Study on the Tolerability of Lapatinib and Trastuzumab in Adults Aged 60 or Older with HER2 Positive Advanced Breast Cancer

Sponsor: City of Hope Medical Center

Sponsor score: 40

ClinicalTrials ID:NCT01273610

This clinical trial is exploring the side effects and effectiveness of combining two drugs, lapatinib and trastuzumab, in treating older adults with HER2-positive breast cancer that has spread locally or to other parts of the body.

Patient Parameters

Program Overview

The purpose of this study is to understand how well the combination of lapatinib and trastuzumab works in older adults with HER2-positive breast cancer that is either locally advanced or has spread to other areas (metastatic). Lapatinib may help stop cancer cells from growing by blocking certain enzymes, while trastuzumab, a type of monoclonal antibody, can help prevent tumor growth in various ways. By using these two drugs together, researchers hope to kill more cancer cells.

Description

The main goal of this study is to see how safe and tolerable the combination of trastuzumab and lapatinib is for adults aged 60 or older with advanced breast cancer. Researchers will also look at the side effects, including heart-related issues, diarrhea, nausea, and vomiting. They will study how the body processes lapatinib in older adults and measure how well the cancer responds to the treatment. The study will also explore factors other than age that might affect side effects and how well patients stick to taking lapatinib.

Participants will take lapatinib by mouth once a day and receive trastuzumab through an IV either weekly or every three weeks. Treatment cycles repeat every 21 days unless the cancer progresses or side effects become too severe. After finishing the study treatment, participants will be monitored for 30 days and then periodically after that.

Eligibility Criteria

Inclusion Criteria

  • Have HER2-positive breast cancer that is locally advanced or has spread to other parts of the body.
  • Both measurable and non-measurable disease are allowed.
  • Life expectancy of more than 12 weeks.
  • Women of childbearing potential and sexually active men must use effective contraception during the study and for six months after.
  • Be in relatively good health with an ECOG performance status of 0 to 2.
  • Have adequate blood counts and organ function as determined by specific tests.
  • Be able to swallow and retain oral medication.
  • Previous treatment with lapatinib or trastuzumab is allowed, but not in combination.
  • Any number of prior cancer treatments is allowed.
  • Must understand and agree to sign a written informed consent.

Exclusion Criteria

  • Currently receiving other investigational treatments, chemotherapy, or targeted therapy.
  • Have unstable or symptomatic brain metastases.
  • Have a history of severe allergic reactions to similar drugs, unless controlled with premedication.
  • Taking certain medications that affect how the body processes drugs.
  • Have ongoing infections or psychiatric conditions that would interfere with the study.
  • Unable to take oral medication or have conditions affecting drug absorption.
  • Have active liver or bile duct disease, except for certain stable conditions.
  • Have active heart disease or poorly controlled high blood pressure.
  • Unable to comply with study monitoring requirements.

Locations

FACILITYZIPCITYSTATE
City of Hope Medical Center91010DuarteCalifornia
City of Hope Antelope Valley93534LancasterCalifornia
South Pasadena Cancer Center91030PasadenaCalifornia
Roswell Park Cancer Institute14263BuffaloNew York
Lineberger Comprehensive Cancer Center, University of North Carolina27599Chapel HillNorth Carolina
Duke University Medical Center27704DurhamNorth Carolina
Case Western Reserve University44106ClevelandOhio
Thomas Jefferson University19107PhiladelphiaPennsylvania

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