The purpose of this study is to learn whether it is safe and effective to administer HKI-272 (neratinib) in combination with paclitaxel in patients with breast cancer.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
110
Dose Limiting Toxicity Incidence of Neratinib in Combination With Paclitaxel
Dose Limiting Toxicity in subjects with solid tumors treated with neratinib, administered daily, in combination with paclitaxel 80 mg/m² IV on days 1, 8, and 15 of a 28 day cycle.
Time frame: From first dose date through day 28
Maximum Tolerated Dose
Maximum Tolerated Dose (MTD) of neratinib, daily, in combination with paclitaxel 80 mg/m², intravenous at days 1, 8, and 15, associated with the dose limiting toxicity data.
Time frame: From first dose date through day 28.
Objective Response Rate
Subjects with partial response (PR) or complete response (CR) with ERBB2 positive breast cancer treated at the maximum tolerated dose (MTD) of neratinib in combination with paclitaxel, per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: CR, disappearance of all target lesions; PR, \>=30% decrease in the sum of the longest diameter of target lesions; and no progressive disease (PD) for non-target lesions, and no new lesions.
Time frame: From first dose date to progression or last tumor assessment, up to 140 weeks
Maximum Plasma Concentration of Neratinib
Maximum plasma concentration of neratinib; after each dosing of neratinib on Cycle 1 of Day 15, blood samples taken at regular time points.
Time frame: Samples taken at 0 hour and at 1, 2, 4, 6, 8, and 24 hours postdose on Day 15 of Cycle 1, and 1 predose sample on Day 1 in Cycle 1.
Area Under the Concentration-time Curve 0-24
Area under the concentration-time curve of neratinib; after each dosing of neratinib on Cycle 1 of Day 15, blood samples taken at regular time points.
Time frame: Samples taken at 0 hour and at 1, 2, 4, 6, 8, and 24 hours postdose on Day 15 of Cycle 1, and 1 predose sample on Day 1 in Cycle 1.
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Scripps, Clinic General
La Jolla, California, United States
Moores UC San Diego Cancer Center
La Jolla, California, United States
Sharp Memorial Hospital
San Diego, California, United States
Boston University Medical Center
Boston, Massachusetts, United States
Mid-Michigan Physicians-HOS Division
Lansing, Michigan, United States
Oncology Care Associates
Saint Joseph, Michigan, United States
Columbia University Medical Center
New York, New York, United States
CTRC at The University of Texas Health Science Center
San Antonio, Texas, United States
Institut Jules Bordet Unite du Chimiotherapie
Brussels, Belgium
Universitair Ziekenhuis Gent
Ghent, Belgium
...and 22 more locations