VinCaT: Vinorelbine, Carboplatin and Trastuzumab in Advanced Her-2 Positive Breast Cancer

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the activity and safety of the combination of vinorelbine, carboplatin and trastuzumab in HER2-positive metastatic breast cancer.

Detailed Description
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The addition of trastuzumab to chemotherapy containing anthracyclines or taxanes has improved survival in patients with Her-2 positive metastatic breast cancer, but newer combinations with less toxicity and cross resistance are needed. Early clinical studies have suggested that the combination of vinorelbine, carboplatin and trastuzumab can be active against metastatic breast cancer, with less toxicity. In this phase II single center trial, 39 patients will be enrolled to evaluate the activity and safety of this combination.

Official Title
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Vinorelbine, Carboplatin and Trastuzumab in Advanced Her-2 Positive Breast Cancer, a Phase 2 Study

Conditions
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Metastatic Breast Cancer

Intervention / Treatment
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* Drug: vinorelbine
* Drug: carboplatin
* Drug: trastuzumab


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Histological or cytological diagnosis of breast cancer Stage IV disease None or at most one prior treatment for metastatic disease (prior treatment with trastuzumab for metastatic disease is not permitted) Overexpression of HER-2 (immunohistochemistry 3+) or genetic amplification of c-erbB2/neu (FISH+) ECOG Performance Status 0-2 Age >18 and < 75 years Left Ventricular Ejection Fraction (LVEF) >50% Life expectancy >3 months Signed informed consent Exclusion Criteria: Absence of measurable or evaluable disease Life expectancy < 3 months ECOG performance status > 2 History of prior malignancy in the last 5 years (other than adequately treated non-melanoma skin cancer or excised cervical carcinoma in situ). Previous chemotherapy with vinorelbine or carboplatin (as adjuvant therapy or for metastatic disease) Previous therapy with trastuzumab for metastatic disease (previous adjuvant therapy with trastuzumab is permitted) Neutrophil < 2000/mm3, platelets < 100,000/mm3, haemoglobin < 9 g/dl Creatinine > 1.5 x the upper normal limits GOT and/or GPT > 2.5 x the upper normal limits and/or Bilirubin > 1.5 x the upper normal limits in absence of hepatic metastases GOT and/or GPT > 5 x the upper normal limits and/or Bilirubin > 3 x the upper normal limits in presence of hepatic metastases Congestive hearth failure or history of congestive heart failure, unstable angina pectoris even if it is medically controlled, myocardial infarction, clinically significant valve disease, uncontrolled arrhythmia Any concomitant pathology that would, in the investigator's opinion, contraindicate the use of the drugs in this study Male gender Pregnant or lactating women Refusal or incapacity to provide informed consent Inability to comply with follow up

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: vinorelbine, carboplatin, trastuzumab<br> | Drug: vinorelbine<br>* 25 mg/m2 days 1 and 8 every 3 weeks for 6 cycles, or up to 9 cycles for responding patients<br>Drug: carboplatin<br>* AUC 5 intravenously every 3 weeks for 6 cycles, up to 9 cycles for responding patients<br>Drug: trastuzumab<br>* 8 mg/kg IV day 1, then 6 mg/kg IV every 3 weeks until disease progression<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| objective response rate |  | after 3 and 6 cycles of therapy | 
| side effects |  | after every cycle of therapy | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| time to progression |  | at 12 months, end of study | 
| overall survival |  | at 12 months, end of study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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advanced, her-2 positive