- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01880385
Efficacy and Safety of Bevacizumab in the Neodjuvant Treatment of Inflammatory Breast Cancer (Beva)
Efficacy & Safety of Bevacizumab as Neoadjuvant Treatment in Patients With Locally Advanced Inflammatory Breast Cancer, a Pilot Study.
Study Overview
Status
Conditions
Detailed Description
Pilot study evaluating the safety and efficacy of adding Bevacizumab to neoadjuvant chemotherapy in patients presenting non metastatic inflammatory breast cancer (IBC). Patients will receive 4 cycles of chemotherapy FEC100 associating Fluorouracil (500 mg/m2), Epirubicin (100 mg/m2), Cyclophosphamide (500 mg/m2) and Bevacizumab 15 mg/kg every at day 1 of ecah 21 days cycle for 4 cycles. Six weeks after the end of neoadjuvant chemotherapy, patients will undergo mastectomy and 4 cycles of Docetaxel (100 mg/m2)as adjuvant chemotherapy +/-Trastuzumab 8 mg/kg for the first cycle then 6mg/kg every 3 weeks for 17 cycles if tumor overexpress Human Epidermal Growth Factor Receptor 2 (HER2).
The primary objective of this study is to evaluate the safety and the efficacy, i.e. pathologic complete response (pCR) after 4 cycles of FEC100+Bevacizumab in IBC
Study Type
Enrollment (Anticipated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: ghozlane lakhoua
- Phone Number: 0021698354190
- Email: ghozlane_lakhoua@hotmail.fr
Study Locations
-
-
Tunis
-
Bab Saadoun, Tunis, Tunisia, 1006+
- Recruiting
- Institut Salah Azaiz
-
Contact:
- ghozlane lakhoua
- Phone Number: 00 216 98 354 190
- Email: ghozlane_lakhoua@hotmail.fr
-
Sub-Investigator:
- henda raies, professor
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
• Patients must have signed a written informed consent form prior to any study specific procedures,
- Women,
- 20 years or older,
- Performance status < 2 (ECOG),
- Histologically confirmed inflammatory breast cancer T4d any N,
- hormonal Status known,
- no metastases according to the last TNM classification,
adequate hematologic function :
- absolute neutrophil count ≥ 1 500/mm3
- Platelets ≥ 100 000/mm3
- Hemoglobin ≥ 9 g/dL
adequate liver function :
- ASAT and ALAT < à 3 ULN
- Alkaline Phosphatase < 5 ULN
- Total bilirubin < 1,5 ULN, o
adequate kidney function :
- creatinine < 1,5 x normal or creatinine Clearance ≥ 50ml/min (according to the cockcroft and Gault formula)
- Urine Dipstick for proteinuria < 2+ patients who have proteinuria ≥ 2 + on dipstick urinalysis at baseline should undergo a 24 hours urine collection and must demonstrate ≤ 1 g of protein in 24 hours,
adequate coagulation and cardiac function :
- Prothrombin ratio ≥ 70 % and,
- Prothrombin time ≤ 1,5 upper limit of normal (ULN) within 7 days prior to enrolment
- Left Ventricular ejection fraction (LVEF) ≥ 55 %
Exclusion Criteria:
- Patients of childbearing potential with a positive pregnancy test (serum or urine) prior to enrollment
- Patients who are either not post-menopausal, or surgically sterile, not using "effective contraception" (the definition of "effective contraception" will be based on the judgment of the investigator)
- Patients who are pregnant or breastfeeding
- Patient considered socially or psychological unable to comply with the treatment and the required medial follow-up,
- Concurrent participation in another clinical trial or treatment with any other anticancer agent during the protocol specified period
- Patients unwilling or unable to sign and date an Ethics Committee (EC)/ Institutional Review Board (IRB)-approved patient informed consent form
- Patients unwilling or unable to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
- Non inflammatory breast cancer with lymphatic skin permeation, Metastases,
- Bilateral breast cancer
- Distant metastases (stage IV)
- History of another cancer other than adequately treated carcinoma in situ of the cervix uteri, basal or squamous cell skin cancer
- Prior anti tumor therapy (surgery, radiotherapy, chemotherapy, hormonal treatment and targeted therapy) except treatments given for carcinoma in situ of the cervix uteri, basal or squamous cell skin cancer
- History or evidence of inherited bleeding diathesis or coagulopathy,
- History of thrombotic disorders within the last 6 months prior to enrollment (i.e. cerebrovascular accident, transient ischemic attacks, subarachnoid hemorrhage),
- Uncontrolled hypertension (systolic > 150 mmHg and/or diastolic > 100 mmHg)with or without any anti-hypertensive medication ; patients with high initial blood pressure are eligible if entry criteria are met after initiation or adjustment of anti-hypertensive medication,
- Any of the following within 6 months prior to enrollment:
myocardial infarction, severe/unstable angina, or coronary/peripheral artery bypass graft surgery, clinically symptomatic and uncontrolled cardiovascular disease, or clinically significant cardiac arrhythmias (grade 3-4)
- Severe resting dyspnea due to complications or oxygen dependency,
- Diabetic patient treated with oral anti-diabetics or insulin with an underlying cardiopathy at ultrasound,
- Any other severe acute illness such as active uncontrolled infections that would preclude the safe administration of study therapy at the time of the enrolment
- Other severe underlying medical conditions, which could impair the ability to participate in the study
- Major surgery, significant traumatic injury within 28 days prior to study treatment start or anticipation of the need for major surgery during study treatment,
- Minor surgery, including insertion of an indwelling catheter, within 24 hours prior to the first bevacizumab infusion,
- Non-healing wound, active peptic ulcer or bone fracture,
- History of abdominal fistula, diagnosed with a trachea-oesophageal fistula or any grade 4 non gastro-intestinal fistula, gastrointestinal perforation or intra-abdominal abscess within 6 months of enrolment,
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: bevacizumab, inflammatory breast cancer
Neoadjuvant therapy associating bevacizumab, cyclophosphamide, fluorouracil and epirubicin hydrochloride q3w, 4 cycles Adjuvant therapy by docetaxel q3w, 4 cycles +/- trastuzumab q3w, 18 cycles if tumors overexpress HER2
|
During neoadjuvant phase: 15 mg/kg, d1 q3w, 4 cycles
Other Names:
Neoadjuvant: 500 mg/m2 d1 q3w, 4 cycles
Neoadjuvant: 100 mg/m2, d1 q3w, 4 cycles
Neoadjuvant: 500 mg/m2, d1 q3w, 4 cycles
Adjuvant: 100 mg/m2 q3w, 4 cycles
Adjuvant: 8 mg/kg d1 in the 1st cycle then 6 mg/kg for d1 q3w, 17 cycles if tumor overexpress HER2
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pathologic Complete Response (pCR)
Time Frame: 18 months
|
Evaluation of the pathologic complete response (pCR) rate among patients treated by 4 cycles of FEC100 and bevacizumab
|
18 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Toxicity as assessed by CTCAE v3.0
Time Frame: 3 and 5 years
|
Evaluation of the safety of administering bevacizumab in the neoadjuvant setting, with particular attention on the incidence of grade 3/4 adverse events
|
3 and 5 years
|
Progression-free survival
Time Frame: 3 and 5 years
|
3 and 5 years
|
|
Overall survival
Time Frame: 3 and 5 years
|
3 and 5 years
|
Collaborators and Investigators
Investigators
- Principal Investigator: amel mezlini, professor, Institut Salah Azaiz
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Breast Diseases
- Breast Neoplasms
- Inflammatory Breast Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antineoplastic Agents, Immunological
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Antibiotics, Antineoplastic
- Docetaxel
- Cyclophosphamide
- Trastuzumab
- Fluorouracil
- Epirubicin
- Bevacizumab
Other Study ID Numbers
- ML25168
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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