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临床试验/NL-OMON30513
NL-OMON30513尚未招募不适用

Phase I study of Gemcitabine plus Lapatinib (GW572016) in women with advanced breast cancer - N06GLB

Antoni van Leeuwenhoek Ziekenhuis0 个研究点目标入组 25 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • All patients who are considered for palliative Gemcitabine chemotherapy for advanced breast cancer.
  • Furthermore:
  • 1. > 18 years
  • 2. Performance status: WHO 0 - 2
  • 3. Life expectancy > 3 months
  • 4. Histological or cytological proof of breast cancer
  • 5. Evaluable or measurable disease according to RECIST criteria
  • 6. Previous chemotherapy with an anthracycline and a taxane.
  • 7. Previous Trastuzumab (Herceptin®) in case of Her2/neu overexpression (IHC) or gene amplification (FISH/CISH)
  • 8. No radiotherapy for at least 2 weeks prior to study entry
  • 9. Minimal acceptable safety laboratory values
  • a. ANC of >= 1.5 × 109/l
  • b. Platelet count of >= 100 × 109/l
  • c. Haemoglobin level of >= 10 g/dl (>= 6.2 mmol/l)
  • (prior transfusion is permitted)
  • d. Hepatic function as defined by serum bilirubin <= 1.5 times the upper limit of normal, ALT and AST <= 2.5 times the upper limit of normal.
  • e. Renal function as defined by serum creatinine <= 1.5 times upper limit of normal or creatinine clearance >= 50 ml/min (by Cockcroft-Gault formula).
  • 10. Cardiac ejection fraction (LVEF) within the institutional range of normal as measured by echocardiogram or MUGA scan (i.e. > 50%). Baseline and on treatment scans should be performed using the same modality.
  • 11. Able to swallow and retain oral medication
  • 12. Written informed consent

排除标准

  • 1. More than three previous courses of chemotherapy including adjuvant chemotherapy
  • 2. Patients who have received a cumulative dose of adriamycine more than 360 mg/m2 or a cumulative dose of epirubicine more than 600 mg/m2.
  • 3. Symptomatic CNS metastases.
  • 4. Previous investigational cytotoxic or biological treatment for malignant disease within 30 days before the start of the study.
  • 5. Any treatment with non-oncological investigational drugs within 30 days before the start of the study
  • 6. Concomitant requirement for medication classified as CYP3A4 inducers or inhibitors.
  • 7. Patients using medications or substances known to affect, or with the potential to affect the activity or pharmacokinetics of Lapatinib.
  • 8. Treatment within one week before the start of the study with any of the following: terfenadine, cisapride, cyclosporin, tacrolimus, theophylline, diazepam, sulphonylurea hypoglycaemics, phenytoin, or carbamazepine.
  • 9. Uncontrolled infections.
  • 10. All herbal (alternative) medicines are excluded, but multivitamins are allowed.
  • 11. Pregnancy or breast feeding (all women of childbearing potential must have a pregnancy test before inclusion in the study; post-menopausal women must have amenorrhoea for at least 12 months). Female patients must use adequate contraceptive protection.
  • 12. HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study because of possible pharmacokinetic interactions with Lapatinib.
  • 13. Clinically significant cardiac impairment or unstable ischaemic heart disease including a myocardial infarction (< 3 months of study entry)
  • 14. History of alcoholism, drug addiction, or any psychiatric or psychological condition which in the opinion of the investigator would impair study compliance
  • 15. Malabsorption syndrome or other condition which may affect absorption of Lapatinib.
  • 16. Concurrent or previous malignancy of a different tumour type within five years of starting the study except for adequately treated non-melanoma skin cancer or cervical intraepithelial neoplasia
  • 17. Patients who have had previous treatment with Lapatinib.
  • 18. Legal incapacity

研究者

发起方
Antoni van Leeuwenhoek Ziekenhuis

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