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NCT01273610

Tolerability of the Combination of Lapatinib and Trastuzumab in Adults Age 60 or Older With HER2 Positive Locally Advanced or Metastatic Breast Cancer

Active, enrolled Phase 2 Results posted Last updated 10 June 2025
What this trial tests

Phase 2 trial testing Lapatinib in Breast Neoplasms in 40 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
20 April 2011
Primary endpoint
22 February 2018
19 May 2026

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment40
Start date20 April 2011
Primary completion22 February 2018
Estimated completion19 May 2026
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

60 and older, any sex, with Breast Neoplasms or HER2/Neu Positive. 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.

Percent of Participants With Grade 3 or Higher Non-hematological Toxicities and Symptomatic Congestive Heart Failure Primary · Until 30 days after last dose of treatment, an average of 8 months

Toxicities will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Rates and associated 95% exact Clopper and Pearson binomial confidence limits will be estimated for grade 3 or higher toxicities attributed to lapatinib or trastuzumab.

GroupValue95% CI
Age ≤75176 – 35
Age >75307 – 65
Percent of Participants With a Dose Modifications Secondary · While on treatment, up to 4.5 years

Rates and associated 95% exact Clopper and Pearson binomial confidence intervals will be estimated. A dose modification was defined as a hold (participant started the dose later than scheduled), reduction (subject was given a lower dose than originally scheduled), or discontinuation (subject stopped treatment) of lapatinib.

GroupValue95% CI
Age ≤753720 – 56
Age >756026 – 88
Number of Participants With Tumor Response Using Response Evaluation Criteria in Solid Tumors (RECIST) Secondary · While on treatment, up to 4.5 years

RECIST: Complete Response (CR): Disappearance of all target lesions. Lymph node CR is when the lymph node has decreased to less than 10mm in the short axis. Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started (including the baseline scan if that is the smallest), and at least a 5mm increase or the appearance of new lesions. Stable D

GroupValue95% CI
Age ≤750
Age >751
Age ≤757
Age >751
Age ≤756
Age >753
Age ≤7512
Age >750
Median Progression-free Survival (PFS) Secondary · From the date treatment begins until the first date on which recurrence, progression or death due to any cause, with an average follow up of 1 year.

Median PFS and associated 95% exact Clopper and Pearson binomial confidence limits will be estimated across all ages per protocol plan. Progression is defined using RECIST v1.0, as at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started (including the baseline scan if that is the smallest), and at least a 5mm increase or the appearance of new lesions.

GroupValue95% CI
Lapatinib and Trastuzumab2.72.5 – 12
Median Overall Survival (OS) Secondary · Time from start of treatment to death due to any cause, with average follow up of 4.5 years

OS will be estimated using the product limit method of Kaplan and Meier across all ages per protocol plan.

GroupValue95% CI
Lapatinib and Trastuzumab30.817.9 – 39.9

Adverse events — posted to ClinicalTrials.gov

Time frame: On treatment plus 30 days following discontinuation of treatment, up to 4.5 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Age ≤75
Serious: 8/30 (27%)
Deaths: 19/30
Age > 75
Serious: 6/10 (60%)
Deaths: 7/10

Serious adverse events (21 terms)

ReactionSystemAge ≤75Age > 75
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Bladder infectionInfections and infestations
Lung infectionInfections and infestations
DehydrationMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypoglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
DizzinessNervous system disorders
Edema cerebralNervous system disorders
PresyncopeNervous system disorders
SeizureNervous system disorders
Vasovagal reactionNervous system disorders
AnxietyPsychiatric disorders
ConfusionPsychiatric disorders
PsychosisPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Other adverse events (90 terms — click to expand)

ReactionSystemAge ≤75Age > 75
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
PainGeneral disorders
AnemiaBlood and lymphatic system disorders
HypertensionVascular disorders
NauseaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedInvestigations
Creatinine increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
VomitingGastrointestinal disorders
Alkaline phosphatase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
ParonychiaInfections and infestations
HyperglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Rash acneiformSkin and subcutaneous tissue disorders
Dry eyeEye disorders
BloatingGastrointestinal disorders
ConstipationGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Edema limbsGeneral disorders
Blood bilirubin increasedInvestigations
Weight lossInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
Stomach painGastrointestinal disorders
Localized edemaGeneral disorders
Lymphocyte count decreasedInvestigations

Most-reported serious reactions: Diarrhea, Nausea, Vomiting, Bladder infection, Lung infection, Dehydration, Hyperglycemia, Hypoglycemia.

Data from ClinicalTrials.gov NCT01273610 adverse events section.

Sponsor's own description

This phase II trial studies the side effects and how well lapatinib ditosylate and trastuzumab work in treating older patients with human epidermal growth factor receptor 2 (HER2)-positive breast cancer that has spread from where it started to nearby tissue or lymph nodes (locally advanced) or to other parts of the body (metastatic). Lapatinib ditosylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as trastuzumab, can block tumor growth in different ways. Some block the ability of tumor to grow and spread. Others find tumor cells and help kill them or tumor cancer-killing substances to them. Giving lapatinib ditosylate together with trastuzumab may kill more tumor cells.

Publications & conference data

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

  1. Treating Advanced Unresectable or Metastatic HER2-Positive Breast Cancer: A Spotlight on Tucatinib.
    Ulrich L, Okines AFC. · · 2021 · cited 13× · PMID 34079368 · DOI 10.2147/bctt.s268451
  2. Key Considerations for the Treatment of Advanced Breast Cancer in Older Adults: An Expert Consensus of the Canadian Treatment Landscape.
    Jackson EB, Curry L, Mariano C, Hsu T, et al · · 2023 · cited 1× · PMID 38248095 · DOI 10.3390/curroncol31010010

Verify or expand the search:

Other trials of Lapatinib

Trials testing the same drug.

Other recruiting trials for Breast Neoplasms

Currently open trials in the same condition.

Other City of Hope Medical Center trials

Trials by the same sponsor.

Verify against primary sources

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/NCT01273610.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing