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Trial ยท NCT00667251

Chemotherapy and Lapatinib or Trastuzumab in Treating Women With HER2/Neu-Positive Metastatic Breast Cancer

NCT00667251, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2014-06-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Chemotherapy and Lapatinib or Trastuzumab in Treating Women With HER2/Neu-Positive Metastatic Breast Cancer. Trials, record NCT00667251. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00667251

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Trial

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

Title
Chemotherapy and Lapatinib or Trastuzumab in Treating Women With HER2/Neu-Positive Metastatic Breast Cancer
NCT number
NCT00667251
Status
Completed
Phases
Phase 3
Enrollment
652 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Breast Cancer
Interventions
trastuzumab, docetaxel, lapatinib ditosylate, paclitaxel
First posted
2008-04-28
Last updated
2025-03-21
Other registries' IDs
eudract:2007-004568-27
Results first posted
2014-06-18

Source ClinicalTrials.gov

Registered outcomes26

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

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS) at the Time of Primary ResultsFrom date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up to approximately 39 months
Progression-free survival (PFS) is the time from randomization to the earliest date of RECIST 1.0 assessment of disease progression (with radiological evidence), death from any cause, or censoring. Disease progression was assessed by the Investigator and defined by RECIST v1.0 as a 20% increase in the sum of the longest diameter of target lesions, a measurable increase in a non-target lesion, or the appearance of new lesions.
SecondaryProgression Free Survival (PFS) at the Time of Final AnalysisFrom date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up to approximately 45 months
Progression-free survival (PFS) is the time from randomization to the earliest date of RECIST 1.0 assessment of disease progression (with radiological evidence), death from any cause, or censoring. Disease progression was assessed by the Investigator and defined by RECIST v1.0 as a 20% increase in the sum of the longest diameter of target lesions, a measurable increase in a non-target lesion, or the appearance of new lesions. Subjects who crossover the treatment to Trastuzumab (TTax/T) after interim analysis, were censored at the last PFS assessment before crossover.
SecondaryOverall Survival (OS) (IIT Population)From date of randomization until date of death from any cause, assessed up approximately 165 months
Overall Survival (OS) was defined as the time interval between the date of randomization and the date of death from any cause. Subjects who were still alive at the time of the final analysis or became lost to follow-up, were censored at their last contact date. Subjects who crossover the treatment to Trastuzumab (TTax/T) after interim analysis, were censored at last known alive date prior to crossover.
SecondaryOverall Survival (OS) (Central HER2+ Population)From date of randomization until date of death from any cause, assessed up approximately 165 months
Overall Survival (OS) was defined as the time interval between the date of randomization and the date of death from any cause. Subjects who were still alive at the time of the final analysis or became lost to follow-up, were censored at their last contact date. Subjects who crossover the treatment to Trastuzumab (TTax/T) after interim analysis, were censored at last known alive date prior to crossover.
SecondaryIncidence of Central Nervous System (CNS) Metastasis at First Progression (IIT Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsThe incidence of Central Nervous System (CNS) metastasis at first progression was defined as the ratio of the number of subjects with CNS metastasis at progression over the total number of subjects.
SecondaryIncidence of Central Nervous System (CNS) Metastasis at First Progression (Central HER2+ Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsThe incidence of Central Nervous System (CNS) metastasis at first progression was defined as the ratio of the number of subjects with CNS metastasis at progression over the total number of subjects.
SecondaryTime to Central Nervous System (CNS) Metastasis (IIT Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 months
Time to Central Nervous System (CNS) metastasis was defined as the time from randomization until disease progression where CNS metastasis was documented at the time of first breast cancer progression. Subjects who crossed over the treatment to Trastuzumab (TTax/T) after interim analysis, were censored at RECIST assessment prior to crossover.
SecondaryTime to Central Nervous System (CNS) Metastasis (Central HER2+ Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 months
Time to Central Nervous System (CNS) metastasis was defined as the time from randomization until disease progression where CNS metastasis was documented at the time of first breast cancer progression. Subjects who crossed over the treatment to Trastuzumab (TTax/T) after interim analysis, were censored at RECIST assessment prior to crossover.
SecondaryOverall Response Rate (ORR) (IIT Population)From date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up approximately 45 months
Overall Response Rate (ORR) was defined as the proportion of participants with Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR). The ORR was calculated from the Investigator's assessment of response based on RECIST 1.1. Subjects with an unknown or missing response were treated as non-responders; i.e., they were included in the denominator when calculating the percentages. Per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions and assessed by MRI: * Complete Response (CR): Disappearance of all target and non-target lesions. * Partial Response (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. * Overall Response (OR): CR + PR.
SecondaryOverall Response Rate (ORR) (Central HER2+ Population)From date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up approximately 45 months
Overall Response Rate (ORR) was defined as the proportion of participants with Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR). The ORR was calculated from the Investigator's assessment of response based on RECIST 1.1. Subjects with an unknown or missing response were treated as non-responders; i.e., they were included in the denominator when calculating the percentages. Per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions and assessed by MRI: * Complete Response (CR): Disappearance of all target and non-target lesions. * Partial Response (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. * Overall Response (OR): CR + PR.

Outcomes27

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS) at the Time of Primary ResultsFrom date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up to approximately 39 monthsIntent-to-Treat (ITT) and centrally-confirmed HER2 positive populationsMonthsMEDIAN
SECONDARYProgression Free Survival (PFS) at the Time of Final AnalysisFrom date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up to approximately 45 monthsIntent-to-Treat (ITT) and centrally-confirmed HER2 positive populationsMonthsMEDIAN
SECONDARYOverall Survival (OS) (IIT Population)From date of randomization until date of death from any cause, assessed up approximately 165 monthsIntent-to-Treat (ITT) populationMonthsMEDIAN
SECONDARYOverall Survival (OS) (Central HER2+ Population)From date of randomization until date of death from any cause, assessed up approximately 165 monthsCentrally-confirmed HER2 positive population.MonthsMEDIAN
SECONDARYIncidence of Central Nervous System (CNS) Metastasis at First Progression (IIT Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsParticipants in the Intent-to-Treat (ITT) population with available data for the outcome measure.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIncidence of Central Nervous System (CNS) Metastasis at First Progression (Central HER2+ Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsParticipants in the centrally-confirmed HER2 positive population with available data for the outcome measure.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Central Nervous System (CNS) Metastasis (IIT Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsParticipants in the Intent-to-Treat (ITT) population with available data for the outcome measure.MonthsMEDIAN
SECONDARYTime to Central Nervous System (CNS) Metastasis (Central HER2+ Population)From date of randomization to CNS metastases at time of first progression, assessed up approximately 45 monthsParticipants in the centrally-confirmed HER2 positive population with available data for the outcome measure.MonthsMEDIAN
SECONDARYOverall Response Rate (ORR) (IIT Population)From date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up approximately 45 monthsIntent-to-Treat (ITT) population.Percentage of ParticipantsNUMBER
SECONDARYOverall Response Rate (ORR) (Central HER2+ Population)From date of randomization until date of progression or date of death from any cause, whichever comes first, assessed up approximately 45 monthsCentrally-confirmed HER2 positive population.Percentage of ParticipantsNUMBER

Results by group640

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

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS) at the Time of Primary ResultsLapatinib (LTax/L)Intent-to-Treat (ITT) population8.97Full Range 0.30 to 32.69Months
Progression Free Survival (PFS) at the Time of Primary ResultsTrastuzumab (TTax/T)Intent-to-Treat (ITT) population11.30Full Range 0.30 to 38.54Months
Progression Free Survival (PFS) at the Time of Primary ResultsLapatinib (LTax/L)centrally-confirmed HER2 positive population9.13Full Range 0.30 to 32.69Months
Progression Free Survival (PFS) at the Time of Primary ResultsTrastuzumab (TTax/T)centrally-confirmed HER2 positive population13.63Full Range 0.30 to 38.54Months
Progression Free Survival (PFS) at the Time of Final AnalysisLapatinib (LTax/L)Intent-to-Treat (ITT) population9.1Full Range 8.5 to 10.8Months
Progression Free Survival (PFS) at the Time of Final AnalysisTrastuzumab (TTax/T)Intent-to-Treat (ITT) population11.5Full Range 10.9 to 13.8Months
Progression Free Survival (PFS) at the Time of Final AnalysisLapatinib (LTax/L)centrally-confirmed HER2 positive population9.4Full Range 8.5 to 11.0Months
Progression Free Survival (PFS) at the Time of Final AnalysisTrastuzumab (TTax/T)centrally-confirmed HER2 positive population13.8Full Range 11.2 to 14.2Months
Overall Survival (OS) (IIT Population)Lapatinib (LTax/L)30.095% Confidence Interval 24.2 to NAMonths
Overall Survival (OS) (IIT Population)Trastuzumab (TTax/T)38.395% Confidence Interval 31.0 to NAMonths

Participant flow14

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLapatinib (LTax/L)326
Overall StudySTARTEDTrastuzumab (TTax/T)326
Overall StudyRandomized Not TreatedLapatinib (LTax/L)4
Overall StudyRandomized Not TreatedTrastuzumab (TTax/T)1
Overall StudyCrossed Over to Ttax/T After IA ResultsLapatinib (LTax/L)5
Overall StudyCrossed Over to Ttax/T After IA ResultsTrastuzumab (TTax/T)0
Overall StudyCentral HER2 PositiveLapatinib (LTax/L)270
Overall StudyCentral HER2 PositiveTrastuzumab (TTax/T)267
Overall StudySafety PopulationLapatinib (LTax/L)322
Overall StudySafety PopulationTrastuzumab (TTax/T)325

Adverse events1,056

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherChest painCardiac disordersLapatinib (LTax/L) - All Participants9322
otherChest painCardiac disordersTrastuzumab (TTax/T)21325
otherChest painCardiac disordersLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results05
otherChest painCardiac disordersLapatinib (LTax/L) - All Participants (Post-treatment)0
otherChest painCardiac disordersTrastuzumab (TTax/T) (Post-treatment)0
otherChest painCardiac disordersLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results (Post-treatment)0
otherLeft ventricular dysfunctionCardiac disordersLapatinib (LTax/L) - All Participants9322
otherLeft ventricular dysfunctionCardiac disordersTrastuzumab (TTax/T)25325
otherLeft ventricular dysfunctionCardiac disordersLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results05
otherLeft ventricular dysfunctionCardiac disordersLapatinib (LTax/L) - All Participants (Post-treatment)0

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLapatinib (LTax/L) - All Participants21326
Total, all-cause mortalityTrastuzumab (TTax/T)13326
Total, all-cause mortalityLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results05
Total, all-cause mortalityLapatinib (LTax/L) - All Participants (Post-treatment)82301
Total, all-cause mortalityTrastuzumab (TTax/T) (Post-treatment)73312
Total, all-cause mortalityLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results (Post-treatment)05
Total, other adverse eventsLapatinib (LTax/L) - All Participants316322
Total, other adverse eventsTrastuzumab (TTax/T)319325
Total, other adverse eventsLapatinib (LTax/L) - Crossed Over to Trastuzumab (TTax/T) After IA Results15
Total, other adverse eventsLapatinib (LTax/L) - All Participants (Post-treatment)00

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
25779558RESULTPubMed
28484925RESULTPubMed
28750133RESULTPubMed

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 comparisons0

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

None in this release.

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/NCT00667251

GET https://conductscience.org/api/trials/v1/NCT00667251/registered?page=2