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Breast NeoplasmsPhase 2NCT01325428

Afatinib (BIBW2992) in HER2 (Human Epidermal Growth Factor Receptor 2)-Overexpressing Inflammatory Breast Cancer

A Phase 2 study testing Afatinib once daily (OD) and Vinorelbine Weekly in people with Breast Neoplasms, run by Boehringer Ingelheim at 16 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The general aim of this study is to investigate the efficacy and safety of afatinib alone and in combination with weekly vinorelbine (in patients who progress on afatinib monotherapy within this trial) as treatment in patients with HER2-overexpressing, locally advanced or metastatic inflammatory breast cancer. 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?
Afatinib once daily (OD) and Vinorelbine Weekly
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
16 sitesin 7 countries
Study dates
Aug 2011to Nov 2014
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

  • Female patients >=18 years with proven diagnosis of HER2-overexpressing, histologically confirmed breast cancer
  • Locally advanced or metastatic disease
  • Must have disease that can be evaluated according to RECIST 1.1 (Response Evaluation Criteria for Solid Tumours version 1.1)
  • For trastuzumab pre-treated patients, must have failed prior trastuzumab treatment
  • Investigator-confirmed diagnosis of Inflammatory Breast Cancer
  • Must have biopsiable disease

Who cannot join

  • Prior treatment with HER2-targeted small molecules or antibodies other than trastuzumab (which must have been given in the trastuzumab-failure study population)
  • Must not have received prior vinorelbine treatment

Trial locations and contacts

16 sites in 7 countries.

16 sites in 7 countries

Thailand4 sites
  • 1200.89.66002 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1200.89.66004 Boehringer Ingelheim Investigational Site

    Bangkok

  • 1200.89.66003 Boehringer Ingelheim Investigational Site

    Chiang Mai

  • 1200.89.66001 Boehringer Ingelheim Investigational Site

    Hat-Yai, Songkhla

Other trials in Thailand

United Kingdom3 sites
  • 1200.89.44002 Boehringer Ingelheim Investigational Site

    Bournemouth

  • 1200.89.44001 Boehringer Ingelheim Investigational Site

    London

  • 1200.89.44003 Boehringer Ingelheim Investigational Site

    London

Other trials in United Kingdom

United States2 sites
  • 1200.89.10005 Boehringer Ingelheim Investigational Site

    Durham, North Carolina

  • 1200.89.10001 Boehringer Ingelheim Investigational Site

    Los Angeles, California

Other trials in United States

Australia2 sites
  • 1200.89.61002 Boehringer Ingelheim Investigational Site

    East Bentleigh, Victoria

  • 1200.89.61003 Boehringer Ingelheim Investigational Site

    Perth, Western Australia

Other trials in Australia

South Korea2 sites
  • 1200.89.82001 Boehringer Ingelheim Investigational Site

    Seoul

  • 1200.89.82002 Boehringer Ingelheim Investigational Site

    Seoul

Other trials in South Korea

Tunisia2 sites
  • 1200.89.21601 Boehringer Ingelheim Investigational Site

    Aryanah

  • 1200.89.21602 Boehringer Ingelheim Investigational Site

    Sousse

Other trials in Tunisia

Hong Kong1 site
  • 1200.89.85201 Boehringer Ingelheim Investigational Site

    Hong Kong

Other trials in Hong Kong

About this study

Official title: An Open Label, Phase II Trial of Afatinib With or Without Vinorelbine for the Treatment of HER2-overexpressing Inflammatory Breast Cancer

The general aim of this study is to investigate the efficacy and safety of afatinib alone and in combination with weekly vinorelbine (in patients who progress on afatinib monotherapy within this trial) as treatment in patients with HER2-overexpressing, locally advanced or metastatic inflammatory breast cancer. The study will include patients who have and have not failed prior trastuzumab treatment.

Being tested
Afatinib once daily (OD), Vinorelbine Weekly
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Afatinib once daily (OD)Drug

    Patient to receive afatinib monotherapy until progression of their disease

  • Vinorelbine WeeklyDrug

    Patients additionally receive vinorelbine weekly on disease progression on afatinib monotherapy

Study groups in NCT01325428
Study groupRoleWhat they receive
Afatinib once daily (OD)ExperimentalPatients receive afatinib monotherapy once daily until progression of their disease
Receives: Drug: Afatinib once daily (OD); Drug: Vinorelbine Weekly

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part A: Clinical Benefit (CB) Assessed by Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at Least 6 Months Using the Response Evaluation Criteria in Solid Tumours (RECIST 1.1).

    Tumour response was assessed separately for Part A and Part B according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The primary endpoint of this study was confirmed clinical benefit, as assessed by Stable Disease (SD) for at least 6 months (defined as >182 days), Partial Response (PR), or Complete Response (CR) according to RECIST version 1.1 (only confirmed responses were considered).

    Measured: This endpoint was assessed between the from first administration of trial medication in Part A and the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.

  2. Part B: Clinical Benefit (CB) Assessed by Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at Least 6 Months Using the Response Evaluation Criteria in Solid Tumours (RECIST 1.1).

    Tumour response was assessed separately for Part B according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. The primary endpoint of this study was confirmed clinical benefit, as assessed by Stable Disease (SD) for at least 6 months (defined as >182 days), Partial Response (PR), or Complete Response (CR) according to RECIST version 1.1 (only confirmed responses were considered).

    Measured: This endpoint was recorded from first administration of trial medication in Part B until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.

Secondary outcomes (9)
  1. Part A: Confirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).

    Objective response was defined on a patient level as a best response of CR or PR.

    Measured: This endpoint was recorded from first administration of trial medication until the earliest of disease progression, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.

  2. Part B: Confirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).

    Objective response was defined on a patient level as a best response of CR or PR.

    Measured: This endpoint was recorded from first administration of trial medication in Part B and until the earliest of disease progression, death or start of new anti-cancer therapy up to 929 days.

  3. Part A: Unconfirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1).

    Objective response was defined on a patient level as a best response of CR or PR.

    Measured: This endpoint was recorded from first administration of trial medication until the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.

  4. Part B: Unconfirmed Objective Response (OR) Assessed by Response Evaluation Criteria in Solid Tumours Version 1.1 (RECIST 1.1 ).

    Objective response was defined on a patient level as a best response of CR or PR.

    Measured: This endpoint was recorded from first administration of trial medication in Part B and until the earliest of PD, death or start of new anti-cancer therapy up to 929 days.

  5. Part A: Duration of Unconfirmed Objective Response.

    Objective Response (OR) was defined on a patient level as a best response of Complete Response (CR) or Partial Response (PR). Duration of objective response was measured from the time of first unconfirmed objective response to the time of progression or death (or date of censoring for Progression Free Survival (PFS)).

    Measured: From first drug administration until end of Part A, up to 929 days.

  6. Part B: Duration of Unconfirmed Objective Response.

    Objective response was defined on a patient level as a best response of CR or PR. Duration of objective response was measured from the time of first unconfirmed objective response to the time of progression or death (or date of censoring for PFS).

    Measured: From first drug administration until end of Part B, up to 929 days.

  7. Part A: Progression Free Survival.

    PD was evaluated according to the RECIST version 1.1. For patients with a known date of progression (or death), PFS was the earlier of date of progression or death - date of first administration + 1. The date of progression and date of first administration referred to the respective part of the study A.

    Measured: From first drug administration until end of Part A, up to 713 days.

  8. Part B: Progression Free Survival.

    PD was evaluated according to the RECIST version 1.1. For patients with a known date of progression (or death), PFS was the earlier of date of progression or death - date of first administration + 1. The date of progression and date of first administration referred to the respective part of the study B.

    Measured: From first drug administration until end of Part B, up to 230 days.

  9. Progression Free Survival Over the Whole Sudy.

    PD was evaluated according to the RECIST version 1.1. Number of days from the start of monotherapy to the date of second PD.

    Measured: From first drug administration until end of study, up to 700 days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2011 (estimated)
  2. Study startAug 2011
  3. Primary completionNov 2014
  4. Study completionNov 2014

Resources

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01325428
Sponsor's protocol ID
1200.89
Other IDs
2010-024454-10
Status last verified
Jun 2016
First submitted
28 Mar 2011
Last updated
19 Jul 2016

Publications

  • Goh G, Schmid R, Guiver K, Arpornwirat W, Chitapanarux I, Ganju V, Im SA, Kim SB, Dechaphunkul A, Maneechavakajorn J, Spector N, Yau T, Afrit M, Ahmed SB, Johnston SR, Gibson N, Uttenreuther-Fischer M, Herrero J, Swanton C. Clonal Evolutionary Analysis during HER2 Blockade in HER2-Positive Inflammatory Breast Cancer: A Phase II Open-Label Clinical Trial of Afatinib +/- Vinorelbine. PLoS Med. 2016 Dec 6;13(12):e1002136. doi: 10.1371/journal.pmed.1002136. eCollection 2016 Dec.

    PubMed 27923043

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Afatinib once daily (OD) and Vinorelbine Weekly in people with Breast Neoplasms, run by Boehringer Ingelheim at 16 sites in 7 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 6 inclusion and 2 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 19 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Thailand, United Kingdom, United States, Australia, South Korea and 2 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 11 Feb 2016). 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?

Part A: Clinical Benefit (CB) Assessed by Complete Response (CR), Partial Response (PR) or Stable Disease (SD) for at Least 6 Months Using the Response Evaluation Criteria in Solid Tumours (RECIST 1.1). (time frame: This endpoint was assessed between the from first administration of trial medication in Part A and the earliest of PD, death or start of next treatment (either Part B combination therapy or new anti-cancer therapy) up to 929 days.). 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 NCT01325428, 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 19 Jul 2016.

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