Defining the HER2 Positive (+) Breast Cancer Kinome Response to Trastuzumab, Pertuzumab, Combination Trastuzumab +Pertuzumab, or Combination Trastuzumab + Lapatinib
Part of paid clinical trials in Birmingham, Alabama.
- Sponsor
- UNC Lineberger Comprehensive Cancer Center
- Study ID
- NCT01875666
- Phase
- EARLY_PHASE1
- Status
- Completed
Conditions
Eligibility Criteria
- Sex
- FEMALE
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Trastuzumab — DRUG8 mg/kg IV, single dose
- pertuzumab — DRUG840 mg IV single dose
- lapatinib — DRUG1000 mg daily for 7 days
Study Details
Kinases are a group of proteins that are important in how cancer cells grow. HER2 is a kind of kinase. This study looks at a new approach to identifying kinases, which may help target therapy more precisely. LCCC1214 is a randomized, multiarm, multicenter, open-label window trial designed to explore the kinome response in Stage I-IV HER2 positive (HER2+) breast cancer patients scheduled to undergo definitive surgery (either lumpectomy, mastectomy or surgical resection of oligometastatic disease). Patients will initiate dosing with either a single HER2-directed agent or a combination of two HER2-directed agents, one week prior to surgery. Forty patients will be randomized to one of four study groups: A) single dose trastuzumab; B) single dose pertuzumab; C) combination single dose trastuzumab plus single dose pertuzumab; or D) combination single dose trastuzumab plus lapatinib daily for 7 days. Pre- and post- dosing tissue will be analyzed for kinome response and resistant signatures. The initiation of study drug will be defined by the surgical schedule; there will be no delays in standard treatment for the purposes of this study.
Key Dates
- Start date
- Aug 5, 2013
- Status verified
- Jul 2020
- Primary completion
- Dec 19, 2016
- Completion
- Dec 19, 2016
Study Design
- Enrollment
- 26 participants (actual)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- DIAGNOSTIC
Arms
- Active Comparator: Trastuzumabsingle dose intravenous infusion administration of trastuzumab (8 mg/kg)
- Active Comparator: pertuzumabsingle dose infusion of pertuzumab (840 mg)
- Active Comparator: trastuzumab plus pertuzumabsingle dose infusion of combination trastuzumab (8 mg/kg) plus pertuzumab (840 mg)
- Active Comparator: trastuzumab plus lapatinibcombination of single dose infusion of trastuzumab (8 mg/kg) plus oral lapatinib (1000 mg daily for 7 days)
Primary Outcome Measure
difference in kinome activation pre and post treatment [ Time Frame: 7-10 days prior to surgery and at surgery ]
Locations (5)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35294 | - |
| IU Simon Cancer Center | Indianapolis | Indiana | 46202 | - |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | - |
| Lineberger Comprehensive Cancer Center, UNC | Chapel Hill | North Carolina | 27599 | - |
| MD Anderson | Houston | Texas | 77030-4008 | - |
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