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A Study of Herceptin (Trastuzumab) Monotherapy in Patients With Metastatic Urothelial Cancer

Phase 2
Terminated
Conditions
Urinary Tract Cancer
Interventions
Registration Number
NCT02013765
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study will evaluate the efficacy and safety of intravenous Herceptin in patients with metastatic urothelial cancer with disease progression during platinum-based chemotherapy. The anticipated time on study treatment is until disease progression.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
5
Inclusion Criteria
  • adult patients >=18 years of age;
  • metastatic urothelial cancer;
  • disease progression during or after 1 prior platinum-based chemotherapy;
  • measurable disease;
  • HER2 overexpression (IHC [2+] or [3+]).
Exclusion Criteria
  • concomitant chemotherapy or immunotherapy;
  • active or uncontrolled infection;
  • solely CNS metastases;
  • clinically significant cardiac disease, advanced pulmonary disease or severe dyspnoea;
  • co-existing malignancies diagnosed within last 5 years, except basal cell cancer or cervical cancer in situ.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Trastuzumab MonotherapytrastuzumabParticipants received an initial dose of trastuzumab 4 milligrams per kilogram (mg/kg) intravenously (IV) on Day 1, followed by weekly doses of 2 mg/kg IV beginning on Day 8 and continuing for up to 37 weeks.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Progression Free at 12 and 24 MonthsMonths 12 and 24
Progression-Free Survival (PFS) - Percentage of Participants With an EventScreening, every 3 months during treatment (up to 37 weeks), and at end of treatment

PFS was defined as the time from the first dose of study treatment to the first documentation of objective tumor progression or to death due to any cause.

Progression-Free Survival - Time to EventScreening, every 3 months during treatment (up to 37 weeks), and at end of treatment

The median time, in months, from the first study drug treatment to a PFS event.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants by Best Overall Response to TreatmentScreening, every 3 months during treatment (up to 37 weeks), and at end of treatment

Per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1. Complete response (CR) was defined as complete disappearance of all target lesions and non-target disease, with the exception of nodal disease. All nodes, both target and non-target, must decrease to normal \[(short axis less than (\<)10 millimeters (mm)\]. No new lesions. Partial response (PR) was defined as greater than or equal to (≥)30% decrease under baseline of the sum of diameters of all target lesions. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. No unequivocal progression of non-target disease. No new lesions. Stable disease (SD) was defined as not qualifying for CR, PR, or progressive disease (PD).

Overall Survival (OS) - Percentage of Participants With an EventScreening, every 4 weeks during treatment (up to 37 weeks), at end of treatment, and every 3 months thereafter

OS was defined as the time from the start of study treatment to date of death due to any cause.

Percentage of Participants Surviving at 12 and 24 MonthsMonths 12 and 24
Overall Survival - Time to EventScreening, every 4 weeks during treatment (up to 37 weeks), at end of treatment, and every 3 months thereafter

The median time, in months, from the start of study treatment to an OS event.

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