Breast CancerPhase 3NCT00333775
A Study of Bevacizumab (Avastin) in Women With HER2 Negative Metastatic Breast Cancer
A Phase 3 study testing Docetaxel and Bevacizumab in people with Breast Cancer, run by Hoffmann-La Roche at 114 sites in 24 countries.
Trial summary
This study will evaluate the efficacy and safety of 2 doses of Avastin in combination with docetaxel, versus docetaxel plus placebo, in patients with metastatic HER2 negative breast cancer who are candidates for taxane-based chemotherapy but who have not received prior chemotherapy for metastatic disease. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Docetaxel and Bevacizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 736 participants
- Where
- 114 sitesin 24 countries
- Study dates
- Mar 2006to Oct 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female patients ≥ 18 years of age.
- Human epidermal growth factor receptor 2 (HER2)-negative cancer of the breast with locally recurrent or metastatic disease, suitable for chemotherapy.
- No adjuvant chemotherapy within 6 months before randomization, and no taxane-based chemotherapy within 12 months before randomization.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Who cannot join
- Previous chemotherapy for metastatic or locally recurrent breast cancer.
- Radiotherapy for treatment of metastatic disease.
- Other primary tumors within last 5 years, except for controlled limited basal cell or squamous cancer of the skin, or cancer in situ of the cervix.
- Spinal cord compression or brain metastases.
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomization.
- Inadequate bone marrow, liver, or renal function.
- Uncontrolled hypertension.
Trial locations and contacts
114 sites in 24 countries.
114 sites in 24 countries
Germany16 sites
Study site
Ansbach, 91522
Study site
Berlin, 14195
Study site
Düsseldorf, 40225
Study site
Erlangen, 91054
Study site
Frankfurt, 60596
Study site
Frankfurt am Main, 60389
Study site
Halle, 06120
Study site
Hamburg, 20246
Study site
Heidelberg, 69120
Study site
Jena, 07743
Study site
Lemgo, 32657
Study site
München, 81675
Study site
Stuttgart, 70376
Study site
Trier, 54290
Study site
Tübingen, 72076
Study site
Ulm, 89075
United Kingdom10 sites
Study site
Bournemouth, BH7 7DW
Study site
Cambridge, CB2 2QQ
Study site
Edinburgh, EH4 2XU
Study site
Leeds, LS16 5WW
Study site
Leeds, LS9 7TF
Study site
London, SE1 7EH
Study site
Manchester, M20 4BX
Study site
Middlesex, HA6 2RN
Study site
Newcastle upon Tyne, NE7 7DN
Study site
Truro, TR1 3LJ
Canada9 sites
Study site
Calgary, Alberta, T2N 4N2
Study site
Edmonton, Alberta, T6G 1Z2
Study site
Greater Sudbury, Ontario, P3E 5J1
Study site
Halifax, Nova Scotia, B3H 1V7
Study site
Montreal, Quebec, H4J 1C5
Study site
Ottawa, Ontario, K1H 8L6
Study site
Québec, Quebec, G1S 4L8
Study site
Toronto, Ontario, M4N 3M5
Study site
Vancouver, British Columbia, V5Z 4E6
Italy9 sites
Study site
Biella, Piedmont, 13900
Study site
Bologna, Emilia-Romagna, 40138
Study site
Modena, Emilia-Romagna, 41100
Study site
Parma, Emilia-Romagna, 43100
Study site
Province of Macerata, The Marches, 62100
Study site
Taormina, Sicily, 98030
Study site
Treviglio, Lombardy, 24047
Study site
Trieste, Friuli Venezia Giulia, 34100
Study site
Udine, Friuli Venezia Giulia, 33100
Australia8 sites
Study site
Adelaide, New South Wales, 5011
Study site
Auchenflower, Queensland, 4066
Study site
Box Hill, Victoria, 3128
Study site
Camperdown, New South Wales, 2050
Study site
Fitzroy, Victoria, 3065
Study site
Perth, Western Australia, 6000
Study site
Ringwood East, Victoria, 3135
Study site
Westmead, New South Wales, 2145
France8 sites
Study site
Besançon, 25030
Study site
Bordeaux, 33076
Study site
Caen, 14076
Study site
Clermont-Ferrand, 63011
Study site
Dijon, 21079
Study site
Lille, 59020
Study site
Montpellier, 34298
Study site
Villejuif, 94805
Spain7 sites
Study site
Barcelona, Barcelona, 08003
Study site
Barcelona, Barcelona, 08035
Study site
Barcelona, Barcelona, 08036
Study site
Barcelona, Barcelona, 08907
Study site
Jaén, Jaen, 23007
Study site
Madrid, Madrid, 28041
Study site
Málaga, Malaga, 29010
Brazil6 sites
Study site
Barretos, São Paulo, 14784-400
Study site
Belo Horizonte, Minas Gerais, 31190-131
Study site
Florianópolis, Santa Catarina, 88034-000
Study site
Goiânia, Goiás, 74605-070
Study site
Porto Alegre, Rio Grande do Sul, 90610-000
Study site
São Paulo, São Paulo, 01509-010
Mexico6 sites
Study site
Mérida, 97500
Study site
Mexicali, 21100
Study site
Mexico City, 06760
Study site
Monterrey, 64380
Study site
Obregón, 85000
Study site
Puebla City, 72530
Poland5 sites
Study site
Krakow, 31-826
Study site
Olsztyn, 10-513
Study site
Poznan, 60-569
Study site
Warsaw, 02-781
Study site
Wroclaw, 53-413
Austria4 sites
Study site
Graz, 8036
Study site
Salzburg, 5020
Study site
Vienna, 1090
Study site
Vöcklabruck, 4840
South Korea3 sites
Study site
Seoul, 120-752
Study site
Seoul, 135-710
Study site
Seoul, 138-736
Sweden3 sites
Study site
Linköping, 58185
Study site
Lund, 22185
Study site
Umeå, 90185
Taiwan3 sites
Study site
Kaohsiung City, 813
Study site
Taipei, 100
Study site
Taipei, 114
Thailand3 sites
Study site
Bangkok, 10400
Study site
Bangkok, 10700
Study site
Khon Kaen, 40002
About this study
Official title: A Randomised, Double Blind, Placebo Controlled, Multicentre Study to Evaluate the Efficacy and Safety of Bevacizumab in Combination With Docetaxel in Comparison With Docetaxel Plus Placebo, as First Line Treatment for Patients With HER2 Negative Metastatic and Locally Recurrent Breast Cancer.
This study will evaluate the efficacy and safety of 2 doses of Avastin in combination with docetaxel, versus docetaxel plus placebo, in patients with metastatic HER2 negative breast cancer who are candidates for taxane-based chemotherapy but who have not received prior chemotherapy for metastatic disease. The anticipated time on treatment is 1-2 years and the target sample size is 500+ individuals.
Read the detailed description
Five participants randomized to the docetaxel 100 mg/m^2 plus placebo group actually received docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg and are included in the docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg group for the adverse event results. Sixteen participants randomized to the docetaxel 100 mg/m^2 plus placebo group actually received docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg and are included in the docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg group for the adverse event results.
- Conditions
- Breast Cancer
- Being tested
- Docetaxel, Placebo to bevacizumab, Bevacizumab
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DocetaxelDrug
Docetaxel was supplied in 2 vials, 1 containing docetaxel and 1 containing a solvent, for intravenous infusion.
Placebo to bevacizumabDrug
Placebo to bevacizumab was supplied as a sterile liquid for intravenous infusion in single-use vials.
BevacizumabDrug
Also called Avastin
Bevacizumab was supplied as a sterile liquid for intravenous infusion in single-use vials.
| Study group | Role | What they receive |
|---|---|---|
| Docetaxel 100 mg/m^2 plus placebo | Experimental | Participants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received placebo to bevacizumab intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. Receives: Drug: Docetaxel; Drug: Placebo to bevacizumab |
| Docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg | Experimental | Participants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received bevacizumab 7.5 mg/kg intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. Receives: Drug: Docetaxel; Drug: Bevacizumab |
| Docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg | Experimental | Participants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received bevacizumab 15.0 mg/kg intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. Receives: Drug: Docetaxel; Drug: Bevacizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival
Progression-free survival was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST 1.0). Progression-free survival was defined as the time from randomization to the time of the first documented disease progression or death, whichever occurred first. Disease progression was defined as ≥ 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions, or appearance of new lesion(s).
Measured: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Secondary outcomes (4)
Percentage of Participants With a Complete Response or a Partial Response
Responses were evaluated using the Response Evaluation Criteria in Solid Tumors. A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Measured: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Duration of Response
Duration of response was defined as the time from the first documented complete response or partial response to disease progression or death. A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. Responses were evaluated using the Response Evaluation Criteria in Solid Tumors.
Measured: Baseline to the 15 September 2008 cut-off date (up to 2 years, 6 months)
Time to Treatment Failure
Time to treatment failure was defined as time from randomization to the date of disease progression, death, or withdrawal of treatment due to an adverse event, withdrawal of informed consent, insufficient therapeutic response, refusal of treatment/failure to co-operate, or failure to return, whichever occurred first.
Measured: Baseline to the 15 September 2008 cut-off date (up to 2 years, 6 months)
Overall Survival
Overall survival was defined as the time from randomization to death from any cause.
Measured: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2006 (estimated)
- Study startMar 2006
- Primary completionOct 2007
- Study completionOct 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 736 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00333775
- Sponsor's protocol ID
- BO17708
- Other IDs
- 2005-003862-40, 2005
- Status last verified
- Dec 2015
- First submitted
- 5 Jun 2006
- Last updated
- 27 Jan 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Wedam SB, Beaver JA, Amiri-Kordestani L, Bloomquist E, Tang S, Goldberg KB, Sridhara R, Ibrahim A, Kim G, Kluetz P, McKee A, Pazdur R. US Food and Drug Administration Pooled Analysis to Assess the Impact of Bone-Only Metastatic Breast Cancer on Clinical Trial Outcomes and Radiographic Assessments. J Clin Oncol. 2018 Apr 20;36(12):1225-1231. doi: 10.1200/JCO.2017.74.6917. Epub 2018 Mar 9.
PubMed 29522361
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Double Blind, Placebo Controlled, Multicentre Study to Evaluate the Efficacy and Safety of Bevacizumab in Combination With Docetaxel in Comparison With Docetaxel Plus Placebo, as First Line Treatment for Patients With HER2 Negative Metastatic and Locally Recurrent Breast Cancer.
- ClinicalTrials.gov ID
- NCT00333775
- Acronym / sponsor ID
- BO17708
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 736 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Mar 2006
- Primary completion
- Oct 2007 (actual)
- Study completion
- Oct 2013 (actual)
- First posted
- 6 Jun 2006 (estimated)
- Results
- Posted 27 Jan 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy and safety of 2 doses of Avastin in combination with docetaxel, versus docetaxel plus placebo, in patients with metastatic HER2 negative breast cancer who are candidates for taxane-based chemotherapy but who have not received prior chemotherapy for metastatic disease. The anticipated time on treatment is 1-2 years and the target sample size is 500+ individuals.
Detailed description
Five participants randomized to the docetaxel 100 mg/m^2 plus placebo group actually received docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg and are included in the docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg group for the adverse event results. Sixteen participants randomized to the docetaxel 100 mg/m^2 plus placebo group actually received docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg and are included in the docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg group for the adverse event results.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Docetaxel 100 mg/m^2 plus placebo | Experimental | Drug: Docetaxel, Drug: Placebo to bevacizumabParticipants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received placebo to bevacizumab intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. |
| Docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg | Experimental | Drug: Docetaxel, Drug: BevacizumabParticipants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received bevacizumab 7.5 mg/kg intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. |
| Docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg | Experimental | Drug: Docetaxel, Drug: BevacizumabParticipants received docetaxel 100 mg/m^2 intravenously on Day 1 of each 3 week cycle for a maximum of 27 weeks (9 cycles). In addition, participants received bevacizumab 15.0 mg/kg intravenously on Day 1 of each 3 week cycle until disease progression, unacceptable toxicity, or participant withdrawal. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Female patients ≥ 18 years of age.
- Human epidermal growth factor receptor 2 (HER2)-negative cancer of the breast with locally recurrent or metastatic disease, suitable for chemotherapy.
- No adjuvant chemotherapy within 6 months before randomization, and no taxane-based chemotherapy within 12 months before randomization.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
Key exclusion criteria (7 listed)
- Previous chemotherapy for metastatic or locally recurrent breast cancer.
- Radiotherapy for treatment of metastatic disease.
- Other primary tumors within last 5 years, except for controlled limited basal cell or squamous cancer of the skin, or cancer in situ of the cervix.
- Spinal cord compression or brain metastases.
- Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomization.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DocetaxelDocetaxel was supplied in 2 vials, 1 containing docetaxel and 1 containing a solvent, for intravenous infusion. | Drug | Docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg, Docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg, Docetaxel 100 mg/m^2 plus placebo |
| Placebo to bevacizumabPlacebo to bevacizumab was supplied as a sterile liquid for intravenous infusion in single-use vials. | Drug | Docetaxel 100 mg/m^2 plus placebo |
| BevacizumabAlso: AvastinBevacizumab was supplied as a sterile liquid for intravenous infusion in single-use vials. | Drug | Docetaxel 100 mg/m^2 plus bevacizumab 15.0 mg/kg, Docetaxel 100 mg/m^2 plus bevacizumab 7.5 mg/kg |
Primary outcome
Progression-free Survival
Time frame: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Progression-free survival was evaluated using Response Evaluation Criteria In Solid Tumors (RECIST 1.0). Progression-free survival was defined as the time from randomization to the time of the first documented disease progression or death, whichever occurred first. Disease progression was defined as ≥ 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since treatment started or the unequivocal progression of existing non-target lesions, or appearance of new lesion(s).
4 secondary outcomes
Percentage of Participants With a Complete Response or a Partial Response
Time frame: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Duration of Response
Time frame: Baseline to the 15 September 2008 cut-off date (up to 2 years, 6 months)
Time to Treatment Failure
Time frame: Baseline to the 15 September 2008 cut-off date (up to 2 years, 6 months)
Overall Survival
Time frame: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29522361Wedam SB, Beaver JA, Amiri-Kordestani L, Bloomquist E, Tang S, Goldberg KB, Sridhara R, Ibrahim A, Kim G, Kluetz P, McKee A, Pazdur R. US Food and Drug Administration Pooled Analysis to Assess the Impact of Bone-Only Metastatic Breast Cancer on Clinical Trial Outcomes and Radiographic Assessments. J Clin Oncol. 2018 Apr 20;36(12):1225-1231. doi: 10.1200/JCO.2017.74.6917. Epub 2018 Mar 9.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
114 sites in 24 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Docetaxel and Bevacizumab in people with Breast Cancer, run by Hoffmann-La Roche at 114 sites in 24 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in Germany, United Kingdom, Canada, Italy, Australia and 19 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 27 Jan 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (time frame: Baseline to the 15 Sep 2008 cut-off date (up to 2 years, 6 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00333775, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2016.