- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00898573
Lapatinib Resistance in Patients With Breast Cancer
Study of Resistance Mechanisms Against Lapatinib in Patients With ErbB-2-Positive Breast Cancers
RATIONALE: Studying samples of tumor tissue and blood from patients with cancer in the laboratory may help doctors learn more about cancer and the development of drug resistance in patients.
PURPOSE: This research study is looking at lapatinib resistance in patients with breast cancer.
Studieoversigt
Status
Betingelser
Intervention / Behandling
- Genetisk: genekspressionsanalyse
- Andet: laboratoriebiomarkøranalyse
- Genetisk: mutationsanalyse
- Genetisk: omvendt transkriptase-polymerase kædereaktion
- Andet: immunhistokemi farvningsmetode
- Genetisk: polymerase kædereaktion
- Medicin: lapatinib ditosylat
- Genetisk: fluorescens in situ hybridisering
- Andet: cell sorting
Detaljeret beskrivelse
OBJECTIVES:
- To identify secondary ErbB2 mutations in tumor tissue samples from patients with ErbB2-positive breast cancer treated with lapatinib ditosylate.
- To investigate ErbB2 copy number changes and expression levels.
- To determine abnormalities of other pathways (e.g., c-MET and PI3K) as potential mechanisms of resistance.
OUTLINE: Previously collected tumor tissue samples* are obtained for genetic analysis studies. Samples are analyzed for secondary ErbB2 mutations by nested PCR; ErbB2 copy number changes by quantitative PCR and standard histological FISH; and ErbB2 expression levels by quantitative RT-PCR and IHC. Patients also undergo blood sample collection for extraction of DNA (as normal control DNA) and isolation of EpCAM-positive circulating tumor cells using immunomagnetic cell separation technology. Additional research studies may include mutational and amplification analysis of the c-MET and PI3K pathways.
NOTE: *Patients may undergo biopsy if a post-treatment tumor tissue sample is unavailable.
Undersøgelsestype
Kontakter og lokationer
Studiesteder
-
-
Ohio
-
Cleveland, Ohio, Forenede Stater, 44195
- Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center
-
Cleveland, Ohio, Forenede Stater, 44106-5065
- Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
-
Cleveland, Ohio, Forenede Stater, 44024
- Geauga Regional Hospital
-
Cleveland, Ohio, Forenede Stater, 44060
- Lake/University Ireland Cancer Center
-
Cleveland, Ohio, Forenede Stater, 44121
- University Suburban Health Center
-
Cleveland, Ohio, Forenede Stater, 44122
- UHHS Chagrin Highlands Medical Center
-
Cleveland, Ohio, Forenede Stater, 44130
- Southwest General Health Center
-
Cleveland, Ohio, Forenede Stater, 44145
- UHHS Westlake Medical Center
-
Cleveland, Ohio, Forenede Stater, 44708
- Mercy Cancer Center at Mercy Medical Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
DISEASE CHARACTERISTICS:
Pathologically confirmed invasive breast cancer
- ErbB2-positive disease
Has received or is currently receiving lapatinib ditosylate
- Documented clinical benefit while receiving lapatinib ditosylate (e.g., stable disease of ≥ 12 weeks duration OR a radiographic response)
- Must have tumor tissue samples available for research studies
- Hormone receptor status not specified
PATIENT CHARACTERISTICS:
- Menopausal status not specified
- Not pregnant*
- Coagulation profile normal*
- Platelet count > 100,000/mm³* NOTE: *For patients requiring a post-treatment biopsy
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Concurrent chemotherapy or trastuzumab (Herceptin®) allowed
- No concurrent anticoagulants, including warfarin or low-molecular weight heparin*
- No concurrent antiplatelet therapy, including aspirin, clopidogrel, or other antiplatelet agents* NOTE: *For patients requiring a post-treatment biopsy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
|---|
|
Secondary ErbB2 mutations
|
|
ErbB2 copy number changes and expression levels
|
|
Abnormalities of other pathways (e.g., c-MET and PI3K) as potential mechanisms of resistance
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Balazs Halmos, MD, Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
Datoer for undersøgelser
Studer store datoer
Studiestart
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CASE15107 (Anden identifikator: Case Comprehensive Cancer Center)
- P30CA043703 (U.S. NIH-bevilling/kontrakt)
- CASE-15107-CC488
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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