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
Early Stage HER2+ Breast Cancer
About this trial
This is an interventional treatment trial for Early Stage HER2+ Breast Cancer focused on measuring HER2 +, Breast Cancer, Neratinib, Nerlynx, Loperamide, Colestipol, Budesonide
Eligibility Criteria
Inclusion Criteria:
- Age ≥18; male or female
- Early breast cancer (stage I-3c)
- Documented HER2+ tumor: HER2 immunohistochemistry (IHC) 3+ or ISH+
- Prior course of adjuvant trastuzumab given >2 weeks and ≤1 year from enrollment
- No evidence of local/regional recurrence or metastatic disease
- Eastern Cooperative Oncology Group (ECOG) status of 0 or 1
- Male patients with female partners of childbearing potential must agree and commit to use a condom and women of childbearing potential must not be pregnant and must agree and commit to the use of a highly effective non-hormonal method of contraception
- Left ventricular ejection fraction (LVEF) ≥50% measured by multiple-gated acquisition scan (MUGA) or ECHO
Exclusion Criteria:
- Major surgery < 30 days
- Chemotherapy, investigational agents, other cancer therapy (except hormonal therapy) < 14 days
- 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
- Active, unresolved infections
- Currently pregnant or breast-feeding
Sites / Locations
- Alabama Oncology
- Compassionate Care Research Group Inc.
- St. Joseph Heritage Healthcare
- Ronald Reagan UCLA Medical Center
- Emad Ibrahim, M.D., Inc.
- Torrance Memorial Physician Network Cancer Care Associates
- Compassionate Care Research Group Inc.
- UCSF Helen Diller Family Comprehensive Cancer Center
- The Oncology Institute of Hope and Innovation
- Cancer Center of Santa Barbara with Sansum Clinic
- Central Coast Medical Oncology Corporation
- Memorial Healthcare System
- Florida Cancer Research Institute, LLC
- Hematology-Oncology Associates of the Treasure Coast
- Baptist Health Urgent Care Sawgrass
- Cancer Treatment Centers of America
- Decatur Memorial Hospital Cancer Care Specialists of Central Illinois
- Ingalls Memorial Hospital
- Norton Cancer Institute
- Central Maine Medical Center
- University of Maryland, Greenebaum Comprehensive Cancer Center
- North Mississippi Medical Center Hematology and Oncology Services
- Washington University School of Medicine
- Great Plains Health (Callahan Cancer Center)
- Saint Barnabas Medical Center
- Jersey Shore University Medical Center
- Rutgers Cancer Institute of New Jersey
- MD Anderson Cancer Center at Cooper
- Clinical Research Alliance, Inc
- Good Samaritan Hospital Samaritan Pastega Regional Cancer Center
- Providence Portland Medical Center
- Magee-Womens Hospital of UPMC
- Charleston Hematology Oncology Associates
- Saint Joseph / Candler SC Cancer Specialists
- Coastal Bend Cancer Center
- The University of Texas MD Anderson Cancer Center
- Community Cancer Trials of Utah
- Utah Cancer Specialists
- Inova Schar Cancer Institute
- Sydney Adventist Hospital
- Ashford Cancer Centre Research
- BCRC-WA, Hollywood Private Hospital
- Univ. Klinik für Innere Medizin, Klin. Abt. Onkologie
- Medical University of Innsbruck-Department of Gynecology
- Uniklinikum Salzburg, Landeskrankenhaus, Univ. Klinik fur Innere Medizin III der PMU
- Medical University of Vienna, Department of Oncology
- Medical University of Vienna,Department of Obstetrics and Gynecology
- Sunnybrook Research Insitute
- McGill University Health Centre, Cedars Cancer Centre
- CHU Group Hospitalier Pitié-Salpêtrière, Service d'oncologie Médicale
- Institut Gustave Roussy
- Praxis für interdisziplinäre Onkologie & Hämatologie
- Mammazentrum HH am Krankenhaus Jerusalem
- Universitaetsklinikum Schleswig-Holstein
- Universitaetsklinikum Schleswig-Holstein (UKSH), Klinik fuer Gynaekologie und Geburtshilfe, Studienzentrale Gynäkologische Onkologie (SGC) Kiel
- Sana Klinikum Offenbach GmbH - Frauenklinik
- Hospital Clinico San Carlos
- Hospital Universitario Virgen del Rocio
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Loperamide
Budesonide and Loperamide
Colestipol and Loperamide
Colestipol with Loperamide as needed
Neratinib Dose Escalation 1
Neratinib Dose Escalation 2
240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Loperamide daily for two 28-day cycles and then as needed.
240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Anti-inflammatory treatment for 1 cycle and Loperamide to be administered daily for two 28-day cycles and then as needed, thereafter.
240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered 1 cycle and then as needed, thereafter.
240 mg Neratinib orally once daily with food for thirteen 28-day cycles. Colestipol for 1 cycle and loperamide to be administered as needed.
120 mg Neratinib for Week 1, followed by 160 mg Neratinib starting for Week 2, followed by 240 mg Neratinib starting at Week 3 and thereafter (C1D15 to End of Treatment). Loperamide administered as needed.
160 mg neratinib for the first 2 weeks, followed by 200 mg neratinib for the next 2 weeks, followed by 240 mg neratinib thereafter (C2D1 to End of treatment. Loperamide will be administered on an as-needed basis only.