Metastatic Breast Cancer Clinical Trial
Official title:
Randomized Phase II Study of Lapatinib Plus Vinorelbine Versus Vinorelbine in Patients With HER2 Positive Metastatic Breast Cancer Progressed After Lapatinib and Trastuzumab Treatment
The investigators address the clinical efficacy of continuing lapatinib treatment combined with vinorelbine after the progression of both trastuzumab and lapatinib treatment compared with vinorelbine alone in HER2 positive metastatic breast cancer patients.
This study is a multicenter, randomized, open label, phase II study. Patients will be
randomized to either lapatinib plus vinorelbine (LV) arm or vinorelbine alone (V) arm, if
they are satisfied by inclusion and exclusion criteria. The stratification factors are
followings: 1) visceral metastasis vs. others, 2) previous response to lapatinib treatment,
complete response(CR)+partial response(PR) vs. stable disease(SD)≥ 12wks.
Patients in LV arm will receive daily lapatinib 1,000mg with vinorelbine 20mg/m2 day1 and
day 8. Patients in V arm will receive vinorelbine 30mg/m2 day 1 and day 8. Treatment repeats
every 21 days unless there is any evidence of disease progression or unacceptable toxicity
or noncompliance by patient with protocol requirements. Response will be documented by
physical examination, chest or abdomen CT prior to treatment as a baseline, and every 2
cycles (window period ± 1 week) after a start of treatment and at 18 weeks.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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