A Multi-Center Study of Lapatinib in Patients With Trastuzumab-refractory Metastatic Breast Cancer

NCT02362958 — Phase 2, Completed, 159 participants, Sun Yat-sen University

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Sun Yat-sen University Cancer Center

RegistryNCT02362958
StatusCompleted
PhasePhase 2
Study typeInterventional; na, single group, masking: none, treatment
Enrollment159 (Actual)
SponsorSun Yat-sen University (Other)
ConditionsHER2 Positive Breast Cancer
Interventionslapatinib and capecitabine or vinorelbine (Drug)
Datesstart 2015-01-09, primary completion 2020-05-31, completion 2020-05-31, first posted 2015-02-13, last updated 2020-07-15
Locations1 site in China

Related Papers Related Patents Related Grants Related Experts
All trials for HER2 Positive Breast Cancer All trials of lapatinib and capecitabine or vinorelbine

-Summary

Evaluating the Efficacy of Lapatinib in Combination With Chemotherapy in Patients With Trastuzumab-refractory Metastatic HER2-positive Breast Cancer.

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+Detailed description

Some studies has demonstrated that even in trastuzumab pretreated patients with HER-2 positive breast cancer, might benefit from the treatment of trastuzumab. However, there is small benefit for some patients having short disease-free survival after adjuvant trastuzumab or short progression-free survival after first-line trastuzumab-based therapy. In clinical practice, the investigators also found it is fact. And the investigators have a scientific rationale for clinical testing of lapatinib plus chemotherapy in patients with trastuzumab-refractory, metastatic HER2-positive breast cancer.

+Arms and interventions

ArmTypeInterventionsDescription
Lapatinib and Capecitabine or VinorelbineExperimentalDrug: lapatinib and capecitabine or vinorelbineLapatinib 1250mg qd and Capecitabine 1000mg/m2 bid or Vinorelbine 25mg/m2 iv (d1,d8)
  • lapatinib and capecitabine or vinorelbine (Drug), also known as Tykerb; Xeloda;NVB: lapatinib 1250 mg qd and Capecitabine 1000 mg/m2 bid or Vinorelbine 25mg/m2(d1,d8)

+Outcome measures

Primary outcomes

  • progression-free survival [36 months]: The time from randomization to disease progression or death from any causes

+Eligibility

Sex: Female, ages: 18 Years to 65 Years

Inclusion Criteria:

* Metastatic breast cancer
* Eastern Cooperative Oncology Group (ECOG) 0 or 1
* HER2-expressing primary or metastatic tumor
* Recurrence within 1 year completing adjuvant trastuzumab OR rapid progress following first-line trastuzumab-based care.
* Measurable disease with Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
* Normal organ function, including bone marrow function, renal function, liver function, and cardiac function
* Signed and dated an informed consent form
* Life expectancy of at least 12 weeks

Exclusion Criteria:

* Pregnant or breast feeding
* left ventricular ejection fraction (LVEF) < 45% by echocardiogram
* Disease-free interval (DFI) less than 12 months
* Uncontrolled medical problems
* Any previous malignancy exceptions for carcinoma of the cervix, squamous carcinoma of the skin, or basal cell carcinoma of the skin
* Patients were unable or unwilling to comply with program requirements

+Locations (1)

FacilityCityCountryStatus
Sun Yat-sen University Cancer CenterGuangzhou, GuangdongChina

+Publications

  • Results publication: Duan F, Zhong M, Ma Y, Song C, Zhang L, Lin Y, Wu Z, Zhang Y, Huang J, Xu F, Shi Y, Wang S, Yuan Z, Xia W, Bi X. The efficacy of human epidermal growth factor receptor 2 (HER2) blockade switching mode in refractory patients with HER2-positive metastatic breast cancer: a phase II, multicenter, single-arm study (SYSUCC-005). BMC Cancer. 2022 Mar 15;22(1):271. doi: 10.1186/s12885-022-09399-2. PMID 35291977

+Investigators