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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
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Breast Cancer focused on measuring Avastin, MBC, Breast Cancer, Sutent

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    February 9, 2007
    Last Updated
    November 17, 2009
    Sponsor
    Genentech, Inc.
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    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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