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

6 de abril de 2020 actualizado por: Novartis Pharmaceuticals

A Phase IIIb, Multi-center, Open-label Study of RAD001 in Combination With EXemestane in Post-menopausal Women With EStrogen Receptor Positive, Human Epidermal Growth Factor Receptor 2 Negative Locally Advanced or Metastatic Breast Cancer

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.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

235

Fase

  • Fase 3

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Australia
    • Australian Capital Territory
      • Garran, Australian Capital Territory, Australia, 2605
        • Novartis Investigative Site
    • New South Wales
      • Caringbah, New South Wales, Australia, 2229
        • Novartis Investigative Site
      • Liverpool, New South Wales, Australia, 2170
        • Novartis Investigative Site
    • Victoria
      • Box Hill, Victoria, Australia, 3128
        • Novartis Investigative Site
      • Heidelberg, Victoria, Australia, 3084
        • Novartis Investigative Site
      • Ringwood East, Victoria, Australia, 3135
        • Novartis Investigative Site
      • St Albans, Victoria, Australia, 3021
        • Novartis Investigative Site
  • Corea, república de
      • Busan, Corea, república de, 602739
        • Novartis Investigative Site
      • Jeollanam-do, Corea, república de, 519763
        • Novartis Investigative Site
      • Seoul, Corea, república de, 03080
        • Novartis Investigative Site
      • Seoul, Corea, república de, 06351
        • Novartis Investigative Site
      • Seoul, Corea, república de, 03722
        • Novartis Investigative Site
      • Seoul, Corea, república de, 02841
        • Novartis Investigative Site
      • Seoul, Corea, república de, 06273
        • Novartis Investigative Site
      • Seoul, Corea, república de, 01812
        • Novartis Investigative Site
      • Taegu, Corea, república de, 41944
        • Novartis Investigative Site
    • Gyeonggi-do
      • Suwon, Gyeonggi-do, Corea, república de, 443380
        • Novartis Investigative Site
    • Korea
      • Gyeonggi do, Korea, Corea, república de, 10408
        • Novartis Investigative Site
      • Seoul, Korea, Corea, república de, 05505
        • Novartis Investigative Site
    • Seocho Gu
      • Seoul, Seocho Gu, Corea, república de, 06591
        • Novartis Investigative Site
  • India
    • Gujarat
      • Karamsad, Gujarat, India, 388325
        • Novartis Investigative Site
    • Maharashtra
      • Nashik, Maharashtra, India, 422 004
        • Novartis Investigative Site
      • Pune, Maharashtra, India, 411013
        • Novartis Investigative Site
    • Orissa
      • Cuttack, Orissa, India, 753 007
        • Novartis Investigative Site
  • Indonesia
      • Bandung, Indonesia, 40161
        • Novartis Investigative Site
      • Jakarta, Indonesia, 11420
        • Novartis Investigative Site
      • Jogyakarta, Indonesia, 55284
        • Novartis Investigative Site
      • Semarang, Indonesia, 50212
        • Novartis Investigative Site
  • Jordán
      • Amman, Jordán, 11941
        • Novartis Investigative Site
  • Malasia
    • MYS
      • Kuala Lumpur, MYS, Malasia, 56000
        • Novartis Investigative Site
    • Sabah
      • Kota Kinabalu, Sabah, Malasia, 88586
        • Novartis Investigative Site
    • Wilayah Persekutuan
      • Kuala Lumpur, Wilayah Persekutuan, Malasia, 50586
        • Novartis Investigative Site
  • Marruecos
      • Casablanca, Marruecos
        • Novartis Investigative Site
      • Rabat, Marruecos, 6527
        • Novartis Investigative Site
  • Pavo
      • Ankara, Pavo, 06100
        • Novartis Investigative Site
      • Ankara, Pavo, 06500
        • Novartis Investigative Site
      • Ankara, Pavo, 06460
        • Novartis Investigative Site
      • Gaziantep, Pavo, 27310
        • Novartis Investigative Site
      • Izmir, Pavo, 35040
        • Novartis Investigative Site
      • Kartal, Pavo, 34890
        • Novartis Investigative Site
      • Pendik / Istanbul, Pavo, 34899
        • Novartis Investigative Site
  • Sudáfrica
      • Western Cape, Sudáfrica, 7925
        • Novartis Investigative Site
    • Western Cape
      • Cape Town, Western Cape, Sudáfrica, 7925
        • Novartis Investigative Site
      • George, Western Cape, Sudáfrica, 6530
        • Novartis Investigative Site
  • Tailandia
      • Bangkok, Tailandia, 10400
        • Novartis Investigative Site
      • Bangkok, Tailandia, 10300
        • Novartis Investigative Site
      • Chiang Mai, Tailandia, 50200
        • Novartis Investigative Site
  • Taiwán
      • Changhua, Taiwán, 50006
        • Novartis Investigative Site
      • Kaohsiung City, Taiwán, 83301
        • Novartis Investigative Site
      • Kaoshiung, Taiwán, 80756
        • Novartis Investigative Site
      • Taipei, Taiwán, 10048
        • Novartis Investigative Site
      • Taipei, Taiwán, 10449
        • Novartis Investigative Site
    • TWN
      • New Taipei City, TWN, Taiwán, 23561
        • Novartis Investigative Site
  • Túnez
      • Ariana, Túnez, 2080
        • Novartis Investigative Site
  • Vietnam
      • Ho Chi Minh, Vietnam, 700000
        • Novartis Investigative Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Femenino

Descripción

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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: N / A
  • Modelo Intervencionista: Asignación de un solo grupo
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: everolimus + exemestane
Everolimus (10 mg) and exemestane (25 mg) tablets taken orally in combination once daily
Droga: 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
Otros nombres:
  • RAD001
Droga: exemestane
25 mg tablet was administered orally once daily on a continuous dosing schedule starting on Day 1

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Summary of Number of Participants With Treatment Emergent Adverse Events (TEAE) - All Grades
Periodo de tiempo: Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries including a 30 day post treatment follow up period
Adverse events (AEs), serious adverse events (SAEs), changes from baseline in vital signs and laboratory results (hematology, blood chemistry, lipid profile) qualifying and reported as AEs. Although a patient might had two or more adverse events the patient is only counted once in a category. The same patient might appear in different categories. AESI: Adverse events of special interest.
Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries including a 30 day post treatment follow up period

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Percentage of Participants Response Rates (Best Overall and Overall)
Periodo de tiempo: Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
The best overall response for each patient is determined from the sequence of investigator overall lesion responses according to RECIST 1.1: Complete Response (CR)=disappearance of target lesions, Partial Response (PR) was >=30% decrease in sum of diameter of lesions, Progressive Disease (PD) was >=20% decrease in sum of diameter of lesions, Stable Disease (SD) does not qualify for PR, CR or PD, Unknown=not documented or assessed. To be assigned a best overall response of CR at least two determinations of CR at least 4 weeks apart before progression are required. To be assigned a best overall response of PR at least two determinations of PR or better at least 4 weeks apart before progression (and not qualifying for a CR) are required. The Overall response rate (ORR) is the percentage of patients with a best overall response of confirmed complete (CR) or partial (PR) response. The 95% confidence intervals (CI) were computed using the Clopper-Pearson method
Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
Percentage of Participants Clinical Benefit Rate
Periodo de tiempo: Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
Clinical benefit rate: Patients with best overall response rate of CR (any duration), PR (any duration) and SD with duration of 24 weeks or longer according to RECIST 1.1 criteria: Complete Response (CR)=disappearance of target lesions, Partial Response (PR) was >=30% decrease in sum of diameter of lesions, Progressive Disease (PD) was >=20% decrease in sum of diameter of lesions, Stable Disease (SD) does not qualify for PR, CR or PD, Unknown=not documented or assessed. Best overall response of CR = at least two determinations of CR at least 4 weeks apart before progression are required. Best overall response of PR = at least two determinations of PR or better at least 4 weeks apart before progression (and not qualifying for a CR) are required. The Overall response rate (ORR) is the percentage of patients with a best overall response of confirmed complete (CR) or partial (PR) response. The 95% confidence intervals (CI) were computed using the Clopper-Pearson method.
Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
Progression Free Survival (PFS)
Periodo de tiempo: Baseline up to approximately 43 weeks for Asian countires and 40 weeks for Non-Asian countries

PFS is time from date of start of treatment to date of disease progression or death due to any cause, whichever occurs first.

b Percentiles with 95% CIs are calculated from PROC LIFETEST output using method of Brookmeyer and Crowley (1982)
Baseline up to approximately 43 weeks for Asian countires and 40 weeks for Non-Asian countries
Percent of Participants Event-free Probability Estimates of Deterioration of Eastern Cooperative Oncology Group (ECOG) Performance Status
Periodo de tiempo: Baseline up to approximately 50 weeks
Time to deterioration of ECOG performance status, from baseline will be assessed using the ECOG Performance Status Scale (Oken, 1982). Time to deterioration is the time from date of start of treatment to the date of the event defined as deterioration. Deterioration is defined as an increase in performance status from 0 to 2 or greater, an increase in performance status from 1-2 to 3 or greater, or death due to any cause. Event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. Event-free probability estimates were are obtained from the Kaplan-Meier survival estimates.
Baseline up to approximately 50 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Novartis Pharmaceuticals

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

29 de marzo de 2013

Finalización primaria (Actual)

29 de enero de 2019

Finalización del estudio (Actual)

29 de enero de 2019

Fechas de registro del estudio

Enviado por primera vez

1 de junio de 2017

Primero enviado que cumplió con los criterios de control de calidad

1 de junio de 2017

Publicado por primera vez (Actual)

5 de junio de 2017

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

7 de abril de 2020

Última actualización enviada que cumplió con los criterios de control de calidad

6 de abril de 2020

Última verificación

1 de abril de 2020

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • CRAD001JIC06

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.

This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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