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Afatinib (BIBW2992) in HER2 (Human Epidermal Growth Factor Receptor 2)-Overexpressing Inflammatory Breast Cancer

17. juni 2016 oppdatert av: Boehringer Ingelheim

An Open Label, Phase II Trial of Afatinib With or Without Vinorelbine for the Treatment of HER2-overexpressing Inflammatory Breast Cancer

The general aim of this study is to investigate the efficacy and safety of afatinib alone and in combination with weekly vinorelbine (in patients who progress on afatinib monotherapy within this trial) as treatment in patients with HER2-overexpressing, locally advanced or metastatic inflammatory breast cancer. The study will include patients who have and have not failed prior trastuzumab treatment.

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

26

Fase

  • Fase 2

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Victoria
      • East Bentleigh, Victoria, Australia
        • 1200.89.61002 Boehringer Ingelheim Investigational Site
    • Western Australia
      • Perth, Western Australia, Australia
        • 1200.89.61003 Boehringer Ingelheim Investigational Site
    • California
      • Los Angeles, California, Forente stater
        • 1200.89.10001 Boehringer Ingelheim Investigational Site
    • North Carolina
      • Durham, North Carolina, Forente stater
        • 1200.89.10005 Boehringer Ingelheim Investigational Site
      • Hong Kong, Hong Kong
        • 1200.89.85201 Boehringer Ingelheim Investigational Site
      • Seoul, Korea, Republikken
        • 1200.89.82001 Boehringer Ingelheim Investigational Site
      • Seoul, Korea, Republikken
        • 1200.89.82002 Boehringer Ingelheim Investigational Site
      • Bournemouth, Storbritannia
        • 1200.89.44002 Boehringer Ingelheim Investigational Site
      • London, Storbritannia
        • 1200.89.44001 Boehringer Ingelheim Investigational Site
      • London, Storbritannia
        • 1200.89.44003 Boehringer Ingelheim Investigational Site
      • Bangkok, Thailand
        • 1200.89.66002 Boehringer Ingelheim Investigational Site
      • Bangkok, Thailand
        • 1200.89.66004 Boehringer Ingelheim Investigational Site
      • Chiangmai, Thailand
        • 1200.89.66003 Boehringer Ingelheim Investigational Site
      • Hat-Yai, Songkhla, Thailand
        • 1200.89.66001 Boehringer Ingelheim Investigational Site
      • Ariana, Tunisia
        • 1200.89.21601 Boehringer Ingelheim Investigational Site
      • Sousse, Tunisia
        • 1200.89.21602 Boehringer Ingelheim Investigational Site

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Hunn

Beskrivelse

Inclusion criteria:

  1. Female patients >=18 years with proven diagnosis of HER2-overexpressing, histologically confirmed breast cancer
  2. Locally advanced or metastatic disease
  3. Must have disease that can be evaluated according to RECIST 1.1 (Response Evaluation Criteria for Solid Tumours version 1.1)
  4. For trastuzumab pre-treated patients, must have failed prior trastuzumab treatment
  5. Investigator-confirmed diagnosis of Inflammatory Breast Cancer
  6. Must have biopsiable disease

Exclusion criteria:

  1. Prior treatment with HER2-targeted small molecules or antibodies other than trastuzumab (which must have been given in the trastuzumab-failure study population)
  2. Must not have received prior vinorelbine treatment

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Afatinib once daily (OD)
Patients receive afatinib monotherapy once daily until progression of their disease
Patient to receive afatinib monotherapy until progression of their disease
Patients additionally receive vinorelbine weekly on disease progression on afatinib monotherapy

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part A: Clinical Benefit (CB) Assessed by Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at Least 6 Months Using the Response Evaluation Criteria in Solid Tumours (RECIST 1.1).
Tidsramme: This endpoint was assessed between the from first administration of trial medication in Part A and the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Tumour response was assessed separately for Part A and Part B according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The primary endpoint of this study was confirmed clinical benefit, as assessed by Stable Disease (SD) for at least 6 months (defined as >182 days), Partial Response (PR), or Complete Response (CR) according to RECIST version 1.1 (only confirmed responses were considered).
This endpoint was assessed between the from first administration of trial medication in Part A and the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Part B: Clinical Benefit (CB) Assessed by Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at Least 6 Months Using the Response Evaluation Criteria in Solid Tumours (RECIST 1.1).
Tidsramme: This endpoint was recorded from first administration of trial medication in Part B until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.
Tumour response was assessed separately for Part B according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The primary endpoint of this study was confirmed clinical benefit, as assessed by Stable Disease (SD) for at least 6 months (defined as >182 days), Partial Response (PR), or Complete Response (CR) according to RECIST version 1.1 (only confirmed responses were considered).
This endpoint was recorded from first administration of trial medication in Part B until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part A: Confirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).
Tidsramme: This endpoint was recorded from first administration of trial medication until the earliest of disease progression, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Objective response was defined on a patient level as a best response of CR or PR.
This endpoint was recorded from first administration of trial medication until the earliest of disease progression, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Part B: Confirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).
Tidsramme: This endpoint was recorded from first administration of trial medication in Part B and until the earliest of disease progression, death or start of new anti-cancer therapy up to 929 days.
Objective response was defined on a patient level as a best response of CR or PR.
This endpoint was recorded from first administration of trial medication in Part B and until the earliest of disease progression, death or start of new anti-cancer therapy up to 929 days.
Part A: Unconfirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).
Tidsramme: This endpoint was recorded from first administration of trial medication until the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Objective response was defined on a patient level as a best response of CR or PR.
This endpoint was recorded from first administration of trial medication until the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.
Part B: Unconfirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1 ).
Tidsramme: This endpoint was recorded from first administration of trial medication in Part B and until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.
Objective response was defined on a patient level as a best response of CR or PR.
This endpoint was recorded from first administration of trial medication in Part B and until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.
Part A: Duration of Unconfirmed Objective Response.
Tidsramme: From first drug administration until end of Part A, up to 929 days.
Objective Response (OR) was defined on a patient level as a best response of Complete Response (CR) or Partial Response (PR). Duration of objective response was measured from the time of first unconfirmed objective response to the time of progression or death (or date of censoring for Progression Free Survival (PFS)).
From first drug administration until end of Part A, up to 929 days.
Part B: Duration of Unconfirmed Objective Response.
Tidsramme: From first drug administration until end of Part B, up to 929 days.
Objective response was defined on a patient level as a best response of CR or PR. Duration of objective response was measured from the time of first unconfirmed objective response to the time of progression or death (or date of censoring for PFS).
From first drug administration until end of Part B, up to 929 days.
Part A: Progression Free Survival.
Tidsramme: From first drug administration until end of Part A, up to 713 days.
PD was evaluated according to the RECIST version 1.1. For patients with a known date of progression (or death), PFS was the earlier of date of progression or death - date of first administration + 1. The date of progression and date of first administration referred to the respective part of the study A.
From first drug administration until end of Part A, up to 713 days.
Part B: Progression Free Survival.
Tidsramme: From first drug administration until end of Part B, up to 230 days.
PD was evaluated according to the RECIST version 1.1. For patients with a known date of progression (or death), PFS was the earlier of date of progression or death - date of first administration + 1. The date of progression and date of first administration referred to the respective part of the study B.
From first drug administration until end of Part B, up to 230 days.
Progression Free Survival Over the Whole Sudy.
Tidsramme: From first drug administration until end of study, up to 700 days.
PD was evaluated according to the RECIST version 1.1. Number of days from the start of monotherapy to the date of second PD.
From first drug administration until end of study, up to 700 days.

Samarbeidspartnere og etterforskere

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Publikasjoner og nyttige lenker

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Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. august 2011

Primær fullføring (Faktiske)

1. november 2014

Studiet fullført (Faktiske)

1. november 2014

Datoer for studieregistrering

Først innsendt

28. mars 2011

Først innsendt som oppfylte QC-kriteriene

28. mars 2011

Først lagt ut (Anslag)

29. mars 2011

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

19. juli 2016

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. juni 2016

Sist bekreftet

1. juni 2016

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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