ErbB2 Positive Metastatic Breast Cancer

NCT01658358 | Terminated Phase 1

• 1 other identifier: EGF114081
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: Phase I part

• Primary Objective: To determine the recommended dose of the combination of lapatinib with Lipo-Dox as first line chemotherapy in patients with ErbB2 positive metastatic breast cancer.
• Secondary Objectives:To define the safety profile; To observe the response rate and progression free survival Phase II part
• Primary Objective :To determined the objective response rate of the combination of lapatinib with Lipo-Dox as first line chemotherapy in patients with ErbB2 positive metastatic breast cancer.
• Secondary Objectives:To define the safety profile; To determined the progression free survival

Conditions

Metastatic Breast Cancer

Keywords

ErbB receptor; tyrosine kinase inhibitor; Anthracycline

Outcome Measures

Primary Outcomes (1)

• Phase I part recommended dose of the combination of lapatinib with Lipo-Dox

  -Phase I part: To determine the recommended dose of the combination of lapatinib with Lipo-Dox

  Phase I: 6 months

Secondary Outcomes (1)

• Objective Response Rate

  Phase II: 12 months

Study Arms (2)

Phase I part :Systemic Therapy

EXPERIMENTAL

* Drug: Lapatinib * Drug: Lipo-Dox

Drug: Lapatinib; Drug: Lipo-Dox

Phase II part

EXPERIMENTAL

* Drug: Lapatinib * Drug: Lipo-Dox Patients will receive recommended dose according to phase I study result. at least 8 cycles, then, with continue combination treatment cycles or single lapatinib treatment (start with 1500 mg per day) at investigator's discretion.

Drug: Lapatinib; Drug: Lipo-Dox

Interventions

Lapatinib DRUG

* dose level I, II 1000mg po daily * dose level III, IV 1250mg po daily

Also known as: Tykerb

Phase I part :Systemic Therapy; Phase II part

Lipo-Dox DRUG

at the dose level reached on days 1 of a 21 days cycle. The recommended duration of combination treatment for each patient is at least 8 cycles,

Also known as: Liposomal doxorubicin hydrochloride

Phase I part :Systemic Therapy; Phase II part

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Histologically confirmed adenocarcinoma of the breast with evidence of metastatic disease
• Documented ErbB2 over expression or amplified disease in the invasive component of the primary or metastatic lesion as defined by:
• ErbB2 gene amplification by FISH(\>6 ErbB2 gene copies per nucleus, or a FISH ratio (ErbB2 gene copies to chromosome 17 signals) of \>than 2.2;
• Measurable disease, defined as ≥1 lesion that can be accurately measured in ≥1 dimension as ≥20 mm by conventional techniques OR as ≥10 mm by spiral CT scan
• In phase II part, patients must be chemo-naïve in metastatic setting.
• In phase I part, patient may have received prior chemotherapy in metastatic setting.
• In both phase I and II part, prior Anthracyclines allowed provided total dose of doxorubicin hydrochloride ≤240 mg/m² or epirubicin ≤ 600 mg/m².
• At least 6 months since prior Anthracyclines, and 6 weeks since prior Taxane.
• Patient must be informed and well understand that in current standard of treatment, suggested first line treatments for erbB-2 positive, visceral organ metastatic breast cancer are combination of chemotherapy with herceptin.
• In phase II part, patient must not have exposed to ant-erbB2 targeted therapy treatment in metastatic setting. Herceptin treatment in the neoadjuvant or adjuvant setting is permitted provide that at least 12 months has elapsed since the last dose of herceptin therapy.
• In phase I part, patient may have received prior anti-erbB-2 targeted treatment in metastatic setting.
• Hormone receptor and menopausal status are not specified. Prior treatment with endocrine therapy in the adjuvant or metastatic setting is permitted provided that therapy be discontinued.
• Prior treatments with radiation therapy for palliative management of non-target lesion metastatic disease is permitted provided that at least 2 weeks have elapsed since the last fraction of radiation therapy, disease progression has been documented and all treatment related adverse events are ≦ grade 1 at the time of registration.
• Life expectancy ≥ 12 weeks
• ECOG performance status 0-1

You may not qualify if:

• Pregnant or lactating women.
• Subjects who have current active hepatic or biliary disease (with exception of patients with Gilbert's syndrome, asymptomatic gallstones, liver metastases or stable chronic liver disease per investigator assessment)
• Prior therapy with concurrent use of Lapatinib.
• CNS metastasis.
• Ongoing other concurrent investigational agents or anticancer therapy
• Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, serious non-healing wound/ulcer/bone fracture, or psychiatric illness/social situations that would limit compliance with study requirements.
• Patients with GI tract disease resulting in an inability to take medication, malabsorption syndrome, a requirement for IV alimentation, prior surgical procedures affecting absorption, uncontrolled inflammatory GI disease (e.g., Crohn's, ulcerative colitis).

Sponsors & Collaborators

• China Medical University Hospital: lead

Study Sites (1)

China Medical University Hospital

Taichung, Taiwan, 404, Taiwan

Location

MeSH Terms

Conditions

Breast Neoplasms

Interventions

Lapatinib

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Quinazolines; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Heterocyclic Compounds

Study Officials

• Chang-Fang Chiu, PhD

  China Medical University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice Superintendent, Cancer Center

Study Record Dates

• First Submitted: August 1, 2012
• First Posted: August 7, 2012
• Study Start: July 1, 2012
• Primary Completion: September 1, 2014
• Study Completion: September 1, 2014
• Last Updated: February 27, 2013

Record last verified: 2013-02

Locations

TW (1)