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Brief Title: Randomized, Open Label, Clinical Study of the Targeted Therapy, Palbociclib, to Treat Metastatic Breast Cancer
Official Title: A Randomized, Open Label, Phase III Trial to Evaluate the Efficacy and Safety of Palbociclib + Anti-HER2 Therapy + Endocrine Therapy vs. Anti-HER2 Therapy + Endocrine Therapy After Induction Treatment for Hormone Receptor Positive (HR+)/HER2-Positive Metastatic Breast Cancer
Study ID: NCT02947685
Brief Summary: The primary objective of this study is to demonstrate that the combination of palbociclib with anti-HER2 therapy plus endocrine therapy is superior to anti-HER2-based therapy plus endocrine therapy alone in improving the outcomes of subjects with hormone receptor-positive, HER2+ metastatic breast cancer.
Detailed Description: Subjects will be randomized into one of two treatment arms following minimum of 4 and maximum of 8 cycles of induction treatment with anti-HER2 therapy. Arm A subjects will receive the experimental therapy, palbociclib, in addition to their current anti-HER2 therapy and endocrine therapy. Arm B subjects will continue to receive the anti-HER2 therapy. It is expected that the addition of palbociclib to the first-line treatment of HER2 disease will delay the onset of therapeutic resistance and ultimately prolong the survival of patients with metastatic breast cancer. The study is designed to treat the subset of patients with HER2+ disease who are also hormone receptor positive (HR+). It is also expected that palbociclib will modulate the endocrine resistance in HER2+/HR+ disease and potentiate the benefits of anti-HER2 therapy. Lastly, the current study includes a comprehensive molecular characterization of the disease at study entrance which will allow us to investigate the benefits of palbociclib in subsets of HER2+/HR+ disease such as PIK3CA mutant.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
UCSF, San Francisco, California, United States
Georgetown University Medical Center, Washington, District of Columbia, United States
Baycare Healthcare (Morton Plant Mease), Clearwater, Florida, United States
Memorial Healthcare System, Hollywood, Florida, United States
University of Miami, Miami, Florida, United States
Florida Hospital, Orlando, Florida, United States
Emory University, Atlanta, Georgia, United States
University of Illinois at Chicago, Chicago, Illinois, United States
The University of Chicago Medical Center, Chicago, Illinois, United States
Ingalls Memorial Hospital, Harvey, Illinois, United States
Cancer Center of Kansas, Wichita, Kansas, United States
Ochsner Medical Center Jefferson, New Orleans, Louisiana, United States
New England Cancer Specialists, Scarborough, Maine, United States
Anne Arundel Medical Center, Annapolis, Maryland, United States
University of Maryland - Greenebaum Comprehensive Cancer Center, Baltimore, Maryland, United States
Johns Hopkins University/Sidney Kimmel Cancer Center, Baltimore, Maryland, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Lowell General Hospital, Lowell, Massachusetts, United States
Michigan Cancer Research Consortium (St. Joseph Mercy Hospital, Ann Arbor, Michigan, United States
West Michigan Cancer Center, Grand Rapids, Michigan, United States
Metro-Minnesota NCI Community Oncology Research Program, Minneapolis, Minnesota, United States
Mayo Clinic, Rochester, MN, Rochester, Minnesota, United States
Washington University School of Medicine, Saint Louis, Missouri, United States
Nebraska Methodist Hospital, Omaha, Nebraska, United States
University of Nebraska Medical Center, Omaha, Nebraska, United States
Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, United States
Hackensack Medical Center, Hackensack, New Jersey, United States
The Valley Hospital, Okonite Research Center, Paramus, New Jersey, United States
New Mexico Cancer Care Alliance, Albuquerque, New Mexico, United States
Duke Cancer Institute, Durham, North Carolina, United States
First Health of the Carolinas Cancer Center, Pinehurst, North Carolina, United States
Ohio State University, Columbus, Ohio, United States
Legacy Good Samaritan Hospital, Portland, Oregon, United States
University of Pennsylvania, Philadelphia, Pennsylvania, United States
Lexington Medical Center, West Columbia, South Carolina, United States
Vanderbilt University Medical Center, Nashville, Tennessee, United States
MD Anderson, Houston, Texas, United States
Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, United States
Monash Health, Clayton, , Australia
St. Vincent's Hospital, Sydney Kinghorn Cancer Centre, Darlinghurst, , Australia
The Canberra Hospital, Garran, , Australia
Peter MacCallum Cancer Centre, Royal Melbourne Hospital, Melbourne, , Australia
Breast Cancer Research Centre-WA, Nedlands, , Australia
Icon Cancer Care, South Brisbane, , Australia
Mater Cancer Care Centre, South Brisbane, , Australia
Calvary Mater Newcastle Hospital, Waratah, , Australia
Westmead Hospital, Westmead, , Australia
Institut de Cancérologie de l'Ouest, site Paul Papin, Angers, , France
Institut Sainte Catherine, Avignon, , France
Institut Bergonié, Bordeaux, , France
Centre Francois Baclesse, Caen, , France
Centre Hospitalier Cholet, Cholet, , France
Centre Jean Perrin, Clermont-Ferrand, , France
Centre Georges François Leclerc, Dijon, , France
CHU de Limoges, Limoges, , France
Centre Léon Bérard, Lyon, , France
Institut Paoli Calmettes, Marseille, , France
Centre Antoine Lacassagne, Nice, , France
Hôpital Saint Louis, Paris, , France
Institut Curie Site Paris, Paris, , France
Tenon Oncologie Médicale - APHP, Paris, , France
Centre CARIO-HPCA, Plerin Cedex, , France
Institut Jean Godinot, Reims, , France
Centre Henri Becquerel, Rouen, , France
Institut Curie Site Saint Cloud, Saint-Cloud, , France
Institut de Cancérologie Lucien Neuwirth, Saint-Priest-en-Jarez, , France
Centre Paul Strauss, Strasbourg, , France
Intitut Claudius Regaud, Toulouse, , France
Gustave Roussy, Villejuif, , France
Praxisklinik Krebsheilkunde für Frauen, Berlin, , Germany
Studiengesellschaft Onkologie Bielefeld, Bielefeld, , Germany
Marienhospital Bottrop, Bottrop, , Germany
Luisenkrankenhaus Düsseldorf, Düsseldorf, , Germany
Universitätsklinikum Düsseldorf, Klinik für Frauenheilkunde & Geburtshilfe, Düsseldorf, , Germany
Kliniken Essen-Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Essen, , Germany
Agaplesion Markus Krankenhaus, Frankfurt, , Germany
Sana-Klinikum Hameln, Hameln, , Germany
Diakovere Henriettenstift Frauenklinik, Hannover, , Germany
Vidia Christliche Kliniken Karlsruhe Vincentius-Diakonissen-Kliniken gAG Frauenklinik, Karlsruhe, , Germany
UKSH, Klinik für Gynäkologie und Geburtshilfe, Kiel, , Germany
St. Elisabeth Krankenhaus, Köln, , Germany
Praxis Prof. Nitz im Brustzentrum Niederrhein, Munster, , Germany
Universitätsklinikum Münster, Münster, , Germany
Univ. Klinikum Oldenburg AÖR Hämatologie/Onkologie, Oldenburg, , Germany
Leopoldina-Krankenhaus Schweinfurt, Schweinfurt, , Germany
HELIOS Dr. Horst Schmidt Kliniken Wiesbaden; Klinik für Gynäkologie und gynäkologische Onkologie, Wiesbaden, , Germany
Policlinico Sant'Orsola-Malpighi, Bologna, , Italy
U.O. Oncologia AOU Arcispedale Sant'Anna, Cona, , Italy
Istituto Europeo di Oncologia, Milano, , Italy
Ospedale San Raffaele, Segrate, , Italy
Ospedale Santa Maria della Misericordia, Udine, , Italy
Auckland City Hospital Cancer and Blood Research, Auckland, , New Zealand
Hospital Champalimaud, Lisboa, , Portugal
Hospital Da Luz, Lisboa, , Portugal
Hospital Beatriz Angelo, Loures, , Portugal
IPO Porto, Porto, , Portugal
Hospital Clínic de Barcelona, Barcelona, , Spain
Hospital General de Catalunya, Barcelona, , Spain
Hospital Universitari Vall d'Hebron, Barcelona, , Spain
ICO L'Hospitalet, Barcelona, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Hospital Universitario de Fuenlabrada, Madrid, , Spain
Hospital Universitario Fundación Alcorcón, Madrid, , Spain
Hospital Universitario Fundación Jiménez Díaz, Madrid, , Spain
Hospital Universitario La Paz, Madrid, , Spain
Hospital Universitario Severo Ochoa, Madrid, , Spain
MD Anderson Cancer Center Spain, Madrid, , Spain
Hospital Universitario Virgen de la Arrixaca, Murcia, , Spain
Hospital Regional Universitario de Málaga, Málaga, , Spain
Complejo Hospitalario de Navarra, Navarro, , Spain
Hospital Universitario de Salamanca, Salamanca, , Spain
Complejo Hospitalario Univ. De Santiago, Santiago, , Spain
Hospital Quirón Sagrado Corazón, Seville, , Spain
Hospital Sant Joan de Reus, Tarragona, , Spain
Hospital Clínico Universitario de Valencia, Valencia, , Spain