NCT00004856

Brief Summary

Phase II trial to study the effectiveness of trastuzumab in treating patients who have previously treated, locally advanced, or metastatic cancer of the urothelium. Monoclonal antibodies can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for phase_2

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 7, 2000

Completed
2.3 years until next milestone

Study Start

First participant enrolled

July 1, 2002

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2002

Completed
1.2 years until next milestone

First Posted

Study publicly available on registry

September 30, 2003

Completed
Last Updated

May 3, 2013

Status Verified

May 1, 2013

Enrollment Period

Same day

First QC Date

March 7, 2000

Last Update Submit

May 1, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • Objective response rate (complete or partial response) as assessed by RECIST criteria

    1 year

Secondary Outcomes (4)

  • Toxicities as graded according to the NCI Common Toxicity Criteria

    12 weeks

  • Proportion of patients who are HER2 positive (3+ by IHC or FISH positive)

    Baseline

  • Overall survival (OS)

    From date of initiation of treatment to date of death due to any cause, assessed up to 1 year

  • Disease-free survival (DFS)

    From date of initiation of treatment to date of progression or death due to any cause, whichever occurs first, assessed up to 1 year

Study Arms (1)

Treatment: Herceptin

EXPERIMENTAL

Patients receive a loading dose of trastuzumab (Herceptin) IV over 90 minutes on day 1 of week 1. For all subsequent doses, patients receive trastuzumab IV over 30 minutes weekly. Treatment may continue for more than 1 year in the absence of unacceptable toxicity or disease progression.

Biological: trastuzumab

Interventions

trastuzumabBIOLOGICAL

Given IV

Also known as: anti-c-erB-2, Herceptin, MOAB HER2
Treatment: Herceptin

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed transitional cell carcinoma (TCC) of the urothelium, including the bladder, urethra, ureter, or renal pelvis
  • No pure adenocarcinomas, pure squamous cell carcinomas, small cell carcinoma, or only small foci of TCC (less than 10% of tumor specimen)
  • Locally advanced (T4b) TCC of the bladder
  • Metastatic (N2 or N3 or M1)TCC of the urothelium
  • HER2 expression (3+) as determined by immunohistochemistry or gene amplification by fluorescent in situ hybridization
  • Must not be a candidate for potentially curative surgery or radiotherapy
  • Measurable disease
  • At least 1 unidimensionally measurable lesion of at least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
  • The following lesions are considered nonmeasurable:
  • Bone lesions
  • Leptomeningeal disease
  • Ascites
  • Pleural/pericardial effusion
  • Lymphangitis cutis/pulmonis
  • Abdominal masses not confirmed and followed by imaging techniques
  • +35 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cancer and Leukemia Group B

Chicago, Illinois, 60606, United States

Location

MeSH Terms

Conditions

Urinary Bladder NeoplasmsUrethral Neoplasms

Interventions

Trastuzumab

Condition Hierarchy (Ancestors)

Urologic NeoplasmsUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesUrinary Bladder DiseasesUrologic DiseasesMale Urogenital DiseasesUrethral Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Arif Hussain

    Cancer and Leukemia Group B

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 7, 2000

First Posted

September 30, 2003

Study Start

July 1, 2002

Primary Completion

July 1, 2002

Last Updated

May 3, 2013

Record last verified: 2013-05

Locations