A Study of Sunitinib in Combination With Bevacizumab and Paclitaxel in Previously Untreated Patients With Metastatic Breast Cancer (SABRE-B)
Primary Purpose
Metastatic Breast Cancer
Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
bevacizumab
sunitinib
paclitaxel
Sponsored by

About this trial
This is an interventional treatment trial for Metastatic Breast Cancer focused on measuring Avastin, MBC, Breast Cancer, Sutent
Eligibility Criteria
Inclusion Criteria:
- Signed Informed Consent Form
- Histologically or cytologically confirmed adenocarcinoma of the breast with measurable or non-measurable locally recurrent or metastatic disease
- Age ≥ 18 years
- Adequate left ventricular function at study entry, defined as an Left Ventricular Ejection Fraction (LVEF) > 50% by either Multi Gated Acquisition(MUGA) scan or Electrocardiogram (ECHO)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Ability and willingness to comply with study and follow-up procedures
Exclusion Criteria:
- Unknown HER2 status or known HER2-positive status
- Prior chemotherapy for locally recurrent or metastatic disease
- Prior hormonal therapy within 2 weeks prior to Day 1
- Prior adjuvant or neoadjuvant taxane chemotherapy within 12 months prior to Day 1
- Prior adjuvant or neoadjuvant non-taxane chemotherapy within 6 months prior to Day 1
- For patients who have received recent radiotherapy, ongoing Grade ≥ 3 acute toxicity
- Patients with brain metastasis on full dose anticoagulation therapy
- Life expectancy of < 12 weeks
- Current, recent (within 4 weeks of Day 1), or planned participation in an experimental drug study
- Inadequate organ function within 28 days prior to Day 1
- Untreated abnormal thyroid function tests
- Uncontrolled serious medical or psychiatric illness
- Active infection requiring IV antibiotics at enrollment or randomization
- History of other malignancies within 5 years prior to Day 1 except for tumors with a negligible risk for metastasis or death, such as adequately controlled basal cell carcinoma or squamous-cell carcinoma of the skin or carcinoma in situ of the cervix
- Inadequately controlled hypertension
- Prior history of hypertensive crisis or hypertensive encephalopathy
- New York Heart Association (NYHA) Class II or greater CHF
- History of myocardial infarction or unstable angina within 12 months prior to Day 1
- History of stroke or transient ischemic attack within 12 months prior to Day 1
- Known central nervous system (CNS) disease except for treated brain metastasis
- Significant vascular disease (e.g., aortic aneurysm, aortic dissection) or recent peripheral arterial thrombosis within 6 months prior to Day 1
- History of hemoptysis within 1 month prior to Day 1
- Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation)
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1 or anticipation of need for major surgical procedure during the course of the study
- Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to Day 1
- History of abdominal fistula or gastrointestinal perforation within 6 months prior to Day 1
- Serious, non-healing wound, active ulcer, or untreated bone fracture
- Proteinuria at screening, as demonstrated by a urine protein/creatinine ratio of ≥ 1.0 at screening
- Known hypersensitivity to any component of bevacizumab or sunitinib
- Pregnancy (positive pregnancy test) or lactation
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
1
2
Arm Description
Outcomes
Primary Outcome Measures
Best Response
The best overall response is the best response, per the Response Evaluation Criteria In Solid Tumors (RECIST) criteria, recorded from randomization until disease progression/recurrence (includes both confirmed and unconfirmed responses). Although the original primary outcome was progression-free survival, there was insufficient data available to report on that outcome.
Secondary Outcome Measures
Serious Adverse Events (SAEs)
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0. An SAE is defined as an adverse event that results in death, is life threatening, requires hospitalization, results in significant disability, results in birth defect, or is considered a significant medical event by the investigator
Grade ≥ 3 Adverse Events (AEs)
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0. Grading: 1=Mild AE; 2=Moderate AE; 3=Severe AE; 4=Life-threatening or disabling AE; 5=Death related to AE
Adverse Events Leading to Death
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Adverse Events Leading to Sunitinib Discontinuation, Dose Interruption, or Dose Reduction
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Adverse Events Leading to Bevacizumab Discontinuation or Dose Interruption
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00434356
Brief Title
A Study of Sunitinib in Combination With Bevacizumab and Paclitaxel in Previously Untreated Patients With Metastatic Breast Cancer (SABRE-B)
Official Title
A Multicenter, Phase II, Randomized, Controlled Trial Evaluating the Efficacy and Safety of Sunitinib in Combination With Bevacizumab and Paclitaxel in Previously Untreated Patients With Metastatic Breast Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
November 2009
Overall Recruitment Status
Terminated
Why Stopped
Based on data collected, the combination appeared to be poorly tolearated.
Study Start Date
March 2007 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Genentech, Inc.
4. Oversight
5. Study Description
Brief Summary
This is a multicenter, Phase II, randomized, controlled, open label trial designed to provide a preliminary assessment of the safety and efficacy of sunitinib when combined with bevacizumab and paclitaxel in patients who have not previously received chemotherapy for locally recurrent or metastatic breast cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Breast Cancer
Keywords
Avastin, MBC, Breast Cancer, Sutent
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
46 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
bevacizumab
Intervention Description
Intravenous repeating dose
Intervention Type
Drug
Intervention Name(s)
sunitinib
Intervention Description
Oral repeating dose
Intervention Type
Drug
Intervention Name(s)
paclitaxel
Intervention Description
Intravenous repeating dose
Primary Outcome Measure Information:
Title
Best Response
Description
The best overall response is the best response, per the Response Evaluation Criteria In Solid Tumors (RECIST) criteria, recorded from randomization until disease progression/recurrence (includes both confirmed and unconfirmed responses). Although the original primary outcome was progression-free survival, there was insufficient data available to report on that outcome.
Time Frame
From randomization until disease progression/recurrence (by patient)
Secondary Outcome Measure Information:
Title
Serious Adverse Events (SAEs)
Description
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0. An SAE is defined as an adverse event that results in death, is life threatening, requires hospitalization, results in significant disability, results in birth defect, or is considered a significant medical event by the investigator
Time Frame
30 days following the last administration of study treatment
Title
Grade ≥ 3 Adverse Events (AEs)
Description
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0. Grading: 1=Mild AE; 2=Moderate AE; 3=Severe AE; 4=Life-threatening or disabling AE; 5=Death related to AE
Time Frame
30 days following the last administration of study treatment
Title
Adverse Events Leading to Death
Description
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Time Frame
30 days following the last administration of study treatment
Title
Adverse Events Leading to Sunitinib Discontinuation, Dose Interruption, or Dose Reduction
Description
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Time Frame
30 days following the last administration of study treatment
Title
Adverse Events Leading to Bevacizumab Discontinuation or Dose Interruption
Description
All grades according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v3.0
Time Frame
30 days following the last administration of study treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed Informed Consent Form
Histologically or cytologically confirmed adenocarcinoma of the breast with measurable or non-measurable locally recurrent or metastatic disease
Age ≥ 18 years
Adequate left ventricular function at study entry, defined as an Left Ventricular Ejection Fraction (LVEF) > 50% by either Multi Gated Acquisition(MUGA) scan or Electrocardiogram (ECHO)
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Ability and willingness to comply with study and follow-up procedures
Exclusion Criteria:
Unknown HER2 status or known HER2-positive status
Prior chemotherapy for locally recurrent or metastatic disease
Prior hormonal therapy within 2 weeks prior to Day 1
Prior adjuvant or neoadjuvant taxane chemotherapy within 12 months prior to Day 1
Prior adjuvant or neoadjuvant non-taxane chemotherapy within 6 months prior to Day 1
For patients who have received recent radiotherapy, ongoing Grade ≥ 3 acute toxicity
Patients with brain metastasis on full dose anticoagulation therapy
Life expectancy of < 12 weeks
Current, recent (within 4 weeks of Day 1), or planned participation in an experimental drug study
Inadequate organ function within 28 days prior to Day 1
Untreated abnormal thyroid function tests
Uncontrolled serious medical or psychiatric illness
Active infection requiring IV antibiotics at enrollment or randomization
History of other malignancies within 5 years prior to Day 1 except for tumors with a negligible risk for metastasis or death, such as adequately controlled basal cell carcinoma or squamous-cell carcinoma of the skin or carcinoma in situ of the cervix
Inadequately controlled hypertension
Prior history of hypertensive crisis or hypertensive encephalopathy
New York Heart Association (NYHA) Class II or greater CHF
History of myocardial infarction or unstable angina within 12 months prior to Day 1
History of stroke or transient ischemic attack within 12 months prior to Day 1
Known central nervous system (CNS) disease except for treated brain metastasis
Significant vascular disease (e.g., aortic aneurysm, aortic dissection) or recent peripheral arterial thrombosis within 6 months prior to Day 1
History of hemoptysis within 1 month prior to Day 1
Evidence of bleeding diathesis or significant coagulopathy (in the absence of therapeutic anticoagulation)
Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to Day 1 or anticipation of need for major surgical procedure during the course of the study
Core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to Day 1
History of abdominal fistula or gastrointestinal perforation within 6 months prior to Day 1
Serious, non-healing wound, active ulcer, or untreated bone fracture
Proteinuria at screening, as demonstrated by a urine protein/creatinine ratio of ≥ 1.0 at screening
Known hypersensitivity to any component of bevacizumab or sunitinib
Pregnancy (positive pregnancy test) or lactation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jai Balkissoon, M.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
A Study of Sunitinib in Combination With Bevacizumab and Paclitaxel in Previously Untreated Patients With Metastatic Breast Cancer (SABRE-B)
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