Breast Cancer Clinical Trial
Official title:
A Randomized Phase III Study to Determine the Efficacy of a Taxane and Bevacizumab With or Without Capecitabine as First Line Chemotherapy in Patients With Metastatic Breast Cancer
The purpose of this study is to determine whether
- Paclitaxel and bevacizumab showed improved PFS compared to paclitaxel alone. Recent
results of the AVADO study report a similar result for the combination of docetaxel and
bevacizumab. The AVADO study furthermore confirmed the dose of 15 mg/kg BW of
bevacizumab.
- As in metastatic breast cancer (MBC) poly-chemotherapies are frequently used, regimens
with bevacizumab and at least 2 cytotoxic agents should be investigated.
- Docetaxel and capecitabine showed a benefit in PFS and survival. This combi- nation is
therefore a reasonable choice.
- Dose of capecitabine and docetaxel should be reduced to 1800 mg/m2 and 75 mg/m2 to
improve tolerability without compromising efficacy.
- Paclitaxel and capecitabine is well tolerated and showed a PFS of 10.3 months.
- Docetaxel 100 mg/m2 as monotherapy in MBC not very often used b/o toxicity. 75 mg/m2
much more accepted in daily practice. Better comparability with DBX, if both arms have
75mg/m2 docetaxel as assumed.
Primary Objective:
- To determine the Progression Free Survival (PFS) in patients with metastatic breast cancer
after treatment with taxane plus bevacizumab with (TXB) or without capecitabine (TB).
Secondary Objective(s):
- To determine the objective response rate in both arms.
- To determine the duration of response in both arms.
- To determine the Time to Progression (TTP) in both arms.
- To determine the clinical benefit defined as CR, PR, or stable disease ≥ 24 weeks in
both arms.
- To determine the overall survival rate 3 years after "Last Patient In".
- To determine PFS and TTP response rates in patient's ≥ age 65.
- To determine the toxicity and compliance in both arms.
- To determine the predictive value of serum markers such as VEGF.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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