Pyrotinib Maleate Combined With Vinorelbine in the Treatment of HER2-positive Advanced Breast Cancer

NCT04903652 | Completed Phase 2

• 1 other identifier: BC-Pyrotinib-NVB
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a single-center, single-arm, prospective phase II clinical study, which mainly evaluates the efficacy and safety of pyrotinib maleate combined with oral vinorelbine in the treatment of HER2-positive advanced breast cancer.

Conditions

HER2-positive Advanced Breast Cancer

Outcome Measures

Primary Outcomes (1)

• Progression-free survival (PFS)

  From enrollment to progression or death (for any reason)

  Estimated 24 months

Secondary Outcomes (4)

• Objective response rate (ORR)

  Estimated 24 months

• Disease Control Rate (DCR)

  Estimated 24 months

• Overall survival (OS)

  Estimated 36 months

• Security (CTCAE 5.0)

  From informed consent through 28 days following treatment completion

Study Arms (1)

Pyrotinib plus Vinorelbine

EXPERIMENTAL

Drug: Pyrotinib Maleate; Drug: Vinorelbine

Interventions

Pyrotinib Maleate DRUG

Pyrotinib p.o. 400 mg once daily

Pyrotinib plus Vinorelbine

Vinorelbine DRUG

Vinorelbine p.o. 40 mg once every other day

Pyrotinib plus Vinorelbine

Eligibility Criteria

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

You may qualify if:

• Female patients between 18 and 75 years old;
• ECOG physical status score 0-2 points;
• The expected overall survival period is not less than 12 weeks;
• Pathologically confirmed HER2 expression-positive recurrent/metastatic breast cancer patients; the standard for HER2 expression positive is immunohistochemical staining (IHC) detection of HER2 3+ and/or fluorescent in situ hybridization (FISH) positive The researcher of the test center reviews and confirms).
• The disease progresses during or after treatment with trastuzumab (stopping the drug for less than 12 months);
• The number of chemotherapy lines used in the recurrence/metastasis stage is less than or equal to 2 lines;
• Patients who have at least one measurable lesion \[spiral CT scan ≥10 mm (CT scan thickness not greater than 5mm)\] and who have progressed after or during the last anti-tumor treatment (RECIST version 1.1);
• The main organs are functioning normally, that is, they meet the following standards:
• \) The standard of routine blood examination should meet: Hb≥100 g/L (no blood transfusion within 14 days); ANC≥1.5×109 /L; PLT≥75×109 /L; 2) The biochemical inspection shall meet the following standards: TBIL≤1.5×ULN (upper limit of normal value); ALT and AST≤2.5×ULN; if there is liver metastasis, ALT and AST≤5×ULN; Serum creatinine ≤1.5×ULN, creatinine clearance ≥50ml/min (based on Cockroft and Gault formula); 3) Heart color Doppler ultrasound Left ventricular ejection fraction (LVEF) ≥50%; 9. For female patients who have not undergone menopause or have not undergone surgical sterilization: during treatment and at least 7 months after the last dose in the study treatment, agree to abstain from sex or use an effective method of contraception. 10. Patients voluntarily join this study, have good compliance with the planned treatment, understand the research process of this study, and sign written informed consent.

You may not qualify if:

• There is fluid in the third space that cannot be controlled by drainage or other methods, such as pleural fluid and ascites;
• There are many factors that affect the oral and absorption of drugs (such as inability to swallow, gastrointestinal resection, chronic diarrhea and intestinal obstruction, etc.);
• Severe heart disease or discomfort, including but not limited to the following diseases:
• Confirmed history of heart failure or systolic dysfunction (LVEF \<50%)
• High-risk uncontrolled arrhythmia, such as atrial tachycardia, resting heart rate\> 100 bpm, significant ventricular arrhythmia (such as ventricular tachycardia) or higher grade atrioventricular block (ie Mobitz II second degree atrioventricular block or third degree atrioventricular block)
• Angina pectoris that requires anti-angina pectoris medication
• Clinically significant heart valve disease
• ECG shows transmural myocardial infarction -Poor hypertension control (systolic blood pressure\> 180 mmHg and/or diastolic blood pressure\> 100 mmHg).
• Those who have been confirmed to be allergic to the drug components of this program; have a history of immunodeficiency, including positive HIV testing, or have other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation.
• Patients who are known to be pregnant or planning to become pregnant, or patients of gestational age who are unwilling to take effective contraceptive measures during the entire trial period;
• Suffer from serious concomitant diseases, such as infectious diseases.
• Other malignant tumors have occurred in the past 5 years, except for cured cervical carcinoma in situ and non-melanoma skin cancer;
• Patients who have participated in other experimental studies within 30 days before the first dose of study drug is administered;
• Patients judged by the investigator to be unsuitable to participate in this study.

Sponsors & Collaborators

• Tianjin Medical University Cancer Institute and Hospital: lead

Study Sites (1)

Tianjin Cancer Hospital

Tianjin, China

Location

MeSH Terms

Interventions

Vinorelbine

Intervention Hierarchy (Ancestors)

Vinca Alkaloids; Secologanin Tryptamine Alkaloids; Indole Alkaloids; Alkaloids; Heterocyclic Compounds; Indoles; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Indolizidines; Indolizines

Study Officials

• Chunfang Hao, PhD

  Department of Breast Cancer Medical Oncology

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Pyrotinib Maleate plus Vinorelbine

Study Record Dates

• First Submitted: May 19, 2021
• First Posted: May 26, 2021
• Study Start: January 1, 2021
• Primary Completion: February 1, 2022
• Study Completion: February 6, 2022
• Last Updated: April 7, 2022

Record last verified: 2022-01

Locations

CN (1)