Study To Evaluate the Efficacy and Safety Of Bevacizumab, and Associated Biomarkers, In Combination With Paclitaxel Compared With Paclitaxel Plus Placebo as First-line Treatment Of Patients With Her2-Negative Metastatic Breast Cancer

NCT ID: NCT01663727

Last Updated: 2019-01-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

481 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-27

Study Completion Date

2017-11-21

Brief Summary

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This is a Phase III, randomized, double-blind, placebo-controlled multicenter study to evaluate the efficacy and safety of bevacizumab administered in combination with paclitaxel in patients with previously untreated, locally recurrent, or metastatic HER2-negative breast cancer. Patients will be randomized to one of two treatment arms: bevacizumab or placebo. All patients will be given an intravenous (IV) infusion of of paclitaxel (90 mg/m2) for 3 weeks during each 28-day cycle. bevacizumab or placebo (10 mg/kg) will be administered by IV infusion on Days 1 and 15 of each 28-day cycle. Patients will be treated until disease progression, unacceptable toxicity or death from any cause occurs.

Detailed Description

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Conditions

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Metastatic 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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A

Paclitaxel + Bevacizumab \[Avastin\]

Group Type EXPERIMENTAL

Bevacizumab [Avastin]

Intervention Type DRUG

Intravenous repeating dose

Paclitaxel

Intervention Type DRUG

Intravenous repeating dose

B

Paclitaxel + Placebo

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

Intravenous repeating dose

Placebo

Intervention Type DRUG

Intravenous repeating dose

Interventions

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Bevacizumab [Avastin]

Intravenous repeating dose

Intervention Type DRUG

Paclitaxel

Intravenous repeating dose

Intervention Type DRUG

Placebo

Intravenous repeating dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed, HER2-negative adenocarcinoma of the breast, with measurable or non-measurable locally recurrent or metastatic disease. Locally recurrent disease must not be amenable to resection with curative intent.
* ECOG performance status of 0 or 1
* For women of childbearing potential, use of an acceptable and effective method of non-hormonal contraception
* For patients who have received recent radiotherapy, recovery prior to randomization from any significant acute toxicity, and radiation treatments have to be completed more than 3 weeks from randomization

Exclusion Criteria

Disease-Specific Exclusions:

* HER2-positive status
* Prior chemotherapy for locally recurrent or metastatic disease
* Prior hormonal therapy \< 2 weeks prior to randomization
* Prior adjuvant or neo-adjuvant chemotherapy is allowed, provided its conclusion has been for at least 12 months prior to randomization
* Investigational therapy within 28 days of randomization

General Medical Exclusions:

* Life expectancy of \< 12 weeks
* Inadequate organ function
* Uncontrolled serious medical or psychiatric illness
* Active infection requiring intravenous (IV) antibiotics at screening
* Pregnancy or lactation
* History of other malignancies within 5 years prior to screening, except for tumors with a negligible risk for metastasis or death
Minimum Eligible Age

18 Years

Eligible Sex

ALL

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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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Wilshire Oncology Medical Group

Corona, California, United States

Site Status

Wilshire Oncology Medical Group

Glendora, California, United States

Site Status

Wilshire Oncology Medical Group

La Verne, California, United States

Site Status

Long Beach Memorial Medical Center; Oncology

Long Beach, California, United States

Site Status

Tenet Health System Desert Inc

Palm Springs, California, United States

Site Status

Wilshire Oncology Medical Group; Oncology

Pomona, California, United States

Site Status

Wilshire Oncology Medical Group

Rancho Cucamonga, California, United States

Site Status

Wilshire Oncology Medical Group

West Covina, California, United States

Site Status

Washington Hospital

Washington D.C., District of Columbia, United States

Site Status

Sylvester Comprehensive Cancer Center - Deerfield Beach; Sylvester Cancer Center

Deerfield Beach, Florida, United States

Site Status

Florida Cancer Specialists - Broadway

Fort Myers, Florida, United States

Site Status

BRCR Medical Center, Inc.

Plantation, Florida, United States

Site Status

Hematology Oncology Associates of the Treasure Coast

Port Saint Lucie, Florida, United States

Site Status

Northeast Georgia Cancer Care LLC

Athens, Georgia, United States

Site Status

Peachtree Hematology & Oncology Consultants, Pc

Atlanta, Georgia, United States

Site Status

Kaiser Foundation Hospital; Dr. Eron's Office

Honolulu, Hawaii, United States

Site Status

IU Cancer Pavilion

Indianapolis, Indiana, United States

Site Status

Greater Baltimore Medical Center

Baltimore, Maryland, United States

Site Status

Maryland Oncology Hematology, P.A.

Columbia, Maryland, United States

Site Status

Lahey Clinic Inc. - PARENT ACCOUNT

Burlington, Massachusetts, United States

Site Status

The Jones Clinic, PC

New Albany, Mississippi, United States

Site Status

Missouri Cancer Associates

Columbia, Missouri, United States

Site Status

Washington University; Center for Adv Medicine

St Louis, Missouri, United States

Site Status

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status

Signal Point Clinical; Research Center, LLC

Middletown, Ohio, United States

Site Status

ProMedica Hickman Cancer Center at Flower Hospital; Hickman Cancer Center

Sylvania, Ohio, United States

Site Status

University of Toledo; Dept. of Medicine

Toledo, Ohio, United States

Site Status

Virginia Cancer Specialists - Leesburg

Leesburg, Pennsylvania, United States

Site Status

Pennsylvania Oncology Hematology Associates, Inc.; PA Oncology & Hematology

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina; Division of Hematology-Oncology

Charleston, South Carolina, United States

Site Status

SCRI-Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Texas Oncology-Medical City Dallas

Dallas, Texas, United States

Site Status

Texas Oncology, P.A. - Dallas Presbyterian

Dallas, Texas, United States

Site Status

Texas Oncology, P.A. - Fort Worth

Fort Worth, Texas, United States

Site Status

Texas Oncology- Southwest Fort Worth

Fort Worth, Texas, United States

Site Status

Univ of Texas Medical Branch

Galveston, Texas, United States

Site Status

Texas Oncology, P.A. - Garland

Garland, Texas, United States

Site Status

Cancer Care Centers of S Texas

Kerrville, Texas, United States

Site Status

Texas Oncology- Longview Cancer Center

Longview, Texas, United States

Site Status

Texas Oncology, P.A. - McAllen; South Texas Cancer Center-McAllen

McAllen, Texas, United States

Site Status

Texas Oncology Plano West

Plano, Texas, United States

Site Status

Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

Cancer Care Centers of South Texas

San Antonio, Texas, United States

Site Status

CancerCare Centers of South Texas

San Antonio, Texas, United States

Site Status

Texas Oncology, P.A. - Tyler

The Woodlands, Texas, United States

Site Status

Texas Oncology, P.A.

The Woodlands, Texas, United States

Site Status

Virginia Cancer Specialists - Alexandria

Alexandria, Virginia, United States

Site Status

Fairfax Northern Virginia Hematology-Oncology PC

Arlington, Virginia, United States

Site Status

Wellmonth Physician Services

Bristol, Virginia, United States

Site Status

Virginia Oncology Associates - Chesapeake

Chesapeake, Virginia, United States

Site Status

Oncology & Hematology Associates of SW Va Inc. - Market Street

Christiansburg, Virginia, United States

Site Status

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Site Status

Hematology Oncology Associates of Fredericksburg, Inc.

Fredericksburg, Virginia, United States

Site Status

Virginia Cancer Specialists - Gainsville

Gainesville, Virginia, United States

Site Status

Virginia Oncology Associates - Hampton

Hampton, Virginia, United States

Site Status

Oncology and Hematology Assoc. of SW VA, Inc. - Low Moor

Low Moor, Virginia, United States

Site Status

Virginia Oncology Associates - New Port News

Newport News, Virginia, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Oncology & Hematolgy Associates of SW Va Inc. - Roanoke

Roanoke, Virginia, United States

Site Status

Oncology and Hematology Assoc. of SW VA, Inc.

Salem, Virginia, United States

Site Status

Virginia Oncology Associates - Virginia Beach

Virginia Beach, Virginia, United States

Site Status

Oncology and Hematology Assoc. of SW VA, Inc. - Wytheville

Wytheville, Virginia, United States

Site Status

Northwest Medical Specialties, PLLC; Research Department

Tacoma, Washington, United States

Site Status

West Virginia University; Endocrinology

Morgantown, West Virginia, United States

Site Status

Hospital Britanico de Buenos Aires

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Centro Oncologico Riojano Integral (CORI)

La Rioja, , Argentina

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Centro de Investigacion Pergamino SA

Pergamino, , Argentina

Site Status

Instituto de Investigaciones Clínicas Quilmes

Quilmes, , Argentina

Site Status

Hospital Provincial del Centenario

Rosario, , Argentina

Site Status

Instituto CAICI

Rosario, , Argentina

Site Status

Instituto de Oncología de Rosario

Rosario, , Argentina

Site Status

Sanatorio Parque S.A.

Rosario, Santa FE, , Argentina

Site Status

ISIS Clinica Especializada

Santa Fe, , Argentina

Site Status

AZ KLINA

Brasschaat, , Belgium

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UZ Brussel

Brussels, , Belgium

Site Status

UZ Antwerpen

Edegem, , Belgium

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GHdC Site Saint-Joseph

Gilly (Charleroi), , Belgium

Site Status

CHU Ambroise Paré; Hematology and Oncology Department

Mons, , Belgium

Site Status

Clinica de Tratamento e Pesquisa Oncologica - Oncotek

Brasília, Federal District, Brazil

Site Status

Hospital da Cidade de Passo Fundo; Centro de Pesquisa em Oncologia

Passo Fundo, Rio Grande do Sul, Brazil

Site Status

Hospital Sao Lucas - PUCRS; Pesquisa Clinica

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Clinica de Oncologia de Porto Alegre - CliniOnco

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Hospital Nossa Senhora da Conceicao

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Centro de Pesquisas Oncologicas - CEPON

Florianópolis, Santa Catarina, Brazil

Site Status

Clinica de Neoplasias Litoral

Itajaí, Santa Catarina, Brazil

Site Status

Hospital das Clinicas - FMUSP Ribeirao Preto

Ribeirão Preto, São Paulo, Brazil

Site Status

Universidade Federal de Sao Paulo - UNIFESP

São Paulo, São Paulo, Brazil

Site Status

MHAT Dr. Tota Venkova AD

Gabrovo, , Bulgaria

Site Status

SHATOD Haskovo EOOD

Haskovo, , Bulgaria

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Complex Oncological Center - Plovdiv, EOOD

Plovdiv, , Bulgaria

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Complex Oncological Center - Shumen, EOOD; Department of Chemotherapy

Shumen, , Bulgaria

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SHATOD - Sofia District, EOOD

Sofia, , Bulgaria

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MHAT Serdika, EOOD

Sofia, , Bulgaria

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UMHAT Tsaritsa Yoanna - ISUL, EAD

Sofia, , Bulgaria

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SHATOD - Sofia City, EOOD

Sofia, , Bulgaria

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SHATOD Dr. Marko Antonov Markov-Varna, EOOD

Varna, , Bulgaria

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COC - Veliko Tarnovo

Veliko Tarnovo, , Bulgaria

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Centro de Estudios Oncologicos de Santiago (CEOS) Oncologia

Santiago, , Chile

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Fundacion Arturo Lopez Perez

Santiago, , Chile

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Instituto Nacional del Cancer

Santiago, , Chile

Site Status

Instituto Oncologico Ltda.

Viña del Mar, , Chile

Site Status

Studienzentrum Aschaffenburg

Aschaffenburg, , Germany

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St. Elisabeth-Krankenhaus

Cologne, , Germany

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St. Johannes Hospital; Klinik fuer innere Medizin II, Onkologie, Haematologie

Dortmund, , Germany

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Wilhelm-Anton-Hospital gGmbH

Goch, , Germany

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Universitätsklinikum Heidelberg

Heidelberg, , Germany

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Universitaetsklinikum Ulm

Ulm, , Germany

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Ospedale Casa Sollievo Della Sofferenza IRCCS

San Giovanni Rotondo, Apulia, Italy

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Azienda Ospedaliera A. Cardarelli

Napoli, Campania, Italy

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Ospedale degli Infermi

Rimini, Emilia-Romagna, Italy

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Ospedale Mater Salutis

Legnago (VR), Lombardy, Italy

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Ospedale San Raffaele

Milan, Lombardy, Italy

Site Status

Fondazione Salvatore Maugeri IRCCS

Pavia, Lombardy, Italy

Site Status

Ospedale Versilia

Lido di Camaiore, Tuscany, Italy

Site Status

NHO Shikoku Cancer Center; Dept of Respiratory Medicine

Ehime, , Japan

Site Status

NHO Kyushu Cancer Center

Fukuoka, , Japan

Site Status

Gifu University Hospital

Gifu, , Japan

Site Status

Hiroshima University Hospital

Hiroshima, , Japan

Site Status

Hyogo College of Medicine Hospital

Hyōgo, , Japan

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Hakuaikai Sagara Hospital

Kagoshima, , Japan

Site Status

Tokai University Hospital

Kanagawa, , Japan

Site Status

Kumamoto University Hospital

Kumamoto, , Japan

Site Status

Kumamoto City Hospital

Kumamoto, , Japan

Site Status

Tohoku University Hospital

Miyagi, , Japan

Site Status

Niigata Cancer Center Hospital

Niigata, , Japan

Site Status

Iwate Medical University Hospital

Numakunai, , Japan

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NHO Osaka National Hospital

Osaka, , Japan

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Osaka International Cancer Institute

Osaka, , Japan

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Kindai University Hospital

Osaka, , Japan

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NHO Hokkaido Cancer Center

Sapporo, , Japan

Site Status

Shizuoka General Hospital

Shizuoka, , Japan

Site Status

Toranomon Hospital

Tokyo, , Japan

Site Status

Juntendo University Hospital

Tokyo, , Japan

Site Status

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital

Tokyo, , Japan

Site Status

Centro Hemato Oncologico Panama

Panama City, , Panama

Site Status

Medical Research Centre

Panama City, , Panama

Site Status

Institutul Oncologic "Prof. Dr. Al. Trestioreanu"

Bucharest, , Romania

Site Status

Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj-Napoca; Radioterapie I - Oncologie

Cluj-Napoca, , Romania

Site Status

Medisprof SRL

Cluj-Napoca, , Romania

Site Status

Oncomed SRL

Timișoara, , Romania

Site Status

CTPI Chernihiv Regional Oncological Dispensary

Chernihiv, , Russia

Site Status

SHI Republican Clinical Oncological Dispensary of HM RT

Kazan', , Russia

Site Status

Regional Clinical Oncology Dispensary

Krasnodar, , Russia

Site Status

FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"

Moscow, , Russia

Site Status

Non-state Healthcare Institution "Road Clinical Hospital of JSC Russian Railways"

Saint Petersburg, , Russia

Site Status

City Clinical Oncology Dispensary

Saint Petersburg, , Russia

Site Status

SBEIHPE SSMU n.a. I.P.Pavlov of MOH and SD of RF

Saint Petersburg, , Russia

Site Status

FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"

Saint Petersburg, , Russia

Site Status

Samara Regional Oncology Dispensary

Samara, , Russia

Site Status

National Hospital; Oncotherapy Dept

Bloemfontein, , South Africa

Site Status

Cape Town Oncology Trials

Cape Town, , South Africa

Site Status

Hopelands Cancer Centre Durban

Durban, , South Africa

Site Status

Mary Potter Oncology Centre

Groenkloof, , South Africa

Site Status

Hopelands Cancer Centre

Hilton, , South Africa

Site Status

Cancercare

Port Elizabeth, , South Africa

Site Status

University of Pretoria; Department of Medical Oncology

Pretoria, , South Africa

Site Status

National Cancer Centre

Gyeonggi-do, , South Korea

Site Status

Seoul National University Bundang Hospital

Gyeonggi-do, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System; Pharmacy

Seoul, , South Korea

Site Status

Asan Medical Center.

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

CI Cherkasy Regional Oncological Dispensary of Cherkasy RC RC of Clinical Oncology

Cherkassy, , Ukraine

Site Status

CI Dnipropetrovsk CMCH 4 of Dnipropetrovsk RC Dept of Chemotherapy SI Dnipropetrovsk MA of MOHU

Dnipropetrovsk, , Ukraine

Site Status

CCTPI Donetsk Regional Antitumor Center

Donetsk, , Ukraine

Site Status

Kyiv Сity Clinical Oncological Center

Kyiv, , Ukraine

Site Status

Medical and Prophylactic Institution Volyn Regional Oncological Dispensary

Lutsk, , Ukraine

Site Status

Lviv State Oncological Regional Treatment and Diagnostic Center

Lviv, , Ukraine

Site Status

RCI Sumy Regional Clinical Oncological Dispensary

Sumy, , Ukraine

Site Status

CCCH City Oncological Center SHEI Uzhgorod NU

Uzhhorod, , Ukraine

Site Status

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status

Western General Hospital

Edinburgh, , United Kingdom

Site Status

Royal Devon and Exeter Hospital (Wonford)

Exeter, , United Kingdom

Site Status

Mount Vernon Hospital

Middlesex, , United Kingdom

Site Status

Peterborough City Hospital

Peterborough, , United Kingdom

Site Status

Derriford Hospital; Clinical Neurology Research Group

Plymouth, , United Kingdom

Site Status

Countries

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United States Argentina Belgium Brazil Bulgaria Chile Germany Italy Japan Panama Romania Russia South Africa South Korea Ukraine United Kingdom

References

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Masuda N, Takahashi M, Nakagami K, Okumura Y, Nakayama T, Sato N, Kanatani K, Tajima K, Kashiwaba M. First-line bevacizumab plus paclitaxel in Japanese patients with HER2-negative metastatic breast cancer: subgroup results from the randomized Phase III MERiDiAN trial. Jpn J Clin Oncol. 2017 May 1;47(5):385-392. doi: 10.1093/jjco/hyx001.

Reference Type DERIVED
PMID: 28158579 (View on PubMed)

Miles D, Cameron D, Bondarenko I, Manzyuk L, Alcedo JC, Lopez RI, Im SA, Canon JL, Shparyk Y, Yardley DA, Masuda N, Ro J, Denduluri N, Hubeaux S, Quah C, Bais C, O'Shaughnessy J. Bevacizumab plus paclitaxel versus placebo plus paclitaxel as first-line therapy for HER2-negative metastatic breast cancer (MERiDiAN): A double-blind placebo-controlled randomised phase III trial with prospective biomarker evaluation. Eur J Cancer. 2017 Jan;70:146-155. doi: 10.1016/j.ejca.2016.09.024. Epub 2016 Nov 4.

Reference Type DERIVED
PMID: 27817944 (View on PubMed)

Other Identifiers

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2011-005335-97

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GO25632

Identifier Type: -

Identifier Source: org_study_id

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