An Open Label Phase II Trial of BIBW 2992 in Patients With HER2-negative Metastatic Breast Cancer
5. Dezember 2013 aktualisiert von: Boehringer Ingelheim
An Open Label Phase II Trial to Assess the Efficacy and Safety of a Once Daily Oral Dose of 50 mg BIBW 2992 in Two Cohorts of Patients With HER2-negative Metastatic Breast Cancer After Failure of no More Than Two Chemotherapy Regimen
The purpose of this trial is to evaluate the efficacy, safety and pharmacokinetics of BIBW 2992, a dual, irreversible EGFR- and HER2-inhibitor, in two cohorts of patients with HER2-negative breast cancer after failure of no more than three regimen of prior chemotherapy.
Studienübersicht
Status
Abgeschlossen
Bedingungen
Intervention / Behandlung
Studientyp
Interventionell
Einschreibung (Tatsächlich)
50
Phase
- Phase 2
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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Brussel, Belgien
- 1200.10.3208 Boehringer Ingelheim Investigational Site
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Bruxelles, Belgien
- 1200.10.3201 Boehringer Ingelheim Investigational Site
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Charleroi, Belgien
- 1200.10.3203 Boehringer Ingelheim Investigational Site
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Gent, Belgien
- 1200.10.3205 Boehringer Ingelheim Investigational Site
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Leuven, Belgien
- 1200.10.3204 Boehringer Ingelheim Investigational Site
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Wilrijk, Belgien
- 1200.10.3206 Boehringer Ingelheim Investigational Site
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Berlin, Deutschland
- 1200.10.49005 Boehringer Ingelheim Investigational Site
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Düsseldorf, Deutschland
- 1200.10.49007 Boehringer Ingelheim Investigational Site
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Erlangen, Deutschland
- 1200.10.49008 Boehringer Ingelheim Investigational Site
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Essen, Deutschland
- 1200.10.49010 Boehringer Ingelheim Investigational Site
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Kiel, Deutschland
- 1200.10.49003 Boehringer Ingelheim Investigational Site
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Mainz, Deutschland
- 1200.10.49004 Boehringer Ingelheim Investigational Site
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München, Deutschland
- 1200.10.49001 Boehringer Ingelheim Investigational Site
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Wiesbaden, Deutschland
- 1200.10.49006 Boehringer Ingelheim Investigational Site
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
18 Jahre und älter (Erwachsene, Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Nein
Studienberechtigte Geschlechter
Weiblich
Beschreibung
Inclusion criteria:
Inclusion Criteria:
- Female patients age 18 years or older
- Histologically proven breast cancer after failure or relapse of no more than three lines of chemotherapy including adjuvant, irrespective of prior hormone therapy metastatic disease (stage IV);
- HER2-negative patients (HER2 1+ or negative, or HER2 2+ and FISH negative)
- At least one measurable tumour lesion (RECIST);
- Availability of tumour samples
- Written informed consent that is consistent with ICH-GCP guidelines and local law
- Eastern Cooperative Oncology Group (ECOG, R01-0787) performance score 0 - 2.
Exclusion criteria:
Exclusion Criteria:
- Active infectious disease
- Gastrointestinal disorders that may interfere with the absorption of the study drug or chronic diarrhoea
- Serious illness, concomitant non-oncological disease or mental problems considered by the investigator to be incompatible with the protocol
- Active/symptomatic brain metastases
- Cardiac left ventricular function with resting ejection fraction < 50% (below upper limit of normal)
- ANC less than 1500/mm3 platelet count less than 100 000/mm3
- Bilirubin greater than 1.5 mg /dl (>26 and#61549 mol /L, SI unit equivalent)
- AST and ALT greater than 2.5 times the upper limit of normal or greater 5 times the upper limit of normal in case of known liver metastases
- Serum creatinine greater than 1.5 mg/dl (>132 and#61549 mol/L, SI unit equivalent)
- Patients who are sexually active and unwilling to use a medically acceptable method of contraception
- Pregnancy or breast-feeding
- Concomitant treatment with other investigational drugs or other anti-cancer-therapy during this study and/or during the past two/four weeks, prior to the first treatment with the trial drug. Concurrent treatment with biphosphonates is allowed
- Previous treatment with trastuzumab, EGFR-, or EGFR/HER2-inhibitors patients unable to comply with the protocol
- Active alcohol or drug abuse
- Other malignancy within the past 5 years
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Diagnose
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
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Experimental: BIBW 2992
high dose once daily
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high dose once daily
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Objective Response (OR)
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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OR is defined as complete response (CR) and partial response (PR) and was assessed according to the Response Evaluation Criteria in Solid Tumours version 1.0 (RECIST).
OR was primary endpoint only for Cohort B.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Clinical Benefit (CB)
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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CB was defined as CR, PR or stable disease (SD) for a minimum of 4 months (modified CB) and was assessed according to RECIST 1.0 criteria.
CB was primary endpoint only for Cohort A.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Clinical Benefit (CB)
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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CB was defined as CR, PR or stable disease (SD) for a minimum of 4 months (modified CB) and was assessed according to RECIST 1.0 criteria.
CB was secondary endpoint only for Cohort B as it was primary endpoint for Cohort A.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Time to OR
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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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 1.0 criteria.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Duration of OR
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Duration of OR was measured from the time the criteria for CR or PR (whichever was documented first) were first met until the first date that progressive disease or death was objectively documented.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Progression-free Survival (PFS)
Zeitfenster: Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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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 1.0 criteria as well as by the investigators assessment.
Median time results from unstratified Kaplan-Meier estimates.
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Tumour assessments were performed at screening, week 8, week 16, week 24, and every 8 weeks thereafter.
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Overall Survival (OS)
Zeitfenster: From randomisation to end of follow-up.
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OS is defined as time from randomisation to death.
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From randomisation to end of follow-up.
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Significant Change in Cardiac Left Ventricular Ejection Fraction (LVEF)
Zeitfenster: Baseline and last assessment
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LVEF as measured by echocardiography or Multiple Gated Acquisition (MUGA) scan.
MUGA scan is an useful noninvasive tool for assessing the function of the heart.
Significant change in LVEF values was defined as >=20 percent decrease from baseline or to below lower limit of normal, which was defined as 50 percent.
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Baseline and last assessment
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Best Change From Baseline in ECOG Performance Status
Zeitfenster: baseline till end of treatment
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Best change from baseline in ECOG (Eastern Cooperative Oncology Group) performance status.
ECOG is measured as score between 0 (fully active) and 5 (dead).
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baseline till end of treatment
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Pre-dose Concentration of Afatinib in Plasma at Steady State on Day 29 (Cpre,ss,29)
Zeitfenster: day 29
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Cpre,ss,29 represents the pre-dose concentration of afatinib in plasma at steady state on day 29.
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day 29
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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Sponsor
Publikationen und hilfreiche Links
Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.
Nützliche Links
Studienaufzeichnungsdaten
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Haupttermine studieren
Studienbeginn
1. November 2006
Primärer Abschluss (Tatsächlich)
1. Mai 2009
Studienanmeldedaten
Zuerst eingereicht
22. Januar 2007
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
22. Januar 2007
Zuerst gepostet (Schätzen)
23. Januar 2007
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
31. Dezember 2013
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
5. Dezember 2013
Zuletzt verifiziert
1. August 2013
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 1200.10
- 2006-002018-36 (EudraCT-Nummer: EudraCT)
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