Combinational Therapy of Capecitabine, Lapatinib and Vinorelbine for the Treatment of Patients With her2/Neu Positive, Relapsed or Metastatic Breast Carcinoma Following Treatment Failure With Trastuzumab
Overview
- Phase
- Phase 1
- Intervention
- Lapatinib and Capecitabine and Vinorelbine
- Conditions
- Metastatic Breast Cancer
- Sponsor
- Sponsor GmbH
- Enrollment
- 12
- Locations
- 10
- Primary Endpoint
- Identification of maximal tolerable Dose (MTD) of combination with Capecitabine and Lapatinib and Vinorelbine
- Status
- Terminated
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of the study is to investigate safety and efficiency of the triple combination of capecitabine, lapatinib and vinorelbine in patients with metastatic breast cancer.
Detailed Description
The combination of lapatinib with capecitabine ist a standard therapy für Her2 positive metastatic breast cancer. This study combines this therapy with the additional antimitotic mode of function by vinorelbine.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Written informed consent
- •Able to comply with the protocol
- •ECOG performance status 0-1
- •Adequate contraception
- •Confirmed Her2/neu-positive, adenocarcinoma of the breast
- •At least one measurable lesion according to RECIST 1.1 criteria
- •First or second chemotherapy after diagnosis of metastasis
- •Lapatinib treatment indicated (adjuvant trastuzumab treatment \<12 months ago or progressive disease with trastuzumab treatment)
- •No signs and symptoms of CHF (chronic heart failure), LVEF (left ventricular ejection fraction) at study start at least 55%
- •Adequate hepatic and renal function value
Exclusion Criteria
- •Pregnant or lactating women
- •Concurrent participation in another clinical trial. Prior participation is allowed if the last study medication was administered more than 4 weeks prior to randomization
- •Asymptomatic with regards to tumor illness
- •Previous treatment with lapatinib, capecitabine or vinorelbine
- •Necessity of planned treatment with other chemotherapeutics oder anti-hormone therapy
- •Major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to randomization, or anticipation of the need for major surgery during the course of the study
- •Evidence of cardiovascular disease, e.g. myocardial infection, unstable angina pectoris or arrhythmia
- •History of vascular or cardiovascular disease within the past 6 months
- •All illnesses that result in malabsorption of oral medication or inability to take oral medication
- •Concurrent treatment with anti-viral drugs based on sorivudine or with aminoglycosides
Arms & Interventions
Capecitabine, Lapatinib, Vinorelbine
Intervention: Lapatinib and Capecitabine and Vinorelbine
Outcomes
Primary Outcomes
Identification of maximal tolerable Dose (MTD) of combination with Capecitabine and Lapatinib and Vinorelbine
Time Frame: 4 months
Phase I: Identification of Dosis limiting toxicities and maximal tolerable dose for Combinational therapy (Time Frame: within the first 21 days under medication)
Secondary Outcomes
- Overall response Rate(12 months)
- Progression free survival(12 months)
- Time to treatment failure (TTF)(12 months)
- Overall survival (OS)(12 months)