ClinicalTrials.gg
Approved for marketingNCT00338247Updated Apr 6, 2016

EAP (Expanded Access Protocol) Of Lapatinib Combined With Capecitabine In Metastatic Breast Cancer

An expanded access record providing lapatinib + capecitabine in Neoplasms, Breast, sponsored by Novartis. Approved for marketing at 453 sites in 45 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-06.

Sponsored by Novartis · Expanded access

Study type
Expanded access
Ages
18 Years and older
Sex
All
01

Study summary

This study will provide pre-approval drug access to lapatinib, in combination with capecitabine, to patients whose breast cancer had progressed on other therapies

02

Conditions studied

  • Neoplasms, Breast

Keywords

  • advanced
  • TYKERB
  • HER2 positive
  • Stage IIIc
  • ErbB2 positive
  • GW572016
  • metastatic
  • Stage IIIb
  • breast cancer
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

Browse Breast Neoplasms studies →

Lead sponsor

Novartis is the lead sponsor of 714 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • May have received prior lapatinib in another trial. Previous capecitabine (as previous agent or non-lapatinib containing regimen) is also permitted.
  • Prior treatment with hormonal therapy is allowed.
  • Must have advanced or breast cancer with progression (as assessed by modified ) after prior therapy, which must include all of the following: prior treatment with an anthracycline, a taxane, and trastuzumab alone or in combination with other therapy. Trastuzumab must have been administered in the adjuvant, or locally advanced or metastatic setting.
  • Must have tumors that overexpress ErbB2 defined as +3 by IHC or FISH positive for ErbB2 gene amplification. The status of ErbB2 expression must be documented prior to study entry.
  • Must be >/= 18 years of age
  • of > 8 weeks
  • Must have recovered from side effects of previous treatment
  • Patients with CNS mets are eligible provided treatment with prohibited medications as listed in the protocol are not required
  • Cardiac must be within the institutional range of normal as measured by ECHO. MUGA scans are allowed if ECHOs cannot be performed
  • Able to swallow and retain oral medications
  • Must have adequate hematologic, hepatic and renal function

Exclusion criteria

Exclusion criteria:

  • Pregnant or lactating females
  • Malabsorption syndrome, disease significantly affecting GI function, or resection of the stomach or bowel, or ulcerative colitis
  • Concurrent disease or condition that would make the patient inappropriate for study participation
  • Unresolved or unstable toxicity from prior administration of another drug and/or prior cancer treatment
  • Uncontrolled infection
  • Active cardiac disease defined as history of uncontrolled or symptomatic angina; history of arrhythmias requiring medication, or , with the exception of asymptomatic atrial fibrillation requiring anticoagulation; MI \< 6 months from study entry; uncontrolled or symptomatic CHF; below the institutional normal limit; any other cardiac condition that would make this protocol unreasonably hazardous for the patient
  • Receiving concurrent chemotherapy (other than capecitabine), radiation therapy, immunotherapy, biologic therapy or hormonal therapy for cancer. Concurrent therapy with bisphosphonates is allowed
  • History of allergic reaction attributed to compounds of similar composition to lapatinib or any
  • History of allergic reactions attributed to compounds of similar chemical composition to capecitabine, fluorouracil or excipients
  • Known DPD deficiency
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Access details

Study type
Expanded access

Available treatment

06

Where to request access

453 sites
  • Novartis Investigative Site
    Huntsville, Alabama 35805, United States
  • Novartis Investigative Site
    Anchorage, Alaska 99508, United States
  • Novartis Investigative Site
    Glendale, Arizona 85304, United States
  • Novartis Investigative Site
    Fayetteville, Arkansas 72703, United States
  • Novartis Investigative Site
    Little Rock, Arkansas 72205, United States
  • Novartis Investigative Site
    Bellflower, California 90706, United States
  • Novartis Investigative Site
    Burbank, California 91505-4866, United States
  • Novartis Investigative Site
    Gilroy, California 95020, United States
  • Novartis Investigative Site
    Long Beach, California 90806, United States
  • Novartis Investigative Site
    Long Beach, California 90813, United States
  • Novartis Investigative Site
    Newport Beach, California 92663, United States
  • Novartis Investigative Site
    San Diego, California 92123, United States
  • Novartis Investigative Site
    San Francisco, California 94115-1710, United States
  • Novartis Investigative Site
    Santa Rosa, California 95403-1757, United States
  • Novartis Investigative Site
    Stockton, California 95204, United States
  • Novartis Investigative Site
    Aurora, Colorado 80010, United States
  • Novartis Investigative Site
    Boulder, Colorado 80304, United States
  • Novartis Investigative Site
    Lafayette, Colorado 80026, United States
  • Novartis Investigative Site
    Hartford, Connecticut 06105, United States
  • Novartis Investigative Site
    Manchester, Connecticut 06040, United States
  • Novartis Investigative Site
    New Havey, Connecticut 06511, United States
  • Novartis Investigative Site
    Norwich, Connecticut 06360, United States
  • Novartis Investigative Site
    Washington, District of Columbia 20007, United States
  • Novartis Investigative Site
    Fort Lauderdale, Florida 33328, United States
  • Novartis Investigative Site
    Fort Myers, Florida 33916, United States
  • Novartis Investigative Site
    Fort Walton Beach, Florida 32547, United States
  • Novartis Investigative Site
    Gainesville, Florida 32605, United States
  • Novartis Investigative Site
    Hollywood, Florida 33021, United States
  • Novartis Investigative Site
    Jacksonville, Florida 32256, United States
  • Novartis Investigative Site
    Miami, Florida 33133, United States
  • Novartis Investigative Site
    Orlando, Florida 32804, United States
  • Novartis Investigative Site
    Orlando, Florida 32806, United States
  • Novartis Investigative Site
    Tampa, Florida 33607, United States
  • Novartis Investigative Site
    Augusta, Georgia 30901, United States
  • Novartis Investigative Site
    Brunswick, Georgia 31525, United States
  • Novartis Investigative Site
    Macon, Georgia 31201, United States
  • Novartis Investigative Site
    Marietta, Georgia 30060, United States
  • Novartis Investigative Site
    Tucker, Georgia 30084, United States
  • Novartis Investigative Site
    Honolulu, Hawaii 96813, United States
  • Novartis Investigative Site
    Boise, Idaho 83712, United States
  • Novartis Investigative Site
    Chicago, Illinois 60637, United States
  • Novartis Investigative Site
    Decatur, Illinois 62526, United States
  • Novartis Investigative Site
    Galesburg, Illinois 61401, United States
  • Novartis Investigative Site
    Highland Park, Illinois 60035, United States
  • Novartis Investigative Site
    Joliet, Illinois 60435, United States
  • Novartis Investigative Site
    Peoria, Illinois 61615, United States
  • Novartis Investigative Site
    Zion, Illinois 60099, United States
  • Novartis Investigative Site
    Indianapolis, Indiana 46202, United States
  • Novartis Investigative Site
    Bettendorf, Iowa 52722, United States
  • Novartis Investigative Site
    Cedar Rapids, Iowa 52403, United States
  • Novartis Investigative Site
    Council Bluffs, Iowa 51503, United States
  • Novartis Investigative Site
    Sioux City, Iowa 51101-1733, United States
  • Novartis Investigative Site
    Waterloo, Iowa 50702, United States
  • Novartis Investigative Site
    Baton Rouge, Louisiana 70809, United States
  • Novartis Investigative Site
    Metairie, Louisiana 70006, United States
  • Novartis Investigative Site
    Portland, Maine 04101, United States
  • Novartis Investigative Site
    Scarborough, Maine 04074, United States
  • Novartis Investigative Site
    Waterville, Maine 04901, United States
  • Novartis Investigative Site
    Baltimore, Maryland 21231-1000, United States
  • Novartis Investigative Site
    Baltimore, Maryland 21237, United States
  • Novartis Investigative Site
    Chevy Chase, Maryland 20815, United States
  • Novartis Investigative Site
    Frederick, Maryland 21701, United States
  • Novartis Investigative Site
    Boston, Massachusetts 02111, United States
  • Novartis Investigative Site
    Boston, Massachusetts 02118, United States
  • Novartis Investigative Site
    Fall River, Massachusetts 02721, United States
  • Novartis Investigative Site
    Peabody, Massachusetts 01960, United States
  • Novartis Investigative Site
    Ann Arbor, Michigan 48106, United States
  • Novartis Investigative Site
    Detroit, Michigan 48202, United States
  • Novartis Investigative Site
    Royal Oak, Michigan 48073, United States
  • Novartis Investigative Site
    Troy, Michigan 48085, United States
  • Novartis Investigative Site
    Duluth, Minnesota 55802, United States
  • Novartis Investigative Site
    Jackson, Mississippi 39202, United States
  • Novartis Investigative Site
    Columbia, Missouri 65201, United States
  • Novartis Investigative Site
    Kalamazoo, Missouri 49007, United States
  • Novartis Investigative Site
    Kansas City, Missouri 64118, United States
  • Novartis Investigative Site
    Springfield, Missouri 65807, United States
  • Novartis Investigative Site
    St. Louis, Missouri 63110, United States
  • Novartis Investigative Site
    St. Louis, Missouri 63141, United States
  • Novartis Investigative Site
    Billings, Montana 59101, United States
  • Novartis Investigative Site
    Great Falls, Montana 59405, United States
  • Novartis Investigative Site
    Grand Island, Nebraska 68803, United States
  • Novartis Investigative Site
    Lincoln, Nebraska 68510, United States
  • Novartis Investigative Site
    North Platte, Nebraska 69103, United States
  • Novartis Investigative Site
    Omaha, Nebraska 68114, United States
  • Novartis Investigative Site
    Omaha, Nebraska 68124-2346, United States
  • Novartis Investigative Site
    Las Vegas, Nevada 89102, United States
  • Novartis Investigative Site
    Exeter, New Hampshire 03833, United States
  • Novartis Investigative Site
    Flemington, New Jersey 08822, United States
  • Novartis Investigative Site
    Freehold, New Jersey 07728, United States
  • Novartis Investigative Site
    Little Silver, New Jersey 07739, United States
  • Novartis Investigative Site
    Livingston, New Jersey 07039, United States
  • Novartis Investigative Site
    Mountain Lakes, New Jersey 07046, United States
  • Novartis Investigative Site
    Newark, New Jersey 07112, United States
  • Novartis Investigative Site
    Buffalo, New York 14221, United States
  • Novartis Investigative Site
    Buffalo, New York 14263, United States
  • Novartis Investigative Site
    East Setauket, New York 11733, United States
  • Novartis Investigative Site
    East Syracuse, New York 13057, United States
  • Novartis Investigative Site
    Fresh Meadows, New York 11366, United States
  • Novartis Investigative Site
    Glens Falls, New York 12801, United States
  • Novartis Investigative Site
    New York, New York 10003, United States

Showing the first 100 of 453 sites across 45 countries. Choose a country and city above to see the rest.

07

References and documents

Publications

  • Ro J, Park S, Kim S, Kim TY, Im YH, Rha SY, Chung JS, Moon H, Santillana S. Clinical outcomes of HER2-positive metastatic breast cancer patients with brain metastasis treated with lapatinib and capecitabine: an open-label expanded access study in Korea. BMC Cancer. 2012 Jul 28;12:322. doi: 10.1186/1471-2407-12-322. PubMed 22839200 ↗
  • Wang L, Zhang Q, Zhang J, Sun S, Guo H, Jia Z, Wang B, Shao Z, Wang Z, Hu X. PI3K pathway activation results in low efficacy of both trastuzumab and lapatinib. BMC Cancer. 2011 Jun 15;11:248. doi: 10.1186/1471-2407-11-248. PubMed 21676217 ↗
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00338247
Lead sponsor
Novartis
Responsible party
Sponsor
First posted
Jun 20, 2006
Start date
Jul 2006
Primary completion
Mar 2015
Completion
Mar 2015
Last update
Apr 6, 2016

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals
View the source record on ClinicalTrials.gov ↗

Requesting access

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