Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43857   clinical trials with a EudraCT protocol, of which   7284   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A Phase 2 Randomized Open Label Study of Neratinib versus Lapatinib plus Capecitabine for the Treatment of ErbB-2 Positive Locally Advanced or Metastatic Breast Cancer

    Summary
    EudraCT number
    2008-005425-11
    Trial protocol
    HU   SI   BE   DE   ES   CZ   IT   GR   FR   AT   GB   BG   NL  
    Global end of trial date
    20 Jun 2018

    Results information
    Results version number
    v2(current)
    This version publication date
    06 Jul 2019
    First version publication date
    25 Dec 2016
    Other versions
    v1
    Version creation reason
    • New data added to full data set
    Update to reflect final study close out.
    Summary report(s)
    3144A2-3003 PDS

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    3144A2-3003-WW
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00777101
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Puma Biotechnology, Inc.
    Sponsor organisation address
    10880 Wilshire Blvd, Suite 2150, Los Angeles, United States, 90024
    Public contact
    Sr. Director, Clinical Operations, Puma Biotechnology, Inc., 1 4242486500, clinicaltrials@pumabiotechnology.com
    Scientific contact
    Sr. Director, Clinical Operations, Puma Biotechnology, Inc., 1 4242486500, clinicaltrials@pumabiotechnology.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Jun 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Jun 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Compare the investigator assessed progression-free survival (PFS) following treatment with single agent neratinib versus lapatinib plus capecitabine in subjects with erbB2 positive locally advanced or metastatic breast cancer.
    Protection of trial subjects
    This study was designed and monitored in accordance with Sponsor procedures, which comply with the ethical principles of the International Council for Harmonisation (ICH) Good Clinical Practice (GCP), including the Declaration of Helsinki and the applicable laws and regulations. The protocol, the investigator’s brochure (IB), and the informed consent form (ICF) for this clinical study were submitted to an institutional review board (IRB) or an independent ethics committee (IEC) for review and written approval. Any subsequent amendments to the protocol or any revisions to the ICF were submitted for IRB or IEC review and written approval. This study was conducted in accordance with the International Conference on Harmonisation (ICH) Guideline for Good Clinical Practice (GCP) and the ethical principles that have their origins in the Declaration of Helsinki. All investigators have provided written commitments to comply with GCP standards and the protocol. Clinical trial data were monitored at regular intervals by the Sponsor or their representative throughout the study to verify compliance to study protocol, completeness, accuracy and consistency of the data and adherence to local regulations on the conduct of clinical research. Participants were discontinued from active treatment if any of the following occurred: documented disease progression, adverse event (AE), symptomatic deterioration, subject request, investigator request, protocol violation, discontinuation of the study by the sponsor, lost to follow up, or death.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Feb 2009
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 2
    Country: Number of subjects enrolled
    Bulgaria: 5
    Country: Number of subjects enrolled
    Switzerland: 5
    Country: Number of subjects enrolled
    Czech Republic: 2
    Country: Number of subjects enrolled
    Germany: 3
    Country: Number of subjects enrolled
    Spain: 11
    Country: Number of subjects enrolled
    Australia: 5
    Country: Number of subjects enrolled
    France: 4
    Country: Number of subjects enrolled
    United Kingdom: 2
    Country: Number of subjects enrolled
    Greece: 1
    Country: Number of subjects enrolled
    Hong Kong: 5
    Country: Number of subjects enrolled
    Croatia: 3
    Country: Number of subjects enrolled
    Hungary: 16
    Country: Number of subjects enrolled
    Italy: 2
    Country: Number of subjects enrolled
    Jordan: 2
    Country: Number of subjects enrolled
    Japan: 40
    Country: Number of subjects enrolled
    Korea, Republic of: 25
    Country: Number of subjects enrolled
    Mexico: 2
    Country: Number of subjects enrolled
    Poland: 8
    Country: Number of subjects enrolled
    Romania: 5
    Country: Number of subjects enrolled
    Russian Federation: 20
    Country: Number of subjects enrolled
    Singapore: 1
    Country: Number of subjects enrolled
    Serbia: 3
    Country: Number of subjects enrolled
    Slovenia: 3
    Country: Number of subjects enrolled
    Thailand: 2
    Country: Number of subjects enrolled
    Taiwan: 5
    Country: Number of subjects enrolled
    United States: 46
    Country: Number of subjects enrolled
    South Africa: 5
    Worldwide total number of subjects
    233
    EEA total number of subjects
    67
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    198
    From 65 to 84 years
    35
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Subjects were to have met all inclusion and exclusion criteria as described in the protocol before any study procedures were undertaken.

    Period 1
    Period 1 title
    Treatment Period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Neratinb
    Arm description
    Neratinib 240 mg qd.
    Arm type
    Experimental

    Investigational medicinal product name
    Neratinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Neratinib: six 40 mg tablets (total dose 240 mg) orally, once daily with food, preferably in the morning, continuously

    Arm title
    Lapatinib + Capecitabine
    Arm description
    Lapatinib 1250 mg qd + Capecitabine 2000 mg/m2 qd.
    Arm type
    Active comparator

    Investigational medicinal product name
    Lapatinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Five 250 mg tablets (total dose 1250 mg) orally, once daily, 1 hour before or after breakfast, continuously

    Investigational medicinal product name
    Capecitabine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Capecitabine: 150 mg or 500 mg tablets, for total of 2000 mg/m2 in 2 evenly divided doses orally with water within 30 minutes after a meal. Dose was taken daily for Days 1 to 14 of a 21 day cycle

    Number of subjects in period 1
    Neratinb Lapatinib + Capecitabine
    Started
    117
    116
    Completed
    0
    0
    Not completed
    117
    116
         Consent withdrawn by subject
    17
    8
         Death
    61
    57
         Study terminated by sponsor
    37
    48
         Lost to follow-up
    2
    3

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Treatment Period
    Reporting group description
    -

    Reporting group values
    Treatment Period Total
    Number of subjects
    233 233
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    198 198
        From 65-84 years
    35 35
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    53.8 ( 10.3 ) -
    Gender categorical
    Units: Subjects
        Female
    233 233

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Neratinb
    Reporting group description
    Neratinib 240 mg qd.

    Reporting group title
    Lapatinib + Capecitabine
    Reporting group description
    Lapatinib 1250 mg qd + Capecitabine 2000 mg/m2 qd.

    Primary: Progression Free Survival

    Close Top of page
    End point title
    Progression Free Survival
    End point description
    The primary endpoint was PFS, which was defined as the time interval from the date of randomization until the earliest date of progression (per RECIST) or death due to any cause. For subjects without death or progression, censorship was at the last valid tumor assessment. The efficacy analysis was based on the ITT population defined as all subjects randomly assigned in the study. Non-inferiority of neratinib vs lapatinib + capecitabine was to be concluded if the upper limit of the 95% confidence interval (CI) for the hazard ratio was 1.15 or less.
    End point type
    Primary
    End point timeframe
    From date of randomization to the last tumor assessment, PD, or death.
    End point values
    Neratinb Lapatinib + Capecitabine
    Number of subjects analysed
    117
    116
    Units: Months
        median (confidence interval 95%)
    4.53 (3.12 to 5.65)
    6.83 (5.85 to 8.21)
    Statistical analysis title
    Non inferiority test of Progression Free Survival
    Comparison groups
    Neratinb v Lapatinib + Capecitabine
    Number of subjects included in analysis
    233
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Hazard ratio (HR)
    Point estimate
    1.19
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.89
         upper limit
    1.6

    Secondary: Overall Response Rate

    Close Top of page
    End point title
    Overall Response Rate
    End point description
    The ORR was defined as the proportion of subjects demonstrating a confirmed objective response (complete response or partial response, per RECIST) during the study.
    End point type
    Secondary
    End point timeframe
    From date of randomization through the last tumor assessment.
    End point values
    Neratinb Lapatinib + Capecitabine
    Number of subjects analysed
    117
    116
    Units: Percentage of Patients
        number (confidence interval 95%)
    29.1 (21.0 to 38.2)
    40.5 (31.5 to 50.2)
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    1st dose through 28 days after last dose
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Neratinib
    Reporting group description
    Neratinib 240 mg qd

    Reporting group title
    Lapatinib + Capecitabine
    Reporting group description
    Lapatinib 1250 mg qd + Capecitabine 2000 mg/m2 qd

    Serious adverse events
    Neratinib Lapatinib + Capecitabine
    Total subjects affected by serious adverse events
         subjects affected / exposed
    31 / 116 (26.72%)
    24 / 115 (20.87%)
         number of deaths (all causes)
    62
    58
         number of deaths resulting from adverse events
    8
    4
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Cervix carcinoma stage 0
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metastases to meninges
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vascular disorders
    Circulatory collapse
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypotension
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lymphoedema
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subclavian artery stenosis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Chills
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Disease progression
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    0 / 0
    Fatigue
         subjects affected / exposed
    1 / 116 (0.86%)
    2 / 115 (1.74%)
         occurrences causally related to treatment / all
    2 / 2
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pain
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyrexia
         subjects affected / exposed
    2 / 116 (1.72%)
    3 / 115 (2.61%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sudden death
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Respiratory, thoracic and mediastinal disorders
    Alveolitis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dyspnoea
         subjects affected / exposed
    2 / 116 (1.72%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pleural effusion
         subjects affected / exposed
    1 / 116 (0.86%)
    6 / 115 (5.22%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 9
         deaths causally related to treatment / all
    0 / 1
    0 / 1
    Pulmonary embolism
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory failure
         subjects affected / exposed
    4 / 116 (3.45%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 5
    0 / 0
         deaths causally related to treatment / all
    0 / 3
    0 / 0
    Injury, poisoning and procedural complications
    Ankle fracture
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Radius fracture
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pericardial effusion
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Brain oedema
         subjects affected / exposed
    2 / 116 (1.72%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    0 / 0
    Dizziness
         subjects affected / exposed
    0 / 116 (0.00%)
    2 / 115 (1.74%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Encephalopathy
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Headache
         subjects affected / exposed
    1 / 116 (0.86%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Presyncope
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    1 / 116 (0.86%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    1 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Thrombocytopenia
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    3 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    3 / 116 (2.59%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ascites
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    3 / 116 (2.59%)
    4 / 115 (3.48%)
         occurrences causally related to treatment / all
    4 / 4
    4 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gingival bleeding
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Intestinal haemorrhage
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nausea
         subjects affected / exposed
    2 / 116 (1.72%)
    3 / 115 (2.61%)
         occurrences causally related to treatment / all
    2 / 2
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Stomatitis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 116 (1.72%)
    3 / 115 (2.61%)
         occurrences causally related to treatment / all
    3 / 4
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Hepatic failure
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Hepatic function abnormal
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Nail disorder
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin irritation
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Renal failure acute
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    2 / 116 (1.72%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Flank pain
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Bronchopneumonia
         subjects affected / exposed
    1 / 116 (0.86%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cellulitis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Device related infection
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Erysipelas
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Mastitis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    0 / 116 (0.00%)
    2 / 115 (1.74%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin infection
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Wound sepsis
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    1 / 116 (0.86%)
    0 / 115 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dehydration
         subjects affected / exposed
    3 / 116 (2.59%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    5 / 6
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypokalaemia
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hyponatraemia
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hypovolaemia
         subjects affected / exposed
    0 / 116 (0.00%)
    1 / 115 (0.87%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Neratinib Lapatinib + Capecitabine
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    113 / 116 (97.41%)
    114 / 115 (99.13%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    11 / 116 (9.48%)
    15 / 115 (13.04%)
         occurrences all number
    21
    35
    Aspartate aminotransferase increased
         subjects affected / exposed
    10 / 116 (8.62%)
    19 / 115 (16.52%)
         occurrences all number
    17
    37
    Blood alkaline phosphatase increased
         subjects affected / exposed
    8 / 116 (6.90%)
    4 / 115 (3.48%)
         occurrences all number
    10
    13
    Blood bilirubin increased
         subjects affected / exposed
    0 / 116 (0.00%)
    6 / 115 (5.22%)
         occurrences all number
    0
    23
    Weight decreased
         subjects affected / exposed
    15 / 116 (12.93%)
    13 / 115 (11.30%)
         occurrences all number
    19
    13
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    6 / 116 (5.17%)
    13 / 115 (11.30%)
         occurrences all number
    8
    16
    Dysgeusia
         subjects affected / exposed
    4 / 116 (3.45%)
    8 / 115 (6.96%)
         occurrences all number
    5
    18
    Headache
         subjects affected / exposed
    24 / 116 (20.69%)
    12 / 115 (10.43%)
         occurrences all number
    47
    19
    Peripheral sensory neuropathy
         subjects affected / exposed
    5 / 116 (4.31%)
    10 / 115 (8.70%)
         occurrences all number
    8
    14
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    9 / 116 (7.76%)
    5 / 115 (4.35%)
         occurrences all number
    11
    7
    Leukopenia
         subjects affected / exposed
    5 / 116 (4.31%)
    12 / 115 (10.43%)
         occurrences all number
    13
    34
    Neutropenia
         subjects affected / exposed
    5 / 116 (4.31%)
    17 / 115 (14.78%)
         occurrences all number
    14
    57
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    22 / 116 (18.97%)
    13 / 115 (11.30%)
         occurrences all number
    29
    23
    Fatigue
         subjects affected / exposed
    30 / 116 (25.86%)
    30 / 115 (26.09%)
         occurrences all number
    64
    46
    Influenza like illness
         subjects affected / exposed
    4 / 116 (3.45%)
    6 / 115 (5.22%)
         occurrences all number
    6
    7
    Mucosal inflammation
         subjects affected / exposed
    6 / 116 (5.17%)
    19 / 115 (16.52%)
         occurrences all number
    12
    32
    Pain
         subjects affected / exposed
    7 / 116 (6.03%)
    8 / 115 (6.96%)
         occurrences all number
    10
    8
    Pyrexia
         subjects affected / exposed
    6 / 116 (5.17%)
    10 / 115 (8.70%)
         occurrences all number
    9
    14
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    11 / 116 (9.48%)
    14 / 115 (12.17%)
         occurrences all number
    78
    23
    Abdominal pain upper
         subjects affected / exposed
    8 / 116 (6.90%)
    12 / 115 (10.43%)
         occurrences all number
    12
    14
    Constipation
         subjects affected / exposed
    8 / 116 (6.90%)
    12 / 115 (10.43%)
         occurrences all number
    9
    14
    Diarrhoea
         subjects affected / exposed
    100 / 116 (86.21%)
    82 / 115 (71.30%)
         occurrences all number
    792
    341
    Dyspepsia
         subjects affected / exposed
    13 / 116 (11.21%)
    11 / 115 (9.57%)
         occurrences all number
    14
    13
    Nausea
         subjects affected / exposed
    50 / 116 (43.10%)
    48 / 115 (41.74%)
         occurrences all number
    69
    85
    Stomatitis
         subjects affected / exposed
    9 / 116 (7.76%)
    28 / 115 (24.35%)
         occurrences all number
    101
    63
    Vomiting
         subjects affected / exposed
    38 / 116 (32.76%)
    25 / 115 (21.74%)
         occurrences all number
    83
    51
    Hepatobiliary disorders
    Hyperbilirubinaemia
         subjects affected / exposed
    3 / 116 (2.59%)
    27 / 115 (23.48%)
         occurrences all number
    4
    109
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    17 / 116 (14.66%)
    6 / 115 (5.22%)
         occurrences all number
    23
    7
    Dyspnoea
         subjects affected / exposed
    9 / 116 (7.76%)
    7 / 115 (6.09%)
         occurrences all number
    9
    10
    Oropharyngeal pain
         subjects affected / exposed
    7 / 116 (6.03%)
    10 / 115 (8.70%)
         occurrences all number
    11
    10
    Skin and subcutaneous tissue disorders
    Acne
         subjects affected / exposed
    3 / 116 (2.59%)
    6 / 115 (5.22%)
         occurrences all number
    4
    9
    Alopecia
         subjects affected / exposed
    0 / 116 (0.00%)
    6 / 115 (5.22%)
         occurrences all number
    0
    8
    Dry skin
         subjects affected / exposed
    8 / 116 (6.90%)
    10 / 115 (8.70%)
         occurrences all number
    9
    11
    Nail disorder
         subjects affected / exposed
    3 / 116 (2.59%)
    13 / 115 (11.30%)
         occurrences all number
    3
    32
    Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    9 / 116 (7.76%)
    77 / 115 (66.96%)
         occurrences all number
    40
    237
    Pruritus
         subjects affected / exposed
    4 / 116 (3.45%)
    17 / 115 (14.78%)
         occurrences all number
    10
    22
    Rash
         subjects affected / exposed
    26 / 116 (22.41%)
    41 / 115 (35.65%)
         occurrences all number
    50
    68
    Rash macular
         subjects affected / exposed
    0 / 116 (0.00%)
    6 / 115 (5.22%)
         occurrences all number
    0
    6
    Skin hyperpigmentation
         subjects affected / exposed
    0 / 116 (0.00%)
    12 / 115 (10.43%)
         occurrences all number
    0
    12
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    9 / 116 (7.76%)
    8 / 115 (6.96%)
         occurrences all number
    11
    11
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    7 / 116 (6.03%)
    4 / 115 (3.48%)
         occurrences all number
    7
    7
    Back pain
         subjects affected / exposed
    13 / 116 (11.21%)
    5 / 115 (4.35%)
         occurrences all number
    17
    6
    Myalgia
         subjects affected / exposed
    6 / 116 (5.17%)
    0 / 115 (0.00%)
         occurrences all number
    7
    0
    Neck pain
         subjects affected / exposed
    6 / 116 (5.17%)
    0 / 115 (0.00%)
         occurrences all number
    6
    0
    Infections and infestations
    Cystitis
         subjects affected / exposed
    7 / 116 (6.03%)
    5 / 115 (4.35%)
         occurrences all number
    7
    6
    Nasopharyngitis
         subjects affected / exposed
    3 / 116 (2.59%)
    10 / 115 (8.70%)
         occurrences all number
    10
    13
    Paronychia
         subjects affected / exposed
    6 / 116 (5.17%)
    24 / 115 (20.87%)
         occurrences all number
    8
    48
    Upper respiratory tract infection
         subjects affected / exposed
    7 / 116 (6.03%)
    5 / 115 (4.35%)
         occurrences all number
    10
    9
    Urinary tract infection
         subjects affected / exposed
    6 / 116 (5.17%)
    10 / 115 (8.70%)
         occurrences all number
    6
    15
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    33 / 116 (28.45%)
    23 / 115 (20.00%)
         occurrences all number
    55
    44
    Hypokalaemia
         subjects affected / exposed
    3 / 116 (2.59%)
    7 / 115 (6.09%)
         occurrences all number
    3
    13

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    11 Feb 2009
    This protocol included updates to eligibility criteria, permitted and prohibited concomitant medication, modification of test schedules, and addition of exploratory end point, procedures, dose adjustment guidelines and attachments.
    23 Mar 2010
    This protocol updated the study from a phase 3 study of 1000 subjects to demonstrate the superiority of neratinib over lapatinib plus capecitabine to a phase 2 study of 230 subjects designed to demonstrate non-inferiority. The primary endpoint, Progression Free Suvival, is measured by investigator assessment rather than independent assessment.
    09 Aug 2011
    This protocol included addition of Pfizer protocol reference number (B1891003) throughout the protocol, change in duration of study and subject participation, removal of the long term follow up portion of the study, change / reduction of frequency of procedures for subjects who remain on study beyond cycle 16, clarification that RECIST version 1.0 is used, clarification to the dose adjustment guidelines related to LVEF changes, revision of adverse event/Serious adverse event reporting as per Pfizer SOP, and administrative updates due to the acquisition of Wyeth by Pfizer, including a new global SAE reporting fax number.
    22 Mar 2012
    This protocol updated the Sponsor to Puma, and includes a Treatment Extension Period, which allowed participants who still derived benefit from study participation to remain on the study and enabled the Sponsor to continue to provide investigational product (IP) to the participants after the primary objectives had been reached. During the Treatment Extension Period, the required procedures were limited to IP administration and monitoring for safety and tolerability; adverse events (AEs) and serious adverse events (SAEs) were documented. To limit the participant’s burden in terms of protocol-required efficacy assessments, tumor assessments were performed as clinically indicated at the investigator’s discretion according to standard of care; however no efficacy data were collected.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    10 participants in the neratinib and 7 participants in lapatinib arm continued follow up at the time of the database lock. These participants were categorized as "study terminated by sponsor" in the disposition table.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Wed Apr 24 15:00:31 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA