Advanced Breast CancerPhase 2NCT00777101
Study Evaluating Neratinib Versus Lapatinib Plus Capecitabine For ErbB2 Positive Advanced Breast Cancer
A Phase 2 study testing Neratinib, Lapatinib and Capecitabine in people with Advanced Breast Cancer and Breast Cancer, run by Puma Biotechnology, Inc. at 152 sites in 31 countries.
Trial summary
This is a study of an experimental drug (neratinib) versus a combination of drugs (lapatinib and capecitabine) in women who have erbB-2 (HER-2) positive metastatic or locally advanced breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Advanced Breast Cancer, Breast Cancer
- What is being tested?
- Neratinib, Lapatinib and Capecitabine
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 233 participants
- Where
- 152 sitesin 31 countries
- Study dates
- 4 Feb 2009to 3 Jun 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Stage IIIB, IIIC, or IV erbB2 (HER2) positive breast cancer
- Prior use of Herceptin (trastuzumab), and a taxane
- Adequate cardiac and renal function
Who cannot join
- More than 2 prior Herceptin (trastuzumab) regimens or prior use of Xeloda (capecitabine) and / or Tykerb (lapatinib) [Tyverb]
- Bone as the only site of disease
- Active central nervous system metastases (subjects should be stable and off anticonvulsants and steroids)
- Significant gastrointestinal disorder with diarrhea as major symptom
Trial locations and contacts
152 sites in 31 countries.
152 sites in 31 countries
United States44 sites
Ashland-Bellefonte Cancer Center
Ashland, Kentucky, 41101
Texas Oncology, P.A.
Austin, Texas, 78731-4214
Palm Beach Institute of Hematology & Oncology
Boynton Beach, Florida, 33435
Oncology Partners Network
Cincinnati, Ohio, 45247
MetroHealth Medical Center, Cancer Care Center
Cleveland, Ohio, 44109
Missouri Cancer Associates
Columbia, Missouri, 65201
Cookeville Regional Medical Center
Cookeville, Tennessee, 38501
Cancer Care Specialists Of Central Illinois
Decatur, Illinois, 62526
Rocky Mountain Cancer Center
Denver, Colorado, 80220
El Paso Cancer Treatment Center - West
El Paso, Texas, 79902
Central Indiana Cancer Centers
Fishers, Indiana, 46037
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
Robert R. Carroll, MD, PA
Gainesville, Florida, 32605
Hematology Oncology of Indiana
Indianapolis, Indiana, 46260-2082
University of Florida
Jacksonville, Florida, 32209
Capitol Comprehensive Cancer Care Clinic
Jefferson City, Missouri, 65109
Center for Biomedical Research
Knoxville, Tennessee, 37909
Thompson Cancer Survival Center Thompson Oncology Group
Knoxville, Tennessee, 37916
Arena Oncology Associates, PC
Lake Success, New York, 11042
Lancaster Cancer Center
Lancaster, Pennsylvania, 17605
Owsley Brown Frazier Cancer Center (OBFCC)
Louisville, Kentucky, 40245
Hematology Oncology Associates
Loxahatchee Groves, Florida, 33470
University of Tennessee Cancer Institute
Memphis, Tennessee, 38104
Mercy Research Institute
Miami, Florida, 33133
Southwest Cancer Care
Murrieta, California, 92562
Floyd Memorial Cancer Center of Indiana
New Albany, Indiana, 47150
Weill Cornell Medical College New York-Presbyterian Hospital Weill, Cornell Breast Center
New York, New York, 10065
University of Oklahoma Health Sciences Center Dept. of Hematology Oncology
Oklahoma City, Oklahoma, 73104
UC Irvine Medical Center
Orange, California, 92868-3298
Cancer Centers of Florida
Orlando, Florida, 32806
Purchase Cancer Group
Paducah, Kentucky, 42001
Aptium Oncology/Comprehensive Cancer Center at Desert Regional Medical Center
Palm Springs, California, 92262
Oncology Specialists, SC
Park Ridge, Illinois, 60068
Allegheny General Hospital Allegheny Cancer Center
Pittsburgh, Pennsylvania, 15212
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, 34952
Northwest Cancer Specialists, PC
Portland, Oregon, 97213
HOPE Oncology
Richardson, Texas, 75080
Cancer Care Network of South Texas-HOAST
San Antonio, Texas, 78229
Redwood Regional Medical Group, Inc.
Santa Rosa, California, 95403
Hematology Oncology Associates, P.C.
Stamford, Connecticut, 06902
New York Oncology Hematolgy, PC
Troy, New York, 12180
Arizona Oncology Associates HOPE
Tucson, Arizona, 85704-7891
East Texas Medical Center Cancer Institute, Tyler Hematology Oncology
Tyler, Texas, 75701-2043
Midwestern Regional Medical Center
Zion, Illinois, 60099
Japan20 sites
Aichi Cancer Center
Aichi
Chiba Cancer Center
Chiba
National Cancer Center Hospital East
Chiba
National Hospital Organization Kyushu Cancer Center
Fukuoka
Hiroshima City Hospital
Hiroshima
Hyogo Cancer Center
Hyōgo
Hakuaikai Medical Corporation Sagara Hospital
Kagoshima
Tokai University Hospital
Kanagawa
Kumamoto Municipal Hospital
Kumamoto
Kyoto University Hospital
Kyoto
Niigata Cancer Center Hospital
Niigata
National Hospital Organization Osaka National Hospital
Osaka
Saitama Cancer Center
Saitama
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido
Shizuoka Cancer Center
Shizuoka
Jichi Medical University Hospital
Tochigi
St. Luke's International Hospital
Tokyo
The Cancer Institute Hospital of Japanese Foundation for Cancer Research Department of Medical Oncology
Tokyo
Tokyo Metropolitan Cancer&Infectious disease Ctr Komagome Hp
Tokyo
National Cancer Center Hospital
Tsukiji, Tokyo
Spain15 sites
Complejo Hospitalario U. de A Coruña Hospital Teresa Herrera Servicio de Oncologia
A Coruña, 15006
Hospital General Universitario de Alicante Servicio de Oncologia
Alicante, 03010
Hospital Germans Trias i Pujol Servicio de Oncologia
Badalona, Barcelona, 08916
Hospital San Pedro de Alcantara Servicio de Oncologia
Cáceres, 10003
Hospital Provincial (Reina Sofia) Servicio de Oncologia
Córdoba, 14004
Hospital Universitario Dr. Josep Trueta Servicio de Oncologia
Girona, 17007
Centro Hospitalario de Jaen Servicio de Oncologia
Jaén, 23007
Hospital Gregorio Marañon Servicio de Oncologia
Madrid, 28007
Centro Oncologico M.D. Anderson Internacional
Madrid, 28033
Hospital Central de Asturias Servicio de Oncologia, Planta Baja Oeste, Edificio Principal
Oviedo, Principality of Asturias, 33006
Corporacio Sanitaria Parc Tauli Servicio de Oncologia
Sabadell, Barcelona, 08208
Hospital Mutua de Terrassa Servicio de Oncologia
Terrassa, Barcelona, 08221
Instituto Valenciano de Oncologia Servicio de Oncologia
Valencia, 46009
Hospital Clinico Universitario de Valencia Servicio de Hematologia y Oncologia
Valencia, 46010
Hospital Universitario Miguel Servet Servicio de Oncologia
Zaragoza, 50009
Russia9 sites
Russian Oncology Research Centre of RAMS
Moscow, 115478
GUZ Perm Regional Oncology Dispensary
Perm, 614066
Scientific Research Institute of Oncology N.N. Petrov
Pesochny, Sankt-Peterburg, 197758
Ryazan State Medical University I.P.Pavlov of Federal Agency in Healthcare and Social Development
Ryazan, 390011
SIH Leningrad Regional Oncology Dispensary
Saint Petersburg, 191104
GUZ City Clinical Oncology Dispensary
Saint Petersburg, 197022
St. Petersburg State Medical University I.P.Pavlov of Roszdrav
Saint Petersburg, 197022
SIH Oncology Dispensary # 2 Of Department of Public Health
Sochi, 354057
Republican Clinical Oncology Dispensary of Ministry of Healthcare of Bashkortostan Republic
Ufa, 450054
Hungary6 sites
Fovarosi Onkormanyzat Szent Janos Korhaza es Eszak-budai Egyesitett Korhazai, Onkologia
Budapest, 1032
Orszagos Onkologiai Intezet "B" Belgyogyaszati osztaly
Budapest, 1122
Bacs-Kiskun Megyei Korhaz Onkoradiologiai Kozpont
Kecskemét, 6000
Josa Andras Oktatokorhaz / Onkoradiologiai Osztaly
Nyíregyháza, 4400
Szegedi Tudomanyegyetem Onkoterapias Klinika
Szeged, 6720
Hospital of County Veszprem
Veszprém, 8200
Australia4 sites
Medical Oncology Royal Adelaide Hospital
Adelaide, South Australia, 5000
Western Hospital
Footscray, Victoria, 3011
Mater Private Centre for HOCA
South Brisbane, Queensland, 4101
Mount Hospital
West Perth, 6000
France4 sites
Centre Oscar Lambret Departement de senologie
Lille, 59020
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69340
CHU de Poitiers Service d'oncologie medicale
Poitiers, 86021
Institut Gustave ROUSSY Service de Pathologie mammaire
Villejuif, 94805
Poland4 sites
Bialostockie Centrum Onkologii im. M. Sklodowskiej-Curie w Bialymstoku Specjalistyczny Szpital Onkologiczn
Bialystok, 15-027
Uniwersyteckie Centrum Kliniczne w Gdansku Klinika Onkologii i Radioterapii
Gdansk, 80952
Szpital Uniwersytecki w Krakowie Oddzial KIiniczny Kliniki Onkologii
Krakow, 31-531
Centrum Onkologii Ziemi Lubelskiej im. SW. Jana z Dukli
Lublin, 20-090
Romania4 sites
Institutul Oncologic "Prof. Dr. Alex. Trestioreanu"
Bucharest, 022328
Spitalul Universitar de Urgenta
Bucharest, 050098
Centrul de Oncologie Medicala
Iași, 700106
Spitalul Clinic Judetean
Sibiu, 550245
South Africa4 sites
Hopelands Oncology Centre
Durban, KwaZulu-Natal, 4001
The Medical Oncology Centre of Rosebank
Johannesburg, Gauteng, 2196
GVI Oncology Trial Unit Room 110 Panorama Medical Centre
Kraaifontein, Western Cape
Eastleigh Breast Care Centre
Lynnwood, Gauteng, 0081
South Korea4 sites
National Cancer Center
Goyang-si, Gyeonggi-do, 410-769
Samsung Medical Center
Seoul, Korea, 135-710
Yonsei University Health System - Severance Hospital
Seoul, 120-752
Asan Medical Center
Seoul, 138-736
Bulgaria3 sites
District Dispensary for Oncology Diseases Internal Unit- Sofia EOOD, Dept. of Chemotherapy
Sofia, 1233
UMHAT Tzaritza Yoanna
Sofia, 1527
Interdistrict Dispensary for Oncology Diseases -Internal Unit- Department Oncotherapy and Palliative Care
Varna, 9000
Croatia3 sites
General Hospital Varazdin
Varaždin, 42000
University Hospital Center Zagreb
Zagreb, 10000
University Hospital Sestre Milosrdnice
Zagreb, 10000
Hong Kong3 sites
Department of Clinical Oncology, Tuen Mun Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
UNIMED Medical Institute, Comprehensive Centre for Breast Diseases
Hong Kong
Switzerland3 sites
University of Lausanne Hospitals CHUV
Lausanne, 1011
Kantonsspital Winterthur Medizinische Onkologie
Winterthur, 8401
Abteilung fuer Onkologie Departement für Innere
Zurich, CH-8091
United Kingdom3 sites
Broomfield Hospital
Chelmsford, Essex, CM1 7ET
Royal Marsden NHS Foundation Trust & Institute of Cancer Research
London, SW3 6JJ
The Royal Marsden NHS Foundation Trust & Institute of Cancer Research
London, SW3 6JJ
Canada2 sites
Centre Hospitalier Affilie Universitaire de Quebec Hopital du St-Sacrement
Québec, Quebec, G1S 4L8
BC Cancer Agency - Vancouver Centre
Vancouver, British Columbia, V5Z 4E6
Germany2 sites
Universitaetsklinikum Hamburg-Eppendorf Klinik und Poliklinik fuer Gynaekologie
Hamburg, 20246
Nationales Centrum fuer Tumorerkrankungen Sektion Gynaekologische Onkologie
Heidelberg, 69120
Italy2 sites
Ospedale Misericordia e Dolce c/o UO Oncologia Medica
Prato, 59100
Istituto Regina Elena, Struttura Complessa Oncologia Medica A
Roma, 00144
Serbia2 sites
Institute of Oncology and Radiology of Serbia
Belgrade, 11000
Klinicko Bolnicki Centar (KBC) Bezanijska Kosa (Medical Centre ''Bezanijska Kosa'' (MCBK))
Belgrade, 11000
Austria1 site
AKH Wien Universitaetsklinik fuer Innere Medizin I Klinische Abteilung für Onkologie
Vienna, A-1090
Mexico1 site
Oca Hospital / Monterrey International Research Center
Monterrey, Nuevo León, 64000
Singapore1 site
Johns Hopkins Singapore International Medical Centre
Singapore, 308433
Slovenia1 site
Institute for Oncology Department for Medical Oncology
Ljubljana, 1000
Thailand1 site
Division of Medical Oncology, Department of Medicine
Bangkok Noi, Bangkok, 10700
About this study
Official title: A Phase 2 Randomized Open-Label Study of Neratinib Versus Lapatinib Plus Capecitabine For The Treatment Of ErbB-2 Positive Locally Advanced Or Metastatic Breast Cancer
This is a study of an experimental drug (neratinib) versus a combination of drugs (lapatinib and capecitabine) in women who have erbB-2 (HER-2) positive metastatic or locally advanced breast cancer. The goal of this study is to compare the two regimens in shrinking tumors and extending the lives of women with erbB2 (HER2) positive breast cancer. The study will also compare the safety of the two regimens and to compare quality of life of patients taking the two regimens.
- Conditions
- Advanced Breast Cancer, Breast Cancer
- Being tested
- Neratinib, Lapatinib, Capecitabine
- Keywords
- HER2, ErbB2, metastatic, neratinib, lapatinib, capecitabine, HKI-272, Nerlynx, PB-272
- Medical subject headings
- Breast Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NeratinibDrug
Also called HKI-272
Tablets 240 mg orally once per day until disease progression or unacceptable toxicity
LapatinibDrug
Also called Tykerb, Tyverb
Tablets 1250 mg orally once per day until disease progression or unacceptable toxicity.
CapecitabineDrug
Also called Xeloda
Tablets 2000 mg/m² given orally in two evenly divided daily doses for first 14 days of each 21 day cycle. Given until disease progression or unacceptable toxicity.
| Study group | Role | What they receive |
|---|---|---|
| Neratinib | Experimental | Not described Receives: Drug: Neratinib |
| Lapatinib plus Capecitabine | Active comparator | Not described Receives: Drug: Lapatinib; Drug: Capecitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival
Progression Free Survival, Measured in Months, for Subjects Randomized. Investigator assessment. The time interval from the date of randomization until the earliest date of progression per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or death due to any cause. For subjects without death or progression, censorship was at the last valid tumor assessment.
Measured: From randomization date to progression or death, assessed up to 69 months
Secondary outcomes (6)
Overall Survival (OS)
Overall Survival (OS) was defined as the time from randomization to death due to any cause. Subjects last known to be alive were censored at the last date of last contact or the data cutoff employed for the analysis, whichever was earlier.
Measured: From randomization date to death, assessed up to 69 months
Objective Response Rate (ORR).
Objective Response Rate, investigator assessment. The ORR was defined as the percentage of participants demonstrating a confirmed objective response, either Complete Response (CR) or Partial Response (PR) during the study per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions.
Measured: From randomization date to progression or last tumor assessment, assessed up to 69 months
Clinical Benefit Rate
Clinical benefit rate (CR, PR, or SD = 24 weeks) for women For ErbB2 Positive Advanced Breast Cancer. Clinical benefit rate was the percentage of subjects who achieved overall tumor response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
Clinical Benefit (CB) = CR + PR + SD >= 24 weeks.
Measured: From randomization date to progression or last tumor assessment, assessed up to 69 months
Duration of Response
Duration of response was measured from the time at which response criteria were met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the first date of recurrence or progressive disease (PD) or death. For subjects without death or progression, censorship was at the last valid tumor assessment per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions.
Measured: From start date of response to first PD, assessed up to 69 months after the first subject was randomized.
Frequency of CNS Metastases (Frequency)
The percent of patients with symptomatic or progressive CNS lesions was the proportion of subjects who had PD considering CNS lesions only, according to RECIST criteria.
Measured: From randomization date to first CNS symptom or lesions
Time to CNS Metastases
Time to symptomatic or progressive Central nervous system (CNS) lesions. Time to symptomatic or progressive CNS lesions was the time from the date of randomization until the date of progressive disease (PD) considering CNS lesions only (ie, appearance of newly diagnosed CNS lesions or progressive CNS lesions).
Measured: From randomization date to first CNS symptom or lesions
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Oct 2008 (estimated)
- Study start4 Feb 2009
- Primary completionMar 2011
- Study completion3 Jun 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 Advanced Breast CancerStudies of the same condition, open and under way.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 233 participants (actual)
Sponsor and investigators
- Lead sponsor
- Puma Biotechnology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Puma, Study director, Biotechnology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00777101
- Sponsor's protocol ID
- 3144A2-3003 / B1891003
- Status last verified
- Jul 2018
- First submitted
- 21 Oct 2008
- Last updated
- 9 Aug 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Martin M, Bonneterre J, Geyer CE Jr, Ito Y, Ro J, Lang I, Kim SB, Germa C, Vermette J, Wang K, Wang K, Awada A. A phase two randomised trial of neratinib monotherapy versus lapatinib plus capecitabine combination therapy in patients with HER2+ advanced breast cancer. Eur J Cancer. 2013 Dec;49(18):3763-72. doi: 10.1016/j.ejca.2013.07.142. Epub 2013 Aug 15.
PubMed 23953056
Study at a glance
From the registry record, last updated by the sponsor on 9 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Randomized Open-Label Study of Neratinib Versus Lapatinib Plus Capecitabine For The Treatment Of ErbB-2 Positive Locally Advanced Or Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT00777101
- Acronym / sponsor ID
- 3144A2-3003 / B1891003
- Conditions
- Advanced Breast Cancer, Breast Cancer
- Keywords
- HER2, ErbB2, metastatic, neratinib, lapatinib, capecitabine, HKI-272, Nerlynx
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 233 participants (actual)
- Lead sponsor
- Puma Biotechnology, Inc.Industry (pharma, biotech, devices)
- Study start
- 4 Feb 2009 (actual)
- Primary completion
- Mar 2011 (actual)
- Study completion
- 3 Jun 2018 (actual)
- First posted
- 22 Oct 2008 (estimated)
- Results
- Posted 9 Nov 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a study of an experimental drug (neratinib) versus a combination of drugs (lapatinib and capecitabine) in women who have erbB-2 (HER-2) positive metastatic or locally advanced breast cancer. The goal of this study is to compare the two regimens in shrinking tumors and extending the lives of women with erbB2 (HER2) positive breast cancer. The study will also compare the safety of the two regimens and to compare quality of life of patients taking the two regimens.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Neratinib | Experimental | Drug: Neratinib |
| Lapatinib plus Capecitabine | Active comparator | Drug: Lapatinib, Drug: Capecitabine |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Stage IIIB, IIIC, or IV erbB2 (HER2) positive breast cancer
- Prior use of Herceptin (trastuzumab), and a taxane
- Adequate cardiac and renal function
Key exclusion criteria (4 listed)
- More than 2 prior Herceptin (trastuzumab) regimens or prior use of Xeloda (capecitabine) and / or Tykerb (lapatinib) [Tyverb]
- Bone as the only site of disease
- Active central nervous system metastases (subjects should be stable and off anticonvulsants and steroids)
- Significant gastrointestinal disorder with diarrhea as major symptom
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 |
|---|---|---|
| NeratinibAlso: HKI-272Tablets 240 mg orally once per day until disease progression or unacceptable toxicity | Drug | Neratinib |
| LapatinibAlso: Tykerb, TyverbTablets 1250 mg orally once per day until disease progression or unacceptable toxicity. | Drug | Lapatinib plus Capecitabine |
| CapecitabineAlso: XelodaTablets 2000 mg/m² given orally in two evenly divided daily doses for first 14 days of each 21 day cycle. Given until disease progression or unacceptable toxicity. | Drug | Lapatinib plus Capecitabine |
Primary outcome
Progression Free Survival
Time frame: From randomization date to progression or death, assessed up to 69 months
Progression Free Survival, Measured in Months, for Subjects Randomized. Investigator assessment. The time interval from the date of randomization until the earliest date of progression per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) or death due to any cause. For subjects without death or progression, censorship was at the last valid tumor assessment.
6 secondary outcomes
Overall Survival (OS)
Time frame: From randomization date to death, assessed up to 69 months
Objective Response Rate (ORR).
Time frame: From randomization date to progression or last tumor assessment, assessed up to 69 months
Clinical Benefit Rate
Time frame: From randomization date to progression or last tumor assessment, assessed up to 69 months
Duration of Response
Time frame: From start date of response to first PD, assessed up to 69 months after the first subject was randomized.
Frequency of CNS Metastases (Frequency)
Time frame: From randomization date to first CNS symptom or lesions
Time to CNS Metastases
Time frame: From randomization date to first CNS symptom or lesions
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Aug 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 23953056Martin M, Bonneterre J, Geyer CE Jr, Ito Y, Ro J, Lang I, Kim SB, Germa C, Vermette J, Wang K, Wang K, Awada A. A phase two randomised trial of neratinib monotherapy versus lapatinib plus capecitabine combination therapy in patients with HER2+ advanced breast cancer. Eur J Cancer. 2013 Dec;49(18):3763-72. doi: 10.1016/j.ejca.2013.07.142. Epub 2013 Aug 15.
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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.
Puma study director
Biotechnology
152 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Neratinib, Lapatinib and Capecitabine in people with Advanced Breast Cancer and Breast Cancer, run by Puma Biotechnology, Inc. at 152 sites in 31 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 3 inclusion and 4 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 9 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 152 sites in United States, Japan, Spain, Russia, Hungary and 26 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 9 Nov 2017). 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?
Progression Free Survival (time frame: From randomization date to progression or death, assessed up to 69 months). 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 NCT00777101, 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 9 Aug 2018.