Study Evaluating the Safety and Efficacy of Onartuzumab And/or Bevacizumab in Combination With Paclitaxel in Participants With Metastatic, Triple Negative Breast Cancer

NCT ID: NCT01186991

Last Updated: 2017-01-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

185 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2016-03-31

Brief Summary

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This is a randomized, Phase II, double-blind, multicenter, placebo-controlled trial designed to preliminarily estimate the efficacy and evaluate the safety and tolerability of onartuzumab (MetMAb) + bevacizumab + paclitaxel and onartuzumab + placebo + paclitaxel versus placebo + bevacizumab + paclitaxel in participants with metastatic or locally recurrent, triple-negative breast cancer who either have not received treatment (first-line) or have progressed after one conventional cytotoxic chemotherapy regimen (second-line).

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

DOUBLE

Participants Investigators

Study Groups

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Onartuzumab + Bevacizumab + Paclitaxel

Participants will receive treatment with onartuzumab, bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable drug-related toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).

Group Type EXPERIMENTAL

Onartuzumab

Intervention Type DRUG

Onartuzumab will be administered as intravenous (IV) infusion at a dose of 10 milligrams per kilogram (mg/kg) on Day 1 and Day 15 of each 28-day cycle. The dose of onartuzumab will be based on the participant's weight at screening and will remain the same throughout the study.

Bevacizumab

Intervention Type DRUG

Bevacizumab will be administered as IV infusion at a dose of 10 mg/kg on Day 1 and Day 15 of each 28-day cycle. The dose of bevacizumab will be based on the participant's weight at screening and will remain the same throughout the study.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered as IV infusion at a dose of 90 milligrams per meter-squared (mg/m\^2) on Day 1, Day 8, and Day 15 of each 28-day cycle.

Onartuzumab + Placebo + Paclitaxel

Participants will receive treatment with onartuzumab, placebo matching to bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).

Group Type EXPERIMENTAL

Onartuzumab

Intervention Type DRUG

Onartuzumab will be administered as intravenous (IV) infusion at a dose of 10 milligrams per kilogram (mg/kg) on Day 1 and Day 15 of each 28-day cycle. The dose of onartuzumab will be based on the participant's weight at screening and will remain the same throughout the study.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered as IV infusion at a dose of 90 milligrams per meter-squared (mg/m\^2) on Day 1, Day 8, and Day 15 of each 28-day cycle.

Bevacizumab Placebo

Intervention Type DRUG

Placebo matching to bevacizumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.

Placebo + Bevacizumab + Paclitaxel

Participants will receive treatment with placebo matching to onartuzumab, bevacizumab, and paclitaxel, which may continue until disease progression, unacceptable toxicity, investigator decision, death, or completion of study, whichever occurs first (up to approximately 5 years).

Group Type ACTIVE_COMPARATOR

Bevacizumab

Intervention Type DRUG

Bevacizumab will be administered as IV infusion at a dose of 10 mg/kg on Day 1 and Day 15 of each 28-day cycle. The dose of bevacizumab will be based on the participant's weight at screening and will remain the same throughout the study.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered as IV infusion at a dose of 90 milligrams per meter-squared (mg/m\^2) on Day 1, Day 8, and Day 15 of each 28-day cycle.

Onartuzumab Placebo

Intervention Type DRUG

Placebo matching to onartuzumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.

Interventions

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Onartuzumab

Onartuzumab will be administered as intravenous (IV) infusion at a dose of 10 milligrams per kilogram (mg/kg) on Day 1 and Day 15 of each 28-day cycle. The dose of onartuzumab will be based on the participant's weight at screening and will remain the same throughout the study.

Intervention Type DRUG

Bevacizumab

Bevacizumab will be administered as IV infusion at a dose of 10 mg/kg on Day 1 and Day 15 of each 28-day cycle. The dose of bevacizumab will be based on the participant's weight at screening and will remain the same throughout the study.

Intervention Type DRUG

Paclitaxel

Paclitaxel will be administered as IV infusion at a dose of 90 milligrams per meter-squared (mg/m\^2) on Day 1, Day 8, and Day 15 of each 28-day cycle.

Intervention Type DRUG

Bevacizumab Placebo

Placebo matching to bevacizumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.

Intervention Type DRUG

Onartuzumab Placebo

Placebo matching to onartuzumab will be administered as IV infusion on Day 1 and Day 15 of each 28-day cycle.

Intervention Type DRUG

Other Intervention Names

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MetMAb Avastin Taxol

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
* Histologically confirmed estrogen receptor (ER)-, progesterone receptor (PR)-, and human epidermal growth factor 2 (HER2)-negative (triple-negative) adenocarcinoma of the breast
* Confirmed availability of tumor tissue

Exclusion Criteria

* Prior therapy with two or more regimens for metastatic breast cancer
* Any systemic anti-cancer therapy within 3 weeks prior to Day 1 of Cycle 1
* Major surgical procedure, open biopsy, or significant traumatic injury within 30 days prior to Day 1 of Cycle 1
* Prior therapy with a taxane for metastatic breast cancer
* Prior therapy with bevacizumab, sorafenib, sunitinib, or other putative vascular endothelial growth factor (VEGF) pathway-targeted therapy following diagnosis of breast cancer
* Prior therapy with hormones and/or trastuzumab
* Inadequate hematology, renal, or hepatic organ function


* Uncontrolled hypertension (systolic pressure greater than \[\>\] 150 millimeters of mercury \[mmHg\] and/or diastolic pressure \> 100 mmHg), with or without anti-hypertensive medication
* Evidence of bleeding diathesis or coagulopathy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Comprehensive Blood/Cancer Ctr

Bakersfield, California, United States

Site Status

St. Jude Heritage Healthcare; Virgiia K.Crosson Can Ctr

Fullerton, California, United States

Site Status

Can Care Assoc Med Group Inc; Beach Cities Offices

Los Angeles, California, United States

Site Status

Univ of California Los Angeles

Los Angeles, California, United States

Site Status

Kaiser Permanente Sacramento Medical Center

Sacramento, California, United States

Site Status

Sharp Healthcare; Oncology Research Program

San Diego, California, United States

Site Status

Kaiser Permanente - Vallejo

Vallejo, California, United States

Site Status

Holy Cross Hospital

Fort Lauderdale, Florida, United States

Site Status

Florida Cancer Specialists; SCRI

Fort Myers, Florida, United States

Site Status

Suburban Hematology Oncology

Lawrenceville, Georgia, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute..

Detroit, Michigan, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

North Shore Hem Onc Associates

East Setauket, New York, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Magee Womens Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Charleston Hematology Oncology

Charleston, South Carolina, United States

Site Status

South Carolina Onc. Associate

Columbia, South Carolina, United States

Site Status

SCRI Tennessee Oncology Chattanooga

Chattanooga, Tennessee, United States

Site Status

The Sarah Cannon Research Inst

Nashville, Tennessee, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

UZ Antwerpen

Edegem, , Belgium

Site Status

AZ Sint Lucas (Sint Lucas)

Ghent, , Belgium

Site Status

CH Jolimont - Lobbes (Jolimont)

Haine-Saint-Paul, , Belgium

Site Status

Jessa Zkh (Campus Virga Jesse)

Hasselt, , Belgium

Site Status

CHU Sart-Tilman

Liège, , Belgium

Site Status

Sint Augustinus Wilrijk

Wilrijk, , Belgium

Site Status

Institut Bergonie; Oncologie

Bordeaux, , France

Site Status

Centre Francois Baclesse; Gastro-Enterologie

Caen, , France

Site Status

Centre Georges Francois Leclerc; Oncologie 3

Dijon, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

Institut régional du Cancer Montpellier

Montpellier, , France

Site Status

Institut Curie; Oncologie Medicale

Paris, , France

Site Status

Centre Rene Huguenin; CONSULT SPECIALISEES

Saint-Cloud, , France

Site Status

Ico Rene Gauducheau; Oncologie

Saint-Herblain, , France

Site Status

Institut Claudius Regaud; Departement Oncologie Medicale

Toulouse, , France

Site Status

Praxis Dr. med. Klausmann; SHOD

Aschaffenburg, , Germany

Site Status

Klinik Johann Wolfgang von Goethe Uni

Frankfurt am Main, , Germany

Site Status

Klinikum rechts der Isar der TU München; Frauenklinik

München, , Germany

Site Status

Universitätsklinik Tübingen; Frauenklinik

Tübingen, , Germany

Site Status

Hospital Univ Vall d'Hebron; Servicio de Oncologia

Barcelona, Barcelona, Spain

Site Status

Instituto Catalán de Oncología; Servicio de Farmacia

Barcelona, Barcelona, Spain

Site Status

Hospital Universitario Puerta del Mar; Servicio de Oncologia

Cadiz, Cadiz, Spain

Site Status

Centro Oncológico Gallego José Antonio Quiroga y Piñeiro, Servicio de Oncologia

A Coruña, La Coruña, Spain

Site Status

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, Spain

Site Status

Brighton and Sussex Univ Hosp

Brighton, , United Kingdom

Site Status

Christie Hospital NHS Trust

Manchester, , United Kingdom

Site Status

The Clatterbridge Cancer Ctr For Oncolgy

Metropolitan Borough of Wirral, , United Kingdom

Site Status

Mount Vernon Hospital; Centre For Cancer Treatment

Northwood, , United Kingdom

Site Status

Nottingham City Hospital; Oncology

Nottingham, , United Kingdom

Site Status

Countries

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United States Belgium France Germany Spain United Kingdom

References

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Dieras V, Campone M, Yardley DA, Romieu G, Valero V, Isakoff SJ, Koeppen H, Wilson TR, Xiao Y, Shames DS, Mocci S, Chen M, Schmid P. Randomized, phase II, placebo-controlled trial of onartuzumab and/or bevacizumab in combination with weekly paclitaxel in patients with metastatic triple-negative breast cancer. Ann Oncol. 2015 Sep;26(9):1904-1910. doi: 10.1093/annonc/mdv263. Epub 2015 Jul 22.

Reference Type DERIVED
PMID: 26202594 (View on PubMed)

Other Identifiers

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GO01334

Identifier Type: OTHER

Identifier Source: secondary_id

2010-020101-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

OAM4861g

Identifier Type: -

Identifier Source: org_study_id

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