This trial has been completed.

Conditions metastatic breast cancer, locally advanced breast cancer
Treatment artesunate
Phase phase 1
Sponsor Heidelberg University
Collaborator H. W. & J. Hector-Stiftung, Weinheim
Start date October 2008
End date November 2013
Trial size 23 participants
Trial identifier NCT00764036, M33/2


The purpose of this study is to evaluation the tolerability of an add-on therapy with artesunate with a duration of 4 weeks in patients with advanced breast cancer.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Intervention model sequential assignment
Intervention model description dose escalation
Primary purpose treatment
Masking no masking
add-on therapy with 100, 150 or 200 mg oral artesunate once daily
artesunate artesunic acid hemisuccinate
add-on therapy with daily single oral doses of 100, 150 or 200 mg of artesunate

Primary Outcomes

Dose limiting adverse events with possible, probable or definite relation with the respective dose level of the add-on therapy
time frame: 8-12 weeks

Secondary Outcomes

Adverse events relation between adverse events and add-on therapy, cortisol profile in saliva, overall response rate, clinical benefit, assessment of patients expectations
time frame: 8-12 weeks

Eligibility Criteria

Female participants from 18 years up to 99 years old.

Inclusion Criteria: - Patients with histologically or cytologically confirmed breast cancer - Distant metastases or locally advanced breast cancer - Age ≥ 18 years - ECOG performance ≤ 2 - Life expectancy of at least 6 months - Written informed consent - individual standard therapy according to guidelines - Oral intake of trial medication possible - Compliance with study procedures - Women of childbearing potential: negative pregnancy test before start of medication - Use of a highly effective method of birth control during intake of add-on therapy for women of childbearing potential being sexually active Inclusion Criteria for Extended Treatment Phase: - Participant of the phase I study ARTIC M33/2 who had tolerated the study medication for 4±1 weeks without clinically relvant adverse events or after improvement to ≤ grade 2 - Participant of the phase I study ARTIC M33/2 with possible benefit by continuation or restart of the add-on therapy after a next progression according to current scientific knowledge - Written informed consent for extended treatment phase - Consent of the responsible oncologist - Compliance for further intake and follow-up expected Inclusion Criteria for Individual Compassionate Use: - Participant of the phase I study ARTIC M33/2 - Available standard therapies have minimal or only short activity or intolerable side effects - Written informed consent for compassionate use - Consent of the responsible oncologist Exclusion Criteria: - Allergy to artesunate or to other artemisinin derivatives - Concurrent conditions interfering with patient safety - Communication problems - Concurrent participation in another clinical trial or 4 weeks prior to recruitment - Participation in a clinical trial with an unapproved drug 6 months prior to recruitment - Sinus bradycardia, bradyarrhythmia - AV-Block II° and III° - QTc > 500 msec - Previously known long QT-syndrome - Concurrent intake of a medication with clinically relevant neurotoxicity or during 30 days prior to recruitment - Relevant neurological symptoms which might complicate the evaluation of the compatibility of the IMPD (f. e. cerebral metastases) or might be subject to worsening during intake of the IMPD - Radiotherapy 2 weeks prior of the intake of the IMPD - Concurrent intake of supplements or any other medication with unapproved efficacy f.e. vitamins, minerals or others (OTC) - Pregnancy and lactation - Ineffective mode of contraception in women of childbearing potential Exclusion Criteria for Extended Treatment Phase: - Clinically relevant adverse Events during the first 4 weeks of intake of study medication possibly, probably or definitely related to the study medication - Intolerable health risks by continuation re-exposition with the study medication - Continuation or re-exposition is medically not acceptable after consultation of physicians responsible for their standard therapy Exclusion Criteria for Individual Compassionate Use: - Intolerable health risks by re-exposition with the study medication

Additional Information

Official title Prospective Open Uncontrolled Phase I Study of Compatibility, Safety&Pharmacokinetics of Artesunate, a Semisynthetic Derivative of Artemisinin From the Chinese Herb Artemisia Annua in Patients With Metastatic/Locally Advanced Breast Cancer
Principal investigator Cornelia U v. Hagens, MD
Description Additional objectives are: - parallel sampling of blood and saliva for the determination of drug concentrations and pharmacokinetic parameters in a substudy on the day of first application and during steady state - attempt to establish a therapeutical drug monitoring - collection of further safety data during prolonged add-on treatments (compassionate use)
Trial information was received from ClinicalTrials.gov and was last updated in March 2017.
Information provided to ClinicalTrials.gov by Heidelberg University.