A Study Looking the Incidence and Severity of Diarrhea in Patients With Early-Stage HER2+ Breast Cancer Treated With Neratinib and Loperamide



Status:Recruiting
Conditions:Breast Cancer, Gastrointestinal
Therapuetic Areas:Gastroenterology, Oncology
Healthy:No
Age Range:18 - Any
Updated:3/21/2019
Start Date:February 2015
End Date:March 2020
Contact:Puma Biotechnology, Inc.
Email:clinicaltrials@pumabiotechnology.com
Phone:(424) 248-6500

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An Open-Label Study to Characterize the Incidence and Severity of Diarrhea in Patients With Early-Stage HER2+ Breast Cancer Treated With Neratinib and Loperamide

An Open-Label Study to Characterize the Incidence and Severity of Diarrhea in Patients with
Early-Stage HER2+ Breast Cancer Treated with Neratinib and Loperamide

This is an open-label, Phase 2 study that will investigate the incidence and severity of
diarrhea in early-stage HER2+ breast cancer patients receiving neratinib with loperamide,
alone and in combination with an anti-inflammatory treatment or a bile acid sequestrant
treatment, who have previously undergone a course of trastuzumab therapy in the adjuvant
setting.

Patients will receive:

- Neratinib 240 mg orally once daily with food for thirteen (13) 28-day cycles.

- Loperamide daily for two (2) 28-day cycles and then as needed.

- Amendment 3, an anti-inflammatory treatment for 1 cycle and loperamide to be
administered daily for two (2) 28-day cycles and then as needed. Closed to enrollment.

- Amendment 4, colestipol for 1 cycle and loperamide to be administered 1 cycle and then
as needed. Closed to enrollment.

- Amendment 5, colestipol for 1 cycle and loperamide as needed. Closed to enrollment.

- Amendment 6/6.1, 120 mg neratinib for Week 1 (C1D1-C1D7), followed by 160 mg neratinib
for Week 2 (C1D8- C1D14), followed by 240 mg neratinib for Week 3 and thereafter (C1D15
to end of treatment). Loperamide as needed.

- Amendment 7, 160 mg neratinib for the first 2 weeks (C1D1 - C1D14), followed by 200 mg
neratinib for the next 2 weeks (C1D15 - C1D28), followed by 240 mg neratinib thereafter
(C2D1 to end of treatment). Loperamide as needed.

Inclusion Criteria:

- Age ≥18; male or female, early breast cancer (stage I-3c)

- Documented HER2+ tumor1: HER2 immunohistochemistry (IHC) 3+ or ISH+

- Documented hormone receptor (HR)-positive disease, defined as estrogen receptor
(ER)-positive and/or progesterone (PR)-positive (for patients enrolled starting with
Amendment 7.0)

- Prior course of adjuvant trastuzumab given >2 weeks and ≤1 from enrollment

- No evidence of local/regional recurrence or metastatic disease

- Radiologic assessment (Chest X-ray at a minimum) others if abnormal labs during
screening

- Eastern Cooperative Oncology Group (ECOG) PS ≤1 (0 or 1)

- Endocrine therapy and other prior HER2-directed therapy, including pertuzumab, TDM-1
is permitted

- Male patient with female partners of childbearing potential must agree and commit to
use a condom and Women of childbearing potential must agree and commit to the use of a
highly effective non-hormonal method of contraception

Exclusion Criteria:

- Major surgery < 30 days

- Chemotherapy, investigational agents, other cancer therapy < 14 days

- Normal Left Ventricular Ejection Fraction (LVEF) < 50%, Corrected QT Interval (QTc)
>0.450 seconds (males) or >0.470 (females) or other active cardiac disease

- Significant chronic GI disorder with diarrhea as a major symptom

- No evidence of metastatic breast cancer with negative chest x-ray and other imaging if
abnormal lab value
We found this trial at
45
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45 Hospital Center Commons
Hilton Head Island, South Carolina 29926
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1871 SE Tiffany Ave # 100
Port Saint Lucie, Florida 34952
Phone: 772-408-5164
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4805 Northeast Glisan Street
Portland, Oregon 97213
(503) 215-1111
Providence Portland Medical Center We strive to give those we serve exceptional, compassionate health care...
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1600 Divisadero Street
San Francisco, California 94115
888.689.8273
UCSF Helen Diller Family Comprehensive Cancer Center UCSF’s long tradition of excellence in cancer research...
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220 S Palisade Dr # 204
Santa Maria, California 93454
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22 South Greene Street
Baltimore, Maryland 21201
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Birmingham, Alabama 35223
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Charleston, South Carolina 29403
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Corona, California 92879
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Corpus Christi, Texas 78463
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Corpus Christi, Texas 78412
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Corvallis, OR
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Fairfax, Virginia 22031
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Fullerton, California 92835
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1 Ingalls Dr
Harvey, Illinois 60426
(708) 333-2300
Ingalls Memorial Hospital As the area's only independent not-for-profit healthcare system, Ingalls has the ability...
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Hollywood, Florida
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1515 Holcombe Blvd
Houston, Texas 77030
 713-792-2121
University of Texas M.D. Anderson Cancer Center The mission of The University of Texas MD...
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Indianapolis, Indiana 46254
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Lake Success, New York 11042
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Lewiston, Maine 04240
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94 Old Short Hills Road
Livingston, New Jersey 07039
(973) 322-5000
Saint Barnabas Medical Center As a Barnabas Health facility, Saint Barnabas Medical Center is committed...
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Los Angeles, California 90095
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Louisville, Kentucky 40207
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Mission Hills, California 91345
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Neptune, New Jersey 07754
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New Brunswick, New Jersey 08903
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Newnan, Georgia 30265
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North Platte, Nebraska 69101
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Ogden, Utah 84403
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300 Halket St.
Pittsburgh, Pennsylvania 15213
1-866-MyMagee (696-2433)
Magee-Womens Hospital of UPMC Magee-Womens Hospital of UPMC is a world-class center for both women's...
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Plantation, Florida
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7000 Boulder Avenue
Redlands, California 92373
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Riverside, California 92501
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660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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Salt Lake City, Utah 84106
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Santa Ana, California 92705
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Santa Barbara, California 93105
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Sunrise, Florida 33322
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961 South Gloster Street
Tupelo, Mississippi 38801
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Voorhees, New Jersey 08403
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185 Fox Valley Road
Wahroonga, New South Wales 2076
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