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Study of Oral Vinorelbine Plus Capecitabine Versus Taxane-gemcitabine Combinations as 1st Line Chemotherapy in Metastatic Breast Cancer

Primary Purpose

Breast Cancer

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
oral vinorelbine
Capecitabine
Gemcitabine 1250 mg/m²
Gemcitabine 1000 mg/m²
Paclitaxel
Docetaxel
Sponsored by
Pierre Fabre Medicament
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Breast cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed adenocarcinoma of the breast;
  • Documented metastatic disease previously untreated by chemotherapy;
  • HER2 negative (assessed by 0-1+ IHC or 2+ IHC with FISH-) on the primary tumor or on metastatic site;
  • Karnofsky Performance Status 70%.

Exclusion Criteria:

  • Local relapse alone after conservative treatment or contra-lateral tumor;
  • Patients with symptoms suggesting CNS involvement or leptomeningeal metastases;
  • Concomitant hormonal therapy for metastatic breast cancer;
  • Prior chemotherapy in the metastatic setting;
  • Patients previously treated with a vinca-alkaloid, capecitabine, gemcitabine or taxanes;
  • Prior severe and unexpected reaction to fluoropyrimidine therapy (with or without documented DPD deficiency) or known hypersensitivity to 5-fluorouracil.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Active Comparator

    Arm Label

    Vinorelbine-Capecitabine (arm A)

    Gemcitabine-Paclitaxel (arm B)

    Gemcitabine-Docetaxel (arm C)

    Arm Description

    oral vinorelbine (OV) with capecitabine (CAP)

    gemcitabine (GEM) in combination with paclitaxel (PAC)

    gemcitabine (GEM) in combination with docetaxel (DOC)

    Outcomes

    Primary Outcome Measures

    Disease Control Rate (DCR)

    Secondary Outcome Measures

    Full Information

    First Posted
    October 3, 2016
    Last Updated
    March 20, 2019
    Sponsor
    Pierre Fabre Medicament
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03887130
    Brief Title
    Study of Oral Vinorelbine Plus Capecitabine Versus Taxane-gemcitabine Combinations as 1st Line Chemotherapy in Metastatic Breast Cancer
    Official Title
    Randomised Phase II Study of the Combination of Oral Vinorelbine With Capecitabine Versus Gemcitabine in Combination With Paclitaxel Versus Gemcitabine in Combination With Docetaxel as First Line Chemotherapy in Patients With Metastatic Breast Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2006 (undefined)
    Primary Completion Date
    June 2013 (Actual)
    Study Completion Date
    October 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Pierre Fabre Medicament

    4. Oversight

    5. Study Description

    Brief Summary
    The aim of this international open-label randomized phase II trial is to evaluate the efficacy and safety of an all-oral combination and two all-intravenous combinations as first-line therapy for HER2-negative mBC patients.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Breast Cancer
    Keywords
    Breast cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    152 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Vinorelbine-Capecitabine (arm A)
    Arm Type
    Experimental
    Arm Description
    oral vinorelbine (OV) with capecitabine (CAP)
    Arm Title
    Gemcitabine-Paclitaxel (arm B)
    Arm Type
    Active Comparator
    Arm Description
    gemcitabine (GEM) in combination with paclitaxel (PAC)
    Arm Title
    Gemcitabine-Docetaxel (arm C)
    Arm Type
    Active Comparator
    Arm Description
    gemcitabine (GEM) in combination with docetaxel (DOC)
    Intervention Type
    Drug
    Intervention Name(s)
    oral vinorelbine
    Intervention Description
    Oral vinorelbine 60 mg/m² on day 1 & day 8, for cycle 1, and then 80 mg/m² on day 1 & day 8, every 3 weeks for subsequent cycles
    Intervention Type
    Drug
    Intervention Name(s)
    Capecitabine
    Intervention Description
    Capecitabine 1000 mg/m² twice a day (2000 mg/m² daily) from day 1 to day 14
    Intervention Type
    Drug
    Intervention Name(s)
    Gemcitabine 1250 mg/m²
    Intervention Description
    Gemcitabine 1250 mg/m² on day 1 & day 8
    Intervention Type
    Drug
    Intervention Name(s)
    Gemcitabine 1000 mg/m²
    Intervention Description
    Gemcitabine: 1000 mg/m² on day 1 & 8
    Intervention Type
    Drug
    Intervention Name(s)
    Paclitaxel
    Intervention Description
    Paclitaxel 175 mg/m² on day 1
    Intervention Type
    Drug
    Intervention Name(s)
    Docetaxel
    Intervention Description
    Docetaxel 75 mg/m² on day 1
    Primary Outcome Measure Information:
    Title
    Disease Control Rate (DCR)
    Time Frame
    Duration of the study, approximately 6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Histologically confirmed adenocarcinoma of the breast; Documented metastatic disease previously untreated by chemotherapy; HER2 negative (assessed by 0-1+ IHC or 2+ IHC with FISH-) on the primary tumor or on metastatic site; Karnofsky Performance Status 70%. Exclusion Criteria: Local relapse alone after conservative treatment or contra-lateral tumor; Patients with symptoms suggesting CNS involvement or leptomeningeal metastases; Concomitant hormonal therapy for metastatic breast cancer; Prior chemotherapy in the metastatic setting; Patients previously treated with a vinca-alkaloid, capecitabine, gemcitabine or taxanes; Prior severe and unexpected reaction to fluoropyrimidine therapy (with or without documented DPD deficiency) or known hypersensitivity to 5-fluorouracil.

    12. IPD Sharing Statement

    Learn more about this trial

    Study of Oral Vinorelbine Plus Capecitabine Versus Taxane-gemcitabine Combinations as 1st Line Chemotherapy in Metastatic Breast Cancer

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