Pilot Study of Cabazitaxel and Paclitaxel in HER2 Negative Breast Cancer

NCT ID: NCT03048942

Last Updated: 2019-11-13

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2025-08-31

Brief Summary

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90 patients with HER2 negative breast cancer will be randomised to receive 18 weeks of chemotherapy treatment, either 6 cycles of 3 weekly Cabazitaxel or 6 cycles of weekly Paclitaxel to determine the difference in progression free survival between the 2 groups. If results at that stage suggest a potential benefit then the trial will be developed further to accrue 70 more patients.

Detailed Description

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This is a prospective multicentre, randomised, open label, study comparing the efficacy and the safety of six 3-weekly cycles cabazitaxel versus 18 x weekly paclitaxel given as first line chemotherapy treatment in patients with HER2-normal metastatic breast cancer. Randomisation will be conducted by a 1:1 ratio.

Conditions

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HER2 Negative 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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Cabazitaxel

6 cycles of cabazitaxel intravenous chemotherapy 25mg/m2 on day 1 of each 21 day cycle

Group Type EXPERIMENTAL

Cabazitaxel

Intervention Type DRUG

3 weekly cyctotoxic chemotherapy

Paclitaxel

6 cycles of Paclitaxel intravenous chemotherapy 80mg/m2 on days 1,8 and 15 of each 21 day cycle.

Group Type ACTIVE_COMPARATOR

Paclitaxel

Intervention Type DRUG

Weekly cyctotoxic chemotherapy

Interventions

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Cabazitaxel

3 weekly cyctotoxic chemotherapy

Intervention Type DRUG

Paclitaxel

Weekly cyctotoxic chemotherapy

Intervention Type DRUG

Other Intervention Names

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Jevtana

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Metastatic breast cancer fit to receive cytotoxic chemotherapy for metastatic disease
* Measurable disease as per RECIST 1.1
* HER2 negative defined as ICH 0+, 1+ or 2+ and FISH/SISH/CISH(ration\<2.0) in the case of IHC 2+
* ECOG performance status 0 or 1
* ER+ve or ER-ve
* Female age ≥18 years
* Anticipated life expectancy \> 6 months
* Haemoglobin \>10.0g/DL
* Absolute neutrophil count\>1.5 x 10\^9/L
* Platelet count\>100 x 10\^9/L
* ALT/SGPT\<1.5 X ULN
* Serum creatinine \<1.5 x ULN
* Negative pregnancy test for all women of child bearing potential

Exclusion Criteria

* Grade ≥2 oral mucositis or peripheral or sensory neuropathy
* History of other malignancy
* History of severe hypersensitivity ≥grade 3 to polysorbate 80- containing drugs and taxanes
* Clinically significant cardiovascular disease
* Any acute or chronic medical condition
* Acute infection requiring systemic antibiotics or antifungal medication
* Sex hormones
* Administration of any live vaccine within 8 weeks
* Concurrent or planned treatment with strong inhibitors or strong inducers of cytochrome P450 3A4/5
* Participation in another clinical trial with an investigational drug within 30 days of randomisation
* Pregnant or breast feeding women
* Contraindications to the use of corticosteroid treatment
* HER2 Positive breast cancer
* Previous Paclitaxel chemotherapy in the adjuvant setting
* Previous cytotoxic chemotherapy for metastatic disease
* Palliative radiotherapy for metastatic disease within 4 weeks of randomisation
* Symptomatic brain metastases confirmed with CT/MRI brain
* History of other malignancy
* Grade 2
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals Bristol and Weston NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amit K Bahl

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Bristol and Weston NHS Foundation Trust

Locations

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Imperial Healthcare NHS Trust

London, Avon, United Kingdom

Site Status RECRUITING

Royal United Hospital

Bath, , United Kingdom

Site Status RECRUITING

Blackpool Victoria Hospital

Blackpool, , United Kingdom

Site Status RECRUITING

Bristol Haematology and Oncology Centre, Horfield Road

Bristol, , United Kingdom

Site Status RECRUITING

Velindre Cancer Centre

Cardiff, , United Kingdom

Site Status RECRUITING

Royal Devon and Exeter Hospital

Exeter, , United Kingdom

Site Status RECRUITING

Guy's Hospital

London, , United Kingdom

Site Status RECRUITING

Freeman Hospital

Newcastle, , United Kingdom

Site Status RECRUITING

City Hospital, Nottingham

Nottingham, , United Kingdom

Site Status RECRUITING

Derriford Hospital

Plymouth, , United Kingdom

Site Status RECRUITING

Musgrove Park Hospital

Taunton, , United Kingdom

Site Status RECRUITING

Royal Cornwall and Treliske

Truro, , United Kingdom

Site Status RECRUITING

Worcestershire Acute Hospitals NHS Trust

Worcester, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Amit K Bahl

Role: CONTACT

0117 342 2418

Alicia Bravo

Role: CONTACT

Facility Contacts

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Shola Ogegbo

Role: primary

Tania Allen

Role: primary

Lauren Thornborough

Role: primary

Alison Markham

Role: primary

0117 342 6736

Clare Boobier

Role: primary

Kizzy Baines

Role: primary

01932 402865

Chris Bayliss

Role: primary

Lucy Blackwell

Role: primary

Carol Tasker

Role: primary

helen smith

Role: primary

Angela Locke

Role: primary

Carol Goddard

Role: primary

Jayne tyler

Role: primary

Other Identifiers

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ON/2012/4234

Identifier Type: -

Identifier Source: org_study_id

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