Dose Finding Study for Combination of Capecitabine, Lapatinib and Vinorelbine in Metastatic Breast Cancer (CELAVIE)
Combinational Therapy of Capecitabine, Lapatinib and Vinorelbine for the Treatment of Patients With her2/Neu Positive, Relapsed or Metastatic Breast Carcinoma Following Treatment Failure With Trastuzumab
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Heidelberg, Germany, 69115
- Onkologische Schwerpunktpraxis
-
-
Baden-Württemberg
-
Ravensburg, Baden-Württemberg, Germany, 88214
- Onkologie Ravensburg
-
-
Hessen
-
Kassel, Hessen, Germany, 34117
- Praxisgemeinschaft Dres. Siehl und Söling
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Niedersachsen
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Goslar, Niedersachsen, Germany, 38642
- Onkologische Schwerpunktpraxis
-
Leer, Niedersachsen, Germany, 26789
- Onkologische Schwerpunktpraxis Leer Emden
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Stade, Niedersachsen, Germany, 21680
- Schwerpunktpraxis Hämatologie / Onkologie
-
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Nordrhein-Westfalen
-
Guetersloh, Nordrhein-Westfalen, Germany, 33332
- Onkodok (Dr. Rösel und Dr. Depenbusch)
-
Mulheim an der Ruhr, Nordrhein-Westfalen, Germany, 45468
- Praxis für Hämatologie und Onkologie
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Münster, Nordrhein-Westfalen, Germany, 48149
- Hämatologisch-Onkologische Gemeinschaftspraxis
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Neuss, Nordrhein-Westfalen, Germany, 41462
- Praxis für Onkologie u. Hämatologie
-
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Saxony
-
Dresden, Saxony, Germany, 01127
- Onkologische Gemeinschaftspraxis Dörfel/Göhler
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Written informed consent
- Able to comply with the protocol
- ECOG performance status 0-1
- Adequate contraception
- Confirmed Her2/neu-positive, adenocarcinoma of the breast
- At least one measurable lesion according to RECIST 1.1 criteria
- First or second chemotherapy after diagnosis of metastasis
- Lapatinib treatment indicated (adjuvant trastuzumab treatment <12 months ago or progressive disease with trastuzumab treatment)
- No signs and symptoms of CHF (chronic heart failure), LVEF (left ventricular ejection fraction) at study start at least 55%
- Adequate hepatic and renal function value
- Adequate hematologic function values
Exclusion Criteria:
- Pregnant or lactating women
- Concurrent participation in another clinical trial. Prior participation is allowed if the last study medication was administered more than 4 weeks prior to randomization
- Asymptomatic with regards to tumor illness
- Previous treatment with lapatinib, capecitabine or vinorelbine
- Necessity of planned treatment with other chemotherapeutics oder anti-hormone therapy
- Major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of the study
- Evidence of cardiovascular disease, e.g. myocardial infection, unstable angina pectoris or arrhythmia
- History of vascular or cardiovascular disease within the past 6 months
- All illnesses that result in malabsorption of oral medication or inability to take oral medication
- Concurrent treatment with anti-viral drugs based on sorivudine or with aminoglycosides
- Concurrent treatment with any drug interfering with study medication, especially, those that induce CYP3A
- Concurrent treatment with allopurinol
- Other malignancies (except for basal cell carcinoma of the skin and cervical carcinoma in situ); patient can be included in the study if no recurrent disease has been observed for at least 5 years
- Concurrent illnesses or other circumstances that could interfere with trial participation, efficacy or safety of the patient
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Capecitabine, Lapatinib, Vinorelbine
|
Dose finding Study Lapatinib: 1000-1250 oral, once daily, days 1-21 Capecitabine: 1000 mg/sqm oral, bid, days 1-14 Vinorelbine 10-22,5 mg/sqm, i.v.
Day 1 + 8
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Identification of maximal tolerable Dose (MTD) of combination with Capecitabine and Lapatinib and Vinorelbine
Time Frame: 4 months
|
Phase I: Identification of Dosis limiting toxicities and maximal tolerable dose for Combinational therapy (Time Frame: within the first 21 days under medication)
|
4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall response Rate
Time Frame: 12 months
|
Measurement with CT or MRI after three and six cycles and every three months, as long no tumor progression is detected.
|
12 months
|
|
Progression free survival
Time Frame: 12 months
|
Measurement with CT or MRI after three and six cycles and every three months, as long no tumor progression is detected.
|
12 months
|
|
Time to treatment failure (TTF)
Time Frame: 12 months
|
Measurement with CT or MRI after three and six cycles and every three months, as long no tumor progression is detected.
|
12 months
|
|
Overall survival (OS)
Time Frame: 12 months
|
Measurement with CT or MRI after three and six cycles and every three months, as long no tumor progression is detected.
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Ulrike Soeling, MD, Goethestr. 47, 34119 , Kassel, Germany
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Breast Diseases
- Breast Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Protein Kinase Inhibitors
- Capecitabine
- Vinorelbine
- Lapatinib
Other Study ID Numbers
Other Study ID Numbers
- 0907-002
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