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NCT04366713

A Study to Characterize Colon Pathology in Patients With HER2 Amplified Breast Cancer Treated With Neratinib

Completed Phase 2 Results posted Last updated 10 February 2023
What this trial tests

Phase 2 trial testing Neratinib in HER2 Amplified Breast Cancer in 6 participants. Completed in 28 December 2021.

Timeline
30 June 2020
Primary endpoint
28 December 2021
28 December 2021

Quick facts

Lead sponsorPuma Biotechnology, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment6
Start date30 June 2020
Primary completion28 December 2021
Estimated completion28 December 2021
Sites1 location across Portugal

Drugs / interventions tested

Conditions studied

Sponsor

Puma Biotechnology, Inc. — full company profile →

Who can join

18 and older, any sex, with HER2 Amplified Breast Cancer. 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.

Changes in Colon Pathology Primary · From baseline to second colonoscopy, which is 88 days after start of neratinib treatment.

The primary endpoint is to describe the changes in colon pathology between the baseline colonoscopy and the second colonoscopy.

No Significant Findings
GroupValue95% CI
Neratinib Patients With 2 Colonoscopies2
Mild Changes
GroupValue95% CI
Neratinib Patients With 2 Colonoscopies2
Incidence and Severity of Diarrhea Secondary · From baseline to second colonoscopy, which is 88 days after start of neratinib treatment.

Incidence and severity of treatment emergent (TEAE) diarrhea will be summarized according to the NCI-CTCAE version 4.0 in the first cycle of neratinib treatment, which is from the time of the first colonoscopy to the second colonoscopy, or 28 days for subjects with only one colonoscopy. Incidence is defined as the number of patients experiencing diarrhea divided by the number of patients at risk.

TEAE Diarrhea
GroupValue95% CI
Safety80
Serious Diarrhea
GroupValue95% CI
Safety0

Adverse events — posted to ClinicalTrials.gov

Time frame: From time of first dose, through 28 days after last dose, assessed up to 16 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Safety
Serious: 2/5 (40%)
Deaths: 0/5

Serious adverse events (4 terms)

ReactionSystemSafety
Pericardial effusionCardiac disorders
PneumoniaInfections and infestations
Spinal fractureInjury, poisoning and procedural complications
Pleural effusionRespiratory, thoracic and mediastinal disorders
Other adverse events (16 terms — click to expand)

ReactionSystemSafety
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
DizzinessNervous system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Faeces hardGastrointestinal disorders
Faeces softGastrointestinal disorders
FlatulenceGastrointestinal disorders
NauseaGastrointestinal disorders
ParonychiaInfections and infestations
Platelet count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders

Most-reported serious reactions: Pericardial effusion, Pneumonia, Spinal fracture, Pleural effusion.

Data from ClinicalTrials.gov NCT04366713 adverse events section.

Sponsor's own description

This study will investigate colon pathology in patients with HER2-positive breast cancer treated with neratinib. Colonoscopy will be performed after eligibility has been confirmed, prior to administration of the first dose of neratinib, and after 28 days of neratinib treatment.

Publications & conference data

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

  1. Ferroptosis in cancer: From molecular mechanisms to therapeutic strategies.
    Zhou Q, Meng Y, Li D, Yao L, et al · · 2024 · cited 439× · PMID 38453898 · DOI 10.1038/s41392-024-01769-5
  2. The role of lipid metabolic reprogramming in tumor microenvironment.
    Yang K, Wang X, Song C, He Z, et al · · 2023 · cited 175× · PMID 37064872 · DOI 10.7150/thno.82920
  3. Magnetic nanoparticles for ferroptosis cancer therapy with diagnostic imaging.
    Ko MJ, Min S, Hong H, Yoo W, et al · · 2024 · cited 58× · PMID 37822917 · DOI 10.1016/j.bioactmat.2023.09.015
  4. Neratinib for HER2-positive breast cancer with an overlooked option.
    Guo L, Shao W, Zhou C, Yang H, et al · · 2023 · cited 33× · PMID 37803271 · DOI 10.1186/s10020-023-00736-0
  5. Cell Trafficking at the Intersection of the Tumor-Immune Compartments.
    Du W, Nair P, Johnston A, Wu PH, et al · · 2022 · cited 31× · PMID 35385679 · DOI 10.1146/annurev-bioeng-110320-110749
  6. The Evolving Role of Ferroptosis in Breast Cancer: Translational Implications Present and Future.
    Lin HY, Ho HW, Chang YH, Wei CJ, et al · · 2021 · cited 30× · PMID 34572802 · DOI 10.3390/cancers13184576
  7. Ferroptosis in Cancer and Inflammatory Diseases: Mechanisms and Therapeutic Implications.
    Shen G, Liu J, Wang Y, Deng Z, et al · · 2025 · cited 6× · PMID 40919133 · DOI 10.1002/mco2.70349
  8. Harnessing ferroptosis to transform glioblastoma therapy and surmount treatment resistance.
    Singh S, Mohapatra I, Barik D, Zheng H, et al · · 2025 · cited 5× · PMID 41057317 · DOI 10.1038/s41420-025-02744-x

Verify or expand the search:

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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/NCT04366713.

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