Neoplasms, BreastPhase 2NCT00263588
Lapatinib for Brain Metastases In ErbB2-Positive Breast Cancer
A Phase 2 study testing lapatinib in people with Neoplasms, Breast, run by Novartis Pharmaceuticals at 74 sites in 17 countries.
Trial summary
Determine how safe and effective lapatinib is when used to treat patients with ErbB2 overexpressing breast cancer that has spread to the brain and is still progressing there even after radiation treatment using WBRT (whole brain radiotherapy) or SRS (stereotactic radiosurgery) to the brain. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neoplasms, Breast
- What is being tested?
- lapatinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 242 participants
- Where
- 74 sitesin 17 countries
- Study dates
- 2 Dec 2005to 15 Mar 2018
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed Informed Consent
- ErbB2(HER2)overexpressing breast cancer.
- Brain lesion(s) which are progressing.
- Prior treatment of brain metastases with Whole Brain Radiotherapy (WBR)and/or Stereotactic Radiosurgery (SRS).
- Prior treatment with trastuzumab (Herceptin), either alone or in combination with chemotherapy.
- Cardiac ejection fraction(LVEF)within the institutional range of normal as measured by Echocardiogram.
Show all 9Show fewer
- Able to swallow an oral medication.
- Adequate kidney and liver function.
- Adequate bone marrow function.
Who cannot join
- Pregnant or lactating females.
- Conditions that would effect the absorption of an oral drug.
- History of immediate or delayed hypersensitivity reaction to gadolinium contrast agents.
- Pre-existing severe cerebral vascular disease, such as stroke involving a major vessel.
- Serious medical or psychiatric disorder that would interfere with the patient's safety or informed consent.
Trial locations and contacts
74 sites in 17 countries.
74 sites in 17 countries
United States28 sites
Novartis Investigative Site
Albuquerque, New Mexico, 87106
Novartis Investigative Site
Albuquerque, New Mexico, 87108
Novartis Investigative Site
Albuquerque, New Mexico, 87131-0001
Novartis Investigative Site
Ann Arbor, Michigan, 48109
Novartis Investigative Site
Boca Raton, Florida, 33428
Novartis Investigative Site
Boston, Massachusetts, 02115
Novartis Investigative Site
Chapel Hill, North Carolina, 27599
Novartis Investigative Site
Dallas, Texas, 75246
Novartis Investigative Site
Denver, Colorado, 80220
Novartis Investigative Site
Houston, Texas, 77030
Novartis Investigative Site
Indianapolis, Indiana, 46202
Novartis Investigative Site
Indianapolis, Indiana, 46227
Novartis Investigative Site
Jacksonville, Florida, 32224
Novartis Investigative Site
Kansas City, Kansas, 66160
Novartis Investigative Site
Minneapolis, Minnesota, 55455
Novartis Investigative Site
Nashville, Tennessee, 37203
Novartis Investigative Site
New York, New York, 10021
Novartis Investigative Site
Philadelphia, Pennsylvania, 19104
Novartis Investigative Site
Pittsburgh, Pennsylvania, 15213
Novartis Investigative Site
San Francisco, California, 94115
Novartis Investigative Site
Santa Fe, New Mexico, 87505
Novartis Investigative Site
Seattle, Washington, 98109
Novartis Investigative Site
Sioux City, Iowa, 51101-1733
Novartis Investigative Site
St Louis, Missouri, 63110-1093
Novartis Investigative Site
Tyler, Texas, 75702
Novartis Investigative Site
Vallejo, California, 94589
Novartis Investigative Site
Washington D.C., District of Columbia, 20007
Novartis Investigative Site
Yakima, Washington, 98902
Australia7 sites
Novartis Investigative Site
Adelaide, 5000
Novartis Investigative Site
Box Hill, Victoria, 3128
Novartis Investigative Site
Herston, Queensland, 4029
Novartis Investigative Site
North Sydney, New South Wales, 2060
Novartis Investigative Site
Perth, Western Australia, 6000
Novartis Investigative Site
Ringwood East, Victoria, 3135
Novartis Investigative Site
South Brisbane, Queensland, 4101
Japan6 sites
Novartis Investigative Site
Aichi, 464-8681
Novartis Investigative Site
Saitama, 350-0495
Novartis Investigative Site
Saitama, 350-1298
Novartis Investigative Site
Tokyo, 104-0045
Novartis Investigative Site
Tokyo, 113-8677
Novartis Investigative Site
Tokyo, 135-8550
Canada5 sites
Novartis Investigative Site
Ottawa, Ontario, K1H 8L6
Novartis Investigative Site
Toronto, Ontario, M5B 1W8
Novartis Investigative Site
Toronto, Ontario, M5G 2M9
Novartis Investigative Site
Vancouver, British Columbia, V5Z 4E6
Novartis Investigative Site
Weston, Ontario, M9N 1N8
France4 sites
Novartis Investigative Site
Dijon, 21079
Novartis Investigative Site
Paris, 75010
Novartis Investigative Site
Paris, 75248
Novartis Investigative Site
Toulouse, 31052
Germany3 sites
Novartis Investigative Site
Frankfurt am Main, Hesse, 60590
Novartis Investigative Site
Munich, Bavaria, 80637
Novartis Investigative Site
Munich, Bavaria, 81377
Italy3 sites
Novartis Investigative Site
Milan, Lombardy, 20141
Novartis Investigative Site
Perugia, Umbria, 06156
Novartis Investigative Site
Reggio Emilia, Emilia-Romagna, 42100
Taiwan3 sites
Novartis Investigative Site
Tainan County, 736
Novartis Investigative Site
Taipei, 10016
Novartis Investigative Site
Taipei, 114
Austria2 sites
Novartis Investigative Site
Salzburg, A-5020
Novartis Investigative Site
Vienna, A-1090
India2 sites
Novartis Investigative Site
Bangalore, 560078
Novartis Investigative Site
Mumbai, 400026
Poland2 sites
Novartis Investigative Site
Olsztyn, 10-228
Novartis Investigative Site
Warsaw, 02-781
Spain2 sites
Novartis Investigative Site
Barcelona, 08035
Novartis Investigative Site
Madrid, 28041
Switzerland2 sites
Novartis Investigative Site
Geneva, 1211
Novartis Investigative Site
Locarno, 6600
United Kingdom2 sites
Novartis Investigative Site
Brighton, BN2 5BE
Novartis Investigative Site
Manchester, Lancashire, M20 4BX
About this study
Official title: A Phase II Study of Lapatinib for Brain Metastases in Subjects With ErbB2-Positive Breast Cancer Following Trastuzumab-based Systemic Therapy and Cranial Radiotherapy
Determine how safe and effective lapatinib is when used to treat patients with ErbB2 overexpressing breast cancer that has spread to the brain and is still progressing there even after radiation treatment using WBRT (whole brain radiotherapy) or SRS (stereotactic radiosurgery) to the brain. Lapatinib is an oral drug that will be taken every day. Tests for safety and efficacy will be performed every 4 weeks or 8 weeks (depending on the test) during the course of the study.
- Conditions
- Neoplasms, Breast
- Being tested
- lapatinib
- Keywords
- breast cancer, brain metastases, ErbB2 positive, HER2 positive, neoplasms, cancer, lapatinib, LAP016A2202, LAP016A, CLAP016A2202, GW572016
- Medical subject headings
- Breast Neoplasms, Brain Neoplasms, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
lapatinibDrug
tyrosine kinase inhibitor
| Study group | Role | What they receive |
|---|---|---|
| single arm | Experimental | 750 mg lapatinib administered orally twice daily Receives: Drug: lapatinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Number of Participants With Central Nervous System (CNS) Best Overall Response
Summary of CNS Objective Response (Lapatinib Monotherapy - MITT Population)
Response to lapatinib in patients with progressive brain metastases from ErbB2-overexpressing breast cancer.
The primary indicator of drug efficacy was CNS objective response rate. A CNS objective response was defined as either a Complete response (CR) or Partial response (PR), as assessed by volumetric analysis of brain Magnetic resonance imaging (MRI), provided there was no progression of systemic disease outside of the CNS, increasing steroid requirements, or worsening of Neurological signs and symptoms (NSS)
A CNS objective response rate was defined as a 50% volumetric reduction in sum of CNS target lesions, with no new or progressive CNS or non-CNS lesions, no increases in tumor-related steroid requirements and no worsening of neurological signs or symptoms
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
The Percentage of Participants With Central Nervous System (CNS) Objective Response Rate - Response Rate (CR + PR)
Summary of CNS Objective Response (the Complete Response + Partial Response)
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Secondary outcomes (8)
Percentage of Participants With Improvement in Neurological Signs and Symptoms (NSS) Measured Using the Neurological Examination Worksheet
Physician-reported NSS worksheet is derived from 13 AEs and measured by NCI CTCAE v3.0 grouped into 7 categories: level of consciousness, neurological symptoms, cranial nerves, language, strength, sensation, \& ataxia. Improvement of NSS required: Decrease by 1 or more grades from baseline of any tumor-related NSS, with confirmation at least 4 wks later, No development or worsening in any tumor-related NSS during interval, No radiographic evidence of CNS progression (assessed by volumetric MRI) or systemic (non-CNS) progression (assessed by RECIST) during interval, Stable or decreasing steroids during interval as defined by GSK equivalent doses of an alternative corticosteroid or a dose increase for non-tumor related reasons didn't constitute a steroid increase. Improvement in any non-tumor associated NSS didn't constitute improvement in NSS. Neurological exam, using Neurological Examination Worksheet was assessed at baseline \& each 4 wks. Categories below are not mutually exclusive.
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Percentage of Subjects With a CNS Objective Response or Improvement in Baseline Neurological Signs and Symptoms (NSS)
Summary of Proportion of Subjects with a CNS Objective Response or Improvement in Baseline NSS
Measured: baseline and weeks 8, 16, 24, 32, 40, 48
Duration of Central Nervous System (CNS) Objective Response
The duration of CNS objective response, defined as the time from first CNS
Objective response until tumor progression at any site or death due to any cause.
A CNS objective response was defined as either a Complete Response (CR) or Partial Response (PR), as assessed by volumetric analysis of magnetic resonance imaging (MRI), provided there was no progression of systemic disease outside of the CNS, increasing steroid requirements, or worsening of tumor-related neurological signs or symptoms.
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Percentage of Patients With CNS Disease Control (Complete Response, Partial Response or Stable Disease) at 6 Months of Lapatinib Therapy
The CNS disease control rate, defined as the percentage of subjects with CR, PR or stable disease at Week 24
Measured: from Start of lapatinib to 6 months
Time to Progression (TTP) at Any Site
Summary of Kaplan-Meier Estimates for Progression Free Survival at Any Site
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Overall Survival (OS)
Overall survival (OS) defined as the time from initiation of investigational product to death due to any cause.
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Summary of Site of First Progression
baseline to time of disease progression or death
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Primary Cause of Death
Summary of Overall All-cause mortality (Main Study and Extension)
Measured: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2005 (estimated)
- Study start2 Dec 2005
- Primary completion25 Sep 2007
- Study completion15 Mar 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Neoplasms, BreastStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Masking
- None (open label)
- Enrolment
- 242 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00263588
- Sponsor's protocol ID
- EGF105084
- Other IDs
- CLAP016A2202, 2005-003944-68, 2005
- Status last verified
- Nov 2019
- First submitted
- 2 Dec 2005
- Last updated
- 12 Dec 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Publications
Sutherland S, Ashley S, Miles D, Chan S, Wardley A, Davidson N, Bhatti R, Shehata M, Nouras H, Camburn T, Johnston SR. Treatment of HER2-positive metastatic breast cancer with lapatinib and capecitabine in the lapatinib expanded access programme, including efficacy in brain metastases--the UK experience. Br J Cancer. 2010 Mar 16;102(6):995-1002. doi: 10.1038/sj.bjc.6605586. Epub 2010 Feb 23.
PubMed 20179708
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study of Lapatinib for Brain Metastases in Subjects With ErbB2-Positive Breast Cancer Following Trastuzumab-based Systemic Therapy and Cranial Radiotherapy
- ClinicalTrials.gov ID
- NCT00263588
- Acronym / sponsor ID
- EGF105084
- Conditions
- Neoplasms, Breast
- Keywords
- breast cancer, brain metastases, ErbB2 positive, HER2 positive, neoplasms, cancer, lapatinib, LAP016A2202
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 242 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 2 Dec 2005 (actual)
- Primary completion
- 25 Sep 2007 (actual)
- Study completion
- 15 Mar 2018 (actual)
- First posted
- 9 Dec 2005 (estimated)
- Results
- Posted 12 Dec 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Determine how safe and effective lapatinib is when used to treat patients with ErbB2 overexpressing breast cancer that has spread to the brain and is still progressing there even after radiation treatment using WBRT (whole brain radiotherapy) or SRS (stereotactic radiosurgery) to the brain. Lapatinib is an oral drug that will be taken every day. Tests for safety and efficacy will be performed every 4 weeks or 8 weeks (depending on the test) during the course of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| single arm | Experimental | Drug: lapatinib750 mg lapatinib administered orally twice daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Signed Informed Consent
- ErbB2(HER2)overexpressing breast cancer.
- Brain lesion(s) which are progressing.
- Prior treatment of brain metastases with Whole Brain Radiotherapy (WBR)and/or Stereotactic Radiosurgery (SRS).
- Prior treatment with trastuzumab (Herceptin), either alone or in combination with chemotherapy.
Key exclusion criteria (5 listed)
- Pregnant or lactating females.
- Conditions that would effect the absorption of an oral drug.
- History of immediate or delayed hypersensitivity reaction to gadolinium contrast agents.
- Pre-existing severe cerebral vascular disease, such as stroke involving a major vessel.
- Serious medical or psychiatric disorder that would interfere with the patient's safety or informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| lapatinibtyrosine kinase inhibitor | Drug | single arm |
Primary outcome
The Number of Participants With Central Nervous System (CNS) Best Overall Response
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Summary of CNS Objective Response (Lapatinib Monotherapy - MITT Population) Response to lapatinib in patients with progressive brain metastases from ErbB2-overexpressing breast cancer. The primary indicator of drug efficacy was CNS objective response rate. A CNS objective response was defined as either a Complete response (CR) or Partial response (PR), as assessed by volumetric analysis of brain Magnetic resonance imaging (MRI), provided there was no progression of systemic disease outside of the CNS, increasing steroid requirements, or worsening of Neurological signs and symptoms (NSS) A CNS objective response rate was defined as a 50% volumetric reduction in sum of CNS target lesions, with no new or progressive CNS or non-CNS lesions, no increases in tumor-related steroid requirements and no worsening of neurological signs or symptoms
The Percentage of Participants With Central Nervous System (CNS) Objective Response Rate - Response Rate (CR + PR)
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Summary of CNS Objective Response (the Complete Response + Partial Response)
8 secondary outcomes
Percentage of Participants With Improvement in Neurological Signs and Symptoms (NSS) Measured Using the Neurological Examination Worksheet
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Percentage of Subjects With a CNS Objective Response or Improvement in Baseline Neurological Signs and Symptoms (NSS)
Time frame: baseline and weeks 8, 16, 24, 32, 40, 48
Duration of Central Nervous System (CNS) Objective Response
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Percentage of Patients With CNS Disease Control (Complete Response, Partial Response or Stable Disease) at 6 Months of Lapatinib Therapy
Time frame: from Start of lapatinib to 6 months
Time to Progression (TTP) at Any Site
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Overall Survival (OS)
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Summary of Site of First Progression
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Primary Cause of Death
Time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 20179708Sutherland S, Ashley S, Miles D, Chan S, Wardley A, Davidson N, Bhatti R, Shehata M, Nouras H, Camburn T, Johnston SR. Treatment of HER2-positive metastatic breast cancer with lapatinib and capecitabine in the lapatinib expanded access programme, including efficacy in brain metastases--the UK experience. Br J Cancer. 2010 Mar 16;102(6):995-1002. doi: 10.1038/sj.bjc.6605586. Epub 2010 Feb 23.
- Individual participant dataSharing planned: Undecided. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
74 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing lapatinib in people with Neoplasms, Breast, run by Novartis Pharmaceuticals at 74 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 74 sites in United States, Australia, Japan, Canada, France and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Dec 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Number of Participants With Central Nervous System (CNS) Best Overall Response (time frame: time from baseline to data cutoff (25 Sept 2007); approximately 2 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00263588, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2019; AzTrials last refreshed its copy on 8 Nov 2026.