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A Study of Herceptin (Trastuzumab) in Combination With Avastin (Bevacizumab) and Sequential Xeloda (Capecitabine) or Docetaxel in Patients With HER2-Positive Locally Recurrent or Metastatic Breast Cancer

Primary Purpose

Breast Cancer

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
bevacizumab [Avastin]
capecitabine [Xeloda]
docetaxel
trastuzumab [Herceptin]
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • male or female patients, age >/=18 years
  • locally recurrent or metastatic HER2-positive breast cancer
  • disease progression during or up to 12 months after prior adjuvant therapy with trastuzumab
  • LVEF >/=55% at baseline

Exclusion Criteria:

  • prior treatment with bevacizumab or capecitabine
  • anthracyclines in prior adjuvant or neoadjuvant treatment exceeding cumulative dose of 360mg/m2 for doxorubicin and 720mg/kg for epirubicin
  • chronic daily treatment with corticosteroids (>10mg/day methylprednisolone equivalent; excluding inhaled corticosteroids), or aspirin (>325mg/day), or clopidogrel (>75mg/day)
  • clinically significant cardiac disease, or cardiac toxicity during previous trastuzumab therapy
  • evidence of spinal cord compression or CNS metastasis
  • history of other malignancy, unless disease-free for >/=5 years or treated curatively for carcinoma in situ of the cervix or non-melanomatous skin cancer

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Single Arm

    Arm Description

    Outcomes

    Primary Outcome Measures

    Progression-Free Survival on second-line treatment

    Secondary Outcome Measures

    Safety and tolerability: AEs, laboratory parameters, LVEF
    Overall Response Rate, Best Overall Response, Duration of Response, Progression-free Survival (first-line), Overall Survival

    Full Information

    First Posted
    August 21, 2009
    Last Updated
    November 1, 2016
    Sponsor
    Hoffmann-La Roche
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00964704
    Brief Title
    A Study of Herceptin (Trastuzumab) in Combination With Avastin (Bevacizumab) and Sequential Xeloda (Capecitabine) or Docetaxel in Patients With HER2-Positive Locally Recurrent or Metastatic Breast Cancer
    Official Title
    A Single Arm, Open-label Study to Evaluate the Efficacy on Tumor Response and the Safety of Bevacizumab and Trastuzumab Combination and Sequential Capecitabine in Patients With HER2 +Ive Locally Recurrent or Metastatic Breast Cancer After Early Relapse to Adjuvant Trastuzumab-containing Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2016
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    No patients have been recruited therefore study has been cancelled
    Study Start Date
    March 2011 (undefined)
    Primary Completion Date
    August 2013 (Anticipated)
    Study Completion Date
    August 2013 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Hoffmann-La Roche

    4. Oversight

    5. Study Description

    Brief Summary
    This single arm, open-label study will evaluate the safety and efficacy of Herceptin in combination with Avastin and sequential Xeloda in patients with locally recurrent or metastatic HER2-positive breast cancer after early relapse on adjuvant Herceptin therapy. Patients will receive Herceptin at a loading dose of 8mg/kg iv followed by 6mg/kg iv every three weeks, and Avastin 15mg/kg every 3 weeks. At first sign of disease progression Xeloda 1000mg/m2 bid po will be added on days 1-14 of each cycle, or docetaxel (100mg/m2 iv every 3 weeks) if Xeloda is not indicated for a patient. Anticipated time on study treatment is until disease-progression on second line treatment and target sample size is <100.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Single Arm
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    bevacizumab [Avastin]
    Intervention Description
    15mg/kg iv every 3 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    capecitabine [Xeloda]
    Intervention Description
    added at time of disease-progression, 1000mg/m2 bid po days 1-14 of every 3-week cycle
    Intervention Type
    Drug
    Intervention Name(s)
    docetaxel
    Intervention Description
    background therapy at time of disease progression, 100mg/m2 iv every 3 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    trastuzumab [Herceptin]
    Intervention Description
    8mg/kg iv on day 1 of the first 3-week cycle, followed by 6mg/kg every 3 weeks
    Primary Outcome Measure Information:
    Title
    Progression-Free Survival on second-line treatment
    Time Frame
    event-driven, tumour assessments every 6 weeks for 24 weeks, every 12 weeks thereafter
    Secondary Outcome Measure Information:
    Title
    Safety and tolerability: AEs, laboratory parameters, LVEF
    Time Frame
    throughout study, laboratory parameters every 3 weeks, LVEF every 12 weeks
    Title
    Overall Response Rate, Best Overall Response, Duration of Response, Progression-free Survival (first-line), Overall Survival
    Time Frame
    event-driven, tumour assessment every 6 weeks for 24 weeks, every 12 weeks thereafter

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: male or female patients, age >/=18 years locally recurrent or metastatic HER2-positive breast cancer disease progression during or up to 12 months after prior adjuvant therapy with trastuzumab LVEF >/=55% at baseline Exclusion Criteria: prior treatment with bevacizumab or capecitabine anthracyclines in prior adjuvant or neoadjuvant treatment exceeding cumulative dose of 360mg/m2 for doxorubicin and 720mg/kg for epirubicin chronic daily treatment with corticosteroids (>10mg/day methylprednisolone equivalent; excluding inhaled corticosteroids), or aspirin (>325mg/day), or clopidogrel (>75mg/day) clinically significant cardiac disease, or cardiac toxicity during previous trastuzumab therapy evidence of spinal cord compression or CNS metastasis history of other malignancy, unless disease-free for >/=5 years or treated curatively for carcinoma in situ of the cervix or non-melanomatous skin cancer
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Clinical Trials
    Organizational Affiliation
    Hoffmann-La Roche
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of Herceptin (Trastuzumab) in Combination With Avastin (Bevacizumab) and Sequential Xeloda (Capecitabine) or Docetaxel in Patients With HER2-Positive Locally Recurrent or Metastatic Breast Cancer

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