumab Therapy

A Phase 2 interventional study of ertumaxomab in Metastatic Breast Cancer and Advanced Breast Cancer, sponsored by Neovii Biotech. Terminated at 5 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-04-29.

Sponsored by Neovii Biotech · Phase 2, Interventional, and Treatment

Why this study was terminated
change in development plan, not due to safety concerns.
Phase
Phase 2
Study type
Interventional
Enrollment
19
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

This study has the purpose to demonstrate clinical efficacy of the investigational new drug ertumaxomab in patients with human epidermal growth factor receptor-2 (HER-2/neu) overexpressing (3+ or 2+ with a positive Fluorescence In Situ Hybridization (FISH) test result) metastatic breast cancer progressing after trastuzumab treatment.

Ertumaxomab is a trifunctional bispecific antibody targeting Her-2/neu on tumor cells and CD3 on T cells. Trifunctional antibodies represent a new concept for targeted anticancer therapy. This new antibody class has the capability to redirect T cells and accessory immune effector cells (e.g. macrophages, dendritic cells [DCs] and natural killer [NK] cells) to the tumor site. According to preclinical data, trifunctional antibodies activate these immune cells, which can trigger a complex anti-tumor immune response.

Read the detailed description

This study is an open-label, non-randomized, uncontrolled, two-stage phase II study evaluating the efficacy and safety of ertumaxomab. Ertumaxomab will be administered three times at 7 day intervals by constant rate 3 hour intravenous (i.v.) infusions according to the following dose schedule: 10 µg (day 0); 100 µg (day 7 ± 1 day) and 100 µg (day 14 ± 1 day) (flat doses).

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Conditions studied

  • Metastatic Breast Cancer
  • Advanced Breast Cancer

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Keywords

  • Breast Cancer
  • investigational drug
  • drug therapy
  • Antineoplastic Protocols
  • Immunotherapy
  • Metastatic breast cancer
  • Advanced breast cancer
  • Stage IV breast cancer
  • Her-2/neu expressing breast cancer
  • Her-2/neu
  • Trastuzumab refractory
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 19 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Neovii Biotech is the lead sponsor of 16 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Women ≥ 18 years, Negative pregnancy test at screening and life expectancy of at least 3 months
  • metastatic (stage IV) and not curable adenocarcinoma of the breast
  • Measurable disease, defined as at least one lesion that is measurable in one dimension (RECIST)
  • HER-2 overexpression 3+ or 2+ FISH positive
  • Patients must have received one prior therapy with trastuzumab as last treatment before entry into the study. If trastuzumab was given as single agent treatment, patients must have received prior chemotherapy for metastatic disease
  • Trastuzumab has been discontinued before study entry
  • disease had progressed during or after trastuzumab therapy
  • Eastern Cooperative Oncology Group (ECOG)performance score of ≤ 2
  • Adequate hematological, liver and kidney function

Key Exclusion Criteria:

  • Women who are pregnant or breast feeding
  • Any history or symptoms indicative of brain or central nervous system metastases
  • Prior diagnosis of any malignancy not cured by surgery alone less than 5 years before study entry (except in situ carcinoma of the cervix or adequately treated basal cell carcinoma of the skin)
  • Human anti-murine antibody positive or hypersensitivity to murine proteins and any other component of the study drug
  • Known autoimmune diseases, Human immunodeficiency virus (HIV), hepatitis B or C infection as well as other acute or chronic infection or other concurrent non-malignant co-morbidities that are uncontrolled
  • Any concurrent chemotherapy, hormonal therapy, immunotherapy or corticoid therapy
  • Concurrent antibiotic treatment
  • Any concurrent investigational treatment for metastatic disease

Cardiovascular exclusion criteria:

  • Unstable or uncontrolled pectorial angina
  • Myocardial infarction during the last 6 months
  • Valvular heart disease that requires treatment
  • Cardiomyopathy (congestive, hypertrophic or restrictive)
  • Acute myocarditis
  • Congestive heart failure (CHF): dyspnea, clinically or radiologically diagnosed
  • Left ventricular ejection fraction (LVEF)outside institution's normal range based on echocardiography at rest
  • Left ventricular diameter > 56 mm based on M-mode echocardiography at rest
  • Arrhythmias that require treatment (atrioventricular block II/III degree, atrial fibrillation, ventricular tachycardia)
  • Poorly or uncontrolled hypertension, asthma, seizures, allergies, pulmonary dysfunction
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Interventions

  • Drugertumaxomab

    Ertumaxomab will be intravenously administered to see if it can increase the patient's objective response rate.

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What researchers measure

Primary outcomes

  1. Clinical Efficacy Measured by Objective Response Rate (Best Response During the Course of the Study)

    Time frame: patients are monitored for 6 months

Secondary outcomes

  1. Duration of Response

    The study was prematurely terminated, therefore no participants were analyzed

    Time frame: patients are monitored for 6 months

  2. Clinical Benefit Rate

    The study was prematurely terminated, therefore no participants were analyzed

    Time frame: patients are monitored for 6 months

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Results

Posted Apr 29, 2011
Limitations and caveats
The study was prematurely terminated. This decision was based on strategic changes in the company's research and development program and resulted in limited patient data.

Participant flow

Open-label phase 2 study evaluating the efficacy and safety of ertumaxomab for the treatment of metastatic breast cancer tumors. Ertumaxomab will be administered 3 times at 7 day intervals by constant rate 3 hour intravenous (IV) infusions according to the following dose schedule: 10 µg (day 0); 100 µg (day 7±1)and 100 µg(day14±1)(flat doses).

Participant flow — Overall Study
MilestoneErtumaxomab
Started19
Completed1
Not completed18
Withdrew: Due to disease progression16
Withdrew: Adverse event2

Outcome measures

PrimaryClinical Efficacy Measured by Objective Response Rate (Best Response During the Course of the Study)
Time frame:
patients are monitored for 6 months
Reported as:
Number · participants

No measurements were reported for this outcome.

SecondaryDuration of Response

The study was prematurely terminated, therefore no participants were analyzed

Time frame:
patients are monitored for 6 months
Reported as:
Number · participants

No measurements were reported for this outcome.

SecondaryClinical Benefit Rate

The study was prematurely terminated, therefore no participants were analyzed

Time frame:
patients are monitored for 6 months
Reported as:
Number · participants

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ertumaxomab—11/19 (57.9%)19/19 (100%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventErtumaxomab
pyrexiaGeneral disorders4/19
hypotensionVascular disorders4/19
medical observationInvestigations3/19
malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)2/19
hydronephrosisRenal and urinary disorders2/19
astheniaGeneral disorders1/19
infusion related reactionGeneral disorders1/19
hemoptysisVascular disorders1/19
abscess intestinalGastrointestinal disorders1/19
nauseaGastrointestinal disorders1/19
Most frequent other events
Showing 10 of 91
Most frequent other events
EventErtumaxomab
chillsGeneral disorders14/19
headachesNervous system disorders14/19
pyrexiaGeneral disorders13/19
nauseaGastrointestinal disorders13/19
fatigueGeneral disorders11/19
vomitingGastrointestinal disorders10/19
hypotensionVascular disorders9/19
anorexiaMetabolism and nutrition disorders5/19
hpertensionVascular disorders4/19
aspartate aminotransferase increasedInvestigations4/19

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Ertumaxomab
<=18 years0
Between 18 and 65 years19
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Ertumaxomab
Female19
Male0
Region of Enrollment
Region of Enrollment(participants)Ertumaxomab
United States12
Canada7
08

Study locations

5 sites
  • Minneapolis, Minnesota, United States
  • Lebanon, New Hampshire, United States
  • New York, New York, United States
  • Ottawa, Ontario, Canada
  • Montreal, Quebec, Canada
09

References and documents

Publications

  • Kiewe P, Hasmuller S, Kahlert S, Heinrigs M, Rack B, Marme A, Korfel A, Jager M, Lindhofer H, Sommer H, Thiel E, Untch M. Phase I trial of the trifunctional anti-HER2 x anti-CD3 antibody ertumaxomab in metastatic breast cancer. Clin Cancer Res. 2006 May 15;12(10):3085-91. doi: 10.1158/1078-0432.CCR-05-2436. PubMed 16707606 ↗
  • Ruf P, Lindhofer H. Induction of a long-lasting antitumor immunity by a trifunctional bispecific antibody. Blood. 2001 Oct 15;98(8):2526-34. doi: 10.1182/blood.v98.8.2526. PubMed 11588051 ↗
  • Riesenberg R, Buchner A, Pohla H, Lindhofer H. Lysis of prostate carcinoma cells by trifunctional bispecific antibodies (alpha EpCAM x alpha CD3). J Histochem Cytochem. 2001 Jul;49(7):911-7. doi: 10.1177/002215540104900711. PubMed 11410615 ↗
  • Zeidler R, Mysliwietz J, Csanady M, Walz A, Ziegler I, Schmitt B, Wollenberg B, Lindhofer H. The Fc-region of a new class of intact bispecific antibody mediates activation of accessory cells and NK cells and induces direct phagocytosis of tumour cells. Br J Cancer. 2000 Jul;83(2):261-6. doi: 10.1054/bjoc.2000.1237. PubMed 10901380 ↗
  • Zeidler R, Reisbach G, Wollenberg B, Lang S, Chaubal S, Schmitt B, Lindhofer H. Simultaneous activation of T cells and accessory cells by a new class of intact bispecific antibody results in efficient tumor cell killing. J Immunol. 1999 Aug 1;163(3):1246-52. PubMed 10415020 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00522457
Lead sponsor
Neovii Biotech
Collaborators
Fresenius Biotech North America
First posted
Aug 29, 2007
Start date
Jan 2008
Primary completion
Dec 2009
Completion
Dec 2009
Results posted
Apr 29, 2011
Last update
Apr 29, 2011

Study contacts

Gary Schwartz, MD
principal investigator · Dartmouth Hitchcock Medical Center/Norris Cotton Cancer Center; Lebanon, NH

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2011. You cannot join it, but the record below documents what was studied.

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