Phase I Open Label Trial to Assess Safety of BIBW 2992 (Afatinib) in Combination With Herceptin® in Patients With HER2-positive Advanced Breast Cancer.
CompletedPhase 1Results postedLast updated 10 February 2025
What this trial tests
Phase 1 trial testing Trastuzumab in Breast Neoplasms in 18 participants. Completed in 1 October 2013.
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.
Group
Value
95% CI
Afatinib 20mg + Herceptin
4
Afatinib 30mg + Herceptin
2
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.
Group
Value
95% CI
Afatinib
20
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).
Group
Value
95% CI
Afatinib 20mg + Herceptin
2
Afatinib 30mg + Herceptin
0
Number of Patients With Best Overall ResponseSecondary· 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
Group
Value
95% CI
Afatinib 20mg + Herceptin
0
Afatinib 30mg + Herceptin
0
Partial Response
Group
Value
95% CI
Afatinib 20mg + Herceptin
2
Afatinib 30mg + Herceptin
0
Stable Disease
Group
Value
95% CI
Afatinib 20mg + Herceptin
4
Afatinib 30mg + Herceptin
1
Progressive Disease
Group
Value
95% CI
Afatinib 20mg + Herceptin
0
Afatinib 30mg + Herceptin
1
Not evaluable
Group
Value
95% CI
Afatinib 20mg + Herceptin
10
Afatinib 30mg + Herceptin
0
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.
Group
Value
95% CI
Afatinib 20mg + Herceptin
113.0
101.0 – 388.0
Afatinib 30mg + Herceptin
83.5
56.0 – 111.0
Summary of Concentration of Afatinib in PlasmaSecondary· 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)
Group
Value
95% CI
Afatinib 20mg + Herceptin
9.75
± 69.5
Cpre,ss,15 (N=13)
Group
Value
95% CI
Afatinib 20mg + Herceptin
9.94
± 72.4
Cpre,ss,29 (N=8)
Group
Value
95% CI
Afatinib 20mg + Herceptin
9.15
± 64.7
Cmax,ss (N=10)
Group
Value
95% CI
Afatinib 20mg + Herceptin
17.9
± 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
Group
Value
95% CI
Afatinib 20mg + Herceptin
4.25
0.750 – 7.02
Summary of Concentration of Herceptin in PlasmaSecondary· 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)
Group
Value
95% CI
Afatinib 20mg + Herceptin
43600
± 53.9
Cpre,15 (N=13)
Group
Value
95% CI
Afatinib 20mg + Herceptin
47200
± 47.0
Cpre,29 (N=11)
Group
Value
95% CI
Afatinib 20mg + Herceptin
46200
± 30.9
Cmax,1 (N=14)
Group
Value
95% CI
Afatinib 20mg + Herceptin
122000
± 27.9
Cmax,15 (N=12)
Group
Value
95% CI
Afatinib 20mg + Herceptin
93000
± 24.9
Cmax,29 (N=7)
Group
Value
95% CI
Afatinib 20mg + Herceptin
93200
± 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)
Reaction
System
Afatinib 20mg + Herceptin
Afatinib 30mg + Herceptin
Diarrhoea
Gastrointestinal disorders
—
—
Renal failure acute
Renal and urinary disorders
—
—
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
—
—
Other adverse events (129 terms — click to expand)
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Boehringer Ingelheim
Last refreshed: 10 February 2025
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.