Breast Cancer Clinical Trial
Official title:
A Phase II Trial of Letrozole Plus OSI-774 (Tarceva) in Post-menopausal Women With ER and/or PR-Positive Metastatic Breast Cancer
RATIONALE: Estrogen can cause the growth of breast cancer cells. Hormone therapy using
letrozole may fight breast cancer by blocking the use of estrogen by the tumor cells.
Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell
growth. Giving letrozole together with erlotinib may kill more tumor cells.
PURPOSE: This phase II clinical trial is studying how well giving letrozole together with
erlotinib works in treating postmenopausal women with estrogen receptor-positive and/or
progesterone receptor-positive locally recurrent or metastatic breast cancer.
OBJECTIVES:
Primary
- To determine the rate of clinical benefit (complete response [CR], partial response
[PR], and stable disease [SD] in patients with hormone-dependent locally recurrent or
metastatic breast cancer treated with letrozole in combination with erlotinib
hydrochloride.
Secondary
- To determine the time to progression (TTP) in patients treated with this regimen.
- To evaluate the anti-tumor activity, as determined by CR and PR rates, of this regimen
in these patients.
- To evaluate the safety of this regimen in these patients.
- To determine if tumors that are positive for epidermal growth factor receptor (EGFR) or
Ser118 ER, or that overexpress human epidermal receptor (HER2) exhibit a longer TTP
from the combination compared to tumors that do not express or overexpress these
molecules.
OUTLINE: This is a multicenter study. Patients are stratified according to prior hormone
therapy (hormone-therapy naive/first-line therapy vs prior hormonal therapy with either
tamoxifen or an aromatase inhibitor in the adjuvant or metastatic setting/second-line
therapy)
Patients receive oral letrozole and oral erlotinib hydrochloride once daily in the absence
of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed every 3 months for 2 years, every
6 months for 3 years, and then yearly thereafter.
;
Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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