Study in Post-menopausal Women With Hormone Receptor Positive, HER2-negative Advanced Breast Cancer

NCT ID: NCT03176238

Last Updated: 2020-04-07

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

235 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-29

Study Completion Date

2019-01-29

Brief Summary

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This international, multi-center, open-label, single-arm study evaluated the safety and tolerability profile of everolimus in post-menopausal women with HR positive, HER2 negative locally advanced or metastatic breast cancer after documented recurrence or progression following a non-steroidal aromatase inhibitors (NSAI) therapy in Novartis Oncology emergent growth market (EGM) countries.Data was presented by Asian countries vs Non-Asian countries to confirm no difference in safety and efficacy. Summary statistics were presented.

Detailed Description

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Conditions

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Post Menopausal Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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everolimus + exemestane

Everolimus (10 mg) and exemestane (25 mg) tablets taken orally in combination once daily

Group Type EXPERIMENTAL

everolimus

Intervention Type DRUG

one 10 mg tablet or two 5 mg tablets of everolimus were administered orally once daily on a continuous dosing schedule starting on Day 1

exemestane

Intervention Type DRUG

25 mg tablet was administered orally once daily on a continuous dosing schedule starting on Day 1

Interventions

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everolimus

one 10 mg tablet or two 5 mg tablets of everolimus were administered orally once daily on a continuous dosing schedule starting on Day 1

Intervention Type DRUG

exemestane

25 mg tablet was administered orally once daily on a continuous dosing schedule starting on Day 1

Intervention Type DRUG

Other Intervention Names

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RAD001

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women with metastatic, recurrent or locally advanced breast cancer not amenable to curative treatment by surgery or radiotherapy.
* Histological or cytological confirmation of hormone-receptor positive (HR+) breast cancer.
* Disease refractory to non-steroidal aromatase inhibitors, defined as:
* Recurrence while on, or within 12 months (365 days) of completion of adjuvant therapy with letrozole or anastrozole, or
* Progression while on, or within one month (30 days) of completion of letrozole or anastrozole treatment for locally advanced or metastatic breast cancer (ABC).
* Radiological or objective evidence of recurrence or progression on or after the last systemic therapy prior to enrolment.
* Patients must have had:
* At least one lesion that could have been accurately measured in at least one dimension

* 20 mm with conventional imaging techniques or ≥ 10 mm with spiral CT or MRI, or
* Bone lesions: lytic or mixed (lytic + blastic) in the absence of measurable disease as defined above.
* Adequate bone marrow, coagulation, liver and renal function.
* ECOG performance status ≤ 2.

Exclusion Criteria

* Patients overexpressing HER2 by local laboratory testing (IHC 3+ staining or in situ hybridization positive). Patients with IHC 2+ must have a negative in situ hybridization test.
* Patients with only non-measurable lesions other than bone metastasis (e.g. pleural effusion, ascites).
* Patients with more than one prior chemotherapy line for ABC. A chemotherapy line is an anticancer regimen(s) that contained at least 1 cytotoxic chemotherapy agent, given for a minimum of 21 days.
* Previous treatment with mTOR inhibitors.
* Known hypersensitivity to mTOR inhibitors, e.g. Sirolimus (rapamycin).
* Patients with a known history of HIV seropositivity. Screening for HIV infection at baseline was not required.
* Patient who were being treated with drugs recognized as being strong inhibitors or inducers of the isoenzyme CYP3A
* History of brain or other CNS metastases, including leptomeningeal metastasis.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Garran, Australian Capital Territory, Australia

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Caringbah, New South Wales, Australia

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Liverpool, New South Wales, Australia

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Box Hill, Victoria, Australia

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Heidelberg, Victoria, Australia

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Ringwood East, Victoria, Australia

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St Albans, Victoria, Australia

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Karamsad, Gujarat, India

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Nashik, Maharashtra, India

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Pune, Maharashtra, India

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Cuttack, Odisha, India

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Bandung, , Indonesia

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Jakarta, , Indonesia

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Semarang, , Indonesia

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Yogyakarta, , Indonesia

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Amman, , Jordan

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Kuala Lumpur, Kuala Lumpur, Malaysia

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Kuala Lumpur, MYS, Malaysia

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Kota Kinabalu, Sabah, Malaysia

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Casablanca, , Morocco

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Rabat, , Morocco

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Cape Town, Western Cape, South Africa

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George, Western Cape, South Africa

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Western Cape, Western Cape, South Africa

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Suwon, Gyeonggi-do, South Korea

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Jeollanam-do, Jeollanam-do, South Korea

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Gyeonggi-do, Korea, South Korea

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Seoul, Korea, South Korea

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Seoul, Seocho Gu, South Korea

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Busan, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Taegu, , South Korea

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Kaoshiung, Taiwan, Taiwan

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New Taipei City, TWN, Taiwan

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Changhua, , Taiwan

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Kaohsiung City, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Aryanah, , Tunisia

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Pendik / Istanbul, Turkey, Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Gaziantep, , Turkey (Türkiye)

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Izmir, , Turkey (Türkiye)

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Kartal, , Turkey (Türkiye)

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Novartis Investigative Site

Ho Chi Minh City, , Vietnam

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Countries

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Australia India Indonesia Jordan Malaysia Morocco South Africa South Korea Taiwan Thailand Tunisia Turkey (Türkiye) Vietnam

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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CRAD001JIC06

Identifier Type: -

Identifier Source: org_study_id

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