Phase II Trial of BIBW 2992 in Patients With HER2-positive Metastatic Breast Cancer After Failure of Trastuzumab Therapy
2 other identifiers
interventional
41
2 countries
12
Brief Summary
The primary objective of this trial is to explore the efficacy of BIBW 2992 in HER2 positive metastatic breast cancer patients after failure of trastuzumab containing regimens.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2006
CompletedFirst Submitted
Initial submission to the registry
February 2, 2007
CompletedFirst Posted
Study publicly available on registry
February 5, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2009
CompletedResults Posted
Study results publicly available
December 23, 2013
CompletedJune 9, 2014
November 1, 2013
2.9 years
February 2, 2007
August 8, 2013
June 3, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Objective Response (OR)
Objective response (OR) including complete response (CR) and partial response (PR) according to the Response Evaluation Criteria in Solid Tumours (RECIST) criteria .
From first dose of study medication to response measurement, up to 34 month
Secondary Outcomes (4)
Progression Free Survival (PFS)
From first dose of study medication to the occurrence of progression or death whichever came first, up to 34 month
Overall Survival (OS)
From first dose of study medication to death or to the last date the patient was known to be alive, up to 34 month
Time to RECIST Tumour Reponse
From first dose of study medication to time when OR measurement was taken.
Duration of Confirmed OR
From first OR to time of progression or death
Study Arms (1)
BIBW 2992
EXPERIMENTALBIBW 2992 (Afatinib) once daily until progression
Interventions
Eligibility Criteria
You may qualify if:
- Male or female patients with confirmed diagnosis of Stage IIIB or IV HER2-positive metastatic breast cancer(HER2 2+ and FISH positive or HER2 3+).
- Patients must have progressed following receipt of prior standard trastuzumab treatment or standard chemotherapy in conjunction with trastuzumab. Patients with visceral disease or rapid progression should not be included if they have not had previous chemotherapy in addition to trastuzumab. Patients who are intolerant to trastuzumab and who have received adequate chemotherapy and/or hormone therapy are eligible upon progression.
- Age 18 years or older.
- Life expectancy of at least four (4) months.
- Written informed consent that is consistent with ICH-GCP guidelines.
- Eastern Cooperative Oncology Group (ECOG, R01-0787) performance Score 0, 1 or 2.
- Patients should not have received treatment with chemotherapy or immune therapy within the last 4 weeks (2 weeks for trastuzumab). Patients should not have received treatment with hormone therapy within the last 2 weeks.
- Patients must have recovered from any therapy-related toxicities from previous chemo-, hormone-, immuno-, or radiotherapies to CTC less than or equal to Grade 1.
- Patients must have recovered from previous surgery.
- Patients must have measurable disease as defined by RECIST criteria.
You may not qualify if:
- Active infectious disease.
- Gastrointestinal disorders that may interfere with the absorption of the study drug or chronic diarrhea.
- Serious illness or concomitant non-oncological disease considered by the investigator to be incompatible with the protocol.
- Patients with active/symptomatic brain metastases. Patients with a history of treated brain metastases must have stable or normal MRI scan at screening and be at least three months post-radiation or surgery.
- Cardiac left ventricular function with resting ejection fraction \<50%.
- Absolute neutrophil count (ANC) less than 1500 cells/mm3.
- Platelet count less than 100 000 cells/mm3.
- Bilirubin greater than 1.5 mg/dl (\>26 micromol /L, SI unit equivalent).
- Aspartate amino transferase (AST) or alanine amino transferase (ALT) greater than three times the upper limit of normal.
- Serum creatinine greater than 1.5 mg/dl (\>132 micromol/L, SI unit equivalent).
- Women and men (and their partners) who are sexually active and unwilling to use a medically acceptable method of contraception.
- Pregnancy or breast-feeding.
- Treatment with other investigational drugs; chemotherapy, immunotherapy, radiotherapy or hormone therapy (including LHRH agonists, or other hormones taken for breast cancer), or participation in another clinical study within the past 4 weeks before start of therapy or concomitantly with this study. Treatment with bisphosphonates is allowed.
- Prior treatment with an EGFR- or HER2 inhibiting drug (except trastuzumab).
- Patients unable to comply with the protocol.
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
1200.11.3 Boehringer Ingelheim Investigational Site
Scottsdale, Arizona, United States
1200.11.7 Boehringer Ingelheim Investigational Site
Encinitas, California, United States
1200.11.4 Boehringer Ingelheim Investigational Site
Santa Monica, California, United States
1200.11.2 Boehringer Ingelheim Investigational Site
Tampa, Florida, United States
1200.11.1 Boehringer Ingelheim Investigational Site
Boston, Massachusetts, United States
1200.11.5 Boehringer Ingelheim Investigational Site
Chapel Hill, North Carolina, United States
1200.11.4401 Boehringer Ingelheim Investigational Site
Bournemouth, United Kingdom
1200.11.4402 Boehringer Ingelheim Investigational Site
Crownhill, Plymouth, United Kingdom
1200.11.4406 Boehringer Ingelheim Investigational Site
Guildford, United Kingdom
1200.11.4405 Boehringer Ingelheim Investigational Site
London, United Kingdom
1200.11.4404 Boehringer Ingelheim Investigational Site
Poole, United Kingdom
1200.11.4403 Boehringer Ingelheim Investigational Site
Truro, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Boehringer Ingelheim Call Center
- Organization
- Boehringer Ingelheim Pharmaceuticals
Study Officials
- STUDY CHAIR
Boehringer Ingelheim
Boehringer Ingelheim
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 2, 2007
First Posted
February 5, 2007
Study Start
September 1, 2006
Primary Completion
August 1, 2009
Last Updated
June 9, 2014
Results First Posted
December 23, 2013
Record last verified: 2013-11