Study of Oral Vinorelbine Plus Capecitabine Versus Taxane-gemcitabine Combinations as 1st Line Chemotherapy in Metastatic Breast Cancer

March 20, 2019 updated by: Pierre Fabre Medicament

Randomised Phase II Study of the Combination of Oral Vinorelbine With Capecitabine Versus Gemcitabine in Combination With Paclitaxel Versus Gemcitabine in Combination With Docetaxel as First Line Chemotherapy in Patients With Metastatic Breast Cancer

The aim of this international open-label randomized phase II trial is to evaluate the efficacy and safety of an all-oral combination and two all-intravenous combinations as first-line therapy for HER2-negative mBC patients.

Study Overview

Study Type

Interventional

Enrollment (Actual)

152

Phase

  • Phase 2

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Histologically confirmed adenocarcinoma of the breast;
  • Documented metastatic disease previously untreated by chemotherapy;
  • HER2 negative (assessed by 0-1+ IHC or 2+ IHC with FISH-) on the primary tumor or on metastatic site;
  • Karnofsky Performance Status 70%.

Exclusion Criteria:

  • Local relapse alone after conservative treatment or contra-lateral tumor;
  • Patients with symptoms suggesting CNS involvement or leptomeningeal metastases;
  • Concomitant hormonal therapy for metastatic breast cancer;
  • Prior chemotherapy in the metastatic setting;
  • Patients previously treated with a vinca-alkaloid, capecitabine, gemcitabine or taxanes;
  • Prior severe and unexpected reaction to fluoropyrimidine therapy (with or without documented DPD deficiency) or known hypersensitivity to 5-fluorouracil.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Vinorelbine-Capecitabine (arm A)
oral vinorelbine (OV) with capecitabine (CAP)
Oral vinorelbine 60 mg/m² on day 1 & day 8, for cycle 1, and then 80 mg/m² on day 1 & day 8, every 3 weeks for subsequent cycles
Capecitabine 1000 mg/m² twice a day (2000 mg/m² daily) from day 1 to day 14
ACTIVE_COMPARATOR: Gemcitabine-Paclitaxel (arm B)
gemcitabine (GEM) in combination with paclitaxel (PAC)
Gemcitabine 1250 mg/m² on day 1 & day 8
Paclitaxel 175 mg/m² on day 1
ACTIVE_COMPARATOR: Gemcitabine-Docetaxel (arm C)
gemcitabine (GEM) in combination with docetaxel (DOC)
Gemcitabine: 1000 mg/m² on day 1 & 8
Docetaxel 75 mg/m² on day 1

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Disease Control Rate (DCR)
Time Frame: Duration of the study, approximately 6 months
Duration of the study, approximately 6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2006

Primary Completion (ACTUAL)

June 1, 2013

Study Completion (ACTUAL)

October 1, 2015

Study Registration Dates

First Submitted

October 3, 2016

First Submitted That Met QC Criteria

March 20, 2019

First Posted (ACTUAL)

March 22, 2019

Study Record Updates

Last Update Posted (ACTUAL)

March 22, 2019

Last Update Submitted That Met QC Criteria

March 20, 2019

Last Verified

March 1, 2019

More Information

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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