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Trial ยท NCT00073528

Study Comparing Lapatinib (GW572016) And Letrozole Versus Letrozole In Subjects With Advanced Or Metastatic Breast Cancer

NCT00073528, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2012-05-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study Comparing Lapatinib (GW572016) And Letrozole Versus Letrozole In Subjects With Advanced Or Metastatic Breast Cancer. Trials, record NCT00073528. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00073528

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study Comparing Lapatinib (GW572016) And Letrozole Versus Letrozole In Subjects With Advanced Or Metastatic Breast Cancer
NCT number
NCT00073528
Status
Completed
Phases
Phase 3
Enrollment
1,286 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Breast Neoplasms
Interventions
Lapatinib, Letrozole, Placebo
First posted
2003-11-26
Last updated
2021-02-24
Other registries' IDs
eudract:2004-003928-35
Results first posted
2012-05-17

Source ClinicalTrials.gov

Registered outcomes33

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the InvestigatorFrom the date of randomization until the date of the first documented progression or date of death from any cause, whichever came first, assessed for up to 46 months
PFS is defined as the time from randomization until the earliest date of disease progression (PD) or death due to any cause, if sooner. The date of documented PD is defined as the date of radiological PD as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per Response Evaluation Criteria in Solid Tumors (RECIST 1.0), PD is defined as a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions.
PrimaryProgression Free Survival (PFS) of Participants in the HER2-Positive Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months
PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions.
SecondaryNumber of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months
PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions.
SecondaryPFS in Participants in the ITT Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months
PFS is defined as the time from randomization until the earliest date of disease progression or death due to any cause, if sooner. The date of documented disease progression is defined as the date of radiological disease progression as assessed by the investigator based on imaging data and also by the clinical assessment of symptomatic progression. Per RECIST 1.0, disease progression is defined as a 20% increase in the sum of the LD of target lesions, taking as a reference the smallest sum LD recorded since the treatment started, or the appearance of 1 or more new lesions.
SecondaryOverall Survival in the HER2-Positive PopulationFrom date of randomization until date of death due to any cause, assessed up to 46 monthsOverall survival was defined as the time from randomization until death due to any cause.
SecondaryOverall Tumor Response (OR) for Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 months
OR is defined as the percentage of participants achieving either a confirmed complete response (CR) or partial response (PR). Response was assessed via Response Evaluation criteria in Solid Tumors (RECIST). The percentage of participants with response was calculated by using the formula: 100 \* (number of participants with CR + number of participants with PR)/total number of participants. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as a reference the baseline sum LD.
SecondaryNumber of Participants With Overall Tumor Response (OR) by Stratification Factors With Measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 months
Participants were stratified based on site of disease at screening (SDS) (soft tissue or visceral or bone-only disease) and prior adjuvant endocrine therapy (PAET) (discontinuation interval \[DI\] =\>6 months or DI \<6 months). OR is defined as the number of participants achieving either a confirmed CR or PR. Response was assessed via RECIST. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. DI is defined as the time period from stopping the PEAT to the randomization date.
SecondaryClinical Benefit (CB) in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 months
CB is defined as the percentage of participants with evidence of confirmed CR, PR, or stable disease (SD) for at least 6 months. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as a reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the baseline measurement.
Secondary
Number of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the Investigator.
Up to 46 months
CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference the smallest sum LD since the baseline measurement. The best overall response is defined as the best response recorded from the start of treatment until disease progression/recurrence. PD: presence of target lesions, non-target lesions, and/or new lesions.
SecondaryNumber of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the ITT Population as Assessed by the Investigator.Up to 46 months
CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as a reference the smallest sum LD since the baseline measurement. The best overall response is defined as the best response recorded from the start of treatment until disease progression/recurrence. PD: presence of target lesions, non-target lesions, and/or new lesions.

Outcomes34

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the InvestigatorFrom the date of randomization until the date of the first documented progression or date of death from any cause, whichever came first, assessed for up to 46 months
HER2-Positive Population: all randomized participants who had documented amplification of baseline HER2 by fluorescence in situ hybridization (FISH) (=\>2.0) or 3+ immunohistochemistry (IHC) (or 2+ IHC and FISH +) in archived tumor tissue regardless of whether or not study treatment had been received.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYProgression Free Survival (PFS) of Participants in the HER2-Positive Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 monthsHER2-Positive Population. Only those participants who experienced disease progression or died during their participation in the study were assessed.WeeksMEDIAN
SECONDARYNumber of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 months
ITT Population: all randomized participants, regardless of whether or not study treatment had been received. The ITT Population included the HER2-Positive Population, the HER2-Negative Population, and the HER2-Missing Population.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPFS in Participants in the ITT Population as Assessed by the InvestigatorFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 46 monthsITT Population. Only those participants who experienced disease progression or died during their participation in the study were assessed.WeeksMEDIAN
SECONDARYOverall Survival in the HER2-Positive PopulationFrom date of randomization until date of death due to any cause, assessed up to 46 monthsHER2-Positive Population. Only those participants who died during the study due to any cause were assessed.WeeksMEDIAN
SECONDARYOverall Tumor Response (OR) for Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 monthsHER2-Positive PopulationPercent response rateNUMBER
SECONDARYNumber of Participants With Overall Tumor Response (OR) by Stratification Factors With Measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 monthsHER2-Positive Population. Only those participants with measurable disease, including bone scans, were assessed.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYClinical Benefit (CB) in the HER2-Positive Population as Assessed by the InvestigatorUp to 46 monthsHER2-Positive PopulationMonthsNUMBER
SECONDARY
Number of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the HER2-Positive Population as Assessed by the Investigator.
Up to 46 monthsHER2-Positive PopulationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With the Indicated Best Response From the Participants With Measurable and Non-measurable Disease, Including Bone Scans, in the ITT Population as Assessed by the Investigator.Up to 46 monthsITT PopulationParticipantsCOUNT_OF_PARTICIPANTS

Results by group202

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the InvestigatorPlacebo + Letrozole 2.5 mg89Participants
Number of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the InvestigatorLapatinib 1500 mg + Letrozole 2.5 mg88Participants
Progression Free Survival (PFS) of Participants in the HER2-Positive Population as Assessed by the InvestigatorPlacebo + Letrozole 2.5 mg13.095% Confidence Interval 12.0 to 23.7Weeks
Progression Free Survival (PFS) of Participants in the HER2-Positive Population as Assessed by the InvestigatorLapatinib 1500 mg + Letrozole 2.5 mg35.495% Confidence Interval 24.1 to 39.4Weeks
Number of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the InvestigatorPlacebo + Letrozole 2.5 mg476Participants
Number of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the InvestigatorLapatinib 1500 mg + Letrozole 2.5 mg413Participants
PFS in Participants in the ITT Population as Assessed by the InvestigatorPlacebo + Letrozole 2.5 mg47.095% Confidence Interval 36.9 to 50.9Weeks
PFS in Participants in the ITT Population as Assessed by the InvestigatorLapatinib 1500 mg + Letrozole 2.5 mg51.795% Confidence Interval 47.6 to 59.6Weeks
Overall Survival in the HER2-Positive PopulationPlacebo + Letrozole 2.5 mg140.395% Confidence Interval 92.1 to 159.4Weeks
Overall Survival in the HER2-Positive PopulationLapatinib 1500 mg + Letrozole 2.5 mg144.795% Confidence Interval 95.6 to NAWeeks

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo + Letrozole 2.5 mg644
Overall StudySTARTEDLapatinib 1500 mg + Letrozole 2.5 mg642
Overall StudyCOMPLETEDPlacebo + Letrozole 2.5 mg14
Overall StudyCOMPLETEDLapatinib 1500 mg + Letrozole 2.5 mg14
Overall StudyNOT COMPLETEDPlacebo + Letrozole 2.5 mg630
Overall StudyNOT COMPLETEDLapatinib 1500 mg + Letrozole 2.5 mg628

Adverse events530

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPlacebo + Letrozole 2.5 mg28624
otherAnaemiaBlood and lymphatic system disordersLapatinib 1500 mg + Letrozole 2.5 mg52654
otherDyspnoeaCardiac disordersPlacebo + Letrozole 2.5 mg68624
otherDyspnoeaCardiac disordersLapatinib 1500 mg + Letrozole 2.5 mg58654
otherAbdominal painGastrointestinal disordersPlacebo + Letrozole 2.5 mg28624
otherAbdominal painGastrointestinal disordersLapatinib 1500 mg + Letrozole 2.5 mg48654
otherAbdominal pain upperGastrointestinal disordersPlacebo + Letrozole 2.5 mg16624
otherAbdominal pain upperGastrointestinal disordersLapatinib 1500 mg + Letrozole 2.5 mg36654
otherConstipationGastrointestinal disordersPlacebo + Letrozole 2.5 mg64624
otherConstipationGastrointestinal disordersLapatinib 1500 mg + Letrozole 2.5 mg45654

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo + Letrozole 2.5 mg23624
Total, all-cause mortalityLapatinib 1500 mg + Letrozole 2.5 mg18654
Total, other adverse eventsPlacebo + Letrozole 2.5 mg481624
Total, other adverse eventsLapatinib 1500 mg + Letrozole 2.5 mg589654
Total, serious adverse eventsPlacebo + Letrozole 2.5 mg103624
Total, serious adverse eventsLapatinib 1500 mg + Letrozole 2.5 mg150654

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
19786658BACKGROUNDPubMed
20156908BACKGROUNDPubMed
20798196BACKGROUNDPubMed
24198242BACKGROUNDPubMed
27281556BACKGROUNDPubMed
29522361DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons6

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: Number of Participants With Evidence of Brain Metastases in the HER2-Positive PopulationTrial comparisons
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: Number of Participants With PFS in the Intent-To-Treat (ITT) Population as Assessed by the InvestigatorTrial comparisons
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: Number of Participants With Progression Free Survival (PFS) in the Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced or Metastatic Breast Cancer as Assessed by the Investigator
Trial comparisons
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: Number of Participants With Evidence of Brain Metastases From the ITT PopulationTrial comparisons
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: deaths from any causeTrial comparisons
Placebo + Letrozole 2.5 mg vs Lapatinib 1500 mg + Letrozole 2.5 mg: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00073528

GET https://conductscience.org/api/trials/v1/NCT00073528/registered?page=2