1st Line Treatment of Bevacizumab-Taxane vs Bevacizumab-Exemestane in Metastatic Breast Cancer

NCT ID: NCT01303679

Last Updated: 2023-09-06

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2018-05-31

Brief Summary

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In first-line metastatic breast cancer, the bevacizumab-taxane to progression or toxicity, is currently the standard treatment. In patients expressing hormone receptors, it was shown that hormone therapy administered in maintenance after induction chemotherapy, could have a benefit regarding the progression-free survival. The investigators make the hypothesis that there would be interest to discontinue treatment with taxane after 4 months, and to begin hormone therapy while continuing maintenance bevacizumab.

Exemestane was chosen because it has been shown potentially active in patients who progressed after letrozole, anastrozole or tamoxifen.

Detailed Description

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Conditions

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First Line Metastatic 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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paclitaxel-bevacizumab

Paclitaxel, 80mg/m² at d1, d8, d15 bevacizumab, 10 mg/kg at d1, d15

Group Type ACTIVE_COMPARATOR

Paclitaxel

Intervention Type DRUG

IV, 80mg/m² at d1, d8, d15

Bevacizumab

Intervention Type DRUG

IV, 10 mg/kg at d1, d15 or IV, 15 mg/kg every 3 weeks

exemestane-bevacizumab

exemestane, 25 mg daily dose bevacizumab, 15mg/kg every 3 weeks

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

IV, 10 mg/kg at d1, d15 or IV, 15 mg/kg every 3 weeks

Exemestane

Intervention Type DRUG

daily 25 mg (1 pill) oral intake

Interventions

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Paclitaxel

IV, 80mg/m² at d1, d8, d15

Intervention Type DRUG

Bevacizumab

IV, 10 mg/kg at d1, d15 or IV, 15 mg/kg every 3 weeks

Intervention Type DRUG

Exemestane

daily 25 mg (1 pill) oral intake

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 ans.
* Metastatic breast cancer or locally advanced
* RE+, HER2-
* Patient receiving paclitaxel-bevacizumab first line chemotherapy

Exclusion Criteria

* Previous treatment by exemestane (both in adjuvant or metastatic treatment).
* 1st line of chemotherapy different thaan paclitaxel-bevacizumab.
* Treatment by paclitaxel-bevacizumab \> 18 weeks.
* HER2 positifs et/ou récepteurs aux oestrogènes négatifs.
* Previous thrombosis event within the 6 months before inclusion .
* Previous significant surgery within the 28 days before treatment start
* Previuous coagulopathy.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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ARCAGY/ GINECO GROUP

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas BACHELOT, Md

Role: PRINCIPAL_INVESTIGATOR

GINECO

Locations

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BACHELOT

Lyon, , France

Site Status

Countries

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France

References

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Tredan O, Follana P, Moullet I, Cropet C, Trager-Maury S, Dauba J, Lavau-Denes S, Dieras V, Beal-Ardisson D, Gouttebel M, Orfeuvre H, Stefani L, Jouannaud C, Burki F, Petit T, Guardiola E, Becuwe C, Blot E, Pujade-Lauraine E, Bachelot T. A phase III trial of exemestane plus bevacizumab maintenance therapy in patients with metastatic breast cancer after first-line taxane and bevacizumab: a GINECO group study. Ann Oncol. 2016 Jun;27(6):1020-1029. doi: 10.1093/annonc/mdw077. Epub 2016 Feb 24.

Reference Type DERIVED
PMID: 26916095 (View on PubMed)

Other Identifiers

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Arobase (GINECO-BR107)

Identifier Type: -

Identifier Source: org_study_id

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