Clinical Drug Experience Knowledgebase

Criteria

Inclusion Criteria:

Adult patients (≥ 18 years of age)
Histologically or cytologically confirmed stage IV lung or breast cancer with progressive or recurrent brain metastases
Eastern Cooperative Oncology Group (ECOG) performance status 0-2
Prior external beam radiotherapy (WBRT or SRS) of BM Patients suffering from small cell lung cancer (SCLC) who have been treated with chemotherapy and prophylactic cranial radiotherapy may be also enrolled.
At least one two-dimensional measurable lesion on brain MRI
Life expectancy at least 3 months
Females of childbearing potential (FCBP) must have a negative pregnancy test within 7 days of the first application of study treatment and must agree to use effective contraceptive birth control measures (Pearl Index < 1) during the course of the Trial. A female subject is considered to be of childbearing potential unless she is age ≥ 50 years and naturally amenorrhoeic for ≥ 2 year, or unless she is surgically sterile.
Males must agree to use effective contraception (Pearl Index < 1) during the course of the trial and for at least 6 months after last administration of study medication cabazitaxel. In addition males must agree to prevent contact with the ejaculate by another person throughout study treatment.

Exclusion Criteria:

Prior chemotherapy or targeted therapy (e.g. erlotinib, bevacizumab) for brain metastases
Any chemotherapy or targeted tumor therapy within two weeks of study inclusion or concomitantly
Any antihormonal tumor treatment within two weeks of study inclusion or concomitantly
Time interval to prior external beam radiotherapy less than 2 weeks
Suspected or known leptomeningeal disease
Peripheral neuropathy ≥ grade 2

Inadequate organ and bone marrow function as evidenced by:

Absolute neutrophil count (ANC) < 1.5 x 10*9/L;
Hemoglobin < 10.0 g/dL;
Platelet count < 100 x 10*9/L;
Total bilirubin ≥ 1 x upper limit of normal (ULN);
AST/GOT and/or ALT/GPT ≥ 1.5 x ULN;
Serum creatinine > 1.5 x ULN. If creatinine 1.0 - 1.5 x ULN; creatinine clearance has to be calculated according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula and patients with creatinine clearance < 60 mL/min must be excluded
Other inadequate organ function according to investigator's discretion
History of hypersensitivity reaction to docetaxel
History of hypersensitivity reaction to polysorbate 80 containing drugs
Uncontrolled severe illness or medical condition (including uncontrolled diabetes mellitus)
Concurrent or planned treatment with strong inhibitors or strong inducers of cytochrome P450 3A4/5 (a one week washout period is necessary for patients who are already on these treatments; see also Section 10 and Appendix 3 and 4; dexamethasone is allowed)
Recently received or planned vaccination against yellow fever during study treatment
Pregnant or breast feeding females
Participation in any other clinical trial or treatment with any experimental drug within 28 day before enrolment to the study or during study participation until the end of treatment visit
Previous or concurrent tumor other than underlying tumor disease (breast or lung cancer) with the exception of cervical cancer in situ, adequately treated basal cell carcinoma or squamous cell carcinoma of the skin, superficial bladder tumors (Ta,Tis, and T1) or any curatively treated tumors > 5 years prior to enrolment