Breast NeoplasmsPhase 3NCT01125566
LUX-Breast 1: BIBW 2992 (Afatinib) in HER2-positive Metastatic Breast Cancer Patients After One Prior Herceptin Treatment
A Phase 3 study testing BIBW 2992, trastuzumab and vinorelbine in people with Breast Neoplasms, run by Boehringer Ingelheim at 207 sites in 38 countries.
Trial summary
To investigate the efficacy and safety of BIBW 2992 in combination with vinorelbine i.v. chemotherapy as treatment in patients with HER2-overexpressing, metastatic breast cancer, who failed one prior trastuzumab (Herceptin®) treatment Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Neoplasms
- What is being tested?
- BIBW 2992, trastuzumab and vinorelbine
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 508 participants
- Where
- 207 sitesin 38 countries
- Study dates
- 22 Jun 2010to 6 Jul 2018
- 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
- Histologically confirmed diagnosis of HER2-overexpression breast cancer
- Stage IV metastatic disease
- Must have progressed on one prior trastuzumab treatment
- no more than one prior trastuzumab based therapy regimen (either adjuvant or first-line)
- Must have received anthracycline and/or taxane based chemotherapy for adjuvant treatment of breast cancer or first-line treatment of metastatic breast cancer
- Must have (archived) tumour tissue sample available for central re-assessment of HER2-status
- At least one measurable lesion according to RECIST 1.1.
- Eastern Cooperative Oncology Group (ECOG) score of 0 or 1 .
Who cannot join
- Prior treatment with Epidermal Growth Factor Receptor/Human Epidermal Growth Factor Receptor(EGFR/HER2)-targeted small molecules or antibodies other than trastuzumab
- Prior treatment with vinorelbine
- Known pre-existing interstitial lung disease
- Active brain metastases
- History or presence of clinically relevant cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure NYHA classification of 3, unstable angina or poorly controlled arrhythmia. Myocardial infarction within 6 months prior to randomisation.
- Cardiac left ventricular function with resting ejection fraction of less than 50%.
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- Patients unable to comply with the protocol.
- Any contraindications for therapy with vinorelbine or trastuzumab.
- Known hypersensitivity to BIBW 2992 or the excipients of any of the trial drugs.
- Use of any investigational drug within 4 weeks of randomisation.
- Inadequate hepatic, renal and haematologic organ function
Trial locations and contacts
207 sites in 38 countries.
207 sites in 38 countries
China20 sites
Cancer Hospital of Chinese Academy of Medical Science
Beijing, 100021
Peking Union Medical College Hospital
Beijing, 100032
Peking University People's Hospital
Beijing, 100044
307 Hospital of PLA
Beijing, 100071
Chinese PLA General Hospital
Beijing, 100853
First Hospital of Jilin University
Changchun, 130021
West China Hospital
Chengdu, 610041
Fujian Provincial Tumor Hospital
Fuzhou, 350014
Sun Yat-Sen University Cancer Center
Guangzhou, 510060
Guangdong Provincial People's Hospital
Guangzhou, 510080
NanFang Hosptial
Guangzhou, 510515
The Third Affiliated Hospital of Harbin Medical University
Haerbin, 150081
The First Affiliated Hospital, Zhejiang University
Hangzhou, 310009
Zhejiang Cancer Hospital
Hangzhou, 310022
Qilu Hospital, Shangdong University
Jinan, 250012
the 81th Hospital of PLA
Nanjing, 210002
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, 200025
Fudan University Shanghai Cancer Center
Shanghai, 200033
Tianjin Medical University Cancer Institute and Hospital
Tianjin, 300060
Wuhan Union Hospital
Wuhan, 430022
Germany15 sites
Universitätsklinikum Aachen, AöR
Aachen, 52074
Medizinisches Zentrum Bonn
Bonn, 53111
OnkoDok GbR
Bottrop, 46236
Universitätsklinikum Köln (AöR)
Cologne, 50931
St. Elisabeth-Krankenhaus
Cologne, 50935
DONAUISAR Klinikum Deggendorf-Dingolfing-Landau gKU
Deggendorf, 94469
Universitätsklinikum Erlangen
Erlangen, 91054
Kliniken Essen - Mitte gGmbH
Essen, 45136
Gynäk.-onkol. Gem.praxis, Dr. Uleer, Hildesheim
Hildesheim, 31134
Universitätsklinikum Magdeburg AöR
Magdeburg, 39108
Klinikum der Universität München - Campus Innenstadt
München, 80337
Klinikum rechts der Isar der Technischen Universität München
München, 81675
Onkologische Praxis Oldenburg
Oldenburg, 26121
Universitätsfrauenklinik am Klinikum Südstadt
Rostock, 18059
Facharzt für Innere Medizin
Wuppertal, 42105
United States14 sites
Hope Women's Cancer Center
Asheville, North Carolina, 28806
Achieve Clinical Research, LLC
Birmingham, Alabama, 35216
Ironwood Cancer and Research Centers
Chandler, Arizona, 85224
Robert A. Moss MD, FACP, Inc
Fountain Valley, California, 92708
St. Jude Heritage Healthcare
Fullerton, California, 92835
Pro Health Care Associated
Lake Success, New York, 11042
University of California
Los Angeles, California, 90095
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Cancer Care Associates Medical Group, Inc
Redondo Beach, California, 90277
Utah Cancer Specialists Cancer Center
Salt Lake City, Utah, 84106
Santa Barbara Hematology Oncology Medical Group, Inc
Santa Barbara, California, 93105
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
North Shore Cancer Research Associates
Skokie, Illinois, 60076
Cedar Valley Cancer Center
Waterloo, Iowa, 50701
India13 sites
Gujarat Cancer and Research Institute
Ahmedabad, 380016
Sujan Surgical Cancer Hospital
Amravati, 444606
KIDWAI memoraial Institute of oncology
Bangalore, 560029
Sri Venkateshwara Hospital
Bengaluru, 560068
Dr. Rai Memorial Cancer Centre
Chennai, 600018
Bibi General Hospital and Cancer Centre
Hyderabad, 500 024
Orchid Nursing Home
Kolkata, 700054
Natinal Cancer Institute
Maharagama
Central India Cancer Research Institute
Nagpur, 440 010
Curie Manavata Cancer centre
Nashik, 422004
Jehangir Hospital Oncology Department
Pune, 411001
K.E.M Hospital
Pune, 411011
King George Hospital
Visakhapatnam, 530002
France12 sites
HOP Amiens-Picardie Sud
Amiens, 80054
CTR P Papin, Onco, Angers
Angers, 49933
HOP Jean Minjoz
Besançon, 25030
CLI Bordeaux Nord Aquitaine
Bordeaux, 33300
CTR J Perrin, Onco, Clermont-Ferrand
Clermont-Ferrand, 63011
HOP Victor Hugo
Le Mans, 72000
CTR Catherine de Sienne
Nantes, 44202
HOP Saint-Louis
Paris, 75475
INS Jean Godinot, Onco, Reims
Reims, 51000
CTR Eugène Marquis
Rennes, 35042
CTR René Huguenin
Saint-Cloud, 92210
CTR Paul Strauss
Strasbourg, 67065
Taiwan10 sites
Chang-Hua Christian Hospital
Changhua, 50006
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Kaohsiung Veterans General Hospital
Kaohsiung City, 81362
Taichung Veterans General Hospital
Taichung, 40705
NCKUH
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Mackay Memorial Hospital
Taipei, 10449
Taipe Veterans General Hospital
Taipei, 11217
Koo Foundation Sun Yet-Sen Cancer Center
Taipei, 112
Chang Gung Memorial Hospital(TaoYuan)
Taoyuan County, 333
Brazil9 sites
Centro de Pesquisas Clínicas em Oncología
Cachoeiro de Itapemirim, 29308-014
Hospital Santa Cruz
Curitiba, 80420-090
Associacao Hospital de Caridade de Ijui
Ijuí, 98700-000
Associação Hospitalar Moinhos de Vento
Porto Alegre, 90035-001
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, 90050-170
Centro de Novos Tratamentos CliniOnco
Porto Alegre, 90430-090
Instituto Nacional do Câncer - INCA
Rio de Janeiro, 20560-120
Faculdade de Medicina do ABC
Santo André, 09060-650
Centro de Referência da Saude da Mulher-Hosp Perola Byington
São Paulo, 01317-000
Poland8 sites
Bialystock's Oncology Center
Bialystok, 15-027
Wojewodzki Specialist Hospital No. 4, Bytom
Bytom, 41-902
University Clinical Center, Gdansk
Gdansk, 80-211
Provincial Specialist M. Kopernik Hospital
Lodz, 93-513
Ziemia Lubelska Oncological Center, Lublin
Lublin, 20-099
Oncology Centre of Olsztyn "KOPERNIK" Sp. z.o.o.
Olsztyn, 10-513
Wielkopolskie Oncology Centre n.a. Maria Sklodowska-Courie
Poznan, 61-866
Military Medical Institute
Warsaw, 04 141
Spain8 sites
Hospital del Mar
Barcelona, 08003
Hospital Universitari Dexeus
Barcelona, 08028
Hospital Vall d'Hebron
Barcelona, 08035
Complejo Hospitalario Universitario Insular - Materno Infantil
Las Palmas de Gran Canaria, 35016
Hospital Clínico San Carlos
Madrid, 28040
Hospital Clínico de Santiago
Santiago de Compostela, 15706
Hospital Virgen de la Salud
Toledo, 45004
Hospital Arnau de Vilanova
Valencia, 46015
Canada7 sites
Grand River Regional Cancer Centre
Kitchener, Ontario, N2G 1G3
Dr. Leon Richard Oncology Centre
Moncton, New Brunswick, E1C 8X3
Hopital Notre-Dame du CHUM
Montreal, Quebec, H2L 4M1
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
CHU de Quebec-Universite Laval Research Centre
Québec, G1S 4L8
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
BC Cancer Agency - Vancouver
Vancouver, British Columbia, V5Z 4E6
Netherlands6 sites
Albert SchweitzerZiekenhuis
Dordrecht, 3318 AT
Máxima Medisch Centrum, locatie Eindhoven
Eindhoven, 3651 BM
Zuyderland Medisch Centrum
Geleen, 6162 BG
Zuyderland Medisch Centrum
Heerlen, 6419 PC
METC Academisch Ziekenhuis Maastricht/Universiteit van Maastricht
Maastricht, 6229 HX
Isala Zwolle
Zwolle, 8025 BP
South Africa6 sites
WCR CMJAH Clinical Trial Site
Johannesburg, 2193
Medical Oncology Centre of Rosebank
Johannesburg, 2196
GVI oncology Medi Clinic
Kraaifontein, 7570
Langenhoven Drive Oncology Centre
Port Elizabeth, 6045
Wilgers oncology
Pretoria, 0041
Rondebosch Oncology Centre
Rondebosch, Cape Town, 7700
South Korea6 sites
National Cancer Center
Goyang, 410-769
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 110-744
Severance Hospital
Seoul, 120-752
Samsung Medical Center
Seoul, 135-710
Asan Medical Center
Seoul, 138-736
Australia5 sites
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Peninsula Haematology & Oncology
Frankston, Victoria, 3199
Mount Medical Centre
Perth, Western Australia, 6000
Port Macquarie Base Hospital (PMBH)
Port Macquarie, New South Wales, 2444
Maroondah Hospital
Ringwood East, Victoria, 3135
Israel5 sites
Rambam Medical Center
Haifa, 31096
Shaare Zedek Medical Center, Jerusalem 91031
Jerusalem, 91031
Meir Medical Center
Kfar Saba, 44281
Sourasky Medical Center
Tel Aviv, 64239
The Chaim Sheba Medical Center Tel Hashomer
Tel HaShomer, 52621
Portugal5 sites
Instituto Português de Oncologia de Coimbra Francisco Gentil
Coimbra, 3000-075
CHUC, EPE - CHC-Maternidade Bissaya Barreto
Coimbra, 3041-801
IPO Lisboa Francisco Gentil, EPE
Lisbon, 1099-023
Centro Hospitalar São João,EPE
Porto, 420-451
IPO Porto Francisco Gentil, EPE
Porto, 4200-072
Argentina4 sites
Instituto Medico de Asistencia e Investigaciones S. A.
Buenos Aires, C1425AWC
Hospital Britanico
Capital Federal, C1280AEB
Sanatorio de la Provodencia
Ciudad Autonoma de Bs As, C1050AAK
Sanatorio Parque
Rosario, S2000DSK
Belarus4 sites
Grodno Regional Clinical Hospital
Grodno, 230017
Public Health Inst. Minsk City Clinical Oncology Dispensary
Minsk, 220013
N. N. Alexandrov National Cancer Center of Belarus
Minsk Region, 223040
Vitebsk Regional Clinical Oncology Dispensary
Vitebsk, 210603
Czechia4 sites
Hospital Ceske Budejovice
České Budějovice, 370 87
University Hospital Olomouc
Olomouc, 775 20
General Faculty Hospital, Prague
Prague, 128 08
MEDICON a.s., Praha 4
Prague, 140 44
Ireland4 sites
Beaumont Hospital
Dubliin 9
Mater Misericordiae University Hospital
Dublin
St James's Hospital
Dublin
St Vincent's University Hospital
Dublin
Peru4 sites
Hospital Nacional Adolfo Guevara Velasco
Cusco, 84
Clinica San Judas Tadeo
Lima
Instituto Oncologico Miraflores S.A.
Miraflores
Clinica Peruano Americana de Trujillo
Trujillo
Russia4 sites
St.Auton.Heal.Inst."Rep.Clin.Onc.Disp.of MoH of Rep. Tatarstan"
Kazan', 420029
N.A. Semashko Central Clinical Hospital, Moscow
Moscow, 129128
GUZ "Regional Clinical Oncology Dispensary"
Ryazan, 390011
Regional Clinical Oncology Dispensary
Saint Petersburg, 191104
United Kingdom4 sites
Ninewells Hospital & Medical School
Dundee, DD1 9SY
Guy's Hospital
London, SE1 9RT
The Royal Marsden Hospital
Sutton, SM2 5PT
Queen Elizabeth Hospital
Woolwich, London, SE18 4QH
Belgium3 sites
Brussels - HOSP Jules Bordet
Brussels, 1000
Edegem - UNIV UZ Antwerpen
Edegem, 2650
Liège - HOSP St-Joseph
Liège, 4000
Italy3 sites
Azienda Ospedaliera Universitaria Arcispedale Sant'Anna
Ferrara, 44124
Istituto Europeo di Oncologia
Milan, 20141
P.O. Monserrato
Monserrato (CA), 09042
Japan3 sites
Tokai University Hospital
Kanagawa, Isehara, 259-1193
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka, Osaka, 537-8511
National Cancer Center Hospital
Tokyo, Chuo-ku, 104-0045
Singapore3 sites
National University Hospital
Singapore, 119228
National Cancer Centre
Singapore, 169610
Johns Hopkins Singapore International Medical Center
Singapore, 308433
Slovakia3 sites
St. Jacobs Hosp.Outpat.Pneumology&Phthisiology Dept,Bardejov
Bardejov, 085 01
National Institute of Oncology, Bratislava
Bratislava, 833 10
POKO Policlinic Dept. of Clinical Oncology
Poprad, 058 01
Austria2 sites
Ordensklinikum Linz GmbH - Barmherzige Schwestern
Linz, 4020
Kaiser Franz Josef Spital Vienna
Vienna, 1100
Egypt2 sites
Oncology Centre- Mansoura University
Al Mansurah, 35516
El Manial Specialized Hospital
Cairo, 11553
Latvia2 sites
P. Stradins Clinical Univ. Hospital, Oncology Clinic
Riga, 1002
Riga East Univ. Hospital, Oncology Centre
Riga, 1079
Lithuania2 sites
Hospital of Lithuanian Univ.of HealthSciences Kauno Klinikos
Kaunas, 50009
National Cancer Institute, Vilnius
Vilnius, 08660
Turkey (Türkiye)2 sites
Hacettepe Universitesi Tip Fakultesi, Ic Hastaliklari ABD
Ankara
Ege Universitesi Tip Fakultesi Tibbi Onkoloji Bilim Dali
Izmir
About this study
Official title: LUX-Breast 1; An Open Label, Randomised Phase III Trial of BIBW 2992 and Vinorelbine Versus Trastuzumab and Vinorelbine in Patients With Metastatic HER2-overexpressing Breast Cancer Failing One Prior Trastuzumab Treatment
To investigate the efficacy and safety of BIBW 2992 in combination with vinorelbine i.v. chemotherapy as treatment in patients with HER2-overexpressing, metastatic breast cancer, who failed one prior trastuzumab (Herceptin®) treatment
- Conditions
- Breast Neoplasms
- Being tested
- BIBW 2992, trastuzumab, vinorelbine
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BIBW 2992Drug
patients receive BIBW 2992 tablets once daily and can reduce dose for adverse event management
trastuzumabDrug
patients receive trastuzumab 2mg/kg intravenously every week
vinorelbineDrug
patients receive vinorelbine 25mg/m² intravenously every week
vinorelbineDrug
patients receive vinorelbine 25mg/m² intravenously every week
| Study group | Role | What they receive |
|---|---|---|
| Arm B: trastuzumab with vinorelbine | Active comparator | patients receive weekly intravenous infusion of trastuzumab and vinorelbine Receives: Drug: trastuzumab; Drug: vinorelbine |
| Arm A: BIBW 2992 with vinorelbine | Experimental | patients receive BIBW 2992 tablets once daily combined with weekly intravenous infusion of vinorelbine Receives: Drug: BIBW 2992; Drug: vinorelbine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
PFS is defined as time from randomisation to disease progression or death whichever occurs first. Assessed by investigator according to the Response Evaluation Criteria in Solid Tumours (RECIST 1.1). RECIST is a set of published rules that define when tumors in cancer patients improve ("respond"), stay the same ("stabilize") or worsen ("progress") during treatment.
Only data collected until the cut-off date for RECIST 1.1 based endpoints (08Jun2013) were considered.
Progression of disease was determined if at least 1 of the following criteria applied:
- At least a 20% increase in the sum of the diameters (SoD) of target lesions taking as reference the smallest SoD recorded since the treatment started, together with an absolute increase in the SoD of at least 5 mm
- Appearance of 1 or more new lesions
- Unequivocal progression of existing non-target lesions
Measured: From randomization (07Sep2010) until disease progression, death or data cut-off (08Jun2013); Up to 34 months
Secondary outcomes (3)
Overall Survival (OS)
OS is defined as time from randomisation to death irrespective of the cause of the death.
For patients who had not died up to the cut-off date (03Sep2013), the date they were last known to be alive was derived from the patient status records, the trial completion record, radiological imaging assessments, the study treatment termination record, and the randomisation date.
Measured: From randomisation (07Sep2010) to database lock (30Jul2018), up to 95 months.
Best RECIST Assessment
Best RECIST assessment is defined as CR, PR, stable disease (SD), progressive disease (PD) or not evaluable by investigator (RECIST version 1.1).
CR for target lesions (TL): Disappearance of all target lesions.
CR for non-target lesions (NTL): Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10mm short axis).
PR: At least a 30% decrease in the sum of diameters (SoD) of target lesions taking as reference the baseline sum diameters.
SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as references the smallest SoD while on study.
PD: At least a 20% increase in the SoD of target lesions, taking as references the smallest sum on study (this includes the baseline sum if that is the smallest on study). Also, the sum must also demonstrate an absolute increase of a least 5mm. Appearance of one or more new lesions.
Measured: From randomization (07Sep2010) until disease progression, death or data cut-off (08Jun2013); Up to 34 months
Objective Response (OR)
OR is defined as complete response (CR) and partial response (PR). Assessed by investigator according to Response Evaluation Criteria in Solid Tumours (RECIST) 1.1. Complete Response (CR) for target lesions (TL): Disappearance of all target lesions.
Complete Response (CR) for non-target lesions (NTL): Disappearance of all non-target lesions and normalization of tumour marker level. All lymph nodes must be non-pathological in size (<10mm short axis)
Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum diameters.
Other factors which add to the overall response of an imaging timepoint as PR are as below:-
- CR in TL, but non-CR/Non-PD in NTL leads to PR
- CR in TL, but not evaluated NTL leads to PR
- PR in TL, but non-PD NTL or not all evaluated NTL leads to PR
Measured: Post baseline tumour-imaging was performed at Week 8, 16, 24, 32, 40, 48, 56 and then every 12 weeks (Until final data-base lock on 30 Jul 2018; Up to 95 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2010 (estimated)
- Study start22 Jun 2010
- Primary completion8 Jun 2013
- Study completion6 Jul 2018
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 (1)Papers the sponsor has linked to this study.
- Other trials for Breast NeoplasmsStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 508 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01125566
- Sponsor's protocol ID
- 1200.75
- Other IDs
- 2009-015476-98, 2009
- Status last verified
- Jul 2019
- First submitted
- 10 May 2010
- Last updated
- 18 Jul 2019
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Harbeck N, Huang CS, Hurvitz S, Yeh DC, Shao Z, Im SA, Jung KH, Shen K, Ro J, Jassem J, Zhang Q, Im YH, Wojtukiewicz M, Sun Q, Chen SC, Goeldner RG, Uttenreuther-Fischer M, Xu B, Piccart-Gebhart M; LUX-Breast 1 study group. Afatinib plus vinorelbine versus trastuzumab plus vinorelbine in patients with HER2-overexpressing metastatic breast cancer who had progressed on one previous trastuzumab treatment (LUX-Breast 1): an open-label, randomised, phase 3 trial. Lancet Oncol. 2016 Mar;17(3):357-366. doi: 10.1016/S1470-2045(15)00540-9. Epub 2016 Jan 26.
PubMed 26822398
Study at a glance
From the registry record, last updated by the sponsor on 18 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- LUX-Breast 1; An Open Label, Randomised Phase III Trial of BIBW 2992 and Vinorelbine Versus Trastuzumab and Vinorelbine in Patients With Metastatic HER2-overexpressing Breast Cancer Failing One Prior Trastuzumab Treatment
- ClinicalTrials.gov ID
- NCT01125566
- Acronym / sponsor ID
- 1200.75
- Conditions
- Breast Neoplasms
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 508 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- 22 Jun 2010 (actual)
- Primary completion
- 8 Jun 2013 (actual)
- Study completion
- 6 Jul 2018 (actual)
- First posted
- 18 May 2010 (estimated)
- Results
- Posted 21 Aug 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To investigate the efficacy and safety of BIBW 2992 in combination with vinorelbine i.v. chemotherapy as treatment in patients with HER2-overexpressing, metastatic breast cancer, who failed one prior trastuzumab (Herceptin®) treatment
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm B: trastuzumab with vinorelbine | Active comparator | Drug: trastuzumab, Drug: vinorelbinepatients receive weekly intravenous infusion of trastuzumab and vinorelbine |
| Arm A: BIBW 2992 with vinorelbine | Experimental | Drug: BIBW 2992, Drug: vinorelbinepatients receive BIBW 2992 tablets once daily combined with weekly intravenous infusion of vinorelbine |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically confirmed diagnosis of HER2-overexpression breast cancer
- Stage IV metastatic disease
- Must have progressed on one prior trastuzumab treatment
- no more than one prior trastuzumab based therapy regimen (either adjuvant or first-line)
- Must have received anthracycline and/or taxane based chemotherapy for adjuvant treatment of breast cancer or first-line treatment of metastatic breast cancer
Key exclusion criteria (11 listed)
- Prior treatment with Epidermal Growth Factor Receptor/Human Epidermal Growth Factor Receptor(EGFR/HER2)-targeted small molecules or antibodies other than trastuzumab
- Prior treatment with vinorelbine
- Known pre-existing interstitial lung disease
- Active brain metastases
- History or presence of clinically relevant cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure NYHA classification of 3, unstable angina or poorly controlled arrhythmia. Myocardial infarction within 6 months prior to randomisation.
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 |
|---|---|---|
| BIBW 2992patients receive BIBW 2992 tablets once daily and can reduce dose for adverse event management | Drug | Arm A: BIBW 2992 with vinorelbine |
| trastuzumabpatients receive trastuzumab 2mg/kg intravenously every week | Drug | Arm B: trastuzumab with vinorelbine |
| vinorelbinepatients receive vinorelbine 25mg/m² intravenously every week | Drug | Arm B: trastuzumab with vinorelbine |
| vinorelbinepatients receive vinorelbine 25mg/m² intravenously every week | Drug | Arm A: BIBW 2992 with vinorelbine |
Primary outcome
Progression-free Survival (PFS)
Time frame: From randomization (07Sep2010) until disease progression, death or data cut-off (08Jun2013); Up to 34 months
PFS is defined as time from randomisation to disease progression or death whichever occurs first. Assessed by investigator according to the Response Evaluation Criteria in Solid Tumours (RECIST 1.1). RECIST is a set of published rules that define when tumors in cancer patients improve ("respond"), stay the same ("stabilize") or worsen ("progress") during treatment. Only data collected until the cut-off date for RECIST 1.1 based endpoints (08Jun2013) were considered. Progression of disease was determined if at least 1 of the following criteria applied: * At least a 20% increase in the sum of the diameters (SoD) of target lesions taking as reference the smallest SoD recorded since the treatment started, together with an absolute increase in the SoD of at least 5 mm * Appearance of 1 or more new lesions * Unequivocal progression of existing non-target lesions
3 secondary outcomes
Overall Survival (OS)
Time frame: From randomisation (07Sep2010) to database lock (30Jul2018), up to 95 months.
Best RECIST Assessment
Time frame: From randomization (07Sep2010) until disease progression, death or data cut-off (08Jun2013); Up to 34 months
Objective Response (OR)
Time frame: Post baseline tumour-imaging was performed at Week 8, 16, 24, 32, 40, 48, 56 and then every 12 weeks (Until final data-base lock on 30 Jul 2018; Up to 95 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jul 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26822398Harbeck N, Huang CS, Hurvitz S, Yeh DC, Shao Z, Im SA, Jung KH, Shen K, Ro J, Jassem J, Zhang Q, Im YH, Wojtukiewicz M, Sun Q, Chen SC, Goeldner RG, Uttenreuther-Fischer M, Xu B, Piccart-Gebhart M; LUX-Breast 1 study group. Afatinib plus vinorelbine versus trastuzumab plus vinorelbine in patients with HER2-overexpressing metastatic breast cancer who had progressed on one previous trastuzumab treatment (LUX-Breast 1): an open-label, randomised, phase 3 trial. Lancet Oncol. 2016 Mar;17(3):357-366. doi: 10.1016/S1470-2045(15)00540-9. Epub 2016 Jan 26.
- Related InfoLink provided by the sponsor.
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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.
Boehringer Ingelheim study chair
Boehringer Ingelheim
207 sites in 38 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BIBW 2992, trastuzumab and vinorelbine in people with Breast Neoplasms, run by Boehringer Ingelheim at 207 sites in 38 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 8 inclusion and 11 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 18 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 207 sites in China, Germany, United States, India, France and 33 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 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 21 Aug 2014). 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?
Progression-free Survival (PFS) (time frame: From randomization (07Sep2010) until disease progression, death or data cut-off (08Jun2013); Up to 34 months). 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 NCT01125566, which also lists 1 linked publication.
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 18 Jul 2019.