LUX-Breast 2; Afatinib in HER2 (Human Epidermal Growth Factor Receptor)-Treatment Failures

NCT ID: NCT01271725

Last Updated: 2019-06-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-24

Study Completion Date

2017-03-13

Brief Summary

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The general aim of this study is to investigate the efficacy and safety of afatinib (BIBW 2992) alone and in combination with weekly paclitaxel or weekly vinorelbine (in patients who progress on afatinib monotherapy within this trial) as treatment in patients with HER2-overexpressing, metastatic breast cancer, who failed HER2-targeted treatment in the neoadjuvant or adjuvant setting

Detailed Description

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Conditions

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Breast Neoplasms

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Afatinib 40mg once daily (OD)

Patient to receive afatinib monotherapy at a dose of 40 mg/d until progression of their disease

Group Type EXPERIMENTAL

Afatinib 40mg once daily (OD)

Intervention Type DRUG

Patient to receive afatinib monotherapy at a dose of 40 mg/d until progression of their disease

Paclitaxel 80 mg/m2 weekly

Patients to additionally receive paclitaxel at a dose of 80 mg/m2 weekly on disease progression on afatinib monotherapy

Group Type EXPERIMENTAL

Paclitaxel 80 mg/m2 weekly

Intervention Type DRUG

Patients to additionally receive paclitaxel at a dose of 80 mg/m2 weekly on disease progression on afatinib monotherapy

Vinorelbine 25 mg/m2 weekly

Patients to additionally receive vinorelbine at a dose of 25 mg/m2 weekly on disease progression on afatinib monotherapy

Group Type EXPERIMENTAL

Vinorelbine 25 mg/m2 weekly

Intervention Type DRUG

Patients to additionally receive vinorelbine at a dose of 25 mg/m2 weekly on disease progression on afatinib monotherapy

Interventions

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Vinorelbine 25 mg/m2 weekly

Patients to additionally receive vinorelbine at a dose of 25 mg/m2 weekly on disease progression on afatinib monotherapy

Intervention Type DRUG

Afatinib 40mg once daily (OD)

Patient to receive afatinib monotherapy at a dose of 40 mg/d until progression of their disease

Intervention Type DRUG

Paclitaxel 80 mg/m2 weekly

Patients to additionally receive paclitaxel at a dose of 80 mg/m2 weekly on disease progression on afatinib monotherapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Female patients \>=18 years with proven diagnosis of HER2-overexpressing, histologically confirmed breast cancer
2. Stage IV metastatic disease
3. At least one measurable lesion according to RECIST 1.1 (Response Evaluation Criteria for Solid Tumours version 1.1). Skin, bone and brain lesions are considered non-target lesions
4. Must have failed or progressed on either trastuzumab or lapatinib or trastuzumab and lapatinib treatment in the neoadjuvant and/or adjuvant setting

Exclusion Criteria

1. Prior first line therapy for metastatic breast cancer
2. Known pre-existing interstitial lung disease
3. Active brain metastases
4. 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 trial treatment.
5. Cardiac left ventricular function with resting ejection fraction of less than 50%.
6. Prior treatment with Epidermal Growth Factor Receptor (EGFR)/HER2-targeted small molecules or antibodies other than trastuzumab and lapatinib in the neoadjuvant or adjuvant setting
7. Prior treatment with paclitaxel in the past 12 months
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Boehringer Ingelheim

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Boehringer Ingelheim

Role: STUDY_CHAIR

Boehringer Ingelheim

Locations

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Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Prince of Wales Hospital

Shatin, , Hong Kong

Site Status

Sujan Surgical Cancer Hospital

Amravati, , India

Site Status

Tata Memorial Hospital

Maharashtra, , India

Site Status

Curie Manavata Cancer Centre

Maharashtra, , India

Site Status

Central India Cancer Research Institute

Nagpur, , India

Site Status

Ruby Hall Clinic

Pune, , India

Site Status

Regional Cancer Center

Thiruvananthapuram, , India

Site Status

University Clinical Center, Gdansk

Gdansk, , Poland

Site Status

St.Auton.Heal.Inst."Rep.Clin.Onc.Disp.of MoH of Rep. Tatarstan"

Kazan', , Russia

Site Status

Clinical Oncology Dispensary No. 1, Dept. Chemotherapy

Krasnodar, , Russia

Site Status

N.A. Semashko Central Clinical Hospital, Moscow

Moscow, , Russia

Site Status

SBIH of Stavropol territory "Pyatigorsk Oncol. Dispensary"

Pyatigorsk, , Russia

Site Status

SBIH "Samara Regional Clinical Oncol. Dispensary", Samara

Samara, , Russia

Site Status

GUZ "Oncological Dispesary #2"

Sochi, , Russia

Site Status

Stavropol Regional Clin. Oncology Dispensary Dept. Oncology

Stavropol, , Russia

Site Status

Yaroslavl Regional Clinical Oncology Hosp. Dept.Chemotherapy

Yaroslavl, , Russia

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Mackay Memorial Hospital

Taipei, , Taiwan

Site Status

Koo Foundation Sun Yet-Sen Cancer Center

Taipei, , Taiwan

Site Status

Taipe Veterans General Hospital

Taipei, , Taiwan

Site Status

North Devon District Hospital

Barnstaple, , United Kingdom

Site Status

Royal Bournemouth and Christchurch Hospital

Bournemouth, , United Kingdom

Site Status

Royal Devon and Exeter Hospital

Exeter, , United Kingdom

Site Status

Charing Cross Hospital

London, , United Kingdom

Site Status

Countries

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Hong Kong India Poland Russia Taiwan United Kingdom

References

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Hickish T, Mehta A, Liu MC, Huang CS, Arora RS, Chang YC, Yang Y, Vladimirov V, Jain M, Tsang J, Pemberton K, Sadrolhefazi B, Jin X, Tseng LM. Afatinib alone and in combination with vinorelbine or paclitaxel, in patients with HER2-positive breast cancer who failed or progressed on prior trastuzumab and/or lapatinib (LUX-Breast 2): an open-label, multicenter, phase II trial. Breast Cancer Res Treat. 2022 Apr;192(3):593-602. doi: 10.1007/s10549-021-06449-4. Epub 2022 Feb 9.

Reference Type DERIVED
PMID: 35138529 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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2010-021945-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1200.98

Identifier Type: -

Identifier Source: org_study_id

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