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临床试验/EUCTR2006-002860-25-LT
EUCTR2006-002860-25-LT进行中(未招募)不适用

A multicenter single arm phase II trial of trastuzumab (Herceptin®) continuation in combination with 2nd-line chemotherapies after progression on a 1st-line chemotherapy combined with trastuzumab in patients with HER2 positive metastatic breast cancer (Treatment Beyond Progression, TBP) - PANDORA

Roche Hungary Ltd.0 个研究点目标入组 120 人开始时间: 2006年11月17日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
120

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Female

入选标准

  • 1.Written and signed informed consent prior to beginning specific protocol procedures showing the patients’ willingness and awareness to participate in the trial and comply with its proceedings.
  • 2.Female patients
  • 3.Age =18 years.
  • 4.Pathologically confirmed and documented metastatic breast cancer.
  • 5.Documented HER2-overexpression of the primary or metastatic tumor tissue detected by immunohistochemistry (IHC 3+) and/or genamplification detected by FISH or CISH.
  • 6.Adjuvant treatment with trastuzumab and/or anthracyclines is allowed.
  • 7. Disease progression during or after a previous 1st-line chemotherapy* plus trastuzumab** treatment as follows:
  • Either of taxanes (docetaxel or paclitaxel) + trastuzumab given as 1st-line therapy for palliation
  • Other allowed chemotherapy drugs combined with trastuzumab in 1st-line setting: vinorelbine, gemcitabine, capecitabine, platinum compounds, cyclophosphamide, methotrexate, fluorouracil.
  • Trastuzumab may have been continued as monotherapy in the first-line setting if the allowed first-line chemotherapy was discontinued earlier.
  • 8.Patients are scheduled to receive an effective 2nd-line chemotherapy as per standard medication care. Schedule and dose as investigators’ opinion in the best interest of the patients. List of the allowed drugs for the 2nd-line chemotherapy are detailed in Appendix 1.
  • 9.Treatment free interval of trastuzumab between 1st-line and 2nd-line administration is a maximum of 6 weeks.
  • 10.At least 4 weeks since major surgery with full recovery.
  • 11.At least 4 weeks since radiotherapy with full recovery.
  • 12.Complete radiology and tumor measurement work up within 3 weeks prior to randomization.
  • 13.Laboratory: neutrophils count = 1,5 x 109/L, platelet = 100 x 109/L, bilirubin <= 2 x the upper limit of normal for the institution (ULN), SGOT/SGPT <= 2,5 x ULN or < 5 x ULN for patients with liver metastases, creatinine <=2.0 mg/dl (within 3 weeks prior to randomization).
  • 14.Left ventricular ejection fraction (LVEF) by cardiac ultrasound or MUGA of >= 50% within 3 weeks prior to randomization.
  • 15.If of childbearing potential, pregnancy test – either urine or serum test - is negative within 1 week prior to randomization. In addition the patient agrees to use an effective, but other than hormonal method to avoid pregnancy during the study.
  • 16.ECOG performance status <= 2 and life expectancy >= 12 weeks (see Appendix 2)
  • 17.Patients must be accessible for treatment and follow-up.
  • 18.Patients entering the trial must be treated and followed at the participating center.
  • * Ad 1st-line therapy: Schedule and dose as investigators’ opinion in the best interest of the patients. Trastuzumab in combination with either of taxanes is considered as standard 1st-line therapy. Anthracyclines are not allowed in this setting.
  • ** Trastuzumab has to be given for at least 12 weeks.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1.Known hypersensitivity reaction to the compounds or incorporated substances.
  • 2.Concurrent immunotherapy or hormonal therapy (antihormonal, contraceptive or replacement therapy) is not allowed at study entry.
  • 3. Anthracyclines in combination with trastuzumab as a part of 1st-line treatment or planned anthracycline administration as 2nd-line chemotherapy.
  • 4.Known anamnestic history (or present condition) of brain metastases (including parenchymal and leptomeningeal metastases).
  • 5.Prior history of myocardial infarction within the previous 6 months.
  • 6.Unstable angina pectoris, uncontrolled arrhythmia and cardiac insufficiency (NYHA Class III-IV) at the time of inclusion.
  • 7.Cardiac toxicity during the previous 1st-line treatment indicating discontinuation of Herceptin® administration.
  • 8.Serious rest dyspnoe in connection with the advanced malignant process claiming supportive oxygen therapy.
  • 9.Pleural effusion.
  • 10.Serious intercurrent medical conditions that may interfere with the planned treatment (including AIDS, serious active infection, CNS disease, psychiatric illness).
  • 11.History of other malignancy within the last 5 years, which could affect the diagnosis or assessment of breast cancer.
  • 12.Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational drug within 30 days prior to study screening.
  • 13.Pregnant or nursing women.
  • 14.Patients who in opinion of investigator are ineligible for 2nd-line chemotherapy.

研究者

发起方
Roche Hungary Ltd.

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