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lapatinib

Phase 3

Metastases, Brain | Small molecule | Other |Novartis AG|Last Updated: Apr 2, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment540
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00820222Lapatinib Plus Capecitabine Versus Trastuzumab Plus Capecitabine in ErbB2 (HER2) Positive Metastatic Breast CancerPHASE3 COMPLETED 540Apr 14, 2009Mar 22, 2018Apr 2, 2019164 United States, Belgium +12
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Study Endpoints
Primary Endpoints
Number of Participants With Central Nervous System (CNS) Metastases (as Assessed by Independent Review) as the Site of First Relapse
From randomization until disease progression, death, or discontinuation from the study (average of 10 months). Cut-off 11-Jun-2012

CNS relapse is defined as the appearance of \>=1 enhancing lesion measuring \>=6 millimeters (mm) on T1Weighted (T1W) Magnetic Resonance Imaging (MRI) without CNS symptoms that were considered to be unequivocal based on all relevant radiological features (e.g., associated T2W signal abnormality); the appearance of any enhancing lesion on T1W MRI with CNS symptoms; unequivocal finding of leptomeningeal disease (defined as the dissemination of cancer throughout the spinal fluid), with or without symptoms; and unequivocal finding of multifocal intraparenchymal lesions with or without symptoms. In the event of the appearance of a \<6 mm lesions(s) without CNS lesions, or equivocal findings potentially suggesting leptomeningeal disease, these findings were followed with a subsequent scan within 6 weeks. If unequivocal progression was determined with the subsequent scan and/or CNS symptoms occurred, then CNS relapse crieria were met.

Secondary Endpoints
Progression Free Survival (PFS), as Assessed by the Investigator
From randomization until disease progression, death, or discontinuation from the study (average of 10 months). Cut-off 11-Jun-2012
Time to First CNS Progression, Defined as the Time From Randomization Until the Date of Documented CNS Progression as the First Site of Relapse
From randomization until the date of documented CNS progression (average of 10 months). Cut-off 11-Jun-2012
Overall Survival
From randomization until death due to any cause (average of 10 months). Cut-off 11-Jun-2012
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Lapatinib plus capecitabineEXPERIMENTALLapatinib 1250 mg once daily and capecitabine 2000mg/m2/day, days 1-14, every 21 days
Trastuzumab plus capecitabineACTIVE_COMPARATORtrastuzumab loading dose of 8mg/kg followed by 6mg/kg q3weekly infusions, and capecitabine 2500mg/m2/day, days 1-14, every 21 days
Interventions
NameTypeDescription
capecitabineDRUGoral medication; daily dose divided into morning and evening dose and taken for 14 days of 21 day cycle
lapatinibDRUGoral medication; daily dose taken once a day
trastuzumabDRUGinfusion therapy; loading dose of 8mg/kg, followed by 6mg/kg given every 3 weeks
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites164

Inclusion Criteria: * Females at least 18 years old; * ECOG Performance Status 0-2; * Histologically or cytologically confirmed HER2-positive invasive breast cancer, with Stage IV disease; * Prior treatment with taxanes or anthracyclines is required; * Prior treatment with other chemotherapeutic ag...

Countries:United StatesBelgiumDenmarkFranceGermanyGreeceHungaryItalyPolandRussiaSpainSwedenThailandUnited Kingdom
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