A Phase 1/2 Study of HKI-272 (Neratinib) in Combination With Paclitaxel (Taxol) in Subjects With Solid Tumors and Breast Cancer

NCT ID: NCT00445458

Last Updated: 2018-07-26

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-11

Study Completion Date

2018-02-07

Brief Summary

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The purpose of this study is to learn whether it is safe and effective to administer HKI-272 (neratinib) in combination with paclitaxel in patients with breast cancer.

Detailed Description

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Conditions

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Advanced Breast Cancer Advanced Malignant Solid Tumors Breast Neoplasms

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HKI-272 dose level 1

Part 1: Subjects with solid tumors receiving HKI-272 (neratinib) 160 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.

Group Type EXPERIMENTAL

HKI-272

Intervention Type DRUG

Paclitaxel

Intervention Type DRUG

HKI-272 dose level 2

Part 1: Subjects with solid tumors receiving HKI-272 (neratinib) 240 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.

Group Type EXPERIMENTAL

HKI-272

Intervention Type DRUG

Paclitaxel

Intervention Type DRUG

HKI-272 expanded MTD cohort, arm A

Part 2: Subjects with metastatic breast cancer who have not received more than 1 prior cytotoxic chemotherapy treatment regimen for metastatic disease receiving HKI-272 (neratinib) 240 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.

Group Type EXPERIMENTAL

HKI-272

Intervention Type DRUG

Paclitaxel

Intervention Type DRUG

HKI-272 expanded MTD cohort, arm B

Part 2: Subjects with metastatic breast cancer who have not received more than 3 prior cytotoxic chemotherapy treatment regimen for metastatic disease receiving HKI-272 (neratinib) 240 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.

Group Type EXPERIMENTAL

HKI-272

Intervention Type DRUG

Paclitaxel

Intervention Type DRUG

Interventions

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HKI-272

Intervention Type DRUG

Paclitaxel

Intervention Type DRUG

Other Intervention Names

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Neratinib

Eligibility Criteria

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Inclusion Criteria

* Good performance status
* Normal ejection fraction
* Adequate cardiac, kidney, and liver function
* Adequate blood counts
* At least one measurable target lesion
* Negative pregnancy test for female subjects


\- Pathologically confirmed solid tumor not curable with available standard therapy


* Pathologically confirmed breast cancer
* HER2 positive tumor
* Prior treatment with Herceptin

Exclusion Criteria

* Major surgery, radiotherapy, chemotherapy or investigational agents within two weeks of treatment day 1
* Subjects with bone or skin as the only site of disease
* Active central nervous system metastases
* Significant cardiac disease or dysfunction
* Significant gastrointestinal disorder
* Inability or unwillingness to swallow HKI-272 capsules
* Prior exposure to HKI-272 or other HER2 targeted agents, except trastuzumab (Part 2 only). Prior lapatinib is permitted in arm B of part 2.
* Treatment with a taxane within 3 months of treatment day 1
* Grade 2 or greater motor or sensory neuropathy
* Pregnant or breast feeding women
* Known hypersensitivity to paclitaxel or Cremophor EL
* Prior treatment with anthracyclines with cumulative dose of \>400 mg/m\^2
* Any other cancer within 5 years with the exception of contralateral breast cancer, adequately treated cervical carcinoma in situ, or adequately treated basal or squamous cell carcinoma of the skin


\- More than 1 (arm A) or 3 (arm B) prior cytotoxic chemotherapy regimen for metastatic disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Puma Biotechnology, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Puma

Role: STUDY_DIRECTOR

Biotechnology

Locations

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Scripps, Clinic General

La Jolla, California, United States

Site Status

Moores UC San Diego Cancer Center

La Jolla, California, United States

Site Status

Sharp Memorial Hospital

San Diego, California, United States

Site Status

Boston University Medical Center

Boston, Massachusetts, United States

Site Status

Mid-Michigan Physicians-HOS Division

Lansing, Michigan, United States

Site Status

Oncology Care Associates

Saint Joseph, Michigan, United States

Site Status

Columbia University Medical Center

New York, New York, United States

Site Status

CTRC at The University of Texas Health Science Center

San Antonio, Texas, United States

Site Status

Institut Jules Bordet Unite du Chimiotherapie

Brussels, , Belgium

Site Status

Universitair Ziekenhuis Gent

Ghent, , Belgium

Site Status

AZ Groeninge Campus Maria's Voorzienigheid (MV)

Kortrijk, , Belgium

Site Status

Oncologisch Centrum GZA - Location St Augustinus

Wilrijk, , Belgium

Site Status

Princess Margaret Hospital University Health Network

Toronto, Ontario, Canada

Site Status

The Hospital Affiliated Academy Military Medical Science, Chinese People's Liberation Army

Beijing, Beijing Municipality, China

Site Status

Chinese People's Liberation Army General Hospital

Beijing, Beijing Municipality, China

Site Status

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status

Tianjin Union Medicine Center Department of Oncology

Tianjin, Tianjin Municipality, China

Site Status

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status

Peking Union Medical College Hospital of Chinese Academy of Medical Sciences

Beijing, , China

Site Status

UNIMED Medical Institute

Hong Kong, , Hong Kong

Site Status

Department of Medicine, Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Department of Surgery Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Jehangir Clinical Development Centre, Jehangir Hospital Premises

Pune, Maharashtra, India

Site Status

M.M.F. Joshi Hospital & Ratna Memorial Hospital

Pune, Maharashtra, India

Site Status

Tata Memorial Hospital

Mumbai, Parel, India

Site Status

Birla Cancer Centre, S.M.S. Medical College & Hospital

Jaipur, Rajasthan, India

Site Status

Wojewodzki Szpital Specjalistyczny im. Ludwika Rydygiera, Oddzial Onkologii

Krakow, , Poland

Site Status

Oddzial Chemioterapii Centrum Onkologii Ziemii Lubelskiej

Lublin, , Poland

Site Status

Yonsei University Health System - Severance Hospital

Seoul, , South Korea

Site Status

Asan Medical Center, Division of Oncology, Department of Internal Medicine

Seoul, , South Korea

Site Status

City Multifield Clinical Hospital #4 Department of chemotherapy, Dnipropetrovs'k State Medical Academy, Chair of Oncology and Medical Radiology

Dnipropetrovsk, , Ukraine

Site Status

State Oncological Regional Treatment and Diagnostic Center Department of chemotherapy

Lviv, , Ukraine

Site Status

Countries

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United States Belgium Canada China Hong Kong India Poland South Korea Ukraine

References

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Chow LW, Xu B, Gupta S, Freyman A, Zhao Y, Abbas R, Vo Van ML, Bondarenko I. Combination neratinib (HKI-272) and paclitaxel therapy in patients with HER2-positive metastatic breast cancer. Br J Cancer. 2013 May 28;108(10):1985-93. doi: 10.1038/bjc.2013.178. Epub 2013 Apr 30.

Reference Type DERIVED
PMID: 23632474 (View on PubMed)

Other Identifiers

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3144A1-203 / B1891014

Identifier Type: -

Identifier Source: org_study_id

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