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Clinical Trial Summary

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.


Clinical Trial Description

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. ;


Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


NCT number NCT01200212
Study type Interventional
Source German Breast Group
Contact
Status Terminated
Phase Phase 3
Start date July 2009
Completion date October 2012

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