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Oral Vinorelbine in Combination With Trastuzumab for Metastatic Breast Cancer (OVINTRA)

This study has been completed.
Information provided by (Responsible Party):
Vejle Hospital Identifier:
First received: November 16, 2010
Last updated: May 20, 2015
Last verified: March 2015

This phase II study will investigate oral vinorelbine 90 mg/m2 on days 1 + 8 at 3 weeks intervals in combination with trastuzumab as 1st and 2nd line treatment of women with metastatic HER2 positive breast cancer.

Oral vinorelbine has shown the same overall response rate as i.v. vinorelbine in metastatic breast cancer, and capsules are generally better tolerated.

Condition Intervention Phase
Breast Cancer
Drug: Trastuzumab
Drug: Vinorelbine
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Investigation of Oral Vinorelbine in Combination With Trastuzumab for 1st and 2nd Line Treatment of Women With Metastatic HER2 Positive Breast Cancer

Resource links provided by NLM:

Further study details as provided by Vejle Hospital:

Primary Outcome Measures:
  • Objective Response Rate [ Time Frame: Every 9 weeks. Up to 2 years ]
    CT scan and MUGA scan

Secondary Outcome Measures:
  • Progression free survival [ Time Frame: Every 9 weeks from date of first treatment until progression or death. Up to 2 years ]
    CT scan

  • Overall Survival [ Time Frame: From date of inclusion until date of death. Up to 2 years. ]

Enrollment: 10
Study Start Date: November 2010
Study Completion Date: October 2014
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Trastuzumab
    Initial dose 8 mg/kg i.v. Subsequently, 6 mg/kg i.v. at intervals of 3 weeks
    Drug: Vinorelbine
    Initial dose 70 mg/m2 on days 1 and 8 (capsules) If well tolerated, subsequently 90 mg/m2 on days 1 and 8. Capsule on day 1 to be taken at the hospital, and on day 8 at home.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Woman ≥ 18 years of age.
  • PS 0-2. Expected lifetime of more than 12 weeks.
  • Histologically verified breast cancer(adenocarcinoma)
  • Primary tumor or metastasis is HER2 positive with IHC3+ or FISH+ (ratio ≥ 2.2).
  • Documented metastatic breast cancer with min. one lesion measureable according to the RECIST 1.1 criteria. All solitary lesions must be verified cytologically/histologically if representing the only evidence of malignancy.
  • The patient may have received (neo-) adjuvant chemotherapy (taxanes, anthracyclines and trastuzumab) and 1st line chemotherapy in combination with trastuzumab for metastatic disease.
  • The patient may have received previous adjuvant antihormonal treatment for metastatic breast cancer.
  • The patient may receive radiation therapy, however, not against lesions used for response evaluation.
  • Normal heart function, LVEF ≥ 50% measured by MUGA/EKKO.
  • Normal bone marrow function: Hemoglobin ≥ 6 mmol/l, ANC ≥ 1.5x10^9/l. Thrombocytes ≥ 100x10^9/l.
  • Normal liver function: Bilirubin ≤ 1.5 x upper normal level, ALAT ≤ 2.5 x upper normal level, BASP ≤ 2.5 x upper normal level (≤ 5 if presence of bone metastases).
  • Normal renal function: Creatinine ≤ upper normal level. In case of raised creatinine the measured/calculated GFR must be ≥ 50 ml/min.
  • Fertile women must present a negative pregnancy test and use contraceptives during and 3 months after treatment. An IUD without hormone is considered a safe contraceptive.
  • Written and orally informed consent prior to any study related procedure.

Exclusion Criteria:

  • Local recurrence or counter-lateral breast cancer without other dissemination.
  • Pregnant or breastfeeding women.
  • Clinical symptoms of CNS metastases, incl. meningeal carcinomatosis.
  • Malabsorption syndrome or other disease affecting the gastrointestinal function. Resection of the ventriculus or the small intestine, which can affect absorption of oral vinorelbine.
  • Dysphagia or other conditions preventing the patient from swallowing tablets.
  • Mental or social conditions preventing treatment or follow-up.
  • Serious concurrent medical condition, such as:

    • AMI within 12 months or unstable angina.
    • Heart incompensation NYHA III or IV or uncontrolled hypertension (systolic > 150 mm/hg and/or diastolic >100 mm/hg).
    • Serious arrythmia requiring medication, excl. atrial fibrillation and paroxystic supraventricular tachycardia.
    • Active infection, uncontrolled diabetes or hypercalcemia.
  • Other concurrent experimental treatment.
  • Concurrent antihormonal treatment of metastatic breast cancer.
  • Known neuropathia ≥ grade 2.
  • Other previous malignant disease within the past 5 years excl. non-melanoma skin cancer and carcinoma in situ cervicis uteri.
  • Previous treatment with vinca alkaloid.
  • Previous serious allergic or unexpected reactions to trastuzumab treatment.
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Please refer to this study by its identifier: NCT01242449

Dept. of Oncology, Aalborg Sygehus
Aalborg, Denmark, 9000
Dept. of Oncology, Esbjerg Hospital
Esbjerg, Denmark, 6700
Department of Oncology, Vejle Hospital
Vejle, Denmark, DK-7100
Sponsors and Collaborators
Vejle Hospital
Principal Investigator: Troels Bechmann, MD Department of Oncology, Vejle Hospital
Study Chair: Erik H Jakobsen, MD Department of Oncology, Vejle Hospital
  More Information

Responsible Party: Vejle Hospital Identifier: NCT01242449     History of Changes
Other Study ID Numbers: 2010-021618-42
Study First Received: November 16, 2010
Last Updated: May 20, 2015

Keywords provided by Vejle Hospital:
Breast cancer
HER2 positive

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action processed this record on April 24, 2017