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A Single-centre Phase 2 Study of Vinorelbine Plus 3-weekly Trastuzumab in Metastatic Breast Cancer Overexpressing Her-2


Phase 2
18 Years
N/A
Not Enrolling
Female
Metastatic Breast Cancer

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Trial Information

A Single-centre Phase 2 Study of Vinorelbine Plus 3-weekly Trastuzumab in Metastatic Breast Cancer Overexpressing Her-2


The schedule of treatment includes vinorelbine (30 mg/m2 on days 1 & 8 every 21 days) and
trastuzumab (8 mg/kg on day 1 and then 6 mg/kg every 21 days). Vinorelbine is planned for
maximum 9 cycles, while trastuzumab can be continued until progression. This study is a
single-stage phase 2 design, and patients eligible for response evaluation are required.


Inclusion Criteria:



- Histologically or cytologically confirmed breast cancer

- Stage IV

- No prior or not more than one prior chemotherapy for metastatic disease

- Overexpression of HER-2 (3+ on immunohistochemical exam) or amplified genetic
expression of c-erbB2/neu (positive by Fish method)

- Performance status 0-2 (ECOG)

Exclusion Criteria:

- Absence of measurable disease

- Life expectancy < 3 months

- Concomitant malignancy or malignancy within previous 5 years (except basal cell or
spinocellular skin cancer and in situ cervical cancer if they have been adequately
treated

- Previous treatment with trastuzumab or vinorelbine

- Neutrophils < 1500/mm3 or platelets < 100000/mm3 or haemoglobin < 8 g/dl

- Creatinine > 1.5 x the value of the upper normal limit

- GOT and/or GPT > 2.5 x the value of the upper normal limit and/or bilirubin > 1.5 x
the value of the upper normal limit in the absence of liver metastases

- GOT and/or GPT > 5 x the value of the upper normal limit and/or bilirubin > 3 x the
value of the upper normal limit in the presence of liver metastases

- Left ventricular ejection fraction < 50% (measured by ultrasound or MUGA
angiography)

- Concomitant conditions that contraindicate the use of the drugs in the protocol

- Male gender

- Pregnancy or lactation·

- Incapacity or refusal to provide informed consent

- Inability to comply with followup

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

response rate

Principal Investigator

Andrea De Matteis, M.D.

Investigator Role:

Principal Investigator

Investigator Affiliation:

NCI Naples, Division of Medical Oncology C

Authority:

Italy: Ethics Committee

Study ID:

HERVIN

NCT ID:

NCT00401427

Start Date:

November 2002

Completion Date:

December 2006

Related Keywords:

  • Metastatic Breast Cancer
  • HER2 overexpression
  • combination therapy
  • Breast Neoplasms

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