Letrozole Versus Letrozole Plus Lapatinib (GW572016) in Hormone-sensitive, HER-2 Negative Operable Breast Cancer. A Double Blind Randomized Phase II Study With Biomarker Evaluation.
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- Percentage of Participants With Clinical Objective Response (cOR) in the Breast, Evaluated by an Independent Radiological Evaluation Monitoring Committee
研究概览
简要总结
Evaluate the percentage of clinical objective responses (cOR) in patients with HER2 negative early breast cancer treated with pre operative (neoadjuvant)lapatinib and letrozole
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Letrozole plus placebo
Letrozole 2.5 mg administered orally fro 6 mos. plus placebo 1500 mg administered orally throughout the study until definitive surgery
干预措施: letrozole (Drug)
Letrozole plus placebo
Letrozole 2.5 mg administered orally fro 6 mos. plus placebo 1500 mg administered orally throughout the study until definitive surgery
干预措施: placebo (Other)
Letrozole plus lapatininb
Letrozole 2.5 mg administered orally fro 6 mos. plus lapatinib 1500 mg administered orally throughout the study until definitive surgery
干预措施: lapatinib (Drug)
Letrozole plus lapatininb
Letrozole 2.5 mg administered orally fro 6 mos. plus lapatinib 1500 mg administered orally throughout the study until definitive surgery
干预措施: letrozole (Drug)
结局指标
主要结局
Percentage of Participants With Clinical Objective Response (cOR) in the Breast, Evaluated by an Independent Radiological Evaluation Monitoring Committee
时间窗: From Baseline (Day 1) up to 6 months, evaluated every 12 weeks
cOR is defined as the documented evidence of complete response (CR) and partial response (PR) as assessed by ultrasound examination using Response Evaluation Criteria In Solid Tumors (RECIST). CR is defined as the disappearance of all target lesions (TLs) and non-TLs and the appearance of no new lesions (NLs). PR for TLs is defined as a \>=30% decrease in the sum of the longest diameter (LD) of TLs, taking as a reference the Baseline sum LD. For non-TLs, it is defined as the persistence of \>=1 non-TL and no new TLs or non-TLs.
Percentage of Participants With Various Responses in the Breast, Evaluated Using Per Protocol Criteria
时间窗: From Baseline (Day 1) up to 6 months, evaluated every 12 weeks
Complete clinical response=nodule not detectable; all ultrasound abnormalities detected at diagnosis have disappeared. Partial clinical response=the tumor's longest diameter (LD) is reduced by 50% or more; ultrasound characteristics of the tumor persist. Minimal response=the tumor's LD is reduced by 25%-49%. Stable disease=the tumor's LD is decreased by less than 25% and is increased by no more than 25% from the starting value. Progressive disease=the tumor's LD is increased by more than 25% from the starting value. Participants who were not evaluable did not have data available.
次要结局
- Time to Treatment Failure From the Start of the Primary Therapy(From Baseline (Day 1) up to study withdrawal (approx. 66 months))
- Percentage of Participants With Pathological Complete Response (pCR) in the Breast and Axillary Nodes, Evaluated Using Miller and Payne Criteria(At the point of definitive surgery (up to 6 months after Baseline))
- Percentage of Participants With Conversion From Planned Mastectomy at Baseline to BCS at Surgery(At the point of definitive surgery (up to 6 months after Baseline))
- Number of Participants With the Indicated Adverse Events With a Classification of >=Grade 2(From Baseline (Day 1) up to 6 months (until definitive surgery))
- Mean Left Ventricular Ejection Fraction (LVEF)(Baseline (Day 1), after 12 weeks, and after 24 weeks)
- Number of Participants With Breast Tumors Per Pathological Stage at Surgery(At the point of definitive surgery (up to 6 months after Baseline))
- Number of Participants With the Indicated Nodal Status at Surgery(At the point of definitive surgery (up to 6 months after Baseline))
- Number of Participants With the Indicated Type of Surgery(At the point of definitive surgery (up to 6 months after Baseline 1))
