Trial Outcomes & Findings for A Study of Xeloda (Capecitabine) in Women With HER2-Negative Metastatic Breast Cancer (NCT NCT00121836)

NCT ID: NCT00121836

Last Updated: 2011-04-27

Results Overview

Overall survival was defined as the time from date of first treatment dose (Day 1) to date of death, across the study phases regardless of the cause of death

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

109 participants

Primary outcome timeframe

approximately 505 days (Median Time to Death)

Results posted on

2011-04-27

Participant Flow

Participant milestones

Participant milestones
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
Overall Study
STARTED
109
Overall Study
COMPLETED
54
Overall Study
NOT COMPLETED
55

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Xeloda (Capecitabine) in Women With HER2-Negative Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 Participants
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
Age Continuous
56.7 Years
STANDARD_DEVIATION 12.03 • n=93 Participants
Sex: Female, Male
Female
109 Participants
n=93 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants

PRIMARY outcome

Timeframe: approximately 505 days (Median Time to Death)

Population: 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up.

Overall survival was defined as the time from date of first treatment dose (Day 1) to date of death, across the study phases regardless of the cause of death

Outcome measures

Outcome measures
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 Participants
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
First Study Treatment Phase Only
Capecitabine+Bevacizumab: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle.
Overall Survival
505 Days
Interval 420.0 to 672.0

SECONDARY outcome

Timeframe: Throughout study

Population: 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up.

The secondary outcome measure was to evaluate the safety profile, including a summary of adverse events (AEs) assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0. Intensity of AEs were graded according to NCI CTCAE version 3.0 on a 5-point scale: Grade 1=Mild Discomfort, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life Threatening/Disabling and Grade 5=Death. An SAE was defined as any experience that suggested a significant hazard,contraindication, side effect, or precaution.

Outcome measures

Outcome measures
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 Participants
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
First Study Treatment Phase Only
n=55 Participants
Capecitabine+Bevacizumab: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle.
Number of Subjects With Adverse Events
At least 1 adverse event (AE)
108 Participants
54 Participants
Number of Subjects With Adverse Events
At least 1 treatment-related AE
104 Participants
51 Participants
Number of Subjects With Adverse Events
At least 1 Grade 3 or 4 AE
82 Participants
41 Participants
Number of Subjects With Adverse Events
At least 1 serious adverse event (SAE)
39 Participants
22 Participants
Number of Subjects With Adverse Events
At least 1 AE causing withdrawal
37 Participants
25 Participants

SECONDARY outcome

Timeframe: Throughout study

Population: 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up.

The secondary outcome measure was to evaluate the safety profile, including a summary of premature withdrawals due to adverse events occurring in more than 1 patient in either study group, by system organ class.

Outcome measures

Outcome measures
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 Participants
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
First Study Treatment Phase Only
n=55 Participants
Capecitabine+Bevacizumab: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle.
Premature Withdrawal From Study Due to Adverse Events
General disorders, administration site conditions
4 Participants
7 Participants
Premature Withdrawal From Study Due to Adverse Events
All system organ classes
25 Participants
37 Participants
Premature Withdrawal From Study Due to Adverse Events
Musculoskeletal and connective tissue disorders
2 Participants
6 Participants
Premature Withdrawal From Study Due to Adverse Events
Respiratory, thoracic and mediastinal disorders
2 Participants
5 Participants
Premature Withdrawal From Study Due to Adverse Events
Renal and urinary disorders
2 Participants
2 Participants

SECONDARY outcome

Timeframe: until progressive disease or for up to 3 years

Population: 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up.

The secondary outcome measure was to evaluate the safety profile, including a summary of marked laboratory abnormalities in \>= 5% of patients. n=number of participants with the laboratory measure,Number=number of participants with the abnormality. Laboratory values were flagged as Low(L) or High(H) if they were below the lower limit or above the upper limit of Roche standard reference range, respectively. Marked laboratory abnormalities (flagged as HH and LL) were defined as those values that were outside the Roche marked reference range and showed a clinically relevant change from baseline.

Outcome measures

Outcome measures
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 Participants
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
First Study Treatment Phase Only
Capecitabine+Bevacizumab: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle.
Number of Participants With Marked Laboratory Abnormalities
Neutrophils (10^9/L) (n=92); Abnormality: Low
25 Participants
Number of Participants With Marked Laboratory Abnormalities
Prothrombin time (ratio) (n=36); Abnormality: High
3 Participants
Number of Participants With Marked Laboratory Abnormalities
Aspartate transaminase(U/L)(n=104)Abnormality:High
19 Participants
Number of Participants With Marked Laboratory Abnormalities
Alanine transaminase(U/L)(n=104);Abnormality: High
10 Participants
Number of Participants With Marked Laboratory Abnormalities
Alkaline phosphatase(U/L)(n=104);Abnormality: High
11 Participants
Number of Participants With Marked Laboratory Abnormalities
Direct bilirubin (umol/L) (n=78);Abnormality: High
4 Participants
Number of Participants With Marked Laboratory Abnormalities
Hematocrit (fraction) (n=104); Abnormality: Low
16 Participants
Number of Participants With Marked Laboratory Abnormalities
Hemoglobin (g/L) (n=104); Abnormality: Low
18 Participants
Number of Participants With Marked Laboratory Abnormalities
Platelets (10^9/L) (n=104); Abnormality: Low
9 Participants
Number of Participants With Marked Laboratory Abnormalities
Red blood cells (10¹²/L) (n=104); Abnormality: Low
15 Participants
Number of Participants With Marked Laboratory Abnormalities
White blood cells (10^9/L)(n=104); Abnormality:Low
23 Participants
Number of Participants With Marked Laboratory Abnormalities
Neutrophils (10^9/L) (n=92); Abnormality: High
14 Participants
Number of Participants With Marked Laboratory Abnormalities
Albumin (g/L) (n=104); Abnormality: Low
13 Participants
Number of Participants With Marked Laboratory Abnormalities
Total protein (g/L) (n=104); Abnormality: Low
8 Participants
Number of Participants With Marked Laboratory Abnormalities
Chloride (mmol/L) (n=104); Abnormality: Low
5 Participants
Number of Participants With Marked Laboratory Abnormalities
Calcium (mmol/L) (n=104); Abnormality: Low
10 Participants
Number of Participants With Marked Laboratory Abnormalities
Uric acid (umol/L) (n=94); Abnormality: High
5 Participants

Adverse Events

Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev

Serious events: 39 serious events
Other events: 103 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 participants at risk
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
Blood and lymphatic system disorders
Febrile Neutropenia
0.92%
1/109
Cardiac disorders
Left Ventricular Failure
0.92%
1/109
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to Meninges
0.92%
1/109
Renal and urinary disorders
Renal Failure
0.92%
1/109
General disorders
Pain
5.5%
6/109
General disorders
Chest Pain
2.8%
3/109
General disorders
Mucosal Inflammation
1.8%
2/109
General disorders
Fatigue
0.92%
1/109
General disorders
Influenza Like Illness
0.92%
1/109
Gastrointestinal disorders
Nausea
2.8%
3/109
Gastrointestinal disorders
Vomiting
2.8%
3/109
Gastrointestinal disorders
Abdominal Pain
0.92%
1/109
Gastrointestinal disorders
Caecitis
0.92%
1/109
Gastrointestinal disorders
Diarrhoea
0.92%
1/109
Gastrointestinal disorders
Enterovesical Fistula
0.92%
1/109
Gastrointestinal disorders
Gastric Ulcer
0.92%
1/109
Gastrointestinal disorders
Pancreatitis
0.92%
1/109
Infections and infestations
Bacterial Sepsis
0.92%
1/109
Infections and infestations
Cellulitis
0.92%
1/109
Infections and infestations
Infection
0.92%
1/109
Infections and infestations
Perirectal Abscess
0.92%
1/109
Infections and infestations
Pneumonia
0.92%
1/109
Infections and infestations
Sepsis
0.92%
1/109
Infections and infestations
Urinary Tract Infection
0.92%
1/109
Infections and infestations
Urosepsis
0.92%
1/109
Metabolism and nutrition disorders
Dehydration
4.6%
5/109
Metabolism and nutrition disorders
Decreased Appetite
0.92%
1/109
Metabolism and nutrition disorders
Hypocalcaemia
0.92%
1/109
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
2.8%
3/109
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.92%
1/109
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.92%
1/109
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.92%
1/109
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
1.8%
2/109
Musculoskeletal and connective tissue disorders
Muscular Weakness
0.92%
1/109
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
0.92%
1/109
Musculoskeletal and connective tissue disorders
Neck Pain
0.92%
1/109
Musculoskeletal and connective tissue disorders
Pathological Fracture
0.92%
1/109
Injury, poisoning and procedural complications
Fall
0.92%
1/109
Injury, poisoning and procedural complications
Hip Fracture
0.92%
1/109
Injury, poisoning and procedural complications
Scapula Fracture
0.92%
1/109
Nervous system disorders
Cerebral Haemorrhage
0.92%
1/109
Nervous system disorders
Headache
0.92%
1/109
Nervous system disorders
Lethargy
0.92%
1/109
Investigations
Blood Sodium Decreased
0.92%
1/109
Investigations
Haemoglobin Decreased
0.92%
1/109
Investigations
Urine Output Decreased
0.92%
1/109
Vascular disorders
Haemorrhage
0.92%
1/109
Vascular disorders
Phlebitis
0.92%
1/109

Other adverse events

Other adverse events
Measure
Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev
n=109 participants at risk
First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle.
Gastrointestinal disorders
Diarrhoea
60.6%
66/109
Gastrointestinal disorders
Nausea
60.6%
66/109
Gastrointestinal disorders
Constipation
37.6%
41/109
Gastrointestinal disorders
Vomiting
33.0%
36/109
Gastrointestinal disorders
Dyspepsia
22.9%
25/109
Gastrointestinal disorders
Stomatitis
13.8%
15/109
Gastrointestinal disorders
Abdominal Pain
11.0%
12/109
Gastrointestinal disorders
Abdominal Pain Upper
7.3%
8/109
Gastrointestinal disorders
Abdominal Distension
6.4%
7/109
Gastrointestinal disorders
Oral Pain
5.5%
6/109
Skin and subcutaneous tissue disorders
Palmar-Plantar Erythrodysaesthesia Syndrome
65.1%
71/109
Skin and subcutaneous tissue disorders
Alopecia
29.4%
32/109
Skin and subcutaneous tissue disorders
Rash
19.3%
21/109
Skin and subcutaneous tissue disorders
Nail Disorder
11.9%
13/109
Skin and subcutaneous tissue disorders
Pruritus
11.0%
12/109
Skin and subcutaneous tissue disorders
Erythema
9.2%
10/109
Skin and subcutaneous tissue disorders
Dry Skin
8.3%
9/109
Skin and subcutaneous tissue disorders
Skin Reaction
8.3%
9/109
General disorders
Fatigue
62.4%
68/109
General disorders
Mucosal Inflammation
27.5%
30/109
General disorders
Pyrexia
19.3%
21/109
General disorders
Pain
17.4%
19/109
General disorders
Asthenia
11.9%
13/109
General disorders
Oedema Peripheral
11.9%
13/109
General disorders
Chills
5.5%
6/109
Musculoskeletal and connective tissue disorders
Arthralgia
26.6%
29/109
Musculoskeletal and connective tissue disorders
Pain in Extremity
25.7%
28/109
Musculoskeletal and connective tissue disorders
Back Pain
19.3%
21/109
Musculoskeletal and connective tissue disorders
Musculoskeletal Pain
15.6%
17/109
Musculoskeletal and connective tissue disorders
Bone Pain
8.3%
9/109
Musculoskeletal and connective tissue disorders
Neck Pain
7.3%
8/109
Musculoskeletal and connective tissue disorders
Musculoskeletal Chest Pain
5.5%
6/109
Musculoskeletal and connective tissue disorders
Myalgia
5.5%
6/109
Respiratory, thoracic and mediastinal disorders
Cough
29.4%
32/109
Respiratory, thoracic and mediastinal disorders
Dyspnoea
26.6%
29/109
Respiratory, thoracic and mediastinal disorders
Epistaxis
24.8%
27/109
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
12.8%
14/109
Respiratory, thoracic and mediastinal disorders
Dysphonia
9.2%
10/109
Nervous system disorders
Headache
29.4%
32/109
Nervous system disorders
Dysgeusia
24.8%
27/109
Nervous system disorders
Neuropathy Peripheral
18.3%
20/109
Nervous system disorders
Dizziness
12.8%
14/109
Nervous system disorders
Peripheral Sensory Neuropathy
5.5%
6/109
Metabolism and nutrition disorders
Anorexia
32.1%
35/109
Metabolism and nutrition disorders
Dehydration
7.3%
8/109
Metabolism and nutrition disorders
Hyperglycaemia
5.5%
6/109
Metabolism and nutrition disorders
Hypokalaemia
5.5%
6/109
Psychiatric disorders
Insomnia
20.2%
22/109
Psychiatric disorders
Depression
19.3%
21/109
Psychiatric disorders
Anxiety
11.0%
12/109
Blood and lymphatic system disorders
Neutropenia
22.0%
24/109
Blood and lymphatic system disorders
Anaemia
19.3%
21/109
Infections and infestations
Sinusitis
13.8%
15/109
Infections and infestations
Upper Respiratory Tract Infection
11.9%
13/109
Infections and infestations
Urinary Tract Infection
11.0%
12/109
Vascular disorders
Hypertension
26.6%
29/109
Vascular disorders
Hot Flush
5.5%
6/109
Investigations
Weight Decreased
11.0%
12/109
Investigations
Aspartate Aminotransferase Increased
7.3%
8/109
Investigations
Alanine Aminotransferase Increased
6.4%
7/109
Investigations
Neutrophil Count Decreased
6.4%
7/109
Renal and urinary disorders
Proteinuria
12.8%
14/109
Eye disorders
Lacrimation Increased
6.4%
7/109

Additional Information

Medical Communications

Hoffmann-LaRoche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER