Status:

APPROVED_FOR_MARKETING

EAP (Expanded Access Protocol) Of Lapatinib Combined With Capecitabine In Metastatic Breast Cancer

Lead Sponsor:

Novartis

Conditions:

Neoplasms, Breast

Eligibility:

All Genders

18+ years

Brief Summary

This study will provide pre-approval drug access to lapatinib, in combination with capecitabine, to patients whose breast cancer had progressed on other therapies

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • May have received prior lapatinib in another trial. Previous capecitabine (as previous agent or non-lapatinib containing regimen) is also permitted.
  • Prior treatment with hormonal therapy is allowed.
  • Must have advanced or metastatic breast cancer with progression (as assessed by modified RECIST) after prior therapy, which must include all of the following: prior treatment with an anthracycline, a taxane, and trastuzumab alone or in combination with other therapy. Trastuzumab must have been administered in the adjuvant, or locally advanced or metastatic setting.
  • Must have tumors that overexpress ErbB2 defined as +3 by IHC or FISH positive for ErbB2 gene amplification. The status of ErbB2 expression must be documented prior to study entry.
  • Must be \>/= 18 years of age
  • Life expectancy of \> 8 weeks
  • Must have recovered from side effects of previous treatment
  • Patients with CNS mets are eligible provided treatment with prohibited medications as listed in the protocol are not required
  • Cardiac ejection fraction must be within the institutional range of normal as measured by ECHO. MUGA scans are allowed if ECHOs cannot be performed
  • Able to swallow and retain oral medications
  • Must have adequate hematologic, hepatic and renal function
  • Exclusion criteria:
  • Pregnant or lactating females
  • Malabsorption syndrome, disease significantly affecting GI function, or resection of the stomach or bowel, or ulcerative colitis
  • Concurrent disease or condition that would make the patient inappropriate for study participation
  • Unresolved or unstable toxicity from prior administration of another investigational drug and/or prior cancer treatment
  • Uncontrolled infection
  • Active cardiac disease defined as history of uncontrolled or symptomatic angina; history of arrhythmias requiring medication, or clinically significant, with the exception of asymptomatic atrial fibrillation requiring anticoagulation; MI \< 6 months from study entry; uncontrolled or symptomatic CHF; ejection fraction below the institutional normal limit; any other cardiac condition that would make this protocol unreasonably hazardous for the patient
  • Receiving concurrent chemotherapy (other than capecitabine), radiation therapy, immunotherapy, biologic therapy or hormonal therapy for cancer. Concurrent therapy with bisphosphonates is allowed
  • History of allergic reaction attributed to compounds of similar composition to lapatinib or any excipients
  • History of allergic reactions attributed to compounds of similar chemical composition to capecitabine, fluorouracil or excipients
  • Known DPD deficiency

Exclusion

    Key Trial Info

    Start Date :

    July 1 2006

    Trial Type :

    EXPANDED_ACCESS

    End Date :

    March 1 2015

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT00338247

    Start Date

    July 1 2006

    End Date

    March 1 2015

    Last Update

    April 6 2016

    Active Locations (453)

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    Page 1 of 114 (453 locations)

    1

    Novartis Investigative Site

    Huntsville, Alabama, United States, 35805

    2

    Novartis Investigative Site

    Anchorage, Alaska, United States, 99508

    3

    Novartis Investigative Site

    Glendale, Arizona, United States, 85304

    4

    Novartis Investigative Site

    Fayetteville, Arkansas, United States, 72703