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临床试验/EUCTR2008-001084-10-FR
EUCTR2008-001084-10-FR进行中(未招募)不适用

A multicenter phase II clinical trial assessing the efficacy of the combination of lapatinib and capecitabine in patients with non pretreated brain metastasis from HER2 positive breast cancer. - LANDSCAPE

FNCLCC0 个研究点开始时间: 2008年10月21日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
FNCLCC

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
All

入选标准

  • 1. Histologically confirmed invasive breast cancer with stage IV disease.
  • 2. HER-2 positive primary tumor, defined as : IHC3+, or IHC2+ and FISH positive.
  • 3. At least one measurable CNS lesion = 10 mm on T1-weighted gadolinium-enhanced MRI.
  • 4. At least two weeks from any specific breast cancer treatment (such as Trastuzumab,
  • chemotherapy, immunotherapy/biological response modifiers, endocrine therapy and
  • radiotherapy).
  • 5. Adequate hematologic function (ANC = 1.0x109/L, platelets = 100 000 ; Hb = 10g/l), renal
  • function (creatinine = 1.5 UNL) and hepatic function (albumin = 2.5 g/dL ;
  • serum bilirubin = 1.5x ULN unless due to Gilbert’s syndrome ; ASAT and ALAT = 5x ULN if
  • documented liver metastases or = 3x ULN without liver metastases)
  • 6. Patients able to swallow and retain oral medication.
  • 7. At least 18 years old.
  • 8. ECOG Performance Status of 0 to 2.
  • 9. Life expectancy = 3 months.
  • 10. Potentially reproductive patients must agree to use an effective contraceptive method while
  • on treatment, beginning 2 weeks before the first dose of investigational product and for 28
  • days after the final dose of investigational product for women. Males able to father a child
  • must practice adequate methods of birth control or practice complete abstinence from
  • intercourse from the first dose of investigational treatment until one week after the final
  • dose of investigational treatment.
  • 11. Women of childbearing potential must have a negative serum pregnancy test within 14
  • days of enrollment and/or urine pregnancy test 48 hours prior to the administration of the
  • first study treatment.
  • 12. Patients must be affiliated to a Social Security System.
  • 13. Patient information and written informed consent form signed.
  • 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) Previous whole brain radiotherapy (WBRT) or brain stereotactic radiotherapy.
  • 2) Planned or concurrent systemic treatment or radiation therapy for breast cancer (other that
  • corticosteroid, biphosphonates or mannitol).
  • 3) Single brain metastasis which could be treated by surgery.
  • 4) Known contra-indication to MRI.
  • 5) Active concurrent malignancy. If there is a history of prior malignancy, the patient must be
  • disease free for at least 10 years.
  • 6) Previous treatment with capecitabine, and/or lapatinib.
  • 7) Patients with other concurrent severe and/or uncontrolled medical disease which could
  • compromise participation in the study, such as :
  • a) infection,
  • b) cardiac disease such as uncontrolled hypertension, congestive cardiac failure,
  • ventricular arrhythmias, active ischemic heart disease, myocardial infarction within one
  • year, LVEF > grade 2,
  • c) current active hepatic or biliary disease (with exception of subjects with Gilbert's
  • syndrome, asymptomatic gallstones, liver metastases or stable chronic liver disease per
  • investigator assessment),
  • d) renal disease,
  • e) active GI tract ulceration, malabsorption syndrome, disease significantly affecting
  • gastrointestinal function, or resection of the stomach or small bowel. Subjects with
  • active, uncontrolled ulcerative colitis are also excluded,
  • f) severely impaired lung function (spirometry and DLCO 50% or less of normal and O2
  • saturation of 88% or less at rest on room air).
  • 8) Known dihydropyrimidine dehydrogenase (DPD) deficiency.
  • 9) Patients being treated with drugs recognized as being strong inhibitors or inducers of the
  • isoenzyme CYP3A (Clarithromycin, Ketoconazole, Itroconazole, Voriconazole, Ritonavir, etc.)within the last 7 to 14 days prior to inclusion and/or during the study.
  • 10) Pregnant women, women who are likely to become pregnant or are breast-feeding.
  • 11) Patients with significantly altered mental status prohibiting the understanding of the study or
  • with psychological, familial, sociological or geographical condition potentially hampering
  • compliance with the study protocol and follow-up schedule; those conditions should be
  • discussed with the patient before registration in the trial.
  • 12) Patients who received any other investigational drugs within the 30 days prior to the
  • screening visit.
  • 13) Individual deprived of liberty or placed under the authority of a tutor.

研究者

发起方
FNCLCC

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