BIBW 2992 (Afatinib) and Vinorelbine

This study has been terminated.
(The recruitment was discontinued because of failure to meet expected enrolment goals)
Sponsor:
Collaborator:
Boehringer Ingelheim
Information provided by:
University of Magdeburg
ClinicalTrials.gov Identifier:
NCT01531764
First received: February 9, 2012
Last updated: October 17, 2013
Last verified: February 2012
  Purpose

This open-label, single-arm, multicentre phase II trial will be performed in patients with intermediate HER2-positive, metastatic breast cancer (MBC)pretreated with anthracyclines and one first-line therapy in the metastatic setting.

The main objective of the trial is to evaluate the efficacy and safety of BIBW 2992 in combination with vinorelbine in patients with intermediate HER2-positive MBC. If this trial shows promising results, further studies to evaluate the benefit of BIBW 2992 in combination with chemotherapy in this subgroup of intermediate HER2-positive patients with MBC are warranted.

Patients will be followed until progression. After progression, for the purpose of analysing overall survival, information on vital status and subsequent treatment will be collected.

The primary objective is to determine the 6-month progression free survival rate of BIBW 2992 and vinorelbine i.v. in patients with metastatic, HER2 IHC 2+, HER2 FISH-negative breast cancer.

BIBW 2992 in combination with vinorelbine will provide a suitable combination to test the hypothesis that patients with metastatic breast cancer whose tumours are HER2 2+ by immunohistochemistry, but negative by fluorescence in-situ hybridisation (FISH) will benefit from a combination of a cytotoxic agent, i.e. vinorelbine, plus the dual irreversible EGFR/HER2-tyrosine kinase inhibitor BIBW 2992.


Condition Intervention Phase
Carcinoma Breast Stage IV
Drug: BIBW 2992 in combination with vinorelbine
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Single-arm, Open-label, Multicentre Phase II Study Evaluating the Efficacy and Safety of BIBW 2992 (Afatinib) in Combination With Vinorelbine for the Treatment of Patients With Metastatic Breast Cancer With Intermediate HER2 Expression (HER2 2+ by Immunohistochemistry, Fluorescence In-situ Hybridisation (FISH) Negative) After Failure of First-line Therapy in the Metastatic Setting and Having Been Pre-treated With Anthracyclines

Resource links provided by NLM:


Further study details as provided by University of Magdeburg:

Primary Outcome Measures:
  • Progression-free survival based on tumor imaging according to RECIST 1.1 criteria. [ Time Frame: 6 months defined as the time from the date of treatment start ] [ Designated as safety issue: No ]
    The primary objective is to determine the 6-month Progression free survival rate of BIBW 2992 and vinorelbine i.v. in patients with metastatic, HER2 IHC 2+, HER2 FISH-negative breast cancer. The analysis will be based upon the evaluation of tumour imaging. Disease progression will be evaluated according to the RECIST 1.1 criteria.


Secondary Outcome Measures:
  • Overall survival including assessment of objective response rate and time to progression. [ Time Frame: From start of treatment until the date of first documented progression or death from any cause, whichever came first, assessed approximately up to 24 months. ] [ Designated as safety issue: No ]
    Objective Response Rate based on Response Evaluation Criteria in Solid Tumours (RECIST 1.1), Time-to-Progression and Overall Survival.

  • Number, intensity and incidence of adverse events [ Time Frame: Start of treatment up to 28 days after the last administration trial medication. ] [ Designated as safety issue: Yes ]
    Safety will be evaluated as indicated by number, intensity and incidence of adverse events, graded according to US NCI CTCAE Version 4.0.


Enrollment: 2
Study Start Date: July 2012
Study Completion Date: September 2013
Primary Completion Date: September 2013 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: BIBW 2992 in combination with vinorelbine
    Patients will receive BIBW 2992 and vinorelbine chemotherapy. BIBW 2992: 40 mg oral (tablet) once daily Vinorelbine: 25 mg/m² on days 1 & 8 in a 3-weekly course, intravenous, short infusion of about 10 minutes
    Other Name: Afatinib
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Female patients ≥ 18 years
  • Histologically confirmed diagnosis of intermediate HER2-overexpressing breast cancer
  • Stage IV metastatic disease
  • Must have received anthracycline-based chemotherapy for adjuvant treatment of breast cancer or first-line treatment of metastatic breast cancer
  • Must have received one first-line chemotherapy for metastatic breast cancer
  • Must have (archived) tumour tissue sample available for central re- assessment of HER2 status and prove to be intermediate HER2-positive. HER2 intermediate status is defined as IHC 2+ and FISH-negativity.
  • Must have at least one measurable lesion according to RECIST 1.1. Patient with only skin lesions will not be eligible.
  • Eastern Cooperative Oncology Group (ECOG) score of 0 or 1.
  • Life expectancy of at least six (6) months.
  • Written informed consent that is consistent with ICH-GCP guidelines.
  • Must be eligible for treatment with BIBW 2992 and vinorelbine.

Exclusion Criteria:

  • 1. Prior treatment with EGFR/HER2-targeted tyrosine kinase inhibitors, i.e. lapatinib
  • Prior treatment with vinorelbine
  • Known pre-existing interstitial lung disease
  • Radiotherapy, chemotherapy, hormone therapy, immunotherapy or surgery (other than biopsy) within 4 weeks (2 weeks for hormone therapy) prior to start of treatment with BIBW 2992 and vinorelbine.
  • Active brain metastases
  • Any other current malignancy or malignancy diagnosed within the past five (5) years (other than non-melanomatous skin cancer and in situ cervical cancer).
  • Significant or recent acute gastrointestinal disorders with diarrhoea as a major symptom, e.g. Crohn's disease, malabsorption or CTC grade ≥ 2 diarrhoea of any aetiology.
  • History or presence of clinically relevant cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure NYHA classification of ≥3, unstable angina or poorly controlled arrhythmia. Myocardial infarction within 6 months prior to start of study treatment.
  • Cardiac left ventricular function with resting ejection fraction of less than 50 %.
  • Any other concomitant serious illness or organ system dysfunction which in the opinion of the investigator would either compromise patient safety or interfere with the evaluation of the safety of the test drug.
  • Laboratory values according to specified ranges.
  • Women of childbearing potential, unwilling to use a medically acceptable method of contraception during the trial.
  • Pregnancy or breast-feeding.
  • Patients unable to comply with the protocol.
  • Known hepatitis B infection, known hepatitis C infection or known HIV carrier.
  • Known or suspected active drug or alcohol abuse.
  • Requirement for treatment with any of the prohibited concomitant medications
  • Any contraindications for therapy with vinorelbine or BIBW 2992.
  • Known hypersensitivity to BIBW 2992 or the excipients of any of the trial drugs.
  • Use of any investigational drug within 4 weeks of start of treatment.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01531764

Locations
Germany
Klinikum St. Marien Amberg
Amberg, Bayern, Germany, 92224
Hämato-Onkologische Schwerpunktpraxis
München, Bayern, Germany, 80638
Caritas-Krankenhaus, Onkologisches Zentrum Regensburg
Regenburg, Bayern, Germany, 93053
Gynäkologische Praxis
Hildesheim, Niedersachsen, Germany, 31134
Schwerpunktpraxis für Hämatologie und Onkologie
Bottrop, Nordrhein-Westfalen, Germany, 46236
Universitätsklinikum Frauenklinik Düsseldorf
Düsseldorf, Nordrhein-Westfalen, Germany, 40225
Otto-von-Guericke-Universität Frauenklinik Magdeburg
Magdeburg, Sachsen-Anhalt, Germany, 39108
Klinikum Chemnitz gGmbH
Chemnitz, Sachsen, Germany, 09116
Praxisklinik Krebsheilkunde für Frauen / Brustzentrum
Berlin, Germany, 10367
Onkologisches Zentrum Süd, Vivantes Tumorzentrum
Berlin, Germany, 12351
OncoResearch Lerchenfled UG
Hamburg, Germany, 22081
Internistische Praxisgemeinschaft Eppendorf
Hamburg, Germany, 20249
Sponsors and Collaborators
University of Magdeburg
Boehringer Ingelheim
Investigators
Principal Investigator: Joachim Bischoff, MD Otto-von-Guericke-Universität Magdeburg, Germany
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT01531764     History of Changes
Other Study ID Numbers: 1200.137
Study First Received: February 9, 2012
Last Updated: October 17, 2013
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by University of Magdeburg:
Metastatic breast cancer
intermediate HER2 expression
Afatinib

Additional relevant MeSH terms:
Breast Neoplasms
Breast Diseases
Neoplasms
Neoplasms by Site
Skin Diseases
Vinorelbine
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Pharmacologic Actions
Therapeutic Uses

ClinicalTrials.gov processed this record on October 29, 2014