Clinical trial · Interventional
A Phase 1/2 Study of HKI-272 (Neratinib) in Combination With Paclitaxel (Taxol) in Subjects With Solid Tumors and Breast Cancer
A Phase 1/2 Study of HKI-272 in Combination With Paclitaxel in Subjects With Solid Tumors and Breast Cancer
NCT00445458CI-TRIAL-00033977completedPhase 1 / Phase 2Results postedClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this study is to learn whether it is safe and effective to administer HKI-272 (neratinib) in combination with paclitaxel in patients with breast cancer.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Breast Cancer | Malignant Breast Neoplasm | CURATED_BROADER | 0.78 |
| Advanced Malignant Solid Tumors | Malignant Solid Neoplasm | CURATED_BROADER | 0.80 |
| Breast Neoplasms | Breast Neoplasm | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| HKI-272 | Drug | Neratinib | ALIAS |
| Paclitaxel | Drug | Paclitaxel | ALIAS |
Design
Arms and outcomes
Arms (4)
- type
- EXPERIMENTAL
- label
- HKI-272 dose level 1
- description
- Part 1: Subjects with solid tumors receiving HKI-272 (neratinib) 160 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.
- interventionNames
- Drug: HKI-272
- Drug: Paclitaxel
- type
- EXPERIMENTAL
- label
- HKI-272 dose level 2
- description
- Part 1: Subjects with solid tumors receiving HKI-272 (neratinib) 240 mg daily by mouth in combination with paclitaxel 80 mg/m\^2 weekly IV.
- interventionNames
- Drug: HKI-272
- Drug: Paclitaxel
- type
- EXPERIMENTAL
- label
- HKI-272 expanded MTD cohort, arm A
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: Inclusion criteria for both parts of clinical trial: * Good performance status * Normal ejection fraction * Adequate cardiac, kidney, and liver function * Adequate blood counts * At least one measurable target lesion * Negative pregnancy test for female subjects Inclusion Criteria for Part 1 Only: \- Pathologically confirmed solid tumor not curable with available standard therapy Inclusion Criteria for Part 2 Only: * Pathologically confirmed breast cancer * HER2 positive tumor * Prior treatment with Herceptin Exclusion Criteria: Exclusion criteria for both parts of clinical trial: * Major surgery, radiotherapy, chemotherapy or investigational agents within two weeks of treatment day 1 * Subjects with bone or skin as the only site of disease * Active central nervous system metastases * Significant cardiac disease or dysfunction * Significant gastrointestinal disorder * Inability or unwillingness to swallow HKI-272 capsules * Prior exposure to HKI-272 or other HER2 targeted agents, except trastuzumab (Part 2 only). Prior lapatinib is permitted in arm B of part 2. * Treatment with a taxane within 3 months of treatment day 1 * Grade 2 or greater motor or sensory neuropathy * Pregnant or breast feeding women * Known hypersensitivity to paclitaxel or Cremophor EL * Prior treatment with anthracyclines with cumulative dose of \>400 mg/m\^2 * Any other cancer within 5 years with the exception of contralateral breast cancer, adequately treated cervical carcinoma in situ, or adequately treated basal or squamous cell carcinoma of the skin Exclusion Criteria for Part 2 Only: \- More than 1 (arm A) or 3 (arm B) prior cytotoxic chemotherapy regimen for metastatic disease
References
Publications (1)
- DERIVEDChow LW, Xu B, Gupta S, Freyman A, Zhao Y, Abbas R, Vo Van ML, Bondarenko I. Combination neratinib (HKI-272) and paclitaxel therapy in patients with HER2-positive metastatic breast cancer. Br J Cancer. 2013 May 28;108(10):1985-93. doi: 10.1038/bjc.2013.178. Epub 2013 Apr 30. PMID 23632474