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Phase II Trial of BIBW 2992 in Patients With HER2-positive Metastatic Breast Cancer After Failure of Trastuzumab Therapy

3. juni 2014 opdateret af: Boehringer Ingelheim
The primary objective of this trial is to explore the efficacy of BIBW 2992 in HER2 positive metastatic breast cancer patients after failure of trastuzumab containing regimens.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

41

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Det Forenede Kongerige
      • Bournemouth, Det Forenede Kongerige
        • 1200.11.4401 Boehringer Ingelheim Investigational Site
      • Crownhill, Plymouth, Det Forenede Kongerige
        • 1200.11.4402 Boehringer Ingelheim Investigational Site
      • Guildford, Det Forenede Kongerige
        • 1200.11.4406 Boehringer Ingelheim Investigational Site
      • London, Det Forenede Kongerige
        • 1200.11.4405 Boehringer Ingelheim Investigational Site
      • Poole, Det Forenede Kongerige
        • 1200.11.4404 Boehringer Ingelheim Investigational Site
      • Truro, Det Forenede Kongerige
        • 1200.11.4403 Boehringer Ingelheim Investigational Site
  • Forenede Stater
    • Arizona
      • Scottsdale, Arizona, Forenede Stater
        • 1200.11.3 Boehringer Ingelheim Investigational Site
    • California
      • Encinitas, California, Forenede Stater
        • 1200.11.7 Boehringer Ingelheim Investigational Site
      • Santa Monica, California, Forenede Stater
        • 1200.11.4 Boehringer Ingelheim Investigational Site
    • Florida
      • Tampa, Florida, Forenede Stater
        • 1200.11.2 Boehringer Ingelheim Investigational Site
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater
        • 1200.11.1 Boehringer Ingelheim Investigational Site
    • North Carolina
      • Chapel Hill, North Carolina, Forenede Stater
        • 1200.11.5 Boehringer Ingelheim Investigational Site

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion criteria:

Inclusion Criteria:

  1. Male or female patients with confirmed diagnosis of Stage IIIB or IV HER2-positive metastatic breast cancer(HER2 2+ and FISH positive or HER2 3+).
  2. Patients must have progressed following receipt of prior standard trastuzumab treatment or standard chemotherapy in conjunction with trastuzumab. Patients with visceral disease or rapid progression should not be included if they have not had previous chemotherapy in addition to trastuzumab. Patients who are intolerant to trastuzumab and who have received adequate chemotherapy and/or hormone therapy are eligible upon progression.
  3. Age 18 years or older.
  4. Life expectancy of at least four (4) months.
  5. Written informed consent that is consistent with ICH-GCP guidelines.
  6. Eastern Cooperative Oncology Group (ECOG, R01-0787) performance Score 0, 1 or 2.
  7. Patients should not have received treatment with chemotherapy or immune therapy within the last 4 weeks (2 weeks for trastuzumab). Patients should not have received treatment with hormone therapy within the last 2 weeks.
  8. Patients must have recovered from any therapy-related toxicities from previous chemo-, hormone-, immuno-, or radiotherapies to CTC less than or equal to Grade 1.
  9. Patients must have recovered from previous surgery.
  10. Patients must have measurable disease as defined by RECIST criteria.

Exclusion criteria:

Exclusion Criteria:

  1. Active infectious disease.
  2. Gastrointestinal disorders that may interfere with the absorption of the study drug or chronic diarrhea.
  3. Serious illness or concomitant non-oncological disease considered by the investigator to be incompatible with the protocol.
  4. Patients with active/symptomatic brain metastases. Patients with a history of treated brain metastases must have stable or normal MRI scan at screening and be at least three months post-radiation or surgery.
  5. Cardiac left ventricular function with resting ejection fraction <50%.
  6. Absolute neutrophil count (ANC) less than 1500 cells/mm3.
  7. Platelet count less than 100 000 cells/mm3.
  8. Bilirubin greater than 1.5 mg/dl (>26 micromol /L, SI unit equivalent).
  9. Aspartate amino transferase (AST) or alanine amino transferase (ALT) greater than three times the upper limit of normal.
  10. Serum creatinine greater than 1.5 mg/dl (>132 micromol/L, SI unit equivalent).
  11. Women and men (and their partners) who are sexually active and unwilling to use a medically acceptable method of contraception.
  12. Pregnancy or breast-feeding.
  13. Treatment with other investigational drugs; chemotherapy, immunotherapy, radiotherapy or hormone therapy (including LHRH agonists, or other hormones taken for breast cancer), or participation in another clinical study within the past 4 weeks before start of therapy or concomitantly with this study. Treatment with bisphosphonates is allowed.
  14. Prior treatment with an EGFR- or HER2 inhibiting drug (except trastuzumab).
  15. Patients unable to comply with the protocol.
  16. Active alcohol or drug abuse.
  17. Patients with history of other malignancy (except for appropriately treated superficial basal cell skin cancer and surgically cured cervical cancer in situ) unless free of disease for at least 3 years.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomiseret
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: BIBW 2992
BIBW 2992 (Afatinib) once daily until progression
Medicin: BIBW 2992
Andre navne:
  • BIBW 2992 (Afatinib) én gang dagligt indtil progression

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response (OR)
Tidsramme: From first dose of study medication to response measurement, up to 34 month
Objective response (OR) including complete response (CR) and partial response (PR) according to the Response Evaluation Criteria in Solid Tumours (RECIST) criteria .
From first dose of study medication to response measurement, up to 34 month

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression Free Survival (PFS)
Tidsramme: From first dose of study medication to the occurrence of progression or death whichever came first, up to 34 month
PFS was defined as the time from the first treatment to the occurrence of tumour progression or death, whichever came first. It was assessed according to RECIST criteria.
From first dose of study medication to the occurrence of progression or death whichever came first, up to 34 month
Overall Survival (OS)
Tidsramme: From first dose of study medication to death or to the last date the patient was known to be alive, up to 34 month
OS was defined as the time from first treatment to death or to the last date the patient was known to be alive.
From first dose of study medication to death or to the last date the patient was known to be alive, up to 34 month
Time to RECIST Tumour Reponse
Tidsramme: From first dose of study medication to time when OR measurement was taken.
The time to OR was the duration from the first treatment to the time when the measurement criteria for CR and/or PR were met according to RECIST criteria.
From first dose of study medication to time when OR measurement was taken.
Duration of Confirmed OR
Tidsramme: From first OR to time of progression or death
Duration of confirmed OR is measured from the time of first OR to the time of progression or death (or date of censoring for progression free survival).
From first OR to time of progression or death

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Boehringer Ingelheim

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. september 2006

Primær færdiggørelse (Faktiske)

1. august 2009

Datoer for studieregistrering

Først indsendt

2. februar 2007

Først indsendt, der opfyldte QC-kriterier

2. februar 2007

Først opslået (Skøn)

5. februar 2007

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

9. juni 2014

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

3. juni 2014

Sidst verificeret

1. november 2013

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 1200.11
  • 2007-004805-80 (EudraCT nummer: EudraCT)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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