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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

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

Other trials in Australia

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

Other trials in Japan

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

Other trials in Canada

France4 sites
  • Novartis Investigative Site

    Dijon, 21079

  • Novartis Investigative Site

    Paris, 75010

  • Novartis Investigative Site

    Paris, 75248

  • Novartis Investigative Site

    Toulouse, 31052

Other trials in France

Germany3 sites
  • Novartis Investigative Site

    Frankfurt am Main, Hesse, 60590

  • Novartis Investigative Site

    Munich, Bavaria, 80637

  • Novartis Investigative Site

    Munich, Bavaria, 81377

Other trials in Germany

Italy3 sites
  • Novartis Investigative Site

    Milan, Lombardy, 20141

  • Novartis Investigative Site

    Perugia, Umbria, 06156

  • Novartis Investigative Site

    Reggio Emilia, Emilia-Romagna, 42100

Other trials in Italy

Taiwan3 sites
  • Novartis Investigative Site

    Tainan County, 736

  • Novartis Investigative Site

    Taipei, 10016

  • Novartis Investigative Site

    Taipei, 114

Other trials in Taiwan

Austria2 sites
  • Novartis Investigative Site

    Salzburg, A-5020

  • Novartis Investigative Site

    Vienna, A-1090

Other trials in Austria

India2 sites
  • Novartis Investigative Site

    Bangalore, 560078

  • Novartis Investigative Site

    Mumbai, 400026

Other trials in India

Poland2 sites
  • Novartis Investigative Site

    Olsztyn, 10-228

  • Novartis Investigative Site

    Warsaw, 02-781

Other trials in Poland

Spain2 sites
  • Novartis Investigative Site

    Barcelona, 08035

  • Novartis Investigative Site

    Madrid, 28041

Other trials in Spain

Switzerland2 sites
  • Novartis Investigative Site

    Geneva, 1211

  • Novartis Investigative Site

    Locarno, 6600

Other trials in Switzerland

United Kingdom2 sites
  • Novartis Investigative Site

    Brighton, BN2 5BE

  • Novartis Investigative Site

    Manchester, Lancashire, M20 4BX

Other trials in United Kingdom

Belgium1 site
  • Novartis Investigative Site

    Brussels, 1000

Other trials in Belgium

Greece1 site
  • Novartis Investigative Site

    Neo Faliro, 18547

Other trials in Greece

Sweden1 site
  • Novartis Investigative Site

    Uppsala, SE-751 85

Other trials in Sweden

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.

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 groups in NCT00263588
Study groupRoleWhat they receive
single armExperimental750 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.

  1. 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

  2. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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.

  1. First posted9 Dec 2005 (estimated)
  2. Study start2 Dec 2005
  3. Primary completion25 Sep 2007
  4. Study completion15 Mar 2018

Resources

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)
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
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

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.

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