Neoplasms, BreastPhase 2NCT00558103
Pazopanib Plus Lapatinib Compared To Lapatinib Alone In Subjects With Inflammatory Breast Cancer
A Phase 2 study testing lapatinib and Pazopanib in people with Neoplasms, Breast, run by GlaxoSmithKline at 126 sites in 28 countries.
Trial summary
The double blind part of the study is being conducted to compare the efficacy and safety of pazopanib in combination with lapatinib with that of lapatinib alone in subjects with inflammatory breast cancer whose tumors overexpress the ErbB2 protein. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Neoplasms, Breast
- What is being tested?
- lapatinib and Pazopanib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 163 participants
- Where
- 126 sitesin 28 countries
- Study dates
- Dec 2007to Dec 2011
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Specific information regarding warnings, precautions, contraindications, adverse events, and other pertinent information on the investigational product that may impact patient eligibility is provided in the pazopanib IB and lapatinib prescribing information (or the lapatinib IB).
- For Cohort 1 of this study, eligible patients met inclusion criteria outlined in the original version of the protocol and protocol amendment 1.
- For Cohort 2 of this study, eligible patients must meet all of the following criteria:
- Patients must have evaluable Inflammatory Breast Cancer (IBC) substantiated by all of the following prior to randomization:
- History of invasive breast cancer documented by a biopsy and accompanying pathology report
- Current photographs* (global view and close-up views of all skin lesions) submitted at screening demonstrating unequivocal evidence of IBC as determined by either the medical monitor alone or in consultation with one or more of the study Principal Investigators.
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- All patients must have photography at screening. Canfield Scientific Inc. will provide centralized monitoring, tracking, and collection of patients' photographs throughout the study. Screening photographs must be uploaded to the Canfield Scientific Inc website and approved by Canfield Scientific Inc, as the central photography vendor. The photographs, along with the completed Inflammatory Breast Cancer Skin Assessment Tool (IBSAT), must be reviewed and approved by GSK before a patient can be randomized. Sites should allow a minimum of 3 business days for this process. Sites submitting quality photographs and IBSATs on a regular basis will receive an exemption from this requirement for future patients.
- Patients with secondary IBC are eligible.
- Measurable lesions (cutaneous or radiographic) may be in the field of prior standard or palliative radiation therapy; however, there must be at least a 4 week period between the last radiation treatment and the baseline scan documenting disease status for the lesion to be measurable. If the irradiated lesion is the only site of disease, documented progression of the irradiated lesion is required.
- Disease progression or relapse following treatment for invasive breast cancer, which must have included a chemotherapy regimen. In regions where trastuzumab is available with no barriers to access*, patients must have received prior trastuzumab in addition to chemotherapy in order to be eligible. * (Barriers to access may include financial considerations.)
- Unequivocal ErbB2 overexpressing breast cancer, defined as 3+ staining by immunohistochemistry (IHC), or 2+ staining by IHC in conjunction with ErbB2 gene amplification by FISH/CISH, or ErbB2 gene amplification by FISH/CISH alone (in subjects whose tumor blocks were not assessed by IHC). ErbB2 gene amplification is defined by: > six (6) ErbB2 gene copies/nucleus for test systems without an internal control probe or an ErbB2/CEP 17 ratio of more than 2.2.
- Sites must submit a copy of the laboratory report demonstrating unequivocal ErbB2 overexpression, if testing performed at a local laboratory, with the screening worksheet. Archived tumor must be provided for all patients for ErbB2 FISH testing by the central laboratory. Patients will remain on study based on local ErbB2 expression results. If archived tumor is not available, a biopsy must be obtained at screening and sent to TMD Laboratories for ErbB2 FISH testing.
- Patients must provide written informed consent prior to performance of study-specific procedures or assessments, and must be willing to comply with treatment and follow up. Procedures conducted as part of the patient's routine clinical management (e.g., blood count, imaging study) and obtained prior to signing of informed consent may be utilized for screening or baseline purposes provided these procedures are conducted as specified in the protocol.
- Note: Informed consent may be obtained prior to the protocol-specified screening window (i.e. Day -14 to Day -1).
- Females age ≥ 18 years, except in Tunisia. In Tunisia, patients must be ≥ 20 years to be eligible for this study.
- Adequate organ function as defined below:
- System (Laboratory Values)
- Hematologic:Absolute neutrophil count (ANC)(≥ 1.5 X 10^9/L)Hemoglobin1(≥9 g/dL)Platelets(≥100 X 10^9/L)International normalized ratio (INR)(≤ 1.2 X upper limit of normal (ULN))Partial thromboplastin time (PTT)(≤1.2 X ULN)
- Hepatic:Total bilirubin2 (≤ 1.5 X upper limit of normal (ULN))AST and ALT(≤ 2.5 X ULN)
- Renal:Serum Creatinine (≤ 1.5 mg/dL)Or, if serum creatinine >1.5 mg/dL,
- Calculated creatinine clearance(≥50 mL/min)
- Urine Protein to Creatinine Ratio(<1)
- Patients may not have had a transfusion within 7 days of screening assessment.
- Exception: Patients with elevated bilirubin levels due to Gilberts syndrome are eligible.
- Cardiac ejection fraction within the institutional range of normal as measured by echocardiogram. MUGA scans will be accepted in cases where an echocardiogram cannot be performed or is inconclusive or where MUGA scans are the accepted standard. Patients with known history of uncontrolled or symptomatic angina, arrhythmias, or congestive heart failure are not eligible.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
- A female is eligible to enter and participate in this study if she is of:
- Non-childbearing potential (i.e., physiologically incapable of becoming pregnant), including any female who has had:
- A hysterectomy
- A bilateral oophorectomy (ovariectomy)
- A bilateral tubal ligation
- Is post-menopausal
- Patients not using hormone replacement therapy (HRT) must have experienced total cessation of menses for ≥ 1 year and be greater than 45 years in age, OR, in questionable cases, have a follicle stimulating hormone (FSH) value >40 mIU/mL and an estradiol value < 40pg/mL (<140 pmol/L).
- Patients must discontinue HRT prior to study enrollment due to the potential for inhibition of CYP enzymes that metabolize estrogens and progestins (See Section 8). For most forms of HRT, at least 2-4 weeks must elapse between the cessation of HRT and determination of menopausal status; length of this interval depends on the type and dosage of HRT. If a female patient is determined not to be post-menopausal, they must use adequate contraception, as defined immediately below.
- Childbearing potential, including any female who has had a negative serum pregnancy test within 2 weeks prior to the first dose of study treatment, preferably as close to the first dose as possible, has used adequate contraception since the pregnancy test and agrees to use adequate contraception as described below. GSK acceptable contraceptive methods, when used consistently and in accordance with both the product label and the instructions of the physician, are as follow:
- An intrauterine device with a documented failure rate of less than 1% per year.
- Vasectomized partner who is sterile prior to the female patient's entry and is the sole sexual partner for that female.
- Complete abstinence from sexual intercourse for 14 days before exposure to investigational product, through the dosing period, and for at least 21 days after the last dose of investigational product.
- Double-barrier contraception (condom with spermicidal jelly, foam suppository, or film; diaphragm with spermicide; or male condom and diaphragm with spermicide).
- Note: Oral contraceptives are not reliable due to potential drug drug interactions.
- Female patients who are lactating should discontinue nursing prior to the first dose of investigational product and should refrain from nursing throughout the treatment period and for 14 days following the last dose of investigational product.
- French patients: In France, a patient will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.
Who cannot join
- Patients meeting any of the following criteria must not be enrolled in the study:
- Treatment in the 14 days prior to randomization with any cancer therapy (tumor embolization, chemotherapy, immunotherapy, biological therapy, or hormonal therapy) or treatment with mitomycin within 6 weeks prior to randomization. Such treatment may not be resumed or begun after study entry. Note: Patients receiving LH-RH analogue therapy prior to the study may continue to receive LH-RH analogues for the duration of study participation. Bisphosphonates are permitted if started prior to Day 1.
- Any ongoing toxicity from prior anti-cancer therapy that is >Grade 1 and/or that is progressing in severity (with the exception of alopecia).
- Prior lapatinib therapy or other Her2/ErbB2 targeted therapy (except trastuzumab).
- Prior therapy with an anti-VEGF antibody or other VEGF/VEGF-R targeted therapy.
- Use of an investigational agent, including an investigational anti-cancer agent, within 28 days or 5 half-lives, whichever is longer, prior to the first dose of investigational product.
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- Use of any prohibited medication within the timeframes listed in Section 8.1.3
- History of another malignancy.
- Note: Subjects who have had another malignancy and have been disease-free for 5 years, or subjects with a history of completely resected non-melanomatous skin carcinoma or successfully treated in situ carcinoma are eligible. If subject previously had breast cancer, it must have been HER2+ with either 3+ overexpression by IHC or unequivocal HER2 gene amplification by FISH or CISH.
- History or clinical evidence of central nervous system (CNS) metastases or leptomeningeal carcinomatosis, except for individuals who have previously-treated CNS metastases, are asymptomatic, and have had no requirement for steroids or anti-seizure medication for 2 months prior to first dose of study drug. Screening with CNS imaging studies (computed tomography [CT] or magnetic resonance imaging [MRI]) is required only if clinically indicated or if the subject has a history of CNS metastases.
- Clinically significant gastrointestinal abnormalities that may increase the risk for GI bleeding including, but not limited to:
- Active peptic ulcer disease
- Known intraluminal metastatic lesion/s with suspected bleeding
- Inflammatory bowel disease
- Ulcerative colitis, or other gastrointestinal conditions with increased risk of perforation
- History of abdominal fistula, gastrointestinal perforation, or intra abdominal abscess within 28 days prior to beginning study treatment.
- Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product including, but limited to:
- Malabsorption syndrome
- Major resection of the stomach or small bowel.
- Presence of uncontrolled infection.
- Prolongation of corrected QT interval (QTc) > 480 msecs.
- History of any one or more of the following cardiovascular conditions within the past 6 months:
- Cardiac angioplasty or stenting
- Myocardial infarction
- Unstable angina
- Arterial thrombosis
- Symptomatic peripheral vascular disease
- Class III or IV congestive heart failure, as defined by the New York Heart Association (NYHA) (see Section 15.9 Appendix 9 for description).
- Poorly controlled hypertension [defined as systolic blood pressure (SBP) of ≥140mmHg or diastolic blood pressure (DBP) of ≥ 90mmHg].
- Note: Initiation or adjustment of antihypertensive medication(s) is permitted during the screening period, in order to control a patient's BP prior to randomization. Blood pressure must be re-assessed on two occasions that are separated by a minimum of 1 hour. The mean SBP / DBP values from each blood pressure assessment must be < 140/90mmHg in order for a patient to be eligible for the study. See Section 6.2 and Section 6.4.2 for details on blood pressure control and reassessment prior to study enrollment.
- History of cerebrovascular accident, including TIA, pulmonary embolism or deep venous thrombosis (DVT).
- Prior major surgery or trauma within 28 days prior to first dose of investigational product and/or presence of any non-healing wound, fracture, or ulcer (other than ulcers due to inflammatory breast cancer).
- Evidence of active bleeding or bleeding diathesis.
- Hemoptysis within 6 weeks prior to first dose of investigational product.
- Known endobronchial lesions or involvement of large pulmonary vessels by tumor.
- Any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with patient's safety, provision of informed consent, or compliance to study procedures.
- Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib or lapatinib.
- Have current active hepatic or biliary disease (with exception of patients with Gilbert's syndrome, asymptomatic gallstones, liver metastases or stable chronic liver disease per investigator assessment).
Trial locations and contacts
126 sites in 28 countries.
126 sites in 28 countries
Germany18 sites
GSK Investigational Site
Aschaffenburg, Bavaria, 63739
GSK Investigational Site
Berlin, State of Berlin, 10367
GSK Investigational Site
Berlin, State of Berlin, 12163
GSK Investigational Site
Duisburg, North Rhine-Westphalia, 47166
GSK Investigational Site
Essen, North Rhine-Westphalia, 45122
GSK Investigational Site
Frankfurt am Main, Hesse, 60596
GSK Investigational Site
Herne, North Rhine-Westphalia, 44623
GSK Investigational Site
Lohsa, Saxony, 02999
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55131
GSK Investigational Site
Mannheim, Baden-Wurttemberg, 68161
GSK Investigational Site
Munich, Bavaria, 80637
GSK Investigational Site
Pinneberg, Schleswig-Holstein, 25421
GSK Investigational Site
Rosenheim, Bavaria, 83022
GSK Investigational Site
Troisdorf, North Rhine-Westphalia, 53840
GSK Investigational Site
Ulm, Baden-Wurttemberg, 89075
GSK Investigational Site
Velbert, North Rhine-Westphalia, 42551
GSK Investigational Site
Witten, North Rhine-Westphalia, 58452
GSK Investigational Site
Zwickau, Saxony, 08060
United States17 sites
GSK Investigational Site
Charleston, South Carolina, 29425
GSK Investigational Site
Chicago, Illinois, 60637
GSK Investigational Site
Denver, Colorado, 80205
GSK Investigational Site
Detroit, Michigan, 48201
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Long Beach, California, 90806
GSK Investigational Site
Memphis, Tennessee, 38138
GSK Investigational Site
Ogden, Utah, 84403
GSK Investigational Site
Omaha, Nebraska, 68114
GSK Investigational Site
Philadelphia, Pennsylvania, 19111
GSK Investigational Site
Sacramento, California, 95816
GSK Investigational Site
Scarborough, Maine, 4074
GSK Investigational Site
Seattle, Washington, 98109
GSK Investigational Site
Voorhees Township, New Jersey, 08043
GSK Investigational Site
Washington D.C., District of Columbia, 20010
GSK Investigational Site
Zion, Illinois, 60099
France13 sites
GSK Investigational Site
Bayonne, 64100
GSK Investigational Site
Bordeaux, 33076
GSK Investigational Site
Clermont-Ferrand, 63011
GSK Investigational Site
Lille, 59020
GSK Investigational Site
Lyon, 69008
GSK Investigational Site
Marseille Cedex BP 156, 13273
GSK Investigational Site
Mulhouse, 68070
GSK Investigational Site
Paris, 75248
GSK Investigational Site
Paris, 75970
GSK Investigational Site
Saint-Cloud, 92210
GSK Investigational Site
Saint-Herblain, 44805
GSK Investigational Site
Tours, 37044
GSK Investigational Site
Valenciennes, 59322
Spain9 sites
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Madrid, 28033
GSK Investigational Site
Madrid, 28040
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
Seville, 41013
GSK Investigational Site
Valencia, 46009
GSK Investigational Site
Valencia, 46010
Russia6 sites
GSK Investigational Site
Chelyabinsk, 454087
GSK Investigational Site
Kazan', 420111
GSK Investigational Site
Moscow, 115478
GSK Investigational Site
Ryazan, 390011
GSK Investigational Site
Saint Petersburg, 197022
GSK Investigational Site
Saint Petersburg, 197758
Belgium4 sites
GSK Investigational Site
Brussels, 1000
GSK Investigational Site
Edegem, 2650
GSK Investigational Site
Jette, 1090
GSK Investigational Site
Wilrijk, 2610
China4 sites
GSK Investigational Site
Beijing, 100021
GSK Investigational Site
Beijing, 100071
GSK Investigational Site
Shanghai, 200032
GSK Investigational Site
Tianjin, 300060
Israel4 sites
GSK Investigational Site
Petah Tikva, 49100
GSK Investigational Site
Ramat Gan, 52621
GSK Investigational Site
Rehovot, 76100
GSK Investigational Site
Zrifin, 70300
Philippines4 sites
GSK Investigational Site
Cebu, 6000
GSK Investigational Site
Manila, 1000
GSK Investigational Site
Quezon City, 1101
GSK Investigational Site
Sampaloc Manila, 1008
Thailand4 sites
GSK Investigational Site
Bangkok, 10330
GSK Investigational Site
Khon Kaen, 40000
GSK Investigational Site
Lampang, 52000
GSK Investigational Site
Phitsanulok, 65000
United Kingdom4 sites
GSK Investigational Site
Bebington, Wirral, CH63 4JY
GSK Investigational Site
London, SW3 6JJ
GSK Investigational Site
Northwood, Middlesex, HA6 2RN
GSK Investigational Site
Sutton, SM2 5PT
Chile3 sites
GSK Investigational Site
Santiago, Región Metro de Santiago, 7500921
GSK Investigational Site
Temuco, Región de La Araucania, 481-0469
GSK Investigational Site
Viña del Mar, Valparaiso, 254-0364
Czechia3 sites
GSK Investigational Site
Brno, 656 53
GSK Investigational Site
Hradec Králové, 500 05
GSK Investigational Site
Prague, 180 00
Hong Kong3 sites
GSK Investigational Site
Hong Kong
GSK Investigational Site
Sheung Wan
GSK Investigational Site
Tuenmen
Italy3 sites
GSK Investigational Site
Milan, Lombardy, 20141
GSK Investigational Site
Prato (PO), Tuscany, 59100
GSK Investigational Site
Sassari, Sardinia, 07100
Morocco3 sites
GSK Investigational Site
Casablanca
GSK Investigational Site
Hassan Rabat
GSK Investigational Site
Rabat
Pakistan3 sites
GSK Investigational Site
Lahore, 53400
GSK Investigational Site
Lahore, 54600
GSK Investigational Site
Multan, 60000
Romania3 sites
GSK Investigational Site
Bucharest, 022328
GSK Investigational Site
Cluj-Napoca, 400015
GSK Investigational Site
Iași, 700106
South Korea3 sites
GSK Investigational Site
Incheon, 400-711
GSK Investigational Site
Seodaemun-gu, Seoul, 120-752
GSK Investigational Site
Songpa-gu, Seoul, 138-736
Taiwan3 sites
GSK Investigational Site
Changhua, 500
GSK Investigational Site
Taipei, 112
GSK Investigational Site
Tao-Yuan County, 333
Tunisia3 sites
GSK Investigational Site
Ariana, Tunis, 2080
GSK Investigational Site
Sfax, 3000
GSK Investigational Site
Sousse, 4000
Canada2 sites
GSK Investigational Site
Montreal, Quebec, H2L 4M1
GSK Investigational Site
Montreal, Quebec, H4J 1C5
Turkey (Türkiye)2 sites
GSK Investigational Site
Istanbul, 34390
GSK Investigational Site
Izmir
About this study
Official title: A Randomized, Multicenter, Phase III Study Comparing the Combination of Pazopanib and Lapatinib Versus Lapatinib Monotherapy in Patients With ErbB2 Over-expressing Inflammatory Breast Cancer
The double blind part of the study is being conducted to compare the efficacy and safety of pazopanib in combination with lapatinib with that of lapatinib alone in subjects with inflammatory breast cancer whose tumors overexpress the ErbB2 protein. There is also an Open-label pazopanib arm to this study designed to test whether pazopanib given alone and lapatinib given alone would be safe and effective to treat patients with inflammatory breast cancer.
- Conditions
- Neoplasms, Breast
- Being tested
- lapatinib, Pazopanib
- Keywords
- GW572016, Breast Cancer, RECIST, Inflammatory Breast Cancer, Pazopanib, ErbB2, Cutaneous Disease, Tykerb, Inflammatory, Skin, Her2, Lapatinib, GW786034
- Medical subject headings
- Breast Neoplasms, Inflammatory Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
lapatinibDrug
Also called Tykerb
Oral administration
PazopanibDrug
Also called Votrient
Oral administration
| Study group | Role | What they receive |
|---|---|---|
| arm 1 | Active comparator | Lapatinib Receives: Drug: lapatinib |
| arm2 | Active comparator | Pazopanib monotherapy (open label) Receives: Drug: Pazopanib |
| arm3 | Experimental | Lapatinib+ pazopanib Receives: Drug: lapatinib; Drug: Pazopanib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Overall Response (OR), Defined as Those Participants Achieving Complete Response (CR) or Partial Response (PR), Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 and Cutaneous Lesions
RECIST-based response assessment was done at Weeks (Wks) 4 and 8 and every 8 weeks thereafter. Cutaneous disease assessment was done at Wk 4 and every 4 weeks thereafter. OR was evaluated when the skin and RECIST assessments coincided. Per RECIST, CR is the disappearance of all target and non-target lesions; PR is at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions, taking as a reference the baseline sum LD. Cutaneous disease contained non-measurable and measurable skin disease, which was assessed by skin assessment tools.
Measured: Baseline until disease progression/recurrence was documented, assessed for up to 66 weeks
Secondary outcomes (3)
Median Duration of Response,Defined as the First Documented Evidence of CR or PR Until the First Documentation of Disease Progression
RECIST-based response assessment was done at Wks 4 and 8 and every 8 weeks thereafter. Cutaneous disease assessment was done at Wk 4 and every 4 weeks thereafter. OR was evaluated when the skin and RECIST assessments coincided. Per RECIST, PD is >=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since treatment started or the appearance of >=1 new lesion and/or unequivocal progression of existing non-target lesions. Cutaneous disease contained non-measurable and measurable skin disease, which was assessed by skin assessment tools.
Measured: From the date of the first documented evidence of CR or PR until the date of the first documented disease progression or death, assessed for up to 62 weeks
Progression-free Survival, Defined as the Interval Between the Date of Randomization and the Earliest Date of Disease Progression (PD) or Death Due to Any Cause (Defined by an Investigator Review of Lesions Based on RECIST and Cutaneous Disease)
RECIST-based response assessment was done at Wks 4 and 8 and every 8 weeks thereafter. Cutaneous disease assessment was done at Wk 4 and every 4 weeks thereafter. OR was evaluated when the skin and RECIST assessments coincided. Per RECIST, PD is >=20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since treatment started or the appearance of >=1 new lesion and/or unequivocal progression of existing non-target lesions. Cutaneous disease contained non-measurable and measurable skin disease, which was assessed by skin assessment tools.
Measured: From the date of the randomization until the earliest date of disease progression or death due to any cause, assessed for up to 66 weeks
Overall Survival
Overall survival is defined as the time from randomization until death due to any cause. For participants who did not die, time to death was censored at the time of last contact.
Measured: From the date of randomization until the date of death due to any cause, assessed for up to 163 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Nov 2007 (estimated)
- Study startDec 2007
- Primary completionMay 2011
- Study completionDec 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Neoplasms, BreastStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 163 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00558103
- Sponsor's protocol ID
- VEG108838
- Status last verified
- Jan 2013
- First submitted
- 9 Nov 2007
- Last updated
- 4 Feb 2013
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Phase III Study Comparing the Combination of Pazopanib and Lapatinib Versus Lapatinib Monotherapy in Patients With ErbB2 Over-expressing Inflammatory Breast Cancer
- ClinicalTrials.gov ID
- NCT00558103
- Acronym / sponsor ID
- VEG108838
- Conditions
- Neoplasms, Breast
- Keywords
- GW572016, Breast Cancer, RECIST, Inflammatory Breast Cancer, Pazopanib, ErbB2, Cutaneous Disease, Tykerb
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 163 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- Dec 2007
- Primary completion
- May 2011 (actual)
- Study completion
- Dec 2011 (actual)
- First posted
- 14 Nov 2007 (estimated)
- Results
- Posted 18 Jul 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The double blind part of the study is being conducted to compare the efficacy and safety of pazopanib in combination with lapatinib with that of lapatinib alone in subjects with inflammatory breast cancer whose tumors overexpress the ErbB2 protein. There is also an Open-label pazopanib arm to this study designed to test whether pazopanib given alone and lapatinib given alone would be safe and effective to treat patients with inflammatory breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| arm 1 | Active comparator | Drug: lapatinibLapatinib |
| arm2 | Active comparator | Drug: PazopanibPazopanib monotherapy (open label) |
| arm3 | Experimental | Drug: lapatinib, Drug: PazopanibLapatinib+ pazopanib |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (42 listed)
- Specific information regarding warnings, precautions, contraindications, adverse events, and other pertinent information on the investigational product that may impact patient eligibility is provided in the pazopanib IB and lapatinib prescribing information (or the lapatinib IB).
- For Cohort 1 of this study, eligible patients met inclusion criteria outlined in the original version of the protocol and protocol amendment 1.
- Patients must have evaluable Inflammatory Breast Cancer (IBC) substantiated by all of the following prior to randomization:
- History of invasive breast cancer documented by a biopsy and accompanying pathology report
- Current photographs* (global view and close-up views of all skin lesions) submitted at screening demonstrating unequivocal evidence of IBC as determined by either the medical monitor alone or in consultation with one or more of the study Principal Investigators.
Key exclusion criteria (38 listed)
- Patients meeting any of the following criteria must not be enrolled in the study:
- Treatment in the 14 days prior to randomization with any cancer therapy (tumor embolization, chemotherapy, immunotherapy, biological therapy, or hormonal therapy) or treatment with mitomycin within 6 weeks prior to randomization. Such treatment may not be resumed or begun after study entry. Note: Patients receiving LH-RH analogue therapy prior to the study may continue to receive LH-RH analogues for the duration of study participation. Bisphosphonates are permitted if started prior to Day 1.
- Any ongoing toxicity from prior anti-cancer therapy that is >Grade 1 and/or that is progressing in severity (with the exception of alopecia).
- Prior lapatinib therapy or other Her2/ErbB2 targeted therapy (except trastuzumab).
- Prior therapy with an anti-VEGF antibody or other VEGF/VEGF-R targeted therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| lapatinibAlso: TykerbOral administration | Drug | arm 1, arm3 |
| PazopanibAlso: VotrientOral administration | Drug | arm2, arm3 |
Primary outcome
Number of Participants With Overall Response (OR), Defined as Those Participants Achieving Complete Response (CR) or Partial Response (PR), Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 and Cutaneous Lesions
Time frame: Baseline until disease progression/recurrence was documented, assessed for up to 66 weeks
RECIST-based response assessment was done at Weeks (Wks) 4 and 8 and every 8 weeks thereafter. Cutaneous disease assessment was done at Wk 4 and every 4 weeks thereafter. OR was evaluated when the skin and RECIST assessments coincided. Per RECIST, CR is the disappearance of all target and non-target lesions; PR is at least a 30 percent (%) decrease in the sum of the longest diameter (LD) of target lesions, taking as a reference the baseline sum LD. Cutaneous disease contained non-measurable and measurable skin disease, which was assessed by skin assessment tools.
3 secondary outcomes
Median Duration of Response,Defined as the First Documented Evidence of CR or PR Until the First Documentation of Disease Progression
Time frame: From the date of the first documented evidence of CR or PR until the date of the first documented disease progression or death, assessed for up to 62 weeks
Progression-free Survival, Defined as the Interval Between the Date of Randomization and the Earliest Date of Disease Progression (PD) or Death Due to Any Cause (Defined by an Investigator Review of Lesions Based on RECIST and Cutaneous Disease)
Time frame: From the date of the randomization until the earliest date of disease progression or death due to any cause, assessed for up to 66 weeks
Overall Survival
Time frame: From the date of randomization until the date of death due to any cause, assessed for up to 163 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2013.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
126 sites in 28 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing lapatinib and Pazopanib in people with Neoplasms, Breast, run by GlaxoSmithKline at 126 sites in 28 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 42 inclusion and 38 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Feb 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 126 sites in Germany, United States, France, Spain, Russia and 23 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Jul 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Overall Response (OR), Defined as Those Participants Achieving Complete Response (CR) or Partial Response (PR), Assessed Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 and Cutaneous Lesions (time frame: Baseline until disease progression/recurrence was documented, assessed for up to 66 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Feb 2013.