Study Evaluating The Combination Of Neratinib And Capecit... | NCT00741260 | Trialant
NCT00741260
Sponsor
Puma Biotechnology, Inc.
Status
Completed
Last Update Posted
Sep 5, 2018Actual
Enrollment
105Actual
Phase
Phase 1Phase 2
Conditions
Breast Cancer
Interventions
Neratinib
Capecitabine
Countries
United States
Australia
Brazil
China
Croatia
Hong Kong
Hungary
Russia
Singapore
South Korea
Spain
Protocol Section
Identification Module
NCT ID
NCT00741260
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
3144A1-2206 / B1891017
Secondary IDs
Not provided
Brief Title
Study Evaluating The Combination Of Neratinib And Capecitabine In Solid Tumors And Breast Cancer
Official Title
A Phase 1/2, Open-Label Study Of Neratinib (HKI-272) In Combination With Capecitabine In Subjects With Solid Tumors And ErbB-2 Positive Metastatic Or Locally Advanced Breast Cancer
Acronym
Not provided
Organization
Puma Biotechnology, Inc.INDUSTRY
Status Module
Record Verification Date
Aug 2018
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Dec 9, 2008Actual
Primary Completion Date
Nov 2010Actual
Completion Date
Jun 2018Actual
First Submitted Date
Aug 22, 2008
First Submission Date that Met QC Criteria
Aug 22, 2008
First Posted Date
Aug 26, 2008Estimated
Results Waived
Not provided
Results First Submitted Date
Aug 10, 2017
Results First Submitted that Met QC Criteria
Oct 6, 2017
Results First Posted Date
Nov 9, 2017Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Jan 28, 2013
Certification/Extension First Submitted that Passed QC Review
Jan 28, 2013
Certification/Extension First Posted Date
Jan 30, 2013Estimated
Last Update Submitted Date
Aug 7, 2018
Last Update Posted Date
Sep 5, 2018Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Puma Biotechnology, Inc.INDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This is a world wide phase 1/2, open-label, study of neratinib in combination with capecitabine, conducted in 2 parts.
In Part 1, 3 to 9 subjects with solid tumors will be enrolled in each dose group of the combination of neratinib and capecitabine. Each subject will participate in only 1 dose group.
Additional subjects may be included at any dose level to further assess the safety and tolerability at that dose level.
In Part 2, up to 60 subjects with erbB-2 positive metastatic breast cancer will receive treatment with the combination of neratinib and capecitabine at the maximum tolerated dose level, as determined in Part 1. In addition 20 subjects with prior lapatinib exposure will be enrolled in Part 2.
Depending on the safety and activity profile observed during the dose escalation phase, the dose selected for Part 2 may be adjusted, if appropriate. In case one test article of the combination is discontinued due to intolerance the other test article can be administered alone.
The primary objectives of Part 1 are to assess the safety and tolerability, and to define the maximum tolerated dose (MTD) of neratinib in combination with capecitabine in subjects with advanced solid tumors.
The primary objective of Part 2 of this study is to confirm the MTD determined in Part 1.
The secondary objective of Part 1 is to collect information on preliminary anti-tumor activity of the combination of neratinib and capecitabine.
Secondary objectives for Part 2 are to collect pharmacokinetic information and to obtain additional efficacy data, such as Objective Response Rate, for subjects with erbB-2 positive breast cancer treated at the MTD of neratinib + capecitabine.
Detailed Description
Not provided
Conditions Module
Conditions
Breast Cancer
Keywords
Solid Tumor
erbB2+ Breast Cancer
Prior trastuzumab
Metastatic
Neratinib
HKI-272
Nerlynx
HER2
PB-272
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 1Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
105Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Neratinib and Capecitabine (Dose Level 1)
Experimental
Neratinib 160 mg and Capecitabine 1500 mg/m^2
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine (Dose Group 2)
Experimental
Neratinib 240 mg and Capecitabine 1500 mg/m^2
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine (Dose Group 3)
Experimental
Neratinib 240 mg and Capecitabine 2000 mg/m^2
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine (Dose Group 4)
Experimental
Neratinib 200 mg and Capecitabine 2000 mg/m^2
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine (Dose Group 5)
Experimental
Neratinib 160 mg and Capecitabine 2000 mg/m^2
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine MTD (Dose Group 6)
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Neratinib
Drug
Neratinib orally once daily continually
Neratinib and Capecitabine (Dose Group 2)
Neratinib and Capecitabine (Dose Group 3)
Neratinib and Capecitabine (Dose Group 4)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Number of Participants With Dose Limiting Toxicities
Number of participants reporting Adverse Events Causing Dose Limiting Toxicities (DLT).
From first dose date to day 21
Maximum Tolerated Dose (MTD) of Neratinib
MTD reflects the highest dose of neratinib plus capeciteabine that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks.
From first dose date to day 21.
Maximum Tolerated Dose (MTD) of Capecitabine
MTD reflects the highest dose of capecitabine in combination with neratinib that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks.
From first dose date to day 21.
Secondary Outcomes
Measure
Description
Time Frame
Overall Response Rate
Number of Subjects with Complete or Partial Response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions.
From first dose date to progression or last tumor assessment, up to three years.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
INCLUSION CRITERIA
PART 1:
confirmed pathologic diagnosis of a solid tumor not curable with available therapies for which neratinib plus capecitabine is a reasonable treatment option.
PART 2:
confirmed histologically and/or cytologically confirmed diagnosis of breast cancer, metastatic or locally advanced.
erbB-2 gene amplified tumor (FISH or CISH) or erbB-2 overexpression (IHC 3+, or IHC2+ with FISH or CISH confirmation), based on local testing, or based on centralized FISH testing prior to day 1.
disease progression on or following at least 1 prior trastuzumab containing treatment regimen (at least 6 weeks) for metastatic or locally advanced disease. (Prior adjuvant trastuzumab is allowed but not required). A 2 week period is required between the last dose of trastuzumab treatment and first dose of the test article.
Prior treatment with a taxane in the neoadjuvant, adjuvant, locally advanced, and/or metastatic disease treatment setting.
PARTS 1 and 2:
At least 1 measurable lesion as defined by RECIST criteria.
LVEF within institutional range of normal as measured by multi-gated acquisition (MUGA) or echocardiogram (ECHO).
EXCLUSION CRITERIA
PART 2:
prior treatment with capecitabine, lapatinib (20 subjects with prior lapatinib exposure will be enrolled) or any erbB-2 targeted agents except trastuzumab. Treatment with erbB-2 targeted therapy must exceed 2 weeks (14 days) in order to be exclusionary.
prior treatment with anthracyclines with a cumulative dose of doxorubicin of greater than 400 mg/m², epirubicin dose of greater than 800 mg/m², or the equivalent dose for other anthracyclines.
PARTS 1 and 2:
Subjects with bone as the only site of disease.
Active uncontrolled or symptomatic central nervous system (CNS) metastases, as indicated by clinical symptoms, cerebral edema, and/or progressive growth. Subjects with a history of CNS metastases or cord compression are allowable if they have been considered definitively treated and are off anticonvulsants and steroids for at least 4 weeks before the first dose of test article.
Any other cancer within 5 years prior to screening with the exception of adequately treated cervical carcinoma in situ, or adequately treated basal or squamous cell carcinoma of the skin.
Saura C, Garcia-Saenz JA, Xu B, Harb W, Moroose R, Pluard T, Cortes J, Kiger C, Germa C, Wang K, Martin M, Baselga J, Kim SB. Safety and efficacy of neratinib in combination with capecitabine in patients with metastatic human epidermal growth factor receptor 2-positive breast cancer. J Clin Oncol. 2014 Nov 10;32(32):3626-33. doi: 10.1200/JCO.2014.56.3809. Epub 2014 Oct 6.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Not provided
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
N160 + C1500
Neratinib 160 mg + Capecitabine 1500 mg/sq m
FG001
N240 + C1500
Neratinib 240 mg + Capecitabine 1500 mg/sq m
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
No data available
No data is available for this block.
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Argentina
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Non-Randomized
Intervention Model
Sequential Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
None (Open Label)
Masking Description
Not provided
Who Masked
Not provided
Experimental
Neratinib and Capecitabine Maximum Tolerated Dose without prior lapatinib
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine MTD (Dose Group 7)
Experimental
Neratinib and Capecitabine Maximum Tolerated Dose with prior lapatinib
Drug: Neratinib
Drug: Capecitabine
Neratinib and Capecitabine (Dose Group 5)
Neratinib and Capecitabine (Dose Level 1)
Neratinib and Capecitabine MTD (Dose Group 6)
Neratinib and Capecitabine MTD (Dose Group 7)
HKI-272
Capecitabine
Drug
Capecitabine orally on days 1-14 of each 21 day cycle
Neratinib and Capecitabine (Dose Group 2)
Neratinib and Capecitabine (Dose Group 3)
Neratinib and Capecitabine (Dose Group 4)
Neratinib and Capecitabine (Dose Group 5)
Neratinib and Capecitabine (Dose Level 1)
Neratinib and Capecitabine MTD (Dose Group 6)
Neratinib and Capecitabine MTD (Dose Group 7)
Xeloda
Clinical Benefit Rate
The percentage of subjects with Complete Response, Partial Response, or Stable Disease at least 24 weeks per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
From first dose date to progression or last tumor assessment, up to three years.
Duration of Response
Duration of response was measured from the time at which response criteria were met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the first date of recurrence or progressive disease (PD) or death per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions.
From start date of response to first PD/death, up to three years.
Long Beach
California
90813
United States
University of Southern California
Los Angeles
California
90033
United States
Florida Hospital Cancer Institute
Orlando
Florida
32804
United States
Kootenai Cancer Center
Post Falls
Idaho
83854
United States
The Care Group, LLC. dba Horizon Oncology Center
Lafayette
Indiana
47905
United States
Washington University School of Medicine Siteman Cancer Center
St Louis
Missouri
63110
United States
Arena Oncology Associates, PC
Lake Success
New York
11042
United States
Dayton Clinical Oncology Program
Dayton
Ohio
45420
United States
Berks Hematology Oncology
West Reading
Pennsylvania
19611
United States
HOPE Oncology
Richardson
Texas
75080
United States
Cancer Therapy and Research Center at The UT Health Science Center Institute for Drug Development
San Antonio
Texas
78229
United States
Mater Private Centre for HOCA
South Brisbane
Queensland
4101
Australia
Border Medical Oncology
Wodonga
Victoria
3690
Australia
Associacao Hospitalar Moinhos de Vento Instituto de Edicacao e Pesquisa
Porto Alegre
Rio Grande do Sul
90035-001
Brazil
Associacao Hospital de Caridade Ijui
IjuÃ
RS - Brazil
98700-000
Brazil
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing
Beijing Municipality
100021
China
Peking Union Medical College Hospital of Chinese Academy of Medical Sciences
Beijing
Beijing Municipality
100032
China
Jiangsu Cancer Hospital
Nanjing
Jiangsu
210009
China
The Hospital Affiliated Academy Military Medical Science, Chinese People's Liberation Army
Beijing
100071
China
University Hospital Center Zagreb Department of Oncology
Zagreb
10000
Croatia
UNIMED Medical Institute, Comprehensive Centre for Breast Diseases
Saint-Petersburg State Medical University n.a. acad. I.P. Pavlov, Laboratory of Thoracic Oncology of Pulmonology Research Institute
Saint Petersburg
197022
Russia
Johns Hopkins Singapore International Medical Centre
Singapore
308433
Singapore
Yonsei University Health System-Severance Hospital, Yonsei University College of Medicine
Seoul
120-752
South Korea
Department of Hematology/Oncology, Samsung Medical Center
Seoul
135-710
South Korea
Asan Medical Center Department of Medicine Division of Oncology
Seoul
138-736
South Korea
Hospital Vall d'Hebron
Barcelona
08035
Spain
Hospital Gregorio Maranon
Madrid
28007
Spain
Hospital Clinico San Carlos
Madrid
28040
Spain
Hospital ClÃnico Universitario de Valencia
Valencia
46010
Spain
FG002
N240 + C2000
Neratinib 240 mg + Capecitabine 2000 mg/sq m
FG003
N200 + C2000
Neratinib 200 mg + Capecitabine 2000 mg/sq m
FG004
N160 + C2000
Neratinib 160 mg + Capecitabine 2000 mg/sq m
FG005
N + C MTD - No Prior Lap
Neratinib + Capecitabine MTD (No prior Lapatinib)
FG006
N + C MTD - Prior Lap
Neratinib + Capecitabine MTD (Prior Lapatinib)
FG0006 subjects
FG0018 subjects
FG0024 subjects
FG0036 subjects
FG0049 subjects
FG00565 subjects
FG0067 subjects
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG00520 subjects
FG0060 subjects
NOT COMPLETED
FG0006 subjects
FG0018 subjects
FG0024 subjects
FG0036 subjects
FG0049 subjects
FG00545 subjects
FG0067 subjects
Type
Comment
Reasons
Disease Progression
FG0003 subjects
FG0015 subjects
FG0023 subjects
FG0033 subjects
FG0045 subjects
FG00537 subjects
FG0064 subjects
Death
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Physician Decision
FG0001 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Other
FG0002 subjects
FG0011 subjects
FG0021 subjects
FG0032 subjects
FG004
Safety population
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
N160 + C1500
Neratinib 160 mg + Capecitabine 1500 mg/sq m
BG001
N240 + C1500
Neratinib 240 mg + Capecitabine 1500 mg/sq m
BG002
N240 + C2000
Neratinib 240 mg + Capecitabine 2000 mg/sq m
BG003
N200 + C2000
Neratinib 200 mg + Capecitabine 2000 mg/sq m
BG004
N160 + C2000
Neratinib 160 mg + Capecitabine 2000 mg/sq m
BG005
N + C MTD - No Prior Lap
Neratinib + Capecitabine MTD (No prior Lapatinib)
BG006
N + C MTD - Prior Lap
Neratinib + Capecitabine MTD (Prior Lapatinib)
BG007
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0006
BG0018
BG0024
BG0036
BG0049
BG00565
BG0067
BG007105
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Categorical
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
<=18 years
BG0000
BG0010
BG0020
BG003
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00049.7± 11.50
BG00153.3± 10.42
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0004
BG0015
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Number of Participants With Dose Limiting Toxicities
Number of participants reporting Adverse Events Causing Dose Limiting Toxicities (DLT).
Safety population
Posted
Count of Participants
Participants
From first dose date to day 21
ID
Title
Description
OG000
N160 + C1500
Neratinib 160 mg + Capecitabine 1500 mg/m2
OG001
N160 + C2000
Neratinib 160 mg + Capecitabine 2000 mg/m2
OG002
N200 + C2000
Neratinib 200 mg + Capecitabine 2000 mg/m2
OG003
N240 + C1500
Neratinib 240 mg + Capecitabine 1500 mg/m2
OG004
N240 + C2000
Neratinib 240 mg + Capecitabine 2000 mg/m2
OG005
N + C MTD - No Prior Lap
Neratinib + Capecitabine MTD (No prior Lapatinib)
OG006
N + C MTD - Prior Lap
Neratinib + Capecitabine MTD (Prior Lapatinib)
Units
Counts
Participants
OG0006
OG0019
OG0026
OG003
Title
Denominators
Categories
Title
Measurements
OG0000
OG0012
OG0022
OG003
Secondary
Overall Response Rate
Number of Subjects with Complete or Partial Response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v.1.0: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; and Non-PD for non-target lesions, and no new lesions.
Evaluable Population includes subjects who met all inclusion/exclusion criteria, received at least two weeks of neratinib and capecitabine, and underwent valid tumor assessments at baseline and at least one post-baseline time point stratified by prior Lapatinib exposure.
Posted
Number
95% Confidence Interval
percentage of participants
From first dose date to progression or last tumor assessment, up to three years.
ID
Title
Description
OG000
Prior Lapatinib Subjects
MTD (Part 2), Subjects with Prior Lapatinib Experience
OG001
Lapatinib Naive Subjects P1
MTD (Part 2), Subjects without Prior Lapatinib Experience
OG002
Lapatinib Naive Subjects Part 2 + Part 1
MTD (Part 2 + Part 1), Subjects without Prior Lapatinib Experience
Secondary
Clinical Benefit Rate
The percentage of subjects with Complete Response, Partial Response, or Stable Disease at least 24 weeks per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
Evaluable Population includes subjects who met all inclusion/exclusion criteria, received at least two weeks of neratinib and capecitabine, and underwent valid tumor assessments at baseline and at least one post-baseline time point stratified by prior Lapatinib exposure.
Posted
Number
95% Confidence Interval
percentage of participants
From first dose date to progression or last tumor assessment, up to three years.
ID
Title
Description
OG000
Prior Lapatinib Subjects
MTD (Part 2), Subjects with Prior Lapatinib Experience
OG001
Lapatinib Naive Subjects P1
MTD (Part 2), Subjects without Prior Lapatinib Experience
OG002
Lapatinib Naive Subjects Part 2 + Part 1
Secondary
Duration of Response
Duration of response was measured from the time at which response criteria were met for complete response (CR) or partial response (PR) (whichever status was recorded first) until the first date of recurrence or progressive disease (PD) or death per Response Evaluation Criteria In Solid Tumors Criteria (RECIST) v1.0: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions.
Evaluable Population includes subjects who met all inclusion/exclusion criteria, received at least two weeks of neratinib and capecitabine, and underwent valid tumor assessments at baseline and at least one post-baseline time point stratified by prior Lapatinib exposure.
Posted
Median
95% Confidence Interval
weeks
From start date of response to first PD/death, up to three years.
ID
Title
Description
OG000
Prior Lapatinib Subjects
MTD (Part 2), Subjects with Prior Lapatinib Experience
OG001
Lapatinib Naive Subjects P1
MTD (Part 2), Subjects without Prior Lapatinib Experience
OG002
Lapatinib Naive Subjects Part 2 + Part 1
MTD (Part 2 + Part 1), Subjects without Prior Lapatinib Experience
Primary
Maximum Tolerated Dose (MTD) of Neratinib
MTD reflects the highest dose of neratinib plus capeciteabine that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks.
All patients in the safety population in part 1 (dose-escalation) of the study.
Posted
Number
mg
From first dose date to day 21.
ID
Title
Description
OG000
Neratinib in Combination With Capecitabine
Oral Neratinib administered daily in combination with capecitabine orally on days 1-14 of each 21 day cycle
Units
Counts
Participants
Primary
Maximum Tolerated Dose (MTD) of Capecitabine
MTD reflects the highest dose of capecitabine in combination with neratinib that did not cause a selected Grade 3 toxicity in >= 2 participants, which is any of 1) Grade 3 or 4 non-hematologic toxicity (Grade 3 asthenia was not considered a DLT unless lasting >3 days, 2) Grade 3 diarrhea lasting >2 days on optimal medical therapy or associated with fever or dehydration. 3) Grade 4 neutropenia lasting ≥ 3 days or Grade 4 febrile neutropenia, 4) Grade 4 thrombocytopenia lasting ≥3 days or associated with bleeding or requiring platelet transfusion, 5) Delayed recovery [to ≥ National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline] from one of the above listed toxicities that were related to neratinib and/or capecitabine that delayed the initiation of the next dose by more than 3 weeks.
All patients in the safety population in part 1 (dose-escalation) of the study.
Posted
Number
mg/m^2
From first dose date to day 21.
ID
Title
Description
OG000
Capecitabine in Combination With Neratinib
Oral Neratinib administered daily in combination with capecitabine orally on days 1-14 of each 21 day cycle
Units
Counts
Participants
Time Frame
From first dose through 28 days after last dose, up to five years.
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
N160 + C1500
Neratinib 160 mg + Capecitabine 1500 mg/m2
5
6
6
6
EG001
N240 + C1500
Neratinib 240 mg + Capecitabine 1500 mg/m2
4
8
8
8
EG002
N240 + C2000
Neratinib 240 mg + Capecitabine 2000 mg/m2
2
4
4
4
EG003
N200 + C2000
Neratinib 200 mg + Capecitabine 2000 mg/m2
3
6
6
6
EG004
N160 + C2000
Neratinib 160 mg + Capecitabine 2000 mg/m2
3
9
9
9
EG005
N + C MTD - No Prior Lap
Neratinib + Capecitabine MTD (No prior Lapatinib)
19
65
62
65
EG006
N + C MTD - Prior Lap
Neratinib + Capecitabine MTD (Prior Lapatinib)
2
7
7
7
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG0030 affected6 at risk
EG0040 affected9 at risk
EG0051 affected65 at risk
EG0060 affected7 at risk
Febrile neutropenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Thrombocytopenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pericardial effusion
Cardiac disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Tachycardia
Cardiac disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Ascites
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Melaena
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Proctitis
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Small intestinal obstruction
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Chills
General disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Disease progression
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
General physical health deterioration
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Pain
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pyrexia
General disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Biloma
Hepatobiliary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hyperbilirubinaemia
Hepatobiliary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Acarodermatitis
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Cystitis
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Herpes zoster
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pneumonia
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Skin infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Accidental overdose
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Femur fracture
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Blood alkaline phosphatase abnormal
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Breast neoplasm
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Ataxia
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Convulsion
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lacunar infarction
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nerve root compression
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Spinal cord compression
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Calculus ureteric
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Renal failure
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Ureteric stenosis
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Breast pain
Reproductive system and breast disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypoxia
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypotension
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Shock haemorrhagic
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Thrombosis
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG0030 affected6 at risk
EG0041 affected9 at risk
EG0056 affected65 at risk
EG0060 affected7 at risk
Leukopenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lymphopenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Neutropenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Thrombocytopenia
Blood and lymphatic system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Tachycardia
Cardiac disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Vertigo
Ear and labyrinth disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypothyroidism
Endocrine disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lacrimation increased
Eye disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Abdominal discomfort
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Abdominal distension
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0020 affected4 at risk
EG003
Abdominal pain upper
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Ascites
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Cheilitis
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Constipation
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0020 affected4 at risk
EG003
Dental caries
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0005 affected6 at risk
EG0017 affected8 at risk
EG0024 affected4 at risk
EG003
Dry mouth
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0020 affected4 at risk
EG003
Faeces soft
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Gastrointestinal disorder
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Haematemesis
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Intestinal obstruction
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lip dry
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Mouth ulceration
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0014 affected8 at risk
EG0022 affected4 at risk
EG003
Stomatitis
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Vomiting
Gastrointestinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0016 affected8 at risk
EG0022 affected4 at risk
EG003
Asthenia
General disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0014 affected8 at risk
EG0022 affected4 at risk
EG003
Chills
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Early satiety
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Fatigue
General disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0013 affected8 at risk
EG0021 affected4 at risk
EG003
Impaired healing
General disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Implant site pain
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Inflammation
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Influenza like illness
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Injection site extravasation
General disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Mucosal inflammation
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0013 affected8 at risk
EG0021 affected4 at risk
EG003
Oedema
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Oedema peripheral
General disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Pain
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pyrexia
General disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0012 affected8 at risk
EG0021 affected4 at risk
EG003
Xerosis
General disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hyperbilirubinaemia
Hepatobiliary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypersensitivity
Immune system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Seasonal allergy
Immune system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Candida infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Gastroenteritis viral
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lobar pneumonia
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nail infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Paronychia
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Respiratory tract infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Rhinitis
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Skin infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Wound infection pseudomonas
Infections and infestations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Contusion
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Face injury
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Ligament sprain
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Periorbital contusion
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Radius fracture
Injury, poisoning and procedural complications
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Activated partial thromboplastin time prolonged
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Blood alkaline phosphatase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Blood bilirubin increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Blood creatinine increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Blood glucose increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Blood lactate dehydrogenase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Electrocardiogram QT prolonged
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Gamma-glutamyltransferase increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Haemoglobin decreased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
International normalised ratio increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Liver function test abnormal
Investigations
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Weight decreased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Weight increased
Investigations
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Decreased appetite
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0023 affected4 at risk
EG003
Dehydration
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0013 affected8 at risk
EG0020 affected4 at risk
EG003
Hypercholesterolaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Hyperphosphataemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypoglycaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypomagnesaemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0013 affected8 at risk
EG0020 affected4 at risk
EG003
Muscle spasms
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Muscular weakness
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Musculoskeletal chest pain
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Musculoskeletal pain
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Myalgia
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Posture abnormal
Musculoskeletal and connective tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Ataxia
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Balance disorder
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dizziness
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0013 affected8 at risk
EG0020 affected4 at risk
EG003
Dysarthria
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dysgeusia
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Headache
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypoaesthesia
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Monoparesis
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nervous system disorder
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Neuralgia
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Neuropathy peripheral
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Neurotoxicity
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Peripheral sensory neuropathy
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Somnolence
Nervous system disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Anxiety
Psychiatric disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Depression
Psychiatric disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Insomnia
Psychiatric disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0014 affected8 at risk
EG0020 affected4 at risk
EG003
Dysuria
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Haematuria
Renal and urinary disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Breast swelling
Reproductive system and breast disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Metrorrhagia
Reproductive system and breast disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0011 affected8 at risk
EG0021 affected4 at risk
EG003
Dyspnoea
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Epistaxis
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Productive cough
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Rhinorrhoea
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Sinus congestion
Respiratory, thoracic and mediastinal disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Alopecia
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dermatitis
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Dry skin
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0020 affected4 at risk
EG003
Hyperhidrosis
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nail disorder
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Nail dystrophy
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Night sweats
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Onychoclasis
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0020 affected4 at risk
EG003
Onycholysis
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Palmar-plantar erythrodysaesthesia syndrome
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0002 affected6 at risk
EG0012 affected8 at risk
EG0023 affected4 at risk
EG003
Pigmentation disorder
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0012 affected8 at risk
EG0021 affected4 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Skin fissures
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0011 affected8 at risk
EG0020 affected4 at risk
EG003
Skin lesion
Skin and subcutaneous tissue disorders
MedDRA (17.0)
Systematic Assessment
EG0001 affected6 at risk
EG0010 affected8 at risk
EG0021 affected4 at risk
EG003
Arteriosclerosis
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Haemorrhage
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypertension
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Hypotension
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Lymphoedema
Vascular disorders
MedDRA (17.0)
Systematic Assessment
EG0000 affected6 at risk
EG0010 affected8 at risk
EG0020 affected4 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
LTE60
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Not provided
Point of Contact
Title
Organization
Phone
Extension
Email
Senior Director, Clinical Operations
Puma Biotechnology, Inc.
+1 (424) 248-6500
clinicaltrials@pumabiotechnology.com
ID
Term
D001943
Breast Neoplasms
D009362
Neoplasm Metastasis
Ancestor Terms
ID
Term
D009371
Neoplasms by Site
D009369
Neoplasms
D001941
Breast Diseases
D012871
Skin Diseases
D017437
Skin and Connective Tissue Diseases
D009385
Neoplastic Processes
D010335
Pathologic Processes
D013568
Pathological Conditions, Signs and Symptoms
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C487932
neratinib
D000069287
Capecitabine
Ancestor Terms
ID
Term
D003841
Deoxycytidine
D003562
Cytidine
D011741
Pyrimidine Nucleosides
D011743
Pyrimidines
D006573
Heterocyclic Compounds, 1-Ring
D006571
Heterocyclic Compounds
D005472
Fluorouracil
D014498
Uracil
D011744
Pyrimidinones
D003853
Deoxyribonucleosides
D009705
Nucleosides
D009706
Nucleic Acids, Nucleotides, and Nucleosides
Browse Leaves
Not provided
Browse Branches
Not provided
2 subjects
FG0052 subjects
FG0061 subjects
1 subjects
FG0053 subjects
FG0061 subjects
0 subjects
FG0050 subjects
FG0060 subjects
1 subjects
FG0053 subjects
FG0061 subjects
0
BG0040
BG0050
BG0060
BG0070
Between 18 and 65 years
BG0005
BG0017
BG0023
BG0033
BG0047
BG00559
BG0067
BG00791
>=65 years
BG0001
BG0011
BG0021
BG0033
BG0042
BG0056
BG0060
BG00714
56.3
± 17.15
BG00359.0± 10.88
BG00455.7± 10.64
BG00551.5± 10.48
BG00650.9± 10.65
BG00752.4± 10.77
3
BG0033
BG0046
BG00565
BG0067
BG00793
Male
BG0002
BG0013
BG0021
BG0033
BG0043
BG0050
BG0060
BG00712
0
BG0030
BG0040
BG0050
BG0060
BG0070
Asian
BG0000
BG0010
BG0020
BG0030
BG0040
BG00525
BG0063
BG00728
Native Hawaiian or Other Pacific Islander
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
Black or African American
BG0001
BG0010
BG0020
BG0030
BG0040
BG0052
BG0060
BG0073
White
BG0005
BG0018
BG0024
BG0036
BG0049
BG00538
BG0064
BG00774
More than one race
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
Unknown or Not Reported
BG0000
BG0010
BG0020
BG0030
BG0040
BG0050
BG0060
BG0070
8
OG0044
OG00565
OG0067
0
OG0042
OG0050
OG0060
Units
Counts
Participants
OG0007
OG00161
OG00263
Title
Denominators
Categories
Title
Measurements
OG00057.1(18.4 to 90.1)
OG00163.9(50.6 to 75.8)
OG00263.5(50.4 to 75.3)
MTD (Part 2 + Part 1), Subjects without Prior Lapatinib Experience
Units
Counts
Participants
OG0007
OG00161
OG00263
Title
Denominators
Categories
Title
Measurements
OG00071.4(29.0 to 96.3)
OG00172.1(59.2 to 82.9)
OG00273.0(60.3 to 83.4)
Units
Counts
Participants
OG0004
OG00139
OG00240
Title
Denominators
Categories
Title
Measurements
OG00048.3(30.0 to 61.0)
OG00146.3(30.1 to NA)Upper limit of the 95% confidence interval not estimable due to insufficient number of participants with events.
OG00246.3(30.1 to NA)Upper limit of the 95% confidence interval not estimable due to insufficient number of participants with events.