Breast CancerPhase 3ExteNETNCT00878709
Study Evaluating The Effects Of Neratinib After Adjuvant Trastuzumab In Women With Early Stage Breast Cancer
A Phase 3 study testing neratinib in people with Breast Cancer, run by Puma Biotechnology, Inc. at 494 sites in 40 countries.
Trial summary
The purpose of this study is to investigate whether neratinib can further reduce the risk of recurrence from previously diagnosed HER-2 positive breast cancer after adjuvant treatment with trastuzumab. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- neratinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,840 participants
- Where
- 494 sitesin 40 countries
- Study dates
- 9 Jul 2009to 4 Oct 2019
- Phase
- Phase 3
- 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
- Stage II through IIIC HER-2/erbB-2 positive breast cancer with node positive disease.
- Been treated for early breast cancer with standard of care duration of trastuzumab.
- Could have been treated neoadjuvantly but have not reached pathologic complete response.
Who cannot join
- Positive clinical and radiologic assessments for local or regional recurrence of disease at the time of study entry.
- History of heart disease.
- Corrected QT (QTc) interval >0.45 seconds
- History of gastrointestinal disease with diarrhea as the major symptom.
Trial locations and contacts
494 sites in 40 countries.
494 sites in 40 countries
United States185 sites
Phoebe Cancer Center
Albany, Georgia, 31701
Anniston Oncology
Anniston, Alabama, 36207
Ashland-Bellefonte Cancer Center
Ashland, Kentucky, 41101-7016
Piedmont Cancer Institute
Atlanta, Georgia, 30318
Augusta Oncology Associates (ACORN), P.C.
Augusta, Georgia, 30909
Texas Oncology, P.A.
Austin, Texas, 78731
Innovative Medical Research of South Florida, Inc.
Aventura, Florida, 33180
Medical Oncology & Hematology Mercy Medical Center
Baltimore, Maryland, 21202
Harry and Jeanette Weinberg Cancer Center
Baltimore, Maryland, 21237
Hematology-Oncology Clinic
Baton Rouge, Louisiana, 70809
Texas Oncology, P.A.
Bedford, Texas, 76022
Bend Memorial Clinic
Bend, Oregon, 97701
Southwestern Vermont Regional Cancer Center
Bennington, Vermont, 05201
Oncology-Hematology of Lehigh Valley, PC
Bethlehem, Pennsylvania, 18015
Cedars-Sinai Medical Group
Beverly Hills, California, 90211
Birmingham Hematology and Oncology Associates, LLC
Birmingham, Alabama, 35205
Mid Dakota Clinic, PC
Bismarck, North Dakota, 58501
Massachusetts General Hospital
Boston, Massachusetts, 02114
Massachusetts General Hospital - Gillette Center
Boston, Massachusetts, 02215
University Cancer Institute, LLC
Boynton Beach, Florida, 33426
Charleston Hematology Oncology Associates, PA
Charleston, South Carolina, 29414
Medical University of South Carolina Hollings Cancer Center
Charleston, South Carolina, 29425
University Hematology/Oncology Associates PLLC
Chattanooga, Tennessee, 37403
The Center for Cancer and Hematologic Disease
Cherry Hill, New Jersey, 08003
Rush University Medical Center
Chicago, Illinois, 60612
The Christ Hospital Cancer Center
Cincinnati, Ohio, 45219
University of Cincinnati
Cincinnati, Ohio, 45267
University Hospitals, Cleveland Medical Center
Cleveland, Ohio, 44106
MetroHealth Medical Center
Cleveland, Ohio, 44109
Francisco Gonzalez MD PA
Columbia, South Carolina, 29203
NorthEast Oncology Associates Carolinas Medical Center NorthEast
Concord, North Carolina, 28025
Cookeville Regional Cancer Center
Cookeville, Tennessee, 38501
Coastal Bend Cancer Center
Corpus Christi, Texas, 78404
South Texas Institute of Cancer
Corpus Christi, Texas, 78405
Cancer Specialists of South Texas, P.A.
Corpus Christi, Texas, 78412
Samaritan Hematology & Oncology Consultants
Corvallis, Oregon, 97330
Center for Oncology Research
Dallas, Texas, 75230
Texas Oncology, P.A.
Dallas, Texas, 75231-4400
Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
University of Texas Southwestern Medical Center Simmons Cancer Center
Dallas, Texas, 75390
Cancer Care Specialists of Illinois, Decatur Memorial Hospital Clinical Research
Decatur, Illinois, 62526
North Broward Medical Center
Deerfield Beach, Florida, 33064
Texas Oncology, P.A.
Denton, Texas, 76210
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201-2013
Duke University Medical Center Medical Oncology
Durham, North Carolina, 27710
El Paso Cancer Treatment Center - West
El Paso, Texas, 79902
Center for Integrative Cancer Medicine, PA
El Paso, Texas, 79912
Trinitas Comprehensive Cancer Center
Elizabeth, New Jersey, 07207
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
McLeod Oncology and Hematology Associates
Florence, South Carolina, 29506
Dwight David Eisenhower Army Medical Center
Fort Gordon, Georgia, 30905-5650
Broward General Medical Center
Fort Lauderdale, Florida, 33316
Texas Oncology
Fort Worth, Texas, 76104
Florida Cancer Specialists and Research Institute
Gainesville, Florida, 32605
Texas Oncology, P.A.
Garland, Texas, 75042
The Jones Clinic, PC
Germantown, Tennessee, 38138
Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17325
Ronald Yanagihara, M.D.
Gilroy, California, 95020
Glendale Adventist Medical Center Cancer Services
Glendale, California, 91206
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Medical Specialty Associates
Grand Rapids, Michigan, 49503
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
California Cancer Care
Greenbrae, California, 94904
Pinnacle Health Cancer Center Community Campus
Harrisburg, Pennsylvania, 17109
Beaver Medical Group, L.P.
Highland, California, 92346
South Carolina Cancer Specialists
Hilton Head Island, South Carolina, 29926
Straub Clinic & Hospital
Honolulu, Hawaii, 96813-3083
Texas Oncology - Memorial City
Houston, Texas, 77024
The Methodist Hospital Breast Center
Houston, Texas, 77030
Medicus Alliance Clinical Research Org., Inc.
Houston, Texas, 77055
Jabboury Foundation for Cancer Research, Inc.
Houston, Texas, 77082
Central Indiana Cancer Centers
Indianapolis, Indiana, 46219
Hematology Oncology of Indiana
Indianapolis, Indiana, 46260-2082
Capitol Comprehensive Cancer Care Clinic
Jefferson City, Missouri, 65109
Midwest Center for Hematology/Oncology
Joliet, Illinois, 60432
Northeast Arkansas Clinic
Jonesboro, Arkansas, 72401
Cascade Cancer Center
Kirkland, Washington, 98034
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916
ProHealth Care Associates
Lake Success, New York, 11042
Lakeland Regional Cancer Center
Lakeland, Florida, 33805
Central Maine Healthcare Corp
Lewiston, Maine, 04240
Southeast Nebraska Hematology & Oncology Consultants, PC
Lincoln, Nebraska, 68510
Saint Barnabas Health Care System
Livingston, New Jersey, 07039
Breastlink Medical Group
Long Beach, California, 90806
Long Beach Memorial Medical Center
Long Beach, California, 90806
Hematology Oncology Associates
Loxahatchee Groves, Florida, 33470
Crescent City Research Consortium, LLC
Marrero, Louisiana, 70072
Signal Point Hematology/Oncology, Inc.
Middletown, Ohio, 45042
Minnesota Oncology Hematology, PA
Minneapolis, Minnesota, 55404
Facey Medical Group
Mission Hills, California, 91345
Montana Cancer Specialists
Missoula, Montana, 59802
Medical Arts Associates, Ltd
Moline, Illinois, 61265
Sweeney-Melenyser Pavillion
Monongahela, Pennsylvania, 15063
West Virginia University Mary Babb Randolph Cancer Center
Morgantown, West Virginia, 26506
Summit Medical Group
Morristown, New Jersey, 07960
Oncology and Hematology Specialist
Mountain Lakes, New Jersey, 07046
Community Hospital
Munster, Indiana, 46321
Nashville Breast Center
Nashville, Tennessee, 37203
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232
Jersey Shore University Medical Center
Neptune City, New Jersey, 07754
NYU Clinical Cancer Center
New York, New York, 10016
Columbia University Medical Center, Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Gynecologic Oncology Associates
Newport Beach, California, 92663
Advocate Medical Group
Niles, Illinois, 60714
Cancer Care & Hematology Specialists of Chicagoland
Niles, Illinois, 60714
Virginia Oncology Associates
Norfolk, Virginia, 23502
Great Plains Regional Medical Center
North Platte, Nebraska, 69101
Florida Cancer Affiliates - Ocala
Ocala, Florida, 34471
North Utah Associates
Ogden, Utah, 84403
Mercy Physicians of Oklahoma
Oklahoma City, Oklahoma, 73120
Mid-Florida Hematology & Oncology Centers, PA
Orange City, Florida, 32763-8316
Cancer Centers of Florida
Orlando, Florida, 32806
M.D. Anderson Cancer Center Orlando
Orlando, Florida, 32806
Ventura County Hematology-Oncology Specialists
Oxnard, California, 93030
Purchase Cancer Group
Paducah, Kentucky, 42001
The Valley Hospital, Luckow Pavilion
Paramus, New Jersey, 07652
Texas Oncology, P.A.
Paris, Texas, 75460
Pawtuket Memorial Hospital
Pawtucket, Rhode Island, 02860
Northern Michigan Hematology/Oncology
Petoskey, Michigan, 49770
Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Albert Einstein Cancer Center
Philadelphia, Pennsylvania, 19141
Arizona Oncology Associates, PC - HAL
Phoenix, Arizona, 85016
Florida Cancer Research Institute
Plantation, Florida, 33324
Portneuf Medical Center
Pocatello, Idaho, 83201
Hematology Oncology Associates of Treasure Coast
Port Saint Lucie, Florida, 34592
Mercy Hospital Oncology/Hematology Center
Portland, Maine, 04102
Northwest Cancer Specialist, P.C.
Portland, Oregon, 97213
Providence Cancer Center Oncology and Hematology Care - Westside
Portland, Oregon, 97213
Kaiser Permanente Northwest Region Oncology Hematology
Portland, Oregon, 97227-1110
Oregon Health and Science University
Portland, Oregon, 97239
Quincy Medical Group, Cancer Center at Blessing Hospital
Quincy, Illinois, 62301
Wheaton Franciscan Cancer Care-All Saints
Racine, Wisconsin, 53405
Raleigh Hematology Oncology Associates Cancer Centers of North Carolina
Raleigh, North Carolina, 27607
Desert Hematology Oncology Medical Group, Inc
Rancho Mirage, California, 92270
Rutland Regional Medical Center
Rutland, Vermont, 05701
St. Joseph's Oncology
Saint Joseph, Missouri, 64507
Park Nicollet Institute
Saint Louis Park, Minnesota, 55426
Utah Cancer Specialists
Salt Lake City, Utah, 84106
Cancer Care Centers of South Texas
San Antonio, Texas, 78217
South Texas Oncology & Hematology
San Antonio, Texas, 78229
Helen Diller Family University of California San Francisco Comprehensive Cancer Center
San Francisco, California, 94115
San Francisco Oncology Associates
San Francisco, California, 94115
Redwood Regional Medical Group
Santa Rosa, California, 95403
Guthrie Clinic, Limited
Sayre, Pennsylvania, 18840
Arizona Oncology Associates, PC - NAHOA
Sedona, Arizona, 86336
Avera Medical Oncology and Hematology - Avera Cancer Institute
Sioux Falls, South Dakota, 57105
North Shore Cancer Research Associates
Skokie, Illinois, 60076
Orchard Healthcare Research, Inc.
Skokie, Illinois, 60076
Orchard Research, LLC
Skokie, Illinois, 60076
The Cancer Prevention and Treatment Center
Soquel, California, 95073
Cancer Center of Central Connecticut
Southington, Connecticut, 06489
Cancer Care Northwest-North
Spokane, Washington, 99202
Simmons Cancer Institute
Springfield, Illinois, 62702
Springfield Clinic, LLP
Springfield, Illinois, 62702
Mercy Medical Research Institute
Springfield, Missouri, 65807
Willamette Valley Cancer Institute and Research Center
Springfield, Oregon, 97477
Washington University School of Medicine Siteman Cancer Center
St Louis, Missouri, 63110
Florida Cancer Specialists, P.L.
St. Petersburg, Florida, 33705
Hematology Oncology, PC
Stamford, Connecticut, 06902
Texas Oncology P.A.
Sugar Land, Texas, 77479
Santee Hematology Oncology
Sumter, South Carolina, 29150
Northwest Medical Specialties PLLC
Tacoma, Washington, 98405
Oncology and Hematology of West Broward
Tamarac, Florida, 33321
Eastchester Center for Cancer Care
The Bronx, New York, 10469
Connecticut Oncology and Hematology
Torrington, Connecticut, 06790
Arizona Oncology Associates
Tucson, Arizona, 85704-7891
Arizona Cancer Center
Tucson, Arizona, 85724
North Mississippi Hematology and Oncology Associates, Ltd.
Tupelo, Mississippi, 38801
East Texas Medical Center Cancer Institute
Tyler, Texas, 75701
Texas Oncology
Tyler, Texas, 75702
Cooper University Hospital
Voorhees Township, New Jersey, 08043-4689
Texas Oncology Cancer Care and Research Center
Waco, Texas, 76712
Washington Cancer Institute at Washington Hospital Center
Washington D.C., District of Columbia, 20010
Wenatchee Valley Medical Center
Wenatchee, Washington, 98801
Alliance Hematology Oncology, PA Carroll County Cancer Center
Westminster, Maryland, 21157
Wheeling Hospital
Wheeling, West Virginia, 26003
Abington Hematology Oncology Associates, Inc
Willow Grove, Pennsylvania, 19090-1137
Hanover Medical Specialists, PA
Wilmington, North Carolina, 28401
University of Massachusetts Memorial Medical Center
Worcester, Massachusetts, 01655
York Hospital Oncology Treatment Center
York Village, Maine, 03909
Florida Medical Clinic, P.A.
Zephyrhills, Florida, 33542
Midwestern Regional Medical Center
Zion, Illinois, 60099
Germany37 sites
Marienhospital
Aachen, 52066
Onkologische Praxis
Augsburg, 86150
Sozialstiftung Bamberg Klinik fuer Haematologie und Internistische Onkologie
Bamberg, 96049
Onkologische Schwerpunktpraxis
Berlin, 10317
Praxisklinik Krebsheilkunde fuer Frauen
Berlin, 10367
Onkologische Schwerpunktpraxis
Berlin, 10707
Frauenarzt-Zentrum-Zehlendorf
Berlin, 14169
Universitaetsklinikum Duesseldorf, Frauenklinik
Düsseldorf, 40225
Universitaetsklinikum Duesseldorf
Düsseldorf, 40225
Luisenkrankenhaus
Düsseldorf, 40235
Facharzt fuer Frauenheilkunde und Geburtshilfe
Erfurt, 99084
Onkologische Gemeinschaftspraxis Frankfurt
Frankfurt am Main, 60389
Frauenklinik der J.W. Goethe-Universitaet
Frankfurt am Main, 60590
Staedtische Kliniken Frankfurt am Main-Hoechst Frauenklinik
Frankfurt am Main, 65929
Praxis für interdisziplinaere Onkologie & Haematologie GbR
Freiburg im Breisgau, 79106
Klinikum St. Georg/Franziskus, Abteilung fuer Senologie
Georgsmarienhütte, 49124
Kreiskrankenhaus Hameln, Onkologische Ambulanz
Hamelin, 31785
Facharzt fuer Frauenheilkunde
Hanover, 30177
Onkologische Schwerpunktpraxis
Heidelberg, 69115
Nationales Centrum fuer Tumorerkrankungen
Heidelberg, 69120
Klinikum Kempten - Oberallgaeu
Kempten, 87439
MTV Abts & Partner Kiel
Kiel, 24103
Universitaetsfrauenklinikum Schleswig-Holstein
Lübeck, 23538
Universitaetsklinikum Magdeburg A.oe.R.
Magdeburg, 39108
Klinikum der Johannes-Gutenberg-Universitaet
Mainz, 55131
Fachpraxis fuer Innere Medizin
München, 80335
Klinik und Poliklinik fuer
München, 80337
Praxis Gynaekologie Arabella Muenchen
München, 81925
Klinik fuer Gynaekologie und Geburtshilfe
Offenbach, 63069
Pius-Hospital Oldenburg
Oldenburg, 26121
Klinikum Oldenburg GmbH
Oldenburg, 26133
Oncologianova GmbH
Recklinghausen, 45657
Universitaetsfrauenklinik Tuebingen
Tübingen, 72076
St. Marienhospital Vechta
Vechta, 49377
Gemeinschaftspraxis fuer Haematologie und Onkologie
Westerstede, 26655
Klinik für Gynaekologie und gyn. Onkologie
Wiesbaden, 65199
Marienhospital Witten
Witten, 58452
Spain36 sites
Centro Oncologico de Galicia
A Coruña, 15009
Hospital Universitario Fundacion de Alcorcon
Alcorcón, Madrid, 28922
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital de Barbastro
Barbastro, Huesca, 22300
Hospital Universitario Vall D´Hebron
Barcelona, 08035
Hospital Clinic i Provincial de Barcelona
Barcelona, 08036
Hospital De Basurto
Bilbao, Vizcaya, 48013
Hospital San Pedro de Alcantara
Cáceres, 10003
Hospital Universitario Puerta del Mar
Cadiz, 11009
Consorcio Hospitalario Provincial de Castellon
Castellon, Castellon, 12002
Hospital Universitario Reina Sofia
Córdoba, 14004
Hospital General Universitario de Elche
Elche, Alicante, 03203
ICO de Girona - Hospital Universitario de Girona Dr. Josep Trueta
Girona, 17007
Hospital Universitario de Guadalajara
Guadalajara, 19002
Complejo Hospitalario de Jaen
Jaén, 23007
ICO de Barcelona - Hospital Duran i Reynals, Hospitalet de Llobregat Consorci Sanitari de Terrassa
L'Hospitalet de Llobregat, Barcelona, 08907
Hospital Universitario Insular de Gran Canaria
Las Palmas de Gran Canaria, 35016
Hospital Universitari Arnau de Vilanova de Lleida
Lleida, 25198
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Clinico San Carlos
Madrid, 28040
Hospital Madrid Norte Sanchinarro. Centro Integral Oncologico Clara Campal
Madrid, 28050
Hospital Puerta de Hierro-Majadahonda
Majadahonda, Madrid, 28222
Hospital Clinico Universitario Virgen de La Victoria
Málaga, 14004
Hospital Universitari Son Espases
Palma de Mallorca, Balearic Islands, 07010
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Santa Cruz De Tenerife, 38320
Hospital Universitario Nuestra Señora de Candelaria
Santa Cruz de Tenerife, 38010
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Mutua de Terrassa
Terrassa, Barcelona, 08221
Consorci Sanitari de Terrassa
Terrassa, Barcelona, 08227
Hospital Virgen de la Salud
Toledo, 45004
Hospital de Torrevieja
Torrevieja, Alicante, 03186
Fundacion Instituto Valenciano de Oncologia
Valencia, 46010
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Provincial de Zamora
Zamora, 49021
Hospital Universitario Miguel Servet
Zaragoza, 50009
Japan23 sites
Aichi Cancer Center
Aichi, 464-8681
Chiba Cancer Center
Chiba, 260-8717
National Cancer Center Hospital East
Chiba, 277-8577
National Hospital Organization Shikoku Cancer Center
Ehime, 791-0280
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Kurume Daiichi Social Insurance Hospital
Fukuoka, 830-0013
Hiroshima City Hospital
Hiroshima, 730-8518
National Hospital Organization Hokkaido Cancer Center
Hokkaido, 003-0804
Hyogo Cancer Center
Hyōgo, 673-8558
Hakuaikai Medical Corporation Sagara Hospital
Kagoshima, 892-0833
Kanagawa Cancer Center
Kanagawa, 241-0815
Tokai University Hospital
Kanagawa, 259-1193
Kumamoto Municipal Hospital
Kumamoto, 862-8505
Kyoto University Hospital
Kyoto, 606-8507
Niigata Cancer Center Hospital 2-15-3
Niigata, 951-8566
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka, 537-8511
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Osaka University Hospital
Osaka, 565-0871
Saitama Cancer Center
Saitama, 362-0806
Shizuoka Cancer Center
Shizuoka, 411-8777
Jichi Medical University Hospital
Tochigi, 329-0498
Tokyo Metropolitan Cancer and Infectious disease Center Komagome Hp
Tokyo, 113-8677
The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Tokyo, 135-8550
France20 sites
C.H.U. De Bordeaux Saint Andre
Bordeaux, 33000
Centre François Baclesse
Caen, 14076
Centre Hospitalier de Montluçon
Clermont-Ferrand, 63011
Centre Georges Francois Leclerc
Dijon, 21034
Oncologie department, Hopital albert Michalon
Grenoble, 38043
Hopital de Versailles
Le Chesnay, 78157
Centre Oscar Lambret
Lille, 59020
Institut Curie, Département d'Oncologie Médicale
Paris, 75248
Hopital Saint Louis
Paris, 75475
Hopital La Pitie-Salpetriere
Paris, 75651
Service d'Oncologie et de Radiotherapie, Polyclinique Francheville, 38
Périgueux, 24000
Centre Henri Becquerel
Rouen, 76038
Centre Rene Gauducheau
Saint-Herblain, Cedex, 44805
Pole Hospitalier Mutualiste
Saint-Nazaire, 44600
Institute de Cancerologie de la Loire
Saint-Priest-en-Jarez, 42470
Clinique Sainte Anne Centre de Radiothérapie
Strasbourg, 67010
CHU Strasbourg
Strasbourg, 67091
CHU Bretonneau Centre Henry Kaplan
Tours, 37044
Institut Gustave Roussy
Villejuif, 94800
CHU Paul Brousse
Villejuif, 94804
Italy19 sites
Azienda Ospedaliera San Giuseppe Moscati
Avellino, 83100
Presidio Ospedaliero di Summa - Antonio Perrino
Brindisi, 72100
Azienda Ospedaliera Universitaria "Policlinico Vittorio Emanuele"
Catania, 95123
Fondazione per la Ricerca e la Cura dei Tumori Tommaso Campanella
Catanzaro, 88100
Azienda Ospedaliera San Gerardo
Monza, 20052
Fondazione Giovanni Pascale
Naples, 80131
Unita' Operativa Complessa Oncologia Medica, A.O.R.N. "Cardarelli"
Naples, 80131
Azienda Ospedaliera San Luigi Gonzaga
Orbassano (TO), 10043
IRCCS Istituto Oncologico Veneto di Padova
Padova, 35131
Azienda Ospedaliero-Universitaria Pisana
Pisa, 56126
Azienda Ospedaliera Bianchi Melacrino Morelli
Reggio Calabria, 89124
Universita Campus Bio-Medico
Roma, 00128
Oncologia Medica A, Istituti Fisioterapici Ospitalieri
Roma, 00144
Ospedale San Pietro Fatebenefratelli
Roma, 00189
Ospedale SS Trinita
Sora (FR), 03039
Azienda Ospedaliera S. Maria
Terni, 05100
Ospedale Treviglio e Caravaggio, UO Oncologia Medica
Treviglio, BG, 24047
Istituto Oncologico del Mediterraneo
Viagrande (CT), 95029
Ospedale Belcolle Viterbo
Viterbo, 01100
Canada14 sites
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Jack Ady Cancer Centre
Lethbridge, Alberta, T1J 1W5
London Regional Cancer Program
London, Ontario, N6A 4L6
Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4
C.H.U.M. - Hopital Notre-Dame, Departement d'Oncologie
Montreal, Quebec, H2L 4M1
Hopital du Sacre-Coeur de Montreal
Montreal, Quebec, H4J 1C5
Stronach Regional Cancer Centre at Southlake
Newmarket, Ontario, L3Y 2P9
R.S. McLaughlin Durham Regional Cancer Centre
Oshawa, Ontario, L1G 2B9
Centre Hospitalier Affilie Universitaire de Quebec Hopital du St-Sacrement
Québec, Quebec, G1S 4L8
CSSS Alphonse-Desjardins
Québec, Quebec, G6V 3Z1
University Health Network, Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
BC Cancer Agency
Vancouver, British Columbia, V5Z 4E6
Humber River Regional Hospital - Church Street Site
Weston, Ontario, M9N 1N8
CancerCare Manitoba
Winnipeg, Manitoba, R2H 2A6
Belgium13 sites
OLVZ Medische Oncologie
Aalst, 9300
Az. St. Jan
Bruges, 8000
Cliniques Universitaires de Bruxelles
Brussels, 1070
VZW Jesseziekenhuis - Campus Virga Jesse
Hasselt, 3500
Jan Yperman Ziekenhuis
Ieper, 8900
AZ Groeninge ampus Maria's Voorzienigheid (MV) Oncologisch Centrum
Kortrijk, 8500
Centre Hospitalier Regional de La Citadelle
Liège, 4000
CHU de Liège - Domaine Universitaire du Sart Tilman
Liège, 4000
C.H.U. Ambroise Paré
Mons, 7000
AZ Damiaan - Site Sint-Jozef
Ostend, 8400
AZ Zusters van Barmhartigheid
Ronse, 9600
AZ Nikolaas
Sint-Niklaas, 9100
Sint-Elisabethziekenhuis
Turnhout, 2300
United Kingdom13 sites
Queens Hospital
Burton-on-Trent, Staffs, DE13 0RB
St James's University Hospital
Leeds, LS9 7TF
University Hospitals of Leicester
Leicester, LE1 5WW
St. Bartholomew's Hospital
London, EC1A 7BE
Guy's Hospital
London, SE1 9RT
Charing Cross Hospital, Department Of Medical Oncology
London, W6 8RF
Christie Hospital
Manchester, M20 4BX
Norfolk & Norwich University Hospitals
Norwich, NR4 7UY
Nottingham City Hospital
Nottingham, NG5 1PB
Betsi Cadwaladr University Health Board
Rhyl, Denbighshire, LL18 5UJ
Weston Park Hospital
Sheffield, S10 2SJ
Singleton Hospital
Swansea, SA2-8QA
Southend University Hospital
Westcliff-on-Sea, SS0 0RY
Denmark12 sites
Aalborg Sygehus
Aalborg, 9000
Aarhus University Hospital
Aarhus C, 8000
Rigshospitalet
Copenhagen, 2100
Sydvestjysk Sygehus
Esbjerg, 6700
Herlev Hospital
Herlev, 2730
Hillerod Hospital
Hillerød, 3400
Næstved Sygehus
Næstved, 4700
Odense Universitetshospital
Odense C, 5000
Roskilde University Hospital
Roskilde, 4000
Sygehus Sonderjylland
Sønderborg, 6400
Vejle Sygehus
Vejle, 7100
Regionshospital Viborg
Viborg, 8800
Poland11 sites
Bialostockie Centrum Onkologii im. M. Sklodowskiej- Curie w Bialymstoku
Bialystok, 15027
Centrum Onkologii im. prof. Franciszka Łukaszczyka
Bydgoszcz, 85-796
Centrum Medyczne Ostrobramska Niepubliczny Zaklad Opieki Zdrowotnej "Magodent"
Bydgoszcz, 85796
Uniwersyteckie Centrum Kliniczne w Gdansku
Gdansk, 80952
Szpital Morski im. PCK Gdynskie Centrum Onkologii Oddzial Chemioterapii
Gdynia, 81519
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Wojewodzki Oddzial
Jelenia Góra, 58506
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w
Krakow, 31531
Zaklad Opieki Zdrowotnej MSWiA z Warminsko - Mazurskim Centrum Onkologii w
Olsztyn, 10228
Olsztynski Osrodek Onkologiczny Kopernik Sp. z o.o.
Olsztyn, 10513
Szpital Wojewodzki im. Sw. Lukasza Samodzielny Publiczny Zaklad Opieki
Tarnów, 33100
Centrum Medyczne Ostrobramska Niepubliczny Zaklad Opieki Zdrowotnej "Magodent"
Warsaw, 04125
Turkey (Türkiye)10 sites
Gazi Universitesi Tip Fakultesi
Besevler/Ankara, 06500
Ege Universitesi Tip Fakultesi
Bornova/Izmir, 35100
Istanbul Universitesi Istanbul Tip Fakultesi
Capa/Istanbul, 34390
Istanbul Universitesi Cerrahpasa Tip Fakultesi, Ic Hastaliklari Anabilim Dali
Cerrahpasa/Istanbul, 34098
Dr. Abdurrahman Yurtaslan Onkoloji Egitim ve Arastirma Hastanesi
Demetevler/Ankara, 06200
Uludag Universitesi Tip Fakultesi
Gorukle/Bursa, 16059
Dokuz Eylul Universitesi Tip Fakultesi
Inciralti/Izmir, 35340
Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi
Istanbul, 34890
Gaziantep Universitesi
Sehitkamil/Gaziantep, 27310
Hacettepe Universitesi Tip Fakultesi
Sihhiye/Ankara, 06100
China9 sites
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, 100021
Peking Union Medical College Hospital of Chinese Academy of Medical Sciences
Beijing, 100032
The Hospital Affiliated Academy Military Medical Science, Chinese People's
Beijing, 100071
Chinese People's Liberation Army General Hospital
Beijing, 100853
Sun Yat-Sen University Cancer Center
Guangzhou, 510060
Southern Medical University Nanfang Hospital
Guangzhou, 510515
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Fudan University Shanghai Cancer Center
Shanghai, 200032
Tianjin Cancer Hospital
Tianjin, 300060
Hungary9 sites
Semmelweis Egyetem Radiologiai és Onkoterapias Klinika
Budapest, 1082
Fovarosi Onkormanyzat Szent Imre Korhaz
Budapest, 1115
Orszagos Onkologiai Intezet "B" Belgyogyaszati osztaly
Budapest, 1122
Bekes M. Kepviselotest. Pandy Kalman Korhaz, Megyei Onkol. Kp., Klin. Onkol. es Sugartherapias Oszt.
Gyula, 5700
Kaposi Mor Oktato Korhaz, Onkologiai Centrum
Kaposvár, 7400
Bacs-Kiskun Megyei Korhaz Onkoradiologiai Kozpont
Kecskemét, 6000
Borsod-Abauj-Zemplen M. Korhaz es Egyetemi Okt. K., Klin. Onk., Sugarterapias es Kozp. Szuro Centrum
Miskolc, 3526
Josa Andras Oktatokorhaz Egeszsegugyi Szolgaltato Nonprofit Kft. / Onkoradiologiai Osztaly
Nyíregyháza, 4400
Veszprem Megyei Csolnoky Ferenc Korhaz Nonprofit Zrt.
Veszprém, 8200
Australia8 sites
The Queen Elizabeth Hospital
Adelaide, South Australia, 5011
Ashford Cancer Centre Research
Kurralta Park, South Australia, 5037
Royal Melbourne Hospital
Melbourne, Victoria, 3050
The Western Hospital
Melbourne, Victoria, 3050
Hollywood Private Hospital
Nedlands, Western Australia, 6009
North Adelaide Oncology Calvary Hospital North Adelaide
North Adelaide, South Australia, 5006
Iron Cancer Care South Brisbane
South Brisbane, Queensland, 4101
Sydney West Cancer Trials Centre
Sydney, New South Wales, 2145
Greece8 sites
University General Hospital of Alexandroupoli, Department of Medical Oncology
Alexandroupoli, 68100
Hippokratio General Hospital of Athens
Athens, 11527
Hippokration Hospital Athens
Athens, 11527
General Hospital of Chania Ag. Georgios
Chania, Crete, 73300
University Hospital of Heraklion
Heraklion, Creete, 71110
University General Hospital of Larissa
Larissa, 41110
University Hospital of Patras
Rio Patras, 26500
Euromedica General Clinic
Thessaloniki, 54645
Netherlands7 sites
Ziekenhuis Amstelland
Amstelveen, 1186 AM
Gelre ZH
Apeldoorn, 7334 DZ
Amphia Ziekenhuis - Interne Geneeskunde
Breda, 4819 EV
Maxima Medisch Centrum
Eindhoven, 5631 BM
Vlietland Ziekenhuis
Schiedam, 3118 JH
Orbis Medisch Centrum
Sittard-Geleen, 6162 BG
Haga Ziekenhuis
The Hague, 2545 CH
Czechia6 sites
Fakultni nemocnice Brno
Brno, 625 00
Masarykuv Onkologicky ustav
Brno, 65653
Nemocnice Jihlava
Jihlava, 58633
Institut Onkologie a Reahabilitace na Plesi
Nová Ves pod Pleší, 26204
Multiscan s. r. o.
Pardubice, 53003
Fakultni Nemocnice v Motole
Prague, 15006
Bulgaria5 sites
District Dispensary for Oncology Diseases Internal Unit- Plovdiv EOOD, Ist
Plovdiv, 4004
District Dispensary for Oncology Diseases Internal Unit- Plovdiv EOOD, Second
Plovdiv, 4004
District Dispensary for Oncology Diseases Internal Unit- Sofia EOOD
Sofia, 1233
Specialised Hospital of Active Treatment in Oncology
Sofia, 1756
Interdistrict Dispensary for Oncology Diseases
Varna, 9000
Hong Kong5 sites
UNIMED Medical Institute, Comprehensive Centre for Breast Diseases
Hong Kong, Wan Chai
Department of Clinical Oncology, Tuen Mun Hospital
Hong Kong
Queen Mary Hospital, Department of Clinical Oncology, Professorial Block
Hong Kong
Queen Mary Hospital, Department of Medicine, Blk K
Hong Kong
Queen Mary Hospital, Department of Medicine
Hong Kong
South Korea5 sites
National Cancer Center, Center for Breast Cancer
Gyeonggi-do, 410-769
Samsung Medical Center
Seoul, Korea, 135-710
Seoul National University Hospital, Department of Internal Medicine
Seoul, 110-744
Korea University Anam Hospital, Department of Oncology/Hematology
Seoul, 136-705
Asan Medical Center
Seoul, 138-736
Croatia4 sites
University Hospital Centre Osijek, Department of Radiotherapy and Oncology
Osijek, 31000
General Hospital Varazdin
Varaždin, 42000
Klinicki bolnicki centar "Sestre Milosrdnice"
Zagreb, 10000
University Hospital Center Zagreb
Zagreb, 10000
Israel4 sites
Soroka University MC, Department of Oncology
Beersheba, 84101
Rambam Health care campus, Oncology institute
Haifa, 31096
Kaplan Medical Center, Department of Oncology
Rehovot, 76100
Sheba Medical Center, Oncology Institute Tel Hashomer
Tel HaShomer, 52621
Switzerland4 sites
Hirslanden Medical Center Tumor Center
Aarau, 5000
Kantonsspital Baden
Baden, 5404
Kantonsspital Olten-Medizinische Onkologie
Olten, 4600
Spital STS AG
Thun, 3600
Colombia3 sites
Administradora Country S.A-Clinica del Country
Bogotá
Oncomedica S.A. IMAT
Montería, Departamento de Córdoba
Oncologos del Occidente
Pereira, Risaralda Department
Romania3 sites
Spitalul Universitar de Urgenta Bucuresti
Bucharest, 050098
Institutul Oncologic "Prof. Dr. Ion Chiricuta"
Cluj-Napoca, Cluj, 400015
SC Oncolab S.R.L.
Craiova, Dolj, 200385
Slovakia3 sites
Interna onkologicka klinika
Bratislava, 81250
Oddelenie radioterapie a onkologie
Košice, 04191
Poliklinika ADUS
Poprad, 05801
Taiwan3 sites
Kaohsiung Medical University Chung-Ho memorial Hospital
Kaohsiung City, 807
Chang Gung Medical Foundation, Linkou Branch
Kwei-Shan, Taoyuan, 333
National Taiwan University Hospital
Taipei TOC, 100
Lithuania2 sites
The Hospital of Lithuanian University of Health Sciences Kauno klinikos Oncology and Haematology Clinic
Kaunas, LT-50161
Oncology Institute of Vilnius University
Vilnius, LT-08661
Serbia2 sites
Institute of Oncology and Radiology of Serbia
Belgrade, 11000
Clinical centre Nis
Niš, 18000
Sweden2 sites
Onkologiska Kliniken
Lund, 22185
Skanes Onkologiska Kliniken
Lund, 22185
Brazil1 site
Hospital Sao Lucas da Pontificia Universidade Catolica do Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, 90610-000
North Macedonia1 site
University Clinic for Radiotherapy and Oncology
Skopje, 1000
The Bahamas1 site
Affinity Research Limited
Nassau, 13932
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Trial Of Neratinib (HKI-272) After Trastuzumab In Women With Early-Stage HER-2/Neu Overexpressed/Amplified Breast Cancer
The purpose of this study is to investigate whether neratinib can further reduce the risk of recurrence from previously diagnosed HER-2 positive breast cancer after adjuvant treatment with trastuzumab.
- Conditions
- Breast Cancer
- Being tested
- neratinib, placebo
- Keywords
- HER-2/erbB-2 positive breast cancer, breast cancer, adjuvant therapy, neratinib, HKI-272, Nerlynx, PB-272
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
neratinibDrug
Also called HKI-272, Nerlynx
placeboOther
| Study group | Role | What they receive |
|---|---|---|
| Neratinib | Experimental | 240 mg orally daily for one year Receives: Drug: neratinib |
| Placebo | Placebo comparator | orally daily for one year Receives: Other: placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Invasive Disease-free Survival (iDFS) in Neratinib Arm Compared to Placebo Arm at Year 2
Invasive disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.
Measured: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Invasive Disease-free Survival (iDFS) at Year 2 by Treatment Arms
Measured: From randomization until time of event up to 2 years
Secondary outcomes (9)
Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause, censored at the last date known alive.
Measured: Randomization until death due to any cause (up to 119 Months)
Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) in Neratinib Arm Compared to Placebo Arm at Year 2
Disease-free survival including DCIS time is defined as the time from date of randomization until the first occurrence of DCIS or an iDFS event (an iDFS event including invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, or distant recurrence and death from any.
Measured: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) at Year 2 by Treatment Arms
Measured: From randomization until time of event up to 2 years
Distant Disease-free Survival (DDFS) in Neratinib Arm Compared to Placebo Arm at Year 2
Distant disease-free survival time is defined as the time from date of randomization until the first occurrence of distant recurrence or death from any cause.
Measured: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Distant Disease-free Survival (DDFS) at Year 2 by Treatment Arms
Measured: From randomization until time of event up to 2 years
Percentage of Participants With Time to Distant Recurrence (TTDR) Event in Neratinib Arm Compared to Placebo Arm at Year 2
Percentage of Participants with TTDR events is reported. TTDR is defined as the time from date of randomization until the first occurrence of distant recurrence or death from breast cancer.
Measured: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Time to Distant Recurrence (TTDR) Survival at Year 2 by Treatment Arms
Measured: From randomization until time of event up to 2 years
Central Nervous System Recurrence in Neratinib Arm Compared to Placebo Arm at Year 2
CNS recurrence is defined as the time from randomization to CNS as the first distant recurrence. Competing events include distant recurrence at other sites as the first distant recurrence and death from any cause prior to distant recurrence.
Measured: From randomization until time of event up to 2 years
Cumulative Incidence of Central Nervous System Recurrence (CNS) at Year 2
Cumulative incidence of Central Nervous System Recurrence (CNS) is estimated by Gray's method (Gray,1988).
Measured: From randomization until time of event up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Apr 2009 (estimated)
- Study start9 Jul 2009
- Primary completion21 Aug 2014
- Study completion4 Oct 2019
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.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 2,840 participants (actual)
Sponsor and investigators
- Lead sponsor
- Puma Biotechnology, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Senior Vice President Clinical Science and Pharmacology, Study director, Puma Biotechnology, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00878709
- Sponsor's protocol ID
- 3144A2-3004 / B1891004
- Acronym
- ExteNET
- Status last verified
- May 2021
- First submitted
- 8 Apr 2009
- Last updated
- 11 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Puma Biotechnology is committed to sharing clinical trial data and information to help physicians and patients make informed treatment decisions, and to help qualified researchers advance scientific knowledge. In accordance with legal and regulatory requirements, Puma publishes study protocol information and clinical study results on clinical trial registries, including ClinicalTrials.gov and EU Clinical Trials Register. Puma also publishes information about clinical studies in peer-reviewed scientific journals and shares data in scientific meetings. Puma commits to safeguarding confidentiality and patient privacy throughout the clinical trial data and information sharing process. Any patient-level data will be anonymized to protect personally identifiable information. Qualified researchers and study participants may submit requests for other study documentation and clinical trial data to clinicaltrials@pumabiotechnology.com for consideration.
Publications
Holmes FA, Moy B, Delaloge S, Chia SKL, Ejlertsen B, Mansi J, Iwata H, Gnant M, Buyse M, Barrios CH, Silovski T, Separovic R, Bashford A, Zotano AG, Denduluri N, Patt D, Gokmen E, Gore I, Smith JW 2nd, Loibl S, Masuda N, Tomasevic Z, Petrakova K, DiPrimeo D, Wong A, Martin M, Chan A; ExteNET Study Group. Overall survival with neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): A randomised, double-blind, placebo-controlled, phase 3 trial. Eur J Cancer. 2023 May;184:48-59. doi: 10.1016/j.ejca.2023.02.002. Epub 2023 Feb 10.
PubMed 36898233Iwata H, Masuda N, Kim SB, Inoue K, Rai Y, Fujita T, Chiu J, Ohtani S, Takahashi M, Miyaki T, Lu YS, Xu B, Yap YS, Bustam A, Yao B, Zhang B, Bryce R, Chan A. Neratinib after trastuzumab-based adjuvant therapy in patients from Asia with early stage HER2-positive breast cancer. Future Oncol. 2019 Jul;15(21):2489-2501. doi: 10.2217/fon-2019-0143. Epub 2019 May 29.
PubMed 31140297Chia SKL, Martin M, Holmes FA, Ejlertsen B, Delaloge S, Moy B, Iwata H, von Minckwitz G, Mansi J, Barrios CH, Gnant M, Tomasevic Z, Denduluri N, Separovic R, Kim SB, Jakobsen EH, Harvey V, Robert N, Smith J 2nd, Harker G, Zhang B, Eli LD, Ye Y, Lalani AS, Buyse M, Chan A. PIK3CA alterations and benefit with neratinib: analysis from the randomized, double-blind, placebo-controlled, phase III ExteNET trial. Breast Cancer Res. 2019 Mar 11;21(1):39. doi: 10.1186/s13058-019-1115-2.
PubMed 30867034Mortimer J, Di Palma J, Schmid K, Ye Y, Jahanzeb M. Patterns of occurrence and implications of neratinib-associated diarrhea in patients with HER2-positive breast cancer: analyses from the randomized phase III ExteNET trial. Breast Cancer Res. 2019 Feb 27;21(1):32. doi: 10.1186/s13058-019-1112-5.
PubMed 30813966Delaloge S, Cella D, Ye Y, Buyse M, Chan A, Barrios CH, Holmes FA, Mansi J, Iwata H, Ejlertsen B, Moy B, Chia SKL, Gnant M, Smichkoska S, Ciceniene A, Martinez N, Filipovic S, Ben-Baruch NE, Joy AA, Langkjer ST, Senecal F, de Boer RH, Moran S, Yao B, Bryce R, Auerbach A, Fallowfield L, Martin M. Effects of neratinib on health-related quality of life in women with HER2-positive early-stage breast cancer: longitudinal analyses from the randomized phase III ExteNET trial. Ann Oncol. 2019 Apr 1;30(4):567-574. doi: 10.1093/annonc/mdz016.
PubMed 30689703Martin M, Holmes FA, Ejlertsen B, Delaloge S, Moy B, Iwata H, von Minckwitz G, Chia SKL, Mansi J, Barrios CH, Gnant M, Tomasevic Z, Denduluri N, Separovic R, Gokmen E, Bashford A, Ruiz Borrego M, Kim SB, Jakobsen EH, Ciceniene A, Inoue K, Overkamp F, Heijns JB, Armstrong AC, Link JS, Joy AA, Bryce R, Wong A, Moran S, Yao B, Xu F, Auerbach A, Buyse M, Chan A; ExteNET Study Group. Neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): 5-year analysis of a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Dec;18(12):1688-1700. doi: 10.1016/S1470-2045(17)30717-9. Epub 2017 Nov 13.
PubMed 29146401Chan A, Delaloge S, Holmes FA, Moy B, Iwata H, Harvey VJ, Robert NJ, Silovski T, Gokmen E, von Minckwitz G, Ejlertsen B, Chia SKL, Mansi J, Barrios CH, Gnant M, Buyse M, Gore I, Smith J 2nd, Harker G, Masuda N, Petrakova K, Zotano AG, Iannotti N, Rodriguez G, Tassone P, Wong A, Bryce R, Ye Y, Yao B, Martin M; ExteNET Study Group. Neratinib after trastuzumab-based adjuvant therapy in patients with HER2-positive breast cancer (ExteNET): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2016 Mar;17(3):367-377. doi: 10.1016/S1470-2045(15)00551-3. Epub 2016 Feb 10.
PubMed 26874901
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Trial Of Neratinib (HKI-272) After Trastuzumab In Women With Early-Stage HER-2/Neu Overexpressed/Amplified Breast Cancer
- ClinicalTrials.gov ID
- NCT00878709
- Acronym / sponsor ID
- ExteNET / 3144A2-3004 / B1891004
- Conditions
- Breast Cancer
- Keywords
- HER-2/erbB-2 positive breast cancer, breast cancer, adjuvant therapy, neratinib, HKI-272, Nerlynx, PB-272
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,840 participants (actual)
- Lead sponsor
- Puma Biotechnology, Inc.Industry (pharma, biotech, devices)
- Study start
- 9 Jul 2009 (actual)
- Primary completion
- 21 Aug 2014 (actual)
- Study completion
- 4 Oct 2019 (actual)
- First posted
- 9 Apr 2009 (estimated)
- Results
- Posted 9 Oct 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to investigate whether neratinib can further reduce the risk of recurrence from previously diagnosed HER-2 positive breast cancer after adjuvant treatment with trastuzumab.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Neratinib | Experimental | Drug: neratinib240 mg orally daily for one year |
| Placebo | Placebo comparator | Other: placeboorally daily for one year |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Stage II through IIIC HER-2/erbB-2 positive breast cancer with node positive disease.
- Been treated for early breast cancer with standard of care duration of trastuzumab.
- Could have been treated neoadjuvantly but have not reached pathologic complete response.
Key exclusion criteria (4 listed)
- Positive clinical and radiologic assessments for local or regional recurrence of disease at the time of study entry.
- History of heart disease.
- Corrected QT (QTc) interval >0.45 seconds
- History of gastrointestinal disease with diarrhea as the major symptom.
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 |
|---|---|---|
| neratinibAlso: HKI-272, Nerlynx | Drug | Neratinib |
| placebo | Other | Placebo |
Primary outcome
Invasive Disease-free Survival (iDFS) in Neratinib Arm Compared to Placebo Arm at Year 2
Time frame: From randomization until time of event up to 2 years
Invasive disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.
Kaplan-Meier Estimates of Invasive Disease-free Survival (iDFS) at Year 2 by Treatment Arms
Time frame: From randomization until time of event up to 2 years
9 secondary outcomes
Overall Survival (OS)
Time frame: Randomization until death due to any cause (up to 119 Months)
Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) in Neratinib Arm Compared to Placebo Arm at Year 2
Time frame: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) at Year 2 by Treatment Arms
Time frame: From randomization until time of event up to 2 years
Distant Disease-free Survival (DDFS) in Neratinib Arm Compared to Placebo Arm at Year 2
Time frame: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Distant Disease-free Survival (DDFS) at Year 2 by Treatment Arms
Time frame: From randomization until time of event up to 2 years
Percentage of Participants With Time to Distant Recurrence (TTDR) Event in Neratinib Arm Compared to Placebo Arm at Year 2
Time frame: From randomization until time of event up to 2 years
Kaplan-Meier Estimates of Time to Distant Recurrence (TTDR) Survival at Year 2 by Treatment Arms
Time frame: From randomization until time of event up to 2 years
Central Nervous System Recurrence in Neratinib Arm Compared to Placebo Arm at Year 2
Time frame: From randomization until time of event up to 2 years
Cumulative Incidence of Central Nervous System Recurrence (CNS) at Year 2
Time frame: From randomization until time of event up to 2 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36898233Holmes FA, Moy B, Delaloge S, Chia SKL, Ejlertsen B, Mansi J, Iwata H, Gnant M, Buyse M, Barrios CH, Silovski T, Separovic R, Bashford A, Zotano AG, Denduluri N, Patt D, Gokmen E, Gore I, Smith JW 2nd, Loibl S, Masuda N, Tomasevic Z, Petrakova K, DiPrimeo D, Wong A, Martin M, Chan A; ExteNET Study Group. Overall survival with neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): A randomised, double-blind, placebo-controlled, phase 3 trial. Eur J Cancer. 2023 May;184:48-59. doi: 10.1016/j.ejca.2023.02.002. Epub 2023 Feb 10.
- Derived from this study: PubMed 31140297Iwata H, Masuda N, Kim SB, Inoue K, Rai Y, Fujita T, Chiu J, Ohtani S, Takahashi M, Miyaki T, Lu YS, Xu B, Yap YS, Bustam A, Yao B, Zhang B, Bryce R, Chan A. Neratinib after trastuzumab-based adjuvant therapy in patients from Asia with early stage HER2-positive breast cancer. Future Oncol. 2019 Jul;15(21):2489-2501. doi: 10.2217/fon-2019-0143. Epub 2019 May 29.
- Derived from this study: PubMed 30867034Chia SKL, Martin M, Holmes FA, Ejlertsen B, Delaloge S, Moy B, Iwata H, von Minckwitz G, Mansi J, Barrios CH, Gnant M, Tomasevic Z, Denduluri N, Separovic R, Kim SB, Jakobsen EH, Harvey V, Robert N, Smith J 2nd, Harker G, Zhang B, Eli LD, Ye Y, Lalani AS, Buyse M, Chan A. PIK3CA alterations and benefit with neratinib: analysis from the randomized, double-blind, placebo-controlled, phase III ExteNET trial. Breast Cancer Res. 2019 Mar 11;21(1):39. doi: 10.1186/s13058-019-1115-2.
- Derived from this study: PubMed 30813966Mortimer J, Di Palma J, Schmid K, Ye Y, Jahanzeb M. Patterns of occurrence and implications of neratinib-associated diarrhea in patients with HER2-positive breast cancer: analyses from the randomized phase III ExteNET trial. Breast Cancer Res. 2019 Feb 27;21(1):32. doi: 10.1186/s13058-019-1112-5.
- Derived from this study: PubMed 30689703Delaloge S, Cella D, Ye Y, Buyse M, Chan A, Barrios CH, Holmes FA, Mansi J, Iwata H, Ejlertsen B, Moy B, Chia SKL, Gnant M, Smichkoska S, Ciceniene A, Martinez N, Filipovic S, Ben-Baruch NE, Joy AA, Langkjer ST, Senecal F, de Boer RH, Moran S, Yao B, Bryce R, Auerbach A, Fallowfield L, Martin M. Effects of neratinib on health-related quality of life in women with HER2-positive early-stage breast cancer: longitudinal analyses from the randomized phase III ExteNET trial. Ann Oncol. 2019 Apr 1;30(4):567-574. doi: 10.1093/annonc/mdz016.
- Derived from this study: PubMed 29146401Martin M, Holmes FA, Ejlertsen B, Delaloge S, Moy B, Iwata H, von Minckwitz G, Chia SKL, Mansi J, Barrios CH, Gnant M, Tomasevic Z, Denduluri N, Separovic R, Gokmen E, Bashford A, Ruiz Borrego M, Kim SB, Jakobsen EH, Ciceniene A, Inoue K, Overkamp F, Heijns JB, Armstrong AC, Link JS, Joy AA, Bryce R, Wong A, Moran S, Yao B, Xu F, Auerbach A, Buyse M, Chan A; ExteNET Study Group. Neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): 5-year analysis of a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Dec;18(12):1688-1700. doi: 10.1016/S1470-2045(17)30717-9. Epub 2017 Nov 13.
- Derived from this study: PubMed 26874901Chan A, Delaloge S, Holmes FA, Moy B, Iwata H, Harvey VJ, Robert NJ, Silovski T, Gokmen E, von Minckwitz G, Ejlertsen B, Chia SKL, Mansi J, Barrios CH, Gnant M, Buyse M, Gore I, Smith J 2nd, Harker G, Masuda N, Petrakova K, Zotano AG, Iannotti N, Rodriguez G, Tassone P, Wong A, Bryce R, Ye Y, Yao B, Martin M; ExteNET Study Group. Neratinib after trastuzumab-based adjuvant therapy in patients with HER2-positive breast cancer (ExteNET): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2016 Mar;17(3):367-377. doi: 10.1016/S1470-2045(15)00551-3. Epub 2016 Feb 10.
- Individual participant dataSharing planned: Yes. Puma Biotechnology is committed to sharing clinical trial data and information to help physicians and patients make informed treatment decisions, and to help qualified researchers advance scientific knowledge. In accordance with legal and regulatory requirements, Puma publishes study protocol information and clinical study results on clinical trial registries, including ClinicalTrials.gov and EU Clinical Trials Register. Puma also publishes information about clinical studies in peer-reviewed scientific journals and shares data in scientific meetings. Puma commits to safeguarding confidentiality and patient privacy throughout the clinical trial data and information sharing process. Any patient-level data will be anonymized to protect personally identifiable information. Qualified researchers and study participants may submit requests for other study documentation and clinical trial data to clinicaltrials@pumabiotechnology.com for consideration.
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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.
Senior Vice President Clinical Science and Pharmacology study director
Puma Biotechnology, Inc.
494 sites in 40 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing neratinib in people with Breast Cancer, run by Puma Biotechnology, Inc. at 494 sites in 40 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 3 inclusion and 4 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 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 494 sites in United States, Germany, Spain, Japan, France and 35 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 9 Oct 2017). 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?
Invasive Disease-free Survival (iDFS) in Neratinib Arm Compared to Placebo Arm at Year 2 (time frame: From randomization until time of event up to 2 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00878709, which also lists 7 linked publications.
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 11 Jun 2021.