A Study of Avastin (Bevacizumab) + Xeloda (Capecitabine)as Maintenance Therapy in Patients With HER2-Negative Metastatic Breast Cancer

NCT ID: NCT00929240

Last Updated: 2015-03-03

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

287 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2014-06-30

Brief Summary

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This randomized study will compare maintenance therapy with Avastin (bevacizumab) + Xeloda (capecitabine) versus Avastin alone, in patients with HER2-negative metastatic breast cancer who have not progressed during first-line therapy with docetaxel + Avastin. Eligible patients will receive up to 6 x 3 week cycles of treatment with Avastin (15 mg/mg IV on Day 1 of each cycle) + docetaxel (75-100 mg/m2 IV on Day 1 of each cycle). Those patients who do not progress will be randomized to 3 week cycles of either a) Avastin (15 mg/kg IV on Day 1 of each cycle) + Xeloda (1000 mg/m2 po bid on Days 1-14 of each cycle) or b) Avastin alone. Study treatment will continue until disease progression, unacceptable toxicity, patient request for withdrawal or end of study, and the target sample size is 100-500 individuals.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Avastin (bevacizumab)

Group Type ACTIVE_COMPARATOR

bevacizumab [Avastin]

Intervention Type DRUG

15 mg/kg iv on day 1 of each 3 week cycle (maintenance phase)

Avastin (bevacizumab) + Xeloda (capecitabine)

Group Type EXPERIMENTAL

bevacizumab [Avastin]

Intervention Type DRUG

15 mg/kg iv on day 1 of each 3 week cycle (maintenance phase)

capecitabine [Xeloda]

Intervention Type DRUG

1000 mg/m2 po bid on days 1-14 of each 3 week cycle (maintenance phase)

Interventions

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bevacizumab [Avastin]

15 mg/kg iv on day 1 of each 3 week cycle (maintenance phase)

Intervention Type DRUG

capecitabine [Xeloda]

1000 mg/m2 po bid on days 1-14 of each 3 week cycle (maintenance phase)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adult patients, \>=18 years of age;
* HER2-negative metastatic breast cancer
* candidates for taxane-based chemotherapy;
* ECOG performance status of 0 or 1.

Exclusion Criteria

* previous chemotherapy for metastatic breast cancer;
* prior adjuvant/neo-adjuvant chemotherapy within 6 months prior to study;
* prior radiotherapy for treatment of metastatic disease;
* chronic daily treatment with aspirin (325 mg/day) or clopidogrel(\>75mg/day).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Fortaleza, Ceará, Brazil

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Belo Horizonte, Minas Gerais, Brazil

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Rio de Janeiro, Rio de Janeiro, Brazil

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Ijuí, Rio Grande do Sul, Brazil

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Porto Alegre, Rio Grande do Sul, Brazil

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Jaú, São Paulo, Brazil

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Santo André, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Beijing, , China

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Beijing, , China

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Beijing, , China

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Hangzhou, , China

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Hangzhou, , China

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Shanghai, , China

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Alexandria, , Egypt

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Cairo, , Egypt

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Amiens, , France

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Angers, , France

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Besançon, , France

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Bobigny, , France

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Dijon, , France

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Hyères, , France

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Le Coudray, , France

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Lille, , France

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Paris, , France

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Paris, , France

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Périgueux, , France

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Rodez, , France

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Saint-Priest-en-Jarez, , France

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Strasbourg, , France

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Hong Kong, , Hong Kong

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Hong Kong, , Hong Kong

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Bangalore, , India

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Hyderabad, , India

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Mumbai, , India

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Mumbai, , India

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New Delhi, , India

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New Delhi, , India

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Brindisi, Apulia, Italy

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Napoli, Campania, Italy

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Trieste, Friuli Venezia Giulia, Italy

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Genoa, Liguria, Italy

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Saronno, Lombardy, Italy

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Antella (FI), Tuscany, Italy

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Bydgoszcz, , Poland

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Wroclaw, , Poland

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Dammam, , Saudi Arabia

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Jeddah, , Saudi Arabia

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Jeddah, , Saudi Arabia

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Alcoy, Alicante, Spain

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Sabadell, Barcelona, Barcelona, Spain

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Alcazar de S. Juan, Ciudad Real, Spain

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Jaén, Jaen, Spain

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Málaga, Malaga, Spain

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Toledo, Toledo, Spain

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Valencia, Valencia, Spain

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Barakaldo, Vizcaya, Spain

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Antalya, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Sıhhiye, Ankara, , Turkey (Türkiye)

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Countries

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Brazil China Egypt France Hong Kong India Italy Poland Saudi Arabia Spain Turkey (Türkiye)

References

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Gligorov J, Doval D, Bines J, Alba E, Cortes P, Pierga JY, Gupta V, Costa R, Srock S, de Ducla S, Freudensprung U, Mustacchi G. Maintenance capecitabine and bevacizumab versus bevacizumab alone after initial first-line bevacizumab and docetaxel for patients with HER2-negative metastatic breast cancer (IMELDA): a randomised, open-label, phase 3 trial. Lancet Oncol. 2014 Nov;15(12):1351-60. doi: 10.1016/S1470-2045(14)70444-9. Epub 2014 Sep 28.

Reference Type DERIVED
PMID: 25273343 (View on PubMed)

Other Identifiers

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2008-006872-31

Identifier Type: -

Identifier Source: secondary_id

MO22223

Identifier Type: -

Identifier Source: org_study_id

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