NCT03876587Unknown2 期
A Multicenter, Phase II Open Label Study of Pyrotinib Maleate Combined With Docetaxel in the First-line Treatment of HER2-positive Metastatic Breast Cancer
适应症
干预措施
相关药物
试验速览
- 阶段
- 2 期
- 入组人数
- 79
- 试验地点
- 1
- 主要终点
- Objective Response Rate
研究概览
简要总结
To explore the efficacy and safety of pyrotinib combined with docetaxel regimen in the first-line treatment of HER2-positive metastatic breast cancer.
详细描述
A multi-center, one-arm, open label design study,which is planned to enroll 79 patients with HER2-positive metastatic breast cancer receiving first-line treatment with pyrotinib and docetaxel. The main purpose of this study was to observe the efficacy and safety of first-line treatment with pyrrolidine and docetaxel for HER2-positive metastatic breast cancer.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Local recurrent or metastatic breast cancer suitable for chemotherapy, confirmed histologically.
- •HER2-positive breast cancer(according to 2018 ASCO/CAP HER2 test guideline).
- •do not chemotherapy for recurrent and metastatic lesions, but local treatment for local symptoms, such as radiotherapy for relieving bone pain, is allowed.
- •if the patient is bilateral breast cancer, metastasis lesions must be HER2-positive.
- •18-70 years old.
- •ECOG PS 0～
- •life expectancy is not less than 12 weeks.
- •at least one measurable lesion according to RECIST 1.
- •Endocrine therapy is allowed to relapse/metastasis disease; patients with previous adjuvant/neoadjuvant use of Taxus and trastuzumab, disease-free interval from the end of last adjuvant/neoadjuvant Taxus therapy to the progression of tumors (≥12 months), and disease-free interval from the end of last adjuvant/neoadjuvant trastuzumab to the progression of tumors (≥ 6 months).
- •ANC ≥ 1.5×109/L,PLT ≥ 75×109/L,Hb ≥ 100 g/L;TBIL≤1.0ULN；ALT and AST≤3×ULN（ALT and AST≤5×ULN if liver metastasis）;BUN and Cr≤1.5×ULN and CCr≥50 mL/min.
- •LVEF ≥ 50% and QTc≤480 ms.
- •known hormone receptor status.
- •Signed informed
排除标准
- •Central nervous system metastasis.
- •Unable to swallow, chronic diarrhea and intestinal obstruction, there are many factors affecting drug use and absorption.
- •patient who received radiotherapy, chemotherapy, surgery (excluding local puncture) or molecular targeted therapy within 4 weeks before admission; those who received anti-tumor endocrine therapy after screening period
- •Participated in other drug clinical trials within 4 weeks before admission
- •Tyrosine kinase inhibitors targeting HER2 (Neratinib, Lapatinib, pyrotinib, etc.) have been used or are being used in the past.
- •Other malignant tumors, excluding cured cervical carcinoma in situ, skin basal cell carcinoma or skin squamous cell carcinoma, have been diagnosed in the past five years.
- •Receive other antitumour treatment at the same time
- •A history of immunodeficiency, including HIV positive, HCV, active hepatitis B, or other acquired, congenital immunodeficiency disorders, or organ transplantation, is known.
- •Has suffered from any heart disease
- •Female patients during pregnancy and lactation, fertile women with positive baseline pregnancy tests or women of childbearing age who are unwilling to take effective contraceptive measures throughout the trial
- •According to the judgement of the researchers, there are concomitant diseases that seriously endanger the safety of patients or affect the completion of research (including, but not limited to, severe hypertension, severe diabetes, active infections, etc.).
- •The patient did not recover from the toxicity of previous treatment to grade 0-1 (except hair loss).
- •History of neurological or psychiatric disorders
- •Along with CYP3A4 inhibitors or inducers or drugs that are using to prolong the QT interval
- •Researchers believe that patients are not suitable for any other situation in this study.
研究组 & 干预措施
Pyrotinib Maleate combine with Docetaxel
Experimental
Pyrotinib Maleate combine with Docetaxel should be administrate to all subjects.
Initial dose: Pyrotinib Maleate 400mg oral administration everyday plus Docetaxel 75mg per square of BSA every three weeks intravenous injection.
干预措施: Pyrotinib Maleate combine with Docetaxel (Drug)
结局指标
主要结局
Objective Response Rate
时间窗: from enrollment to progression or death (for any reason), assessed up to 100 months
Ratio of CR and PR in all subjects
次要结局
- PFS(from enrollment to progression or death (for any reason),assessed up to 100 months)
- DoR(The first evaluation of CR or PR to progression or death (for any reason),assessed up to 100 months)
- OS(from enrollment to death (for any reason).assessed up to 100 months)
- Clinical Benefit Rate(from enrollment to progression or death (for any reason),assessed up to 100 months)
研究者
Xiaojia Wang(xj wang)
Director
Zhejiang Cancer Hospital
研究点 (1)
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