Study of Preoperative Weekly Paclitaxel and Carboplatin With Lapatinib (Tykerb®) in Patients With ErbB2-Positive Stage I-III Breast Cancer
Phase II Open-Label Study of Preoperative Weekly Paclitaxel and Carboplatin With Lapatinib (Tykerb®) in Patients With ErbB2-Positive Stage I-III Breast Cancer
This date has not been verified as actual or estimated.
Primary Completion
December 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of weekly paclitaxel and carboplatin, in combination with lapatinib, in the neoadjuvant treatment of non-metastatic erbB2-positive breast cancer. Secondary objectives include:
To determine the safety and tolerability of weekly paclitaxel and carboplatin, combined with lapatinib, in an Asian population
To determine breast conservation rates following neoadjuvant paclitaxel/ carboplatin/ lapatinib
To determine clinical response rates and relapse-free survival of patients treated with neoadjuvant paclitaxel/ carboplatin/ lapatinib
To identify predictive tumour biomarkers for pathologic complete response The investigators hypothesize that pathologic complete response rates will be improved from 15% to 35% with the neoadjuvant regimen of carboplatin/ paclitaxel/ lapatinib compared to standard chemotherapy alone in HER2 positive early stage breast cancers.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
unknown
Estimated enrollment
34 participants
Study completion date
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Listed locations
1 countries · 1 sites
Trial Relationships
Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Related Scientific Literature
Loading related publications...
Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Submitted
March 3, 2011
Actual (reported)
First Posted
March 7, 2011
Actual (reported)
Study Start
April 2011
Date type not reported
This date has not been verified as actual or estimated.
Primary Completion
December 2014
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Identification of tumor biomarkers that predict pathologic complete response
16 weeks
Study Arms (1)
Pre-operative Therapy
EXPERIMENTAL
Neoadjuvant paclitaxel/carboplatin/lapatinib x 12 weeks
Drug: paclitaxel/carboplatin/lapatinib
Interventions
paclitaxel/carboplatin/lapatinibDrug
Drug doses for the neoadjuvant regimen:
* Paclitaxel 80mg/m2, day 1, 8, 15 of a 21-day cycle
* Carboplatin AUC of 2, day 1, 8 of a 21-day cycle
* Lapatinib 750mg daily continuously
Pre-operative Therapy
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
paclitaxel/carboplatin/lapatinib
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Fisher B, Bryant J, Wolmark N, Mamounas E, Brown A, Fisher ER, Wickerham DL, Begovic M, DeCillis A, Robidoux A, Margolese RG, Cruz AB Jr, Hoehn JL, Lees AW, Dimitrov NV, Bear HD. Effect of preoperative chemotherapy on the outcome of women with operable breast cancer. J Clin Oncol. 1998 Aug;16(8):2672-85. doi: 10.1200/JCO.1998.16.8.2672.
Geyer CE, Forster J, Lindquist D, Chan S, Romieu CG, Pienkowski T, Jagiello-Gruszfeld A, Crown J, Chan A, Kaufman B, Skarlos D, Campone M, Davidson N, Berger M, Oliva C, Rubin SD, Stein S, Cameron D. Lapatinib plus capecitabine for HER2-positive advanced breast cancer. N Engl J Med. 2006 Dec 28;355(26):2733-43. doi: 10.1056/NEJMoa064320.
This date has not been verified as actual or estimated.
Primary Completion
December 2014
Estimated (date passed)
T1-4 breast cancer with measurable primary breast tumor, defined as palpable tumor with the largest diameter measuring 2.0cm or greater by calipers
Tumor is HER2 positive either by IHC (3+) or FISH amplification (amplification ratio \>2.2)
Patients must not have received prior chemotherapy or hormonal therapy for the treatment of breast cancer
Karnofsky performance status of 70 or higher
Estimated life expectancy of at least 12 weeks
Adequate organ function including the following:
Bone marrow:
Absolute neutrophil (segmented and bands) count (ANC) \>= 1.5 x 109/L
Platelets \>= 100 x 109/L
Hepatic:
Bilirubin \<= 1.5 x upper limit of normal (ULN),
ALT or AST \<= 2.5x ULN
Renal:
+4 more criteria
You may not qualify if:
Prior treatment for locally advanced or metastatic breast cancer
Treatment within the last 30 days with any investigational drug
Concurrent administration of any other tumor therapy, including cytotoxic chemotherapy, hormonal therapy, and immunotherapy
Major surgery within 28 days of study drug administration
Active infection that in the opinion of the investigator would compromise the patient's ability to tolerate therapy
Breast feeding
Serious cardiac illness or medical conditions including but not confined to:
History of documented congestive cardiac failure or systolic dysfunction (LVEF \<50%)
High-risk uncontrolled arrhythmias (ventricular tachycardia, high-grade AV block, supraventricular arrhythmias which are not adequately rate-controlled)
History of significant ischaemic heart disease
Clinically significant valvular heart disease
Poorly controlled hypertension (e.g. systolic BP \> 180mmHg or diastolic \>100mmHg)
Poorly controlled diabetes mellitus.
Second primary malignancy that is clinically detectable at the time of consideration for study enrollment.
History of significant neurological or mental disorder, including seizures or dementia.
+2 more criteria
Contact the study team to confirm eligibility.
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
December 2015
Estimated (date passed)
This estimate has passed. The registry has not confirmed an actual date for this milestone.
Last Updated
October 15, 2014
Record last verified: 2014-10
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.