- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00105950
Study Of Lapatinib In Patients With Relapsed Or Refractory Inflammatory Breast Cancer
A Phase II Study to Evaluate the Efficacy, Safety and Pharmacodynamics of Lapatinib in Patients With Relapsed or Refractory Inflammatory Breast Cancer
Visão geral do estudo
Descrição detalhada
Tipo de estudo
Inscrição (Real)
Estágio
- Fase 2
Contactos e Locais
Locais de estudo
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Bruxelles, Bélgica, 1000
- GSK Investigational Site
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Ontario
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Toronto, Ontario, Canadá, M4N 3M5
- GSK Investigational Site
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Barcelona, Espanha, 08036
- GSK Investigational Site
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Barcelona, Espanha, 08035
- GSK Investigational Site
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Girona, Espanha, 17007
- GSK Investigational Site
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Madrid, Espanha, 28041
- GSK Investigational Site
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Florida
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Miami, Florida, Estados Unidos, 33136-1002
- GSK Investigational Site
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Illinois
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Chicago, Illinois, Estados Unidos, 60637
- GSK Investigational Site
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Zion, Illinois, Estados Unidos, 60099
- GSK Investigational Site
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Maryland
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Bethesda, Maryland, Estados Unidos, 20892-1201
- GSK Investigational Site
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Michigan
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Detroit, Michigan, Estados Unidos, 48201
- GSK Investigational Site
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Missouri
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St. Louis, Missouri, Estados Unidos, 63110
- GSK Investigational Site
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North Carolina
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Durham, North Carolina, Estados Unidos, 27710
- GSK Investigational Site
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Washington
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Seattle, Washington, Estados Unidos, 98109
- GSK Investigational Site
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Bayonne, França, 64100
- GSK Investigational Site
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Lyon Cedex 08, França, 69373
- GSK Investigational Site
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Marseille Cedex 09, França, 13273
- GSK Investigational Site
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Paris Cedex 20, França, 75970
- GSK Investigational Site
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Paris Cedex 5, França, 75248
- GSK Investigational Site
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Saint-Herblain, França, 44805
- GSK Investigational Site
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Ramat Gan, Israel, 52621
- GSK Investigational Site
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Zrifin, Israel, 70300
- GSK Investigational Site
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London, Reino Unido, SW3 6JJ
- GSK Investigational Site
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Sfax, Tunísia, 3000
- GSK Investigational Site
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Sfax, Tunísia, 3029
- GSK Investigational Site
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Tunis, Tunísia, 1007
- GSK Investigational Site
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Tunis, Tunísia, 1004
- GSK Investigational Site
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion criteria:
- Must have a life expectancy of at least 12 weeks.
- Has a left ventricular ejection fraction (LVEF) ≥ 50%, or ≥ lower limit of normal for the institution, based on ECHO or MUGA.
- Aspartate and alanine transaminase (AST or ALT) ≤ 3 times the upper limit of the reference range (patients with liver metastases may have AST and ALT ≤ 5 times the upper limit of the reference range and may be enrolled).
- Total bilirubin ≤ 3.0 mg/dL.
- Serum creatinine ≤ 2.0 mg/dL or calculated creatinine clearance (CrCl) ≥ 30 mL/min
- Adequate bone marrow function. Hemoglobin ≥ 9 gm/dL. Absolute granulocyte count ≥ 1,500/mm³ (1.5 x 10^9/L). Platelets ≥ 75,000/mm³ (100 x 10^9/L).
- Recovered or stabilized sufficiently from side effects associated with previous chemotherapy, surgery or radiotherapy.
- Provided written informed consent.
- ECOG (Eastern Cooperative Oncology Group) performance status 0 to 2.
- Able to swallow and retain oral medication.
- Male or female, if female:
A female is eligible to enter and participate in the study if she is of:
- Non-childbearing potential (i.e., women with functioning ovaries who have a current documented tubal ligation or hysterectomy, or women who are postmenopausal); or
- Childbearing potential (i.e., women with functioning ovaries and no documented impairment of oviductal or uterine function that would cause sterility. This category includes women with oligomenorrhoea (severe), women who are perimenopausal, and young women who have begun to menstruate), has a negative serum pregnancy test at screening, and agrees to one of the following where considered acceptable to the local IRB/IEC: Double-barrier contraception (condom with spermicidal jelly, foam suppository, or film; diaphragm with spermicide; or male condom and diaphragm).
Abstinence from sexual intercourse from 2 weeks prior to administration of the investigational product, throughout the active study treatment period, and through the post-treatment follow-up visit (to occur 28 days after last dose of investigational product).
Male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject.
Implants of levonorgestrel. Injectable progestogen. Any intrauterine device (IUD) with a documented failure rate of less than 1% per year.
Oral contraceptives (either combined or progestogen only). Barrier methods including diaphragm or condom with a spermicide.
- At least 18 years of age.
- Has either measurable disease by Response Evaluation Criteria in Solid Tumors (RESIST) or clinically evaluable skin disease. Measurable lesions may be in the field of prior adjuvant irradiation; however, there must be at least an 8 week period between the last radiation treatment and the baseline scan documenting disease status for the lesion to be measurable.
- Tumor that is accessible for biopsy.
- Tumor that overexpresses ErbB2 defined as 3+ by IHC or FISH +. The ErbB 2 overexpression must be documented prior to dosing.
- Documented disease progression or relapse following treatment, which must have contained a taxane and anthracycline-containing regimen in the adjuvant or metastatic setting (30 patients) plus trastuzumab (90 patients)
- Histological diagnosis of breast carcinoma with a clinical diagnosis of IBC based on the presence of inflammatory changes in the involved breast, including diffuse erythema and edema (peau d'orange), with or without an underlying palpable mass involving the majority of the skin of the breast. Pathologic evidence of dermal lymphatic invasion should be noted but is not required for diagnosis.
Exclusion criteria:
- Is clinically assessed to have inadequate venous access for protocol-related blood draws.
- Has a clinically significant electrocardiogram (ECG) abnormality.
- Has Class II to IV heart failure as defined by the New York Heart Association (NYHA) functional classification system.
- Has physiological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
- Is currently receiving oral steroid treatment (inhaled steroids are permitted), or any other medication on the prohibited medications list
- Is currently receiving amiodarone or has received amiodarone in the 6 months prior to screening.
- Has received chemotherapy, immunotherapy, biologic therapy or hormonal therapy within the past 14 days, with the exception of mitomycin C within the past 6 weeks.
- Has received treatment with any investigational drug in the previous 4 weeks.
- Has a known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to the investigational product. These include other anilinoquinazolines, such as gefitinib [Iressa], erlotinib [Tarceva], or other chemically related compounds.
- Is considered medically unfit for the study by the investigator as a result of the medical interview, physical exam, or screening investigations.
- Has evidence of symptomatic or uncontrolled brain metastases or leptomeningeal disease. Patients with brain metastases treated by surgery and/or radiotherapy are eligible if neurologically stable and do not require steroids or anticonvulsants.
- Has malabsorption syndrome, a disease affecting gastrointestinal function, or resection of the stomach or small bowel.
- Is a pregnant or lactating female.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Lapatinib
Single arm study of lapatinib with no comparator arm.
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Tyrosine kinase inhibitor administered daily at 1500 mg/kg
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
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Objective Response rate (complete response plus partial response)
Prazo: Week 84
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Week 84
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Medidas de resultados secundários
Medida de resultado |
Prazo |
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Clinical benefit (progression free survival, time to progression, response duration)
Prazo: week 84
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week 84
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Assessment of clinical benefit, defined as CR or PR for at least 4 weeks, or SD for at least 6 months
Prazo: week 84
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week 84
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Calculation of progression-free survival, defined as the time between the first dose of investigational product and the first documented sign of disease progression or death.
Prazo: week 84
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week 84
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Calculation of time-to-response, defined as the time between the first dose of investigational product and the first documented CR or PR.
Prazo: week 84
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week 84
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Calculation of duration of response, defined as the time from initial documented CR or PR to the first documented sign of disease progression.
Prazo: week 84
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week 84
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Evaluation of changes in QoL and pain scale measurements collected on Day 1 and every 4 weeks while receiving study treatment.
Prazo: week 84
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week 84
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Evaluation of adverse events (AEs), changes in laboratory values and echocardiogram (ECHO) or multiple gated acquisition scan (MUGA) results from pre-dose, during dosing and post-dose assessments
Prazo: week 84
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week 84
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Comparison of the effects of lapatinib on biomarkers that are involved in regulating tumor cell proliferation and survival (e.g., phosphorylated forms of Erk1/2 and Akt, STAT3, S6 Kinase, Bad, truncated ErbB2 and potentially other downstream mediators of
Prazo: Day 28
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Day 28
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tumor cell growth and survival) by quantitative IHC and by direct and genome-wide methods (e.g., direct sequencing and DNA microarray) in tumor tissue collected prior to and following 28 days of lapatinib monotherapy.
Prazo: Day 28
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Day 28
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Examination of the effects of lapatinib therapy on the levels of circulating ErbB1 and ErbB2 ECD and the proteomic profile of peripheral blood. Investigation of the use of FDG-PET to predict early response to treatment with lapatinib.
Prazo: Day 28
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Day 28
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Colaboradores e Investigadores
Patrocinador
Publicações e links úteis
Publicações Gerais
- Kaufman B, Trudeau M, Awada A, Blackwell K, Bachelot T, Salazar V, DeSilvio M, Westlund R, Zaks T, Spector N, Johnston S. Lapatinib monotherapy in patients with HER2-overexpressing relapsed or refractory inflammatory breast cancer: final results and survival of the expanded HER2+ cohort in EGF103009, a phase II study. Lancet Oncol. 2009 Jun;10(6):581-8. doi: 10.1016/S1470-2045(09)70087-7. Epub 2009 Apr 24.
- Kaufman B, Wu Y, Amonkar MM, Sherrill B, Bachelot T, Salazar V, Viens P, Johnston S. Impact of lapatinib monotherapy on QOL and pain symptoms in patients with HER2+ relapsed or refractory inflammatory breast cancer. Curr Med Res Opin. 2010 May;26(5):1065-73. doi: 10.1185/03007991003680323.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- EGF103009
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .
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