Study in Post-menopausal Women With Hormone Receptor Positive, HER2-negative Advanced Breast Cancer (EVEREXES)
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
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
Interventio / Hoito
Interventio / Hoito
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Todellinen)
Ilmoittautuminen
Vaihe
Vaihe
- Vaihe 3
Yhteystiedot ja paikat
Opiskelupaikat
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Australian Capital Territory
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Garran, Australian Capital Territory, Australia, 2605
- Novartis Investigative Site
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New South Wales
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Caringbah, New South Wales, Australia, 2229
- Novartis Investigative Site
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Liverpool, New South Wales, Australia, 2170
- Novartis Investigative Site
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Victoria
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Box Hill, Victoria, Australia, 3128
- Novartis Investigative Site
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Heidelberg, Victoria, Australia, 3084
- Novartis Investigative Site
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Ringwood East, Victoria, Australia, 3135
- Novartis Investigative Site
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St Albans, Victoria, Australia, 3021
- Novartis Investigative Site
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Western Cape, Etelä-Afrikka, 7925
- Novartis Investigative Site
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Western Cape
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Cape Town, Western Cape, Etelä-Afrikka, 7925
- Novartis Investigative Site
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George, Western Cape, Etelä-Afrikka, 6530
- Novartis Investigative Site
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Bandung, Indonesia, 40161
- Novartis Investigative Site
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Jakarta, Indonesia, 11420
- Novartis Investigative Site
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Jogyakarta, Indonesia, 55284
- Novartis Investigative Site
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Semarang, Indonesia, 50212
- Novartis Investigative Site
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Gujarat
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Karamsad, Gujarat, Intia, 388325
- Novartis Investigative Site
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Maharashtra
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Nashik, Maharashtra, Intia, 422 004
- Novartis Investigative Site
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Pune, Maharashtra, Intia, 411013
- Novartis Investigative Site
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Orissa
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Cuttack, Orissa, Intia, 753 007
- Novartis Investigative Site
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Amman, Jordania, 11941
- Novartis Investigative Site
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Busan, Korean tasavalta, 602739
- Novartis Investigative Site
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Jeollanam-do, Korean tasavalta, 519763
- Novartis Investigative Site
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Seoul, Korean tasavalta, 03080
- Novartis Investigative Site
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Seoul, Korean tasavalta, 06351
- Novartis Investigative Site
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Seoul, Korean tasavalta, 03722
- Novartis Investigative Site
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Seoul, Korean tasavalta, 02841
- Novartis Investigative Site
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Seoul, Korean tasavalta, 06273
- Novartis Investigative Site
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Seoul, Korean tasavalta, 01812
- Novartis Investigative Site
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Taegu, Korean tasavalta, 41944
- Novartis Investigative Site
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Gyeonggi-do
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Suwon, Gyeonggi-do, Korean tasavalta, 443380
- Novartis Investigative Site
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Korea
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Gyeonggi do, Korea, Korean tasavalta, 10408
- Novartis Investigative Site
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Seoul, Korea, Korean tasavalta, 05505
- Novartis Investigative Site
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Seocho Gu
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Seoul, Seocho Gu, Korean tasavalta, 06591
- Novartis Investigative Site
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MYS
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Kuala Lumpur, MYS, Malesia, 56000
- Novartis Investigative Site
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Sabah
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Kota Kinabalu, Sabah, Malesia, 88586
- Novartis Investigative Site
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Wilayah Persekutuan
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Kuala Lumpur, Wilayah Persekutuan, Malesia, 50586
- Novartis Investigative Site
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Casablanca, Marokko
- Novartis Investigative Site
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Rabat, Marokko, 6527
- Novartis Investigative Site
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Changhua, Taiwan, 50006
- Novartis Investigative Site
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Kaohsiung City, Taiwan, 83301
- Novartis Investigative Site
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Kaoshiung, Taiwan, 80756
- Novartis Investigative Site
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Taipei, Taiwan, 10048
- Novartis Investigative Site
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Taipei, Taiwan, 10449
- Novartis Investigative Site
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TWN
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New Taipei City, TWN, Taiwan, 23561
- Novartis Investigative Site
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Bangkok, Thaimaa, 10400
- Novartis Investigative Site
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Bangkok, Thaimaa, 10300
- Novartis Investigative Site
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Chiang Mai, Thaimaa, 50200
- Novartis Investigative Site
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Ariana, Tunisia, 2080
- Novartis Investigative Site
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Ankara, Turkki, 06100
- Novartis Investigative Site
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Ankara, Turkki, 06500
- Novartis Investigative Site
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Ankara, Turkki, 06460
- Novartis Investigative Site
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Gaziantep, Turkki, 27310
- Novartis Investigative Site
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Izmir, Turkki, 35040
- Novartis Investigative Site
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Kartal, Turkki, 34890
- Novartis Investigative Site
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Pendik / Istanbul, Turkki, 34899
- Novartis Investigative Site
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Ho Chi Minh, Vietnam, 700000
- Novartis Investigative Site
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
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.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
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Kokeellinen: everolimus + exemestane
Everolimus (10 mg) and exemestane (25 mg) tablets taken orally in combination once daily
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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
Muut nimet:
25 mg tablet was administered orally once daily on a continuous dosing schedule starting on Day 1
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Summary of Number of Participants With Treatment Emergent Adverse Events (TEAE) - All Grades
Aikaikkuna: 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
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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.
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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
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Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Percentage of Participants Response Rates (Best Overall and Overall)
Aikaikkuna: Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
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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
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Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
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Percentage of Participants Clinical Benefit Rate
Aikaikkuna: Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
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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.
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Baseline up to approximately 43 weeks for Asian countires and 32 weeks for Non-Asian countries
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Progression Free Survival (PFS)
Aikaikkuna: Baseline up to approximately 43 weeks for Asian countires and 40 weeks for Non-Asian countries
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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
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Percent of Participants Event-free Probability Estimates of Deterioration of Eastern Cooperative Oncology Group (ECOG) Performance Status
Aikaikkuna: Baseline up to approximately 50 weeks
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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.
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Baseline up to approximately 50 weeks
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Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Ensisijainen valmistuminen
Opintojen valmistuminen (Todellinen)
Opintojen valmistuminen
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Ensimmäinen Lähetetty
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin päivitys julkaistu
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Ihosairaudet
- Neoplasmat
- Neoplasmat sivustoittain
- Rintojen sairaudet
- Rintojen kasvaimet
- Huumeiden fysiologiset vaikutukset
- Farmakologisen vaikutuksen molekyylimekanismit
- Entsyymin estäjät
- Antineoplastiset aineet
- Immunosuppressiiviset aineet
- Immunologiset tekijät
- Hormonit, hormonikorvikkeet ja hormoniantagonistit
- Hormoniantagonistit
- Aromataasi-inhibiittorit
- Steroidisynteesin estäjät
- Estrogeeniantagonistit
- Everolimus
- Eksemestaani
Muut tutkimustunnusnumerot
Muut tutkimustunnusnumerot
- CRAD001JIC06
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
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
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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