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Evaluate Risk/Benefit of Nab Paclitaxel in Combination With Gemcitabine and Carboplatin Compared to Gemcitabine and Carboplatin in Triple Negative Metastatic Breast Cancer (or Metastatic Triple Negative Breast Cancer) (tnAcity)

19 lutego 2019 zaktualizowane przez: Celgene

A Phase 2/3, Multi-Center, Open-Label, Randomized Study of Weekly Nab®-Paclitaxel in Combination With Gemcitabine or Carboplatin, Compared to Gemcitabine/Carboplatin, as First Line Treatment in Subjects With ER, PgR, and HER2 Negative (Triple Negative) Metastatic Breast Cancer

The purpose of this study is to compare the safety and efficacy of nab-paclitaxel in combination with either gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line treatment in female subjects with triple negative metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer.

Przegląd badań

Status

Zakończony

Warunki

Interwencja / Leczenie

Szczegółowy opis

ABI-007-MBC- 001 is a Phase 2/3, multicenter, open-label, randomized, study that will compare the safety and efficacy of weekly nab-paclitaxel in combination with gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line therapy in female subjects with Estrogen Receptor (ER), Progesterone Receptor (PgR), and human epidermal growth factor receptor 2 (HER2) negative (triple negative) metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer. In the phase 2 portion of the study, the combinations of nab-paclitaxel plus gemcitabine and nab-paclitaxel plus carboplatin will be evaluated, and a comparator arm of gemcitabine combined with carboplatin will be used. In the phase 3 portion of the study, the selected nab-paclitaxel combination treatment will be compared to gemcitabine combined with carboplatin to evaluate progression free survival, safety and tolerability, overall survival, disease control rate and duration of response in women with metastatic triple negative breast cancer.

Due to changes in the treatment landscape since the initiation of this trial, the decision was made not to proceed to the Phase 3 portion of the study.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

191

Faza

  • Faza 2
  • Faza 3

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

  • Australia
      • Nedlands, Australia, 6009
        • Sir Charles Gairdner Hospital
    • Australian Capital Territory
      • Garran, Australian Capital Territory, Australia, 2605
        • Canberra Hospital
    • Victoria
      • Frankston, Victoria, Australia, 3199
        • Frankston Hospital Oncology Research
      • Wodonga, Victoria, Australia, 3690
        • Border Medical Oncology
  • Austria
      • Innsbruck, Austria, 6020
        • Universitaetsklinik Innsbruck
      • Salzburg, Austria, 5020
        • Salzburger Landkliniken St. Johanns-Spital
      • Vienna, Austria, 1090
        • Medizinische Universität Wien
  • Brazylia
      • Fortaleza, Brazylia, 60160-230
        • ONCOCLINIC Clinica de Oncologia LTDA
      • Ribeirao Preto, Brazylia, 14015-130
        • Instituto Ribeiraopretano de Combate Ao Cancer
      • Ribeirao Preto, Brazylia, 14048-900
        • Hospital Das Clinicas Da Faculdade De Medicina Da USP
      • Rio Grande Do Sul, Brazylia, 95900-000
        • Hospital Bruno Born
      • Sao Jose Do Rio Preto, Brazylia, 15090-000
        • Hospital de Base Da Faculdade de Medicina de
      • Sao Paulo, Brazylia, 05651-901
        • Hospital Albert Einstein Sociedade Beneficente Israelita Brasileira
      • São Paulo, Brazylia, 01308-050
        • Sociedade Beneficente de Senhoras Hospital Sirio Libanes
      • São Paulo, Brazylia, 03102-002
        • Instituto Brasileiro de Controle do Cancer Ibcc
    • Bahia
      • Salvador, Bahia, Brazylia, 41820-021
        • Centro de Oncologia da Bahia
    • Paraná
      • Curitiba, Paraná, Brazylia, 81520-060
        • Liga Paranaense de Combate ao Cancer
    • Rio De Janeiro
      • Rio De Janerio, Rio De Janeiro, Brazylia, 20560-120
        • Instituto Nacional de Cancer - INCA
    • Rio Grande Do Sul
      • Porto Alegre, Rio Grande Do Sul, Brazylia, 90035-001
        • Associacao Hospitalar Moinhos de Vento Hospital Moinhos de Vento
      • Porto Alegre, Rio Grande Do Sul, Brazylia, 90610-000
        • Hospital Sao Lucas - PUCRS
    • São Paulo
      • Barretos, São Paulo, Brazylia, 14784-400
        • Fundacao Pio XII - Hospital de Cancer de Barretos
      • Jau/SP, São Paulo, Brazylia, 17210-080
        • Hospital Dr. Amaral Carvalho/ Hospital Amaral Carvalho Jaú
  • Francja
      • Clermont-Ferrand, Francja, 63003
        • Centre Jean Perrin
  • Grecja
      • Athens, Grecja, 11528
        • University of Athens Medical school - Regional General Hospital
      • Athens, Grecja, 15562
        • IASO General
      • Faliro, Grecja, 18547
        • Metropolitan Hospital
      • Heraklion, Grecja, 71110
        • University General Hospital of Heraklion
      • Rio Patras, Grecja, 26500
        • University General Hospital of Patras
  • Hiszpania
      • Barcelona, Hiszpania, 08036
        • Clinic Barcelona Hospital Universitari
      • Barcelona, Hiszpania, 8035
        • Hospital Universitario Vall d Hebron
      • Cordoba, Hiszpania, 14004
        • Hospital Universitario Reina Sofía
      • Madrid, Hiszpania, 28007
        • Hospital General Gregorio Marañón
      • San Sebastian, Hiszpania, 20014
        • Onkologikoa - Kutxaren Institutu Onkologikoa
      • Santiago de Compostela, Hiszpania, 15706
        • Hospital Clínico Universitario de Santiago
      • Sevilla, Hiszpania, 41071
        • Hospital Universitario Virgen Macarena
      • Zaragoza, Hiszpania, 50009
        • Hospital Universitario Miguel Servet
  • Kanada
    • Ontario
      • Ottawa, Ontario, Kanada, K1H 8L6
        • Ottawa General Hospital
    • Quebec
      • Montreal, Quebec, Kanada, H2L 4M1
        • CHUM - Notre Dame
      • Quebec City, Quebec, Kanada, G1S4L8
        • Hospital du Saint Scarement Sacrement Laboratory
      • Rimouski, Quebec, Kanada, G5L5T1
        • CSSS de Rimouski Neigette
    • Saskatchewan
      • Regina, Saskatchewan, Kanada, S4T1A5
        • Alan Blair Cancer Centre at Pasqua Hosptial
  • Niemcy
      • Berlin, Niemcy, 10713
        • Sankt Gertrauden-Krankenhaus
      • Bonn, Niemcy, 53111
        • Facharztpraxis fur Gynakologie und Geburtshilfe
      • Frankfurt, Niemcy, 60431
        • Agaplesion Markus Krankenhaus
      • Freiburg, Niemcy, 79110
        • Praxis für interdisziplinäre Onkologie & Hämatologie
      • Heidelberg, Niemcy, 69120
        • Universitaetsklinikum Heidelberg
      • Hildesheim, Niemcy, 31134
        • Frauenärzte am Bahnhofsplatz
      • Köln, Niemcy, 50679
        • Schwerpunktpraxis fur Gynakologische Onkologie
      • München, Niemcy, 81377
        • LMU Klinikum der Universität
      • Trier, Niemcy, 54290
        • Krankenanstalt Mutterhaus der Borromaerinnen
      • Ulm, Niemcy, 89075
        • Universitätsklinikum Ulm
  • Portugalia
      • Evora, Portugalia, 7000-811
        • Hospital Espírito Santo
      • Lisboa, Portugalia, 1500-650
        • Hospital da Luz
      • Lisboa, Portugalia, 1649-035
        • Hospital de Santa Maria
      • Porto, Portugalia, 4200-072
        • Instituto Portugues de Oncologia do Porto, Francisco Gentil
  • Stany Zjednoczone
    • Arizona
      • Chandler, Arizona, Stany Zjednoczone, 85224
        • Ironwood Cancer and Research Center
      • Glendale, Arizona, Stany Zjednoczone, 85306
        • Arizona Center for Cancer Care
      • Scottsdale, Arizona, Stany Zjednoczone, 85259
        • Mayo Clinic Arizona
      • Scottsdale, Arizona, Stany Zjednoczone, 85251
        • Arizona Cancer Research Alliance
    • Arkansas
      • Fayetteville, Arkansas, Stany Zjednoczone, 72703
        • Highlands Oncology Group
    • California
      • Anaheim, California, Stany Zjednoczone, 92801
        • Pacific Cancer Medical Center INC
      • Escondido, California, Stany Zjednoczone, 92025
        • California Cancer Associates for Research and Excellence cCARE
      • La Jolla, California, Stany Zjednoczone, 92093
        • University of California San Diego Moores Cancer Center
      • La Verne, California, Stany Zjednoczone, 91750
        • Wilshire Oncology Medical Group, Inc
      • Los Angeles, California, Stany Zjednoczone, 90045
        • Translational Research Management
      • San Luis Obispo, California, Stany Zjednoczone, 93401
        • Coastal Integrative Cancer Care
      • Santa Maria, California, Stany Zjednoczone, 93454
        • Central Coast Medical Oncology Corporation
      • Santa Rosa, California, Stany Zjednoczone, 95403
        • Redwood Regional Medical Group, INC
    • Florida
      • Boca Raton, Florida, Stany Zjednoczone, 33486
        • Center for Hematology-Oncology
      • Hollywood, Florida, Stany Zjednoczone, 33021
        • Memorial Breast Cancer Center
      • Jacksonville, Florida, Stany Zjednoczone, 32224
        • Mayo Clinic - Jacksonville
      • Miami, Florida, Stany Zjednoczone, 33136
        • University of Miami School of Medicine
      • Saint Petersburg, Florida, Stany Zjednoczone, 33705
        • Florida Cancer Specialists
      • Sarasota, Florida, Stany Zjednoczone, 34232
        • Florida Cancer Specialists
      • West Palm Beach, Florida, Stany Zjednoczone, 33401
        • Florida Cancer Specialists
    • Illinois
      • Joliet, Illinois, Stany Zjednoczone, 60435
        • Joliet Oncology-Hematology Associates, LTD
      • Urbana, Illinois, Stany Zjednoczone, 61801
        • Carle Cancer Center
    • Indiana
      • Indianapolis, Indiana, Stany Zjednoczone, 46254
        • Investigative Clinical Research of Indiana, LLC
    • Louisiana
      • Lafayette, Louisiana, Stany Zjednoczone, 70503
        • University of South Alabama Mitchell Cancer Institute
    • Maryland
      • Baltimore, Maryland, Stany Zjednoczone, 21201
        • University of Maryland School of Med
      • Bethesda, Maryland, Stany Zjednoczone, 20817
        • Center for Cancer and Blood Disorders, PC
    • Michigan
      • Detroit, Michigan, Stany Zjednoczone, 48202-268
        • Henry Ford Medical Center - New Center One
    • Minnesota
      • Minneapolis, Minnesota, Stany Zjednoczone, 55407
        • Minnesota Oncology Hematology, PA
      • Rochester, Minnesota, Stany Zjednoczone, 55905
        • Mayo Clinic
    • Missouri
      • Kansas City, Missouri, Stany Zjednoczone, 64132
        • Midwest Physicians Group
      • Saint Louis, Missouri, Stany Zjednoczone, 63131
        • Missouri Baptist Medical Center
    • New Hampshire
      • Hooksett, New Hampshire, Stany Zjednoczone, 03106
        • New Hampshire Oncology Hematology
      • Lebanon, New Hampshire, Stany Zjednoczone, 03756
        • Dartmouth Hitchcock Medical Center Norris Cotton Cancer Center
    • New Jersey
      • Englewood, New Jersey, Stany Zjednoczone, 07631
        • Englewood Hospital and Medical Center
    • New York
      • East Syracuse, New York, Stany Zjednoczone, 13057
        • Hematology Oncology Associates of CNY
      • Lake Success, New York, Stany Zjednoczone, 11042
        • NYU Langone Arena Oncology
      • New York, New York, Stany Zjednoczone, 10021
        • Clinical Research Alliance
    • North Carolina
      • Burlington, North Carolina, Stany Zjednoczone, 27215-8700
        • Alamance Regional Medical Cancer Center
    • Ohio
      • Cincinnati, Ohio, Stany Zjednoczone, 45242
        • Oncology Hematology Care
      • Cincinnati, Ohio, Stany Zjednoczone, 45219
        • University of Cincinnatti
      • Columbus, Ohio, Stany Zjednoczone, 43219
        • Mark H Zangmeister Center
      • Toledo, Ohio, Stany Zjednoczone, 43623
        • Toledo Community Oncology Program
    • Oklahoma
      • Lawton, Oklahoma, Stany Zjednoczone, 73505
        • Cancer Centers of Southwest Oklahoma
    • Oregon
      • Coos Bay, Oregon, Stany Zjednoczone, 97420
        • North Bend Medical Center
      • Portland, Oregon, Stany Zjednoczone, 97213
        • Providence Portland Medical Center
      • Portland, Oregon, Stany Zjednoczone, 97213
        • Northwest Cancer Specialists, P.C. - Hoyt
    • Pennsylvania
      • Langhorne, Pennsylvania, Stany Zjednoczone, 19047
        • St Mary Medical Center
      • Pittsburgh, Pennsylvania, Stany Zjednoczone, 15213
        • Magee Women's Hospital
    • South Carolina
      • Columbia, South Carolina, Stany Zjednoczone, 29210
        • South Carolina Oncology Associates
    • Tennessee
      • Chattanooga, Tennessee, Stany Zjednoczone, 37404
        • Chattanooga Oncology Hematology Associates
      • Nashville, Tennessee, Stany Zjednoczone, 37203
        • Sarah Cannon Cancer Center
    • Texas
      • Dallas, Texas, Stany Zjednoczone, 75231
        • Texas Oncology, PA
      • Dallas, Texas, Stany Zjednoczone, 75246
        • Texas Oncology, PA- Dallas
      • Fort Worth, Texas, Stany Zjednoczone, 76104
        • The Center for Cancer and Blood Disorders
      • Houston, Texas, Stany Zjednoczone, 77030
        • UT Physicians General Medicine
      • San Antonio, Texas, Stany Zjednoczone, 78217
        • Cancer Care Centers of South Texas - Loop
      • Tyler, Texas, Stany Zjednoczone, 75702
        • Texas Oncology P.A.- Tyler
    • Virginia
      • Fredericksburg, Virginia, Stany Zjednoczone, 22408
        • Hematology Oncology Associates of Fredericksburg
      • Portsmouth, Virginia, Stany Zjednoczone, 23704
        • Delta Hematologyoncology Associates
      • Richmond, Virginia, Stany Zjednoczone, 23230
        • Virginia Cancer Institute
    • Washington
      • Spokane, Washington, Stany Zjednoczone, 99208
        • Medical Oncology Associates
    • West Virginia
      • Huntington, West Virginia, Stany Zjednoczone, 25701
        • Edwards Comprehensive Cancer Center
    • Wisconsin
      • Green Bay, Wisconsin, Stany Zjednoczone, 54301
        • Saint Vincent Hospital
      • Milwaukee, Wisconsin, Stany Zjednoczone, 53211
        • Columbia St Marys Cancer Center
  • Włochy
      • Bologna, Emilia-Romagna, Włochy, 40138
        • Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi
      • Ferrara, Włochy, 44124
        • Azienda Ospedaliero-Universitaria di Ferrara Arcispedale Sant' Anna
      • Genova, Włochy, 16132
        • IRCCS AziendaOspedaliera Universitaria San Martino
      • Grosseto, Włochy, 58100
        • Presidio Ospedaliero della Misericordia
      • Messina, Włochy, 98158
        • Azienda Ospedaliera Ospedali Riuniti Papardo-Piemonte
      • Monza, Włochy, 20900
        • Azienda Ospedaliera San Gerardo
      • Napoli, Campania, Włochy, 80131
        • Azienda Ospedaliera Universitaria Federico II
      • Napoli, Campania, Włochy, 80131
        • Istituto Nazionale Per Lo Studio E La Cura Dei Tumori Fondazione Giovanni Pascale
      • Padova, Włochy, 35128
        • Istituto Oncologico Veneto
      • Reggio Emilia, Włochy, 42100
        • Arcispedale Santa Maria Nuova
      • Roma, Włochy, 00189
        • Azienda Ospedaliera Sant Andrea
      • Roma, Włochy, 144
        • Istituto Nazionale Tumori Regina Elena
      • Roma, Włochy, 00168
        • Policlinico Universitario A Gemelli
      • Rozzano (MI), Włochy, 20089
        • Istituto Clinico Humanitas
      • Torino, Piemonte, Włochy, 10126
        • Azienda Ospedaliera Citta Della Salute E Della Scienza Di Torino
      • Treviglio, Włochy, 24047
        • Azienda Ospedaliera Treviglio-Caravaggio
  • Zjednoczone Królestwo
      • Bath, Zjednoczone Królestwo, BA1 3NG
        • Royal United Hospital
      • London, Zjednoczone Królestwo, W1G 6AD
        • Sarah Cannon Research Institute UK
      • Manchester, Zjednoczone Królestwo, M20 4BX
        • The Christie NHS Foundation Trust
      • Middlesex, Zjednoczone Królestwo, HA62RN
        • The East and North Hertfordshire NHS Trust
      • Sheffield South Yorkshire, Zjednoczone Królestwo, S10 2SJ
        • Sheffield Teaching Hospitals NHS Foundation Trust

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat i starsze (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Kobieta

Opis

Inclusion Criteria: A subject will be eligible for inclusion in this study only if all of the following criteria are met:

  1. Female subjects, age ≥ 18 years at the time informed consent is signed
  2. Pathologically confirmed adenocarcinoma of the breast

  3. Pathologically confirmed as triple negative, source documented, defined as both of the following

    1. Estrogen Receptor (ER) and Progesterone Receptor (PgR) negative: < 1% of tumor cell nuclei are immunoreactive in the presence of evidence that the sample can express ER or PgR (positive intrinsic controls)
    2. Human Epidermal Growth Factor Receptor 2 (HER2) negative as per American Society of Clinical Oncology - College of American Pathologists (ASCO/CAP) guidelines i. Immunohistochemistry (IHC) 0 or 1 Fluorescence In Situ Hybridization (FISH) negative (or equivalent negative test). Subjects with IHC 2 must have a negative by Fluorescence In Situ Hybridization (FISH),, (or equivalent negative test).
  4. Subjects with prior breast cancer history of different phenotypes (ie, ER/PgR/HER2 positive) must have pathologic confirmation of triple negative disease in at least one of the current sites of metastasis

  5. Subjects must have received prior adjuvant or neoadjuvant anthracycline therapy; unless (a) anthracycline treatment was not indicated or was not the best treatment option for the subject in the opinion of the treating physician; and (b) anthracycline treatment remains not indicated or, in the opinion of the treating physician, is not the best treatment option for the subject's metastatic disease.

    a. Newly diagnosed subjects presenting with TNMBC are eligible for the study if anthracycline treatment is not indicated or is not the best treatment option for the subject in the opinion of the treating physician.

  6. Subjects with measurable metastatic disease, defined by Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) guidelines
  7. Life expectancy ≥ 16 weeks from randomization
  8. No prior cytotoxic chemotherapy for metastatic breast cancer. Prior immunotherapy and/or monoclonal antibody therapy are acceptable. Prior treatments must have been discontinued at least 30 days prior to start of study treatment and all related toxicities must have resolved to Grade 1 or less.

  9. Prior neoadjuvant or adjuvant chemotherapy, if given, must have been completed at least 6 months before randomization with all related toxicities resolved, and documented evidence of disease progression per RECIST 1.1 guidelines is required.

    a. If prior neoadjuvant or adjuvant chemotherapy contained taxane, gemcitabine, or platinum agents, the treatment must have completed at least 12 months before randomization

  10. Prior radiotherapy must have completed before randomization, with full recovery from acute radiation side effects. At least one measurable lesion must be completely outside the radiation portal or there must be unequivocal radiologic or clinical exam proof of progressive disease within the radiation portal, in accordance with RECIST 1.1 guidelines
  11. At least 30 days from major surgery before randomization, with full recovery
  12. Eastern Cooperative Oncology Group (ECOG) performance status 0-1

  13. Subject has the following blood counts at screening:

    • Absolute Neutrophil Count (ANC) ≥ 1500/mm^2 ;
    • Platelets ≥ 100,000/mm^2 ;
    • Hemoglobin (Hgb) ≥ 9 g/dL

  14. Subject has the following blood chemistry levels at screening:

    • Aspartate aminotransferase (AST) Serum glutamic-oxaloacetic transaminase (SGOT), Alanine Aminotransferase (ALT ) Serum Glutamic Pyruvate Transaminase (SGPT) ≤ 2.5 x upper limit of normal range (ULN); if hepatic metastases present ≤ 5.0 x ULN
    • Total serum bilirubin ≤ ULN; or total bilirubin ≤ 3.0 × ULN with direct bilirubin within normal range in subjects with documented Gilbert's Syndrome
    • Creatinine clearance > 60 mL/min (by Cockcroft-Gault)

  15. Females of child-bearing potential [defined as a sexually mature women who (1) have not undergone hysterectomy (the surgical removal of the uterus) or bilateral oophorectomy (the surgical removal of both ovaries) or (2) have not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time during the preceding 24 consecutive months)] must:

    • Demonstrate a negative serum pregnancy test result at screening (performed by central lab) confirmed by local negative urine pregnancy dipstick within 72 hours prior to the first dose of IP); pregnancy test with sensitivity of at least 25 mIU/mL; and
    • Either commit to true abstinence* from heterosexual contact (which must be reviewed on a monthly basis) or agree to use, and be able to comply with, two physician approved effective contraception methods (oral, injectable, or implantable hormonal contraceptive; tubal ligation; intra-uterine device; barrier contraceptive with spermicide; or vasectomized partner) without interruption for 28 days or longer as required by local guidelines, prior to starting study drug, during the study therapy (including dose interruptions), and for 28 days after discontinuation of the study or longer as required by local guidelines
  16. Females must abstain from breastfeeding starting at randomization, during study participation and for 28 days or longer as required by local guidelines, after IP discontinuation
  17. Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted
  18. Able to adhere to the study visit schedule and other protocol requirements

Exclusion Criteria:

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

  1. Male subjects
  2. Concurrent chemotherapy or any other anti tumor therapy for breast cancer. Prior immunotherapy & monoclonal antibody therapy are acceptable.
  3. Subjects who received prior cytotoxic chemotherapy after incomplete resection of locoregional recurrent disease
  4. History of, or known current evidence of brain metastasis, including leptomeningeal involvement.
  5. Subjects with bone as the only site of metastatic disease
  6. Subjects with regional lymph node as the only site of metastatic disease
  7. Serious intercurrent medical or psychiatric illness, including serious active infection
  8. History of class II-IV congestive heart failure or myocardial infarction within 6 months of randomization
  9. History of other primary malignancy in the last 5 years prior to randomization. Subjects with prior breast cancer history are eligible, however, the most recently obtained biopsy must demonstrate triple negative disease (source documented). Subjects with prior history of in situ cancer or basal or localized squamous cell skin cancer are eligible.
  10. Subjects with a history of interstitial lung disease, history of slowly progressive dyspnea and unproductive cough, sarcoidosis, silicosis, idiopathic pulmonary fibrosis, pulmonary hypersensitivity pneumonitis or multiple uncontrolled or unstable allergies which, in the opinion of the investigator, may lead to serious complications
  11. Peripheral neuropathy Grade ≥ 2 by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.0
  12. Subjects who have received an investigational product within the previous 4 weeks prior to randomization
  13. Subject is currently enrolled, or will enroll in a different clinical study in which investigational therapeutic procedures are performed or investigational therapies are administered while participating in this study
  14. Pregnant or nursing women
  15. Subjects with prior hypersensitivity to nab-paclitaxel, gemcitabine, carboplatin or any other platin, or nucleoside analogue agents
  16. Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study
  17. Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if she were to participate in the study
  18. Any condition that confounds the ability to interpret data from the study
  19. History of seropositive human immunodeficiency virus (HIV)
  20. Subjects who are receiving immunosuppressive or myelosuppressive medications that would, in the opinion of the investigator, increase the risk of serious neutropenic complications

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: nab-Paclitaxel plus Gemcitabine
Treatment Arm A: nab-Paclitaxel 125 mg/m^2 by intravenous (IV) administration over 30 minutes, followed by gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day cycle by IV administration over 30 minutes
Lek: nab-Paclitaxel
nab-Paclitaxel 125 mg/m^2 by IV administration over 30 minutes on Days 1 and 8 of each 21-day treatment cycle.
Inne nazwy:
  • Abraxane
Lek: Gemcitabine
Gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day treatment cycle.
Inne nazwy:
  • Gemzar
Eksperymentalny: nab-Paclitaxel plus Carboplatin
Treatment Arm B: nab-Paclitaxel 125 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin at an Area Under the Curve (AUC) of 2 on Days 1 and 8 of each 21-day cycle by IV administration
Lek: nab-Paclitaxel
nab-Paclitaxel 125 mg/m^2 by IV administration over 30 minutes on Days 1 and 8 of each 21-day treatment cycle.
Inne nazwy:
  • Abraxane
Lek: Carboplatin
Carboplatin at an AUC of 2 on Days 1 and 8 of each 21-day cycle by IV administration
Inne nazwy:
  • Paraplatyna AQ
  • Paraplatin,
Aktywny komparator: Gemcitabine plus Carboplatin
Treatment Arm C: Gemcitabine 1000 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin AUC 2 on Days 1 and 8 of each 21-day cycle by IV administration
Lek: Gemcitabine
Gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day treatment cycle.
Inne nazwy:
  • Gemzar
Lek: Carboplatin
Carboplatin at an AUC of 2 on Days 1 and 8 of each 21-day cycle by IV administration
Inne nazwy:
  • Paraplatyna AQ
  • Paraplatin,

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment.
Ramy czasowe: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
PFS was defined as the time from the date of randomization to the date of disease progression or death from any cause on or prior to the data cutoff date for the statistical analysis, whichever occurred earlier. Tumor responses were assessed every 6 weeks using, Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and defined as: Complete response (CR) is the disappearance of all target lesions; Partial response (PR) occurs when at least a 30% decrease in the sum of diameters of target lesions from baseline; Stable disease is neither sufficient shrinkage to qualify for a PR nor sufficient increase of lesions to qualify for Progressive disease (PD); Progressive Disease- is at least a 20% increase in the sum of diameters of target lesions from nadir.
From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Percentage of Participants With an Objective Complete or Partial Overall Response by Investigator Assessment.
Ramy czasowe: Disease response was assessed every 6 weeks; from date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Percentage of participants with an Objective Complete or Partial Overall Response according to RECIST 1.1 and defined as: Complete response-disappearance of all target lesions; partial response at least a 30% decrease in the sum of diameters of target lesions from baseline; stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir.
Disease response was assessed every 6 weeks; from date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Percentage of Participants Who Initiated Cycle 6 Receiving Doublet Combination Therapy
Ramy czasowe: Cycle 6
The percentage of participants who initiated Cycle 6 receiving doublet combination therapy regardless of the need for dose modifications.
Cycle 6
Kaplan-Meier Estimates of Overall Survival
Ramy czasowe: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Overall survival was defined as the time from the date of randomization to the date of death (from any cause).
From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Ramy czasowe: From randomization through to 28 days after the last dose of IP; up to data cut off date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Treatment-emergent adverse events (TEAEs) were defined as any AEs that began or worsened with the onset date on or after the date of the first dose of IP through 28 days after the last dose. A serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was graded based on the participant's symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity as follows: Grade 1 = Mild - transient or mild discomfort; no medical intervention required; Grade 2 = Moderate - mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death.
From randomization through to 28 days after the last dose of IP; up to data cut off date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Experiencing Dose Modifications (Reductions and Interruptions)
Ramy czasowe: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
The number of participants with dose modifications occurring during the treatment period. Dose reductions and interruptions are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities.
From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Who Discontinued From All Study Treatment Due to TEAEs
Ramy czasowe: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Treatment-emergent adverse events (TEAEs) were defined as any AEs that begin or worsen with an onset date on or after the date of the first dose of IP through 28 days after the last dose.
From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Celgene

Śledczy

  • Dyrektor Studium: Ileana Elias, M.D., Celgene Corporation

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Publikacje ogólne

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

26 września 2013

Zakończenie podstawowe (Rzeczywisty)

28 października 2016

Ukończenie studiów (Rzeczywisty)

28 października 2016

Daty rejestracji na studia

Pierwszy przesłany

17 czerwca 2013

Pierwszy przesłany, który spełnia kryteria kontroli jakości

17 czerwca 2013

Pierwszy wysłany (Oszacować)

19 czerwca 2013

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

21 lutego 2019

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

19 lutego 2019

Ostatnia weryfikacja

1 lutego 2019

Więcej informacji

Terminy związane z tym badaniem

Słowa kluczowe

Dodatkowe istotne warunki MeSH

Inne numery identyfikacyjne badania

  • ABI-007-MBC-001
  • 2013-000113-20 (Numer EudraCT)

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