Afatinib Monotherapy in Patients With ERBB-deregulated Metastatic Urothelial Tract Carcinoma After Failure of Platinum Based Chemotherapy

NCT ID: NCT02780687

Last Updated: 2020-11-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-09

Study Completion Date

2019-09-02

Brief Summary

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The purpose of this trial is to assess the anti-tumour activity and safety of afatinib monotherapy in patients with urothelial tract carcinoma carrying ERBB2 or ERBB3 (Erythroblastic leukaemia viral oncogene homolog of the human epidermal growth factor family of receptors) mutations or ERBB2 amplifications (Cohort A), and EGFR (Epidermal Growth Factor Receptor) amplification positive tumours (Cohort B), progressing despite previous platinum based chemotherapy, and thereby to improve their prognosis.

The antitumour activity of afatinib monotherapy in these patients will be assessed by progression free survival rate at 6 months (PFS6). This will be the primary endpoint of the trial. A key secondary endpoint will also be defined, the objective response rate (ORR).

Detailed Description

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Conditions

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Urologic Neoplasms

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Afatinib

Group Type EXPERIMENTAL

Afatinib

Intervention Type DRUG

Interventions

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Afatinib

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Recurrent or metastatic urothelial cancer
* Patients must have failed prior platinum based treatment (adjuvant or 1st line)
* Archival tissue sample available for biomarker testing at pre-screening and tissue banking.
* Patients should complete a pre-screening biomarker analysis and should fulfill the following: for Cohort A tumour should show a ERBB2 (epidermal growth factor family receptor 2) or ERBB3 mutation, or ERBB2 gene amplification; for Cohort B tumour should show EGFR (Epidermal Growth Factor Receptor) amplification.

Exclusion Criteria

* Prior use of EGFR, ERBB2 or ERBB3 targeted treatment
* Chemotherapy within 4 weeks prior to the start of study treatment. Biological therapy or investigational agents within 4 weeks prior to the start of study treatment or prior to passing 5 half-lives, i.e. systemic clearance, whatever comes first
* Known brain metastases or signs hereof, uncontrolled spinal cord compression or leptomeningeal carcinomatosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

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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INS Bergonié

Bordeaux, , France

Site Status

CTR Leon Berard

Lyon, , France

Site Status

INS Cancérologie du Gard

Nîmes, , France

Site Status

HOP Saint-Louis

Paris, , France

Site Status

HOP Cochin

Paris, , France

Site Status

HOP Européen G. Pompidou

Paris, , France

Site Status

HOP Foch

Suresnes, , France

Site Status

INS Universitaire du Cancer

Toulouse, , France

Site Status

INS Gustave Roussy

Villejuif, , France

Site Status

Ospedale San Donato di Arezzo

Arezzo, , Italy

Site Status

A.O. San Camillo Forlanini

Roma, , Italy

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Hospital Germans Trias i Pujol

Badalona, , Spain

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Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status

Hospital Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Universitario de Elche

Elche, , Spain

Site Status

Hospital Universitari de Girona Doctor Josep Trueta

Girona, , Spain

Site Status

Hospital Duran i Reynals

L'Hospitalet de Llobregat, , Spain

Site Status

Hospital Universitario Lucus Augusti

Lugo, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital La Paz

Madrid, , Spain

Site Status

CIO Clara Campal

Madrid, , Spain

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Hospital Son Espases

Palma de Mallorca, , Spain

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CS Parc Taulí

Sabadell, , Spain

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Hospital Virgen Macarena

Seville, , Spain

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Hospital Virgen del Rocío

Seville, , Spain

Site Status

Instituto Valenciano de Oncología

Valencia, , Spain

Site Status

Countries

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France Italy Spain

References

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Font A, Mellado B, Climent MA, Virizuela JA, Oudard S, Puente J, Castellano D, Gonzalez-Del-Alba A, Pinto A, Morales-Barrera R, Rodriguez-Vida A, Fernandez PL, Teixido C, Jares P, Aldecoa I, Gibson N, Solca F, Mondal S, Lorence RM, Serra J, Real FX. Phase II trial of afatinib in patients with advanced urothelial carcinoma with genetic alterations in ERBB1-3 (LUX-Bladder 1). Br J Cancer. 2024 Feb;130(3):434-441. doi: 10.1038/s41416-023-02513-6. Epub 2023 Dec 15.

Reference Type DERIVED
PMID: 38102226 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2015-005427-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

1200.261

Identifier Type: -

Identifier Source: org_study_id