Trastuzumab or Lapatinib Ditosylate in Treating Women With Early Breast Cancer
NCT01104571 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 257
Last updated 2018-09-17
Summary
RATIONALE: Monoclonal antibodies, such as trastuzumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Lapatinib ditosylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether trastuzumab or lapatinib ditosylate is more effective in treating women with early breast cancer.
Update June 2013:
Since the initial development of EPHOS-B in 2007 more evidence in relation to safety and efficacy of anti-HER2 therapies are now available, and in particular, a growing body of evidence that combinations of two anti-HER2 therapies are more effective than monotherapies. Therefore this study has been amended (PART 2) to a 1:1:2 ratio to control, perioperative trastuzumab or the combination of lapatinib and trastuzumab.
PURPOSE: This randomized phase III trial is studying trastuzumab to see how well it works compared with lapatinib ditosylate (and in since June 2013 - compared with a combination of lapatinib and trastuzumab) in treating women with early breast cancer.
Conditions
Interventions
- BIOLOGICAL
-
Trastuzumab 6mg/kg iv given on days 1 \& 8 pre-surgery \& one dose of 2mg/kg iv between days 15-19 post surgery
- DRUG
-
lapatinib ditosylate
Part 1: Lapatinib 1500mg/day p.o. continuously for 28 days. Should start 11 days (+2 or -1 day) before the scheduled surgery. Part 2: Lapatinib 1000mg/day p.o. continuously for 28 days. Should start 11 days (+2 or -1 day) before the scheduled surgery.
- OTHER
-
laboratory biomarker analysis
- PROCEDURE
-
adjuvant therapy
- PROCEDURE
-
neoadjuvant therapy
- PROCEDURE
-
therapeutic conventional surgery
therapeutic conventional surgery
Sponsors & Collaborators
-
University of Manchester
collaborator OTHER -
Manchester University NHS Foundation Trust
collaborator OTHER_GOV - collaborator OTHER
- collaborator INDUSTRY
-
Institute of Cancer Research, United Kingdom
lead OTHER
Principal Investigators
-
Nigel Bundred · Wythenshawe Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-04-30
- Primary Completion
- 2017-08-30
- Completion
- 2025-09-30
Countries
- United Kingdom
Study Locations
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