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临床试验/NCT00401427
NCT00401427已完成2 期

A Single-centre Phase 2 Study of Vinorelbine Plus 3-weekly Trastuzumab in Metastatic Breast Cancer Overexpressing Her-2

National Cancer Institute, Naples0 个研究点目标入组 50 人开始时间: 2002年11月1日最近更新:
适应症
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
50
主要终点
response rate

研究概览

简要总结

The combination of vinorelbine with weekly trastuzumab has produced high response rate in HER2 overexpressing metastatic breast cancer (MBC). The present phase 2 study was planned to test activity of the same combination, with trastuzumab given every 3 weeks, rather than weekly.

详细描述

The schedule of treatment includes vinorelbine (30 mg/m2 on days 1 & 8 every 21 days) and trastuzumab (8 mg/kg on day 1 and then 6 mg/kg every 21 days). Vinorelbine is planned for maximum 9 cycles, while trastuzumab can be continued until progression. This study is a single-stage phase 2 design, and patients eligible for response evaluation are required.

研究设计

研究类型
Interventional
分配方式
Non Randomized
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 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Histologically or cytologically confirmed breast cancer
  • No prior or not more than one prior chemotherapy for metastatic disease
  • Overexpression of HER-2 (3+ on immunohistochemical exam) or amplified genetic expression of c-erbB2/neu (positive by Fish method)
  • Performance status 0-2 (ECOG)

排除标准

  • Absence of measurable disease
  • Life expectancy < 3 months
  • Concomitant malignancy or malignancy within previous 5 years (except basal cell or spinocellular skin cancer and in situ cervical cancer if they have been adequately treated
  • Previous treatment with trastuzumab or vinorelbine
  • Neutrophils < 1500/mm3 or platelets < 100000/mm3 or haemoglobin < 8 g/dl
  • Creatinine > 1.5 x the value of the upper normal limit
  • GOT and/or GPT > 2.5 x the value of the upper normal limit and/or bilirubin > 1.5 x the value of the upper normal limit in the absence of liver metastases
  • GOT and/or GPT > 5 x the value of the upper normal limit and/or bilirubin > 3 x the value of the upper normal limit in the presence of liver metastases
  • Left ventricular ejection fraction < 50% (measured by ultrasound or MUGA angiography)
  • Concomitant conditions that contraindicate the use of the drugs in the protocol
  • Male gender
  • Pregnancy or lactation·
  • Incapacity or refusal to provide informed consent
  • Inability to comply with followup

结局指标

主要结局

response rate

toxicity

次要结局

  • time to progression
  • overall survival

研究者

发起方
National Cancer Institute, Naples
申办方类型
Other
责任方
Sponsor

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