Pyrotinib is an oral tyrosine kinase inhibitor targeting both HER-1 and HER-2 receptors. This study is a randomized, multi-center, multinational, open-label, active-controlled, parallel design study of the combination of pyrotinib plus capecitabine versus the combination of lapatinib plus capecitabine in HER2+ MBC patients who have prior received anthracyclin, taxane or trastuzumab. Patients will be stratified by weather have prior use of trastuzumab and randomized in a 1:1 ratio to one of the following treatment arms: * Arm A: pyrotinib (400 mg once daily) + capecitabine (1000 mg/m\^2 twice daily) * Arm B: lapatinib (1250 mg once daily) + capecitabine (1000 mg/m\^2 twice daily) Patients will receive either arm of therapy until the occurrence of death, disease progression, unacceptable toxicity, or other specified withdrawal criterion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
128
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
307 Hospital Affiliated to Academy Military Medical Science
Beijing, China
Safety(adverse Events [AEs] and Serious Adverse Events [SAEs])
Time frame: : From consent through 28 days following treatment completion (estimated 18 months)
Objective Response Rate (ORR)
Time frame: Estimated 12 months
Progression Free Survival (PFS)
Time frame: Estimated 18 months
Time to Progression (TTP)
Time frame: Estimated 18 months
Duration of Response (DOR)
Time frame: Estimated 18 months
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