BCIRG 103

Study: BCIRG 103     (1839 IL / 0219)

Title
Presurgical study to evaluate molecular alterations that occur in human breast cancer tissue and normal skin after short term exposure to ZD1839 (Iressaâ) and to correlate these aleterations with pharmacokinetics parameters
Study Chairs
Dennis Slamon, MD, John Forbes, MD, John Mackey, MD
 
Sponsor
 
AstraZeneca Pharmaceuticals
Rationale
The primary purpose of this trial is to evaluate the molecular effects of ZD1839 on breast cancer tissue not exposed to chemotherapy or radiation. Patients with untreated primary breast tumors amenable to a pre-treatment biopsy followed by definitive surgery represent an ideal population to study. The proposed tissue acquisition and correlative science trial is based on the following observations. First, the EGFR appears to play an important role in the pathogenesis and progression of a subset of human breast cancers. Therefore, EGFR inhibitors are of substantial clinical interest. The dose of ZD1839 selected (250mg/day), the proposed brief duration of treatment, and the fact that patients enrolled in this study will not be required to undergo any delay in definitve surgery shoulf ensure the safety of the trial
Design
Eligible patients will be registered to receive ZD1839 250mg orally once daily starting within 8 days from the time of registration and continuing to the time of the definitive surgery. 
Endpoints
Primary: To identify the molecular alterations which occur in human breast tissue after short term exposure to ZD1839
Secondary: To evaluate the molecular effets of short term ZD1839 exposure in normal skin tissue and on EGFR signaling pathways in non-tumor cells (skin tissue). To correlate the pharmacokinetic parameters. To evaluate the toloerability and safety of short term exposure to a daily oral single dose of 250mg ZD1839 administration
 
Number of Patients
 
Status
 
Study Communications
 
50 patients
 
 
Completed
 
ASCO June 2004, New Orleans - Abstract 581
"Intratumoral and Plasma Concentrations of Gefitnib ('Iressa') in Breast Cancer Patients: Preliminary Results from a Presurgical Investigatory Study (BCIRG 103)"