Metastatic Breast Cancer Clinical Trial
— LAPTEMOfficial title:
Phase 1 Study of the Combination of Lapatinib and Temozolomide for the Treatment of Progressive Brain Disease in HER-2 Positive Breast Cancer
Objectives:
Primary - Determine the maximum tolerated dose (MTD) and evaluate the dose limiting
toxicities (DLT) of combining lapatinib and temozolomideSecondary - Obtain preliminary
information on the clinical anti-tumor activity of lapatinib plus temozolomide on brain
metastases secondary to HER-2 positive breast cancer including Objective Response Rate
(ORR), Clinical Benefit (CB) and Duration of Response (DR)
Methodology:
Phase I, single-centre, open-label, dose-escalation study of combining lapatinib and
temozolomide in HER-2 positive breast cancer patients with progressive brain metastases
after surgery or radiotherapy or radiosurgery
Treatment:
Temozolomide will be given orally for 5 days of every 28 days, at doses of either
100mg/m2/day or 150mg/m2/day or 200mg/m2/day AND Lapatinib will be given orally every day at
either 1000mg/day or 1250mg/day or 1500mg/day.Sequential cohorts will be escalated in
increments according to the dose escalation scheme, and determined by dose limiting
toxicities.
Status | Completed |
Enrollment | 18 |
Est. completion date | June 2011 |
Est. primary completion date | June 2011 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 70 Years |
Eligibility |
Inclusion Criteria: - 18 - 70 years - Women with cytologically or histologically proven metastatic breast cancer with recurrent / progressive brain metastases evaluable by MRI, after standard treatment with surgery (at least 3 weeks prior) or WBRT (at least 3 weeks prior) or stereotactic RT (at least 1 week prior); or otherwise deemed as unsuitable for standard treatment in the first instance - Known HER-2 positive status (immunohistochemistry (IHC) 3+ Fluorescence In Situ Hybridization (FISH) positive ) - Previous chemotherapy (adjuvant and metastatic regimens) allowed - Previous treatment with trastuzumab allowed (Trastuzumab to be discontinued prior to study entry) - At least one measurable lesion in the brain, defined as any lesion >5mm in longest dimension on T1-weighted, gadolinium-enhanced MRI - Expected life-expectancy of more than 3 months - ECOG performance status of 0, 1 or 2 - Adequate bone marrow, renal and hepatic functionsLVEF - LVEF >50% measured by echocardiography or MUGA scan - Concomitant corticosteroids and anti-convulsants for symptomatic brain metastases are allowed |
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Belgium | Jules Bordet Institute | Brussels |
Lead Sponsor | Collaborator |
---|---|
Jules Bordet Institute | GlaxoSmithKline, Schering-Plough |
Belgium,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Primary - Determine the maximum tolerated dose (MTD) and evaluate the dose limiting toxicities (DLT) of combining lapatinib and temozolomide | 18 months | Yes | |
Secondary | Obtain preliminary information on the clinical anti-tumor activity of lapatinib plus temozolomide on brain metastases secondary to HER-2 positive breast cancer including Objective Response Rate, Clinical Benefit and Duration of Response | 18 months | No |
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