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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

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SLCTR Registration Number

SLCTR/2012/003


Date of Registration

18 Apr 2012

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

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


Public Title of Trial

Phase III Trial of Vinorelbine+BIBW 2992 vs Vinorelbine+Herceptin in BC Patients After Failing Herceptin Treatment


Disease or Health Condition(s) Studied

Metastatic Breast Cancer


Scientific Acronym

LUX Breast 1


Public Acronym

LUX Breast 1


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

CTRI/2010/091/001360 (Clinical Trials Registry India), NCT01125566 (clinicaltrials.gov)


Trial Details


What is the research question being addressed?

To determine whether BIBW 2992 and vinorelbine i.v. prolongs progression-free survival (PFS) in comparison to trastuzumab and vinorelbine ?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Active


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 3


Intervention(s) planned

BIBW 2992 - once daily combined with weekly intravenous infusion of vinorelbine


Inclusion criteria

  1. Histologically confirmed diagnosis of HER2-overexpression breast cancer 2. Stage IV metastatic disease 3. Must have progressed on one prior trastuzumab treatment 4. no more than one prior trastuzumab based therapy regimen (either adjuvant or first-line) 5. Must have received anthracycline and/or taxane based chemotherapy for adjuvant treatment of breast cancer or first-line treatment of metastatic breast cancer 6. Must have (archived) tumour tissue sample available for central re-assessment of HER2-status 7. At least one measurable lesion according to RECIST 1.1. 8. ECOG score of 0 or 1.

Exclusion criteria

  1. Prior treatment with EGFR/HER2-targeted small molecules or antibodies other than trastuzumab 2. Prior treatment with vinorelbine 3. Known pre-existing interstitial lung disease 4. Active brain metastases 5. 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 randomization. 6. Cardiac left ventricular function with resting ejection fraction of less than 50%. 7. Patients unable to comply with the protocol. 8. Any contraindications for therapy with vinorelbine or trastuzumab. 9. Known hypersensitivity to BIBW 2992 or the excipients of any of the trial drugs. 10. Use of any investigational drug within 4 weeks of randomization. 11. Inadequate hepatic, renal and haematologic organ function


Primary outcome(s)

1.

Progression-free survival, defined as the time from the date of randomisation to the date of disease progression, or to the date of death if a patient died earlier

[

Every 8 weeks till disease progression or start of new anti cancer therapy

]

Secondary outcome(s)

1.

Overall survival- Best -RECIST assessment and safety -Tumour shrinkage -Maintenance of body weight and ECOG performance status -Incidence of brain metastases -Health-related quality of life pharmacokinetics of BIBW 2992

[

Life time

]

Target number/sample size

790


Countries of recruitment

Australia, Austria, Belgium, Brazil, Canada, Chile, China, Colombia, Czech Republic, France, Germany, India, Israel, Italy, Korea, Republic of, Mexico, Netherlands, Peru, Poland, Portugal, Slovakia, South Africa, Spain, Sweden, Taiwan, Province of China, United States


Anticipated start date

2012-04-19


Anticipated end date

2016-03-31


Date of first enrollment

2012-03-11


Date of study completion


Recruitment status

Terminated


Funding source

Boehringer Ingelheim India (Pvt) Ltd


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2011-12-14


Approval number

Not Available


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Kelaniya
Institutional Address:PO Box 6, Thalagolla Road, Ragama Sri Lanka
Telephone:+94-11-2961267
Email: erckelaniya@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Sachin S. Sadekar
Project Manager
Boehringer Ingelheim India Pvt Ltd, 1102, Hallmark Business Plaza, Near Gurunanak Hospital, Bandra (E), Mumbai 400051
912226456477 912226456163


sachin.sadekar.ext@boehringer-ingelheim.com

Contact Person for Public Queries

Prof Asita De Selva
Director
Clinical Trials Unit, Faculty of Medicine, University of Kelaniya

0094777377227

asita@sltnet.lk


Primary study sponsor/organization

Boehringer Ingelheim India (Pvt) Ltd

1102, Hallmark Business Plaza, Near Gurunanak Hospital, Bandra (E), Mumbai 400051
912226456477 912226456163

sachin.sadekar.ext@boehringer-ingelheim.com
www.boehringer-ingelheim.com

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results