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NCT00950742

Phase I Open Label Trial to Assess Safety of BIBW 2992 (Afatinib) in Combination With Herceptin® in Patients With HER2-positive Advanced Breast Cancer.

Completed Phase 1 Results posted Last updated 10 February 2025
What this trial tests

Phase 1 trial testing Trastuzumab in Breast Neoplasms in 18 participants. Completed in 1 October 2013.

Timeline
1 August 2009
Primary endpoint
1 October 2013
1 October 2013

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment18
Start date1 August 2009
Primary completion1 October 2013
Estimated completion1 October 2013
Sites5 locations across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, female only, with Breast Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dose Limiting Toxicities (DLT) Primary · 28 days

Number of participants with DLT in the first cycle (28 days) for the determination of the maximum tolerated dose (MTD). Important Limitations and Caveats are provided in the respective section.

GroupValue95% CI
Afatinib 20mg + Herceptin4
Afatinib 30mg + Herceptin2
Maximum Tolerated Dose (MTD) of Afatinib in Combination With Herceptin(R) Primary · 28 days

The MTD was defined as the highest dose at which no more than 1 of 6 patients experienced DLT. It was determined using a standard 3 + 3 dose escalation cohort design. To confirm the MTD, the MTD cohort was to be expanded to 18 patients with no more than 3/18 patients experiencing a DLT. Please refer to CAVEATs and Limitations.

GroupValue95% CI
Afatinib20
Number of Patients With Objective Response (OR) Secondary · Tumor assessment was performed at screening and every 2nd cycle until earliest time of progression, death or end of treatment.

Objective tumor response based on response evaluation criteria in solid tumors (RECIST) version 1.1. OR is defined as complete response (CR) or partial response (PR).

GroupValue95% CI
Afatinib 20mg + Herceptin2
Afatinib 30mg + Herceptin0
Number of Patients With Best Overall Response Secondary · Tumor assessment was performed at screening and every 2nd cycle until earliest time of progression, death or end of treatment.

Best overall response based on response evaluation criteria in solid tumors (RECIST) version 1.1. Best overall response is defined as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD) or not evaluable.

Complete Response
GroupValue95% CI
Afatinib 20mg + Herceptin0
Afatinib 30mg + Herceptin0
Partial Response
GroupValue95% CI
Afatinib 20mg + Herceptin2
Afatinib 30mg + Herceptin0
Stable Disease
GroupValue95% CI
Afatinib 20mg + Herceptin4
Afatinib 30mg + Herceptin1
Progressive Disease
GroupValue95% CI
Afatinib 20mg + Herceptin0
Afatinib 30mg + Herceptin1
Not evaluable
GroupValue95% CI
Afatinib 20mg + Herceptin10
Afatinib 30mg + Herceptin0
Progression Free Survival (PFS) Secondary · Baseline until disease progression, death or data cut-off.

PFS is defined as time from randomisation to disease progression or death whichever occurs first. Assessed by central independent review according to the response evaluation criteria in solid tumors (RECIST 1.1). Median time results from unstratified Kaplan-Meier estimates.

GroupValue95% CI
Afatinib 20mg + Herceptin113.0101.0 – 388.0
Afatinib 30mg + Herceptin83.556.0 – 111.0
Summary of Concentration of Afatinib in Plasma Secondary · 0.05 hours (h) before dosing and 0.5-1h, 2h, 3h, 4h, 5h, 6h, 8h after dosing

Pre-dose Concentrations of Afatinib in Plasma at Steady State on Days 8, 15 and 29 (Cpre,ss,8, Cpre,ss,15 and Cpre,ss,29) and Maximum Concentration of Afatinib in Plasma at Steady State (Cmax,ss).

Cpre,ss,8 (N=11)
GroupValue95% CI
Afatinib 20mg + Herceptin9.75± 69.5
Cpre,ss,15 (N=13)
GroupValue95% CI
Afatinib 20mg + Herceptin9.94± 72.4
Cpre,ss,29 (N=8)
GroupValue95% CI
Afatinib 20mg + Herceptin9.15± 64.7
Cmax,ss (N=10)
GroupValue95% CI
Afatinib 20mg + Herceptin17.9± 80.9
Time From Dosing to the Maximum Concentration of Afatinib in Plasma at Steady State (Tmax,ss) Secondary · 0.05 hours (h) before dosing and 0.5-1h, 2h, 3h, 4h, 5h, 6h, 8h after dosing

tmax,ss represents the time from dosing to the maximum concentration of afatinib in plasma at steady state

GroupValue95% CI
Afatinib 20mg + Herceptin4.250.750 – 7.02
Summary of Concentration of Herceptin in Plasma Secondary · 0.05 hours (h) before dosing and 0.5-1h, 2h, 3h, 4h, 5h, 6h, 8h after dosing

Pre-dose Concentrations of Herceptin in Plasma on Days 8, 15 and 29 (Cpre,8, Cpre,15 and Cpre,29) and Maximum Concentration of Herceptin in Plasma on Days 1, 15 and 29 (Cmax,1, Cmax,15 and Cmax,29).

Cpre,8 (N=14)
GroupValue95% CI
Afatinib 20mg + Herceptin43600± 53.9
Cpre,15 (N=13)
GroupValue95% CI
Afatinib 20mg + Herceptin47200± 47.0
Cpre,29 (N=11)
GroupValue95% CI
Afatinib 20mg + Herceptin46200± 30.9
Cmax,1 (N=14)
GroupValue95% CI
Afatinib 20mg + Herceptin122000± 27.9
Cmax,15 (N=12)
GroupValue95% CI
Afatinib 20mg + Herceptin93000± 24.9
Cmax,29 (N=7)
GroupValue95% CI
Afatinib 20mg + Herceptin93200± 16.9

Adverse events — posted to ClinicalTrials.gov

Time frame: First administration of trial medication until 28 days after last administration of trial medication (up to 1296 days). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Afatinib 20mg + Herceptin
Serious: 3/16 (19%)
Deaths:
Afatinib 30mg + Herceptin
Serious: 0/2 (0%)
Deaths:

Serious adverse events (3 terms)

ReactionSystemAfatinib 20mg + HerceptinAfatinib 30mg + Herceptin
DiarrhoeaGastrointestinal disorders
Renal failure acuteRenal and urinary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Other adverse events (129 terms — click to expand)

ReactionSystemAfatinib 20mg + HerceptinAfatinib 30mg + Herceptin
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
Oral painGastrointestinal disorders
Dry skinSkin and subcutaneous tissue disorders
Skin fissuresSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
Mouth ulcerationGastrointestinal disorders
VomitingGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
CheilitisGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Foreign body sensation in eyesEye disorders
Abdominal pain upperGastrointestinal disorders
Dry mouthGastrointestinal disorders
StomatitisGastrointestinal disorders
Influenza like illnessGeneral disorders
Mucosal inflammationGeneral disorders
Upper respiratory tract infectionInfections and infestations
Ejection fraction decreasedInvestigations
Weight decreasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
AgeusiaNervous system disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Nasal discomfortRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
VertigoEar and labyrinth disorders
ConjunctivitisEye disorders
Dry eyeEye disorders

Most-reported serious reactions: Diarrhoea, Renal failure acute, Pulmonary embolism.

Data from ClinicalTrials.gov NCT00950742 adverse events section.

Sponsor's own description

Study to determine the Maximum Tolerated dose of BIBW 2992 given in combination with Herceptin®

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Treatment of HER2-positive breast cancer.
    Figueroa-Magalhães MC, Jelovac D, Connolly R, Wolff AC. · · 2014 · cited 183× · PMID 24360619 · DOI 10.1016/j.breast.2013.11.011
  2. Potential of afatinib in the treatment of patients with HER2-positive breast cancer.
    Geuna E, Montemurro F, Aglietta M, Valabrega G. · · 2012 · cited 15× · PMID 24367201 · DOI 10.2147/bctt.s25868

Verify or expand the search:

Other trials of Trastuzumab

Trials testing the same drug.

Other recruiting trials for Breast Neoplasms

Currently open trials in the same condition.

Other Boehringer Ingelheim trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00950742.

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