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Breast CancerPhase 3NCT00338286

A Study of Epoetin Alfa Plus Standard Supportive Care Versus Standard Supportive Care Only in Anemic Patients With Metastatic Breast Cancer Receiving Standard Chemotherapy

A Phase 3 study testing Standard supportive care (packed RBC transfusion) and epoetin alfa + packed RBC transfusion in people with Breast Cancer and Neoplasm Metastasis, run by Janssen Research & Development, LLC at 174 sites in 21 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to assess the impact on tumor progression as evaluated by progression-free survival (PFS) of epoetin alfa plus standard supportive care as compared with standard supportive care alone (packed red blood cell (RBC) transfusions), for treating anemia according to label guidance in patients… Read more about this study

Who is it for?
Ages 18 to 99 years, women only
Conditions the study is for
Breast Cancer, Neoplasm Metastasis
What is being tested?
Standard supportive care (packed RBC transfusion) and epoetin alfa + packed RBC transfusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,098 participants
Where
174 sitesin 21 countries
Study dates
2 Mar 2006to 31 Jan 2017
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 to 99 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed (e.g., slide of tissue) breast cancer
  • HER2/NEU positive or negative
  • Clinical evidence of metastasis (e.g., biopsy) with at least 1 measurable metastatic (M1) lesion prior to starting the current chemotherapy
  • Received 1st and 2nd line chemotherapy
  • Hemoglobin (Hb) <= 11g/dL at the time of randomization
  • planned to receive at least 2 more cycles of chemotherapy
Show all 9Show fewer
  • Life expectancy > 6 months
  • Eastern Cooperative Oncology Group score 0 or 1
  • At least 18 years old using effective birth control or surgically sterile or postmenopausal for 1 year

Who cannot join

  • Active second cancer
  • no recent history of clinically relevant thrombovascular event
  • Current treatment with anticoagulants
  • Brain metastasis or CNS involvement
  • Anemia secondary to another cause
  • Recent (within prior 1 months) use of an ESA
Show all 11Show fewer
  • Patient pregnant or breast feeding
  • Progressive disease during adjuvant/neoadjuvant chemotherapy
  • Rapidly progressive or life-threatening metastatic disease
  • Concomitant endocrine therapy
  • Patient in whom the only site of metastasis was local and was successfully treated surgically.

Trial locations and contacts

174 sites in 21 countries.

174 sites in 21 countries

Russia24 sites
  • Study site

    Arkhangelsk

  • Study site

    Balashikha

  • Study site

    Belgorod

  • Study site

    Chelyabinsk

  • Study site

    Engels Saratov Region

  • Study site

    Ivanovo

  • Study site

    Kazan'

  • Study site

    Krasnodar

  • Study site

    Leningrad Region

  • Study site

    Lipetsk

  • Study site

    Magnitogorsk

  • Study site

    Moscow

  • Study site

    Novosibirsk

  • Study site

    Obninsk

  • Study site

    Orenburg

  • Study site

    Perm

  • Study site

    Pyatigorsk

  • Study site

    Ryazan

  • Study site

    Saint Petersburg

  • Study site

    Smolensk

  • Study site

    Tyumen

  • Study site

    Ufa

  • Study site

    Voronezh

  • Study site

    Yekaterinburg

Other trials in Russia

India22 sites
  • Study site

    Ahmedabad

  • Study site

    Andra Pradesh

  • Study site

    Bangalore

  • Study site

    Bengaluru

  • Study site

    Bhopal

  • Study site

    Delhi

  • Study site

    Hyderabad

  • Study site

    Jaipur

  • Study site

    Kārnād

  • Study site

    Kerala

  • Study site

    Kochi

  • Study site

    Kolkata

  • Study site

    Mangalore

  • Study site

    Mumbai

  • Study site

    Nashik

  • Study site

    New Delhi

  • Study site

    Pune

  • Study site

    Tamil Nadu

  • Study site

    Tamil Nadu Na

  • Study site

    Thiruvananthapuram

  • Study site

    Uttar Pradesh

  • Study site

    Vellore

Other trials in India

Ukraine16 sites
  • Study site

    Cherkassy

  • Study site

    Chernihiv

  • Study site

    Chernivtsi

  • Study site

    Dnipro

  • Study site

    Donetsk

  • Study site

    Ivano-Francovsk

  • Study site

    Kharkiv

  • Study site

    Kiev

  • Study site

    Lviv

  • Study site

    Odesa

  • Study site

    Poltava

  • Study site

    Sumy

  • Study site

    Uzhhorod

  • Study site

    Vinnitsa

  • Study site

    Vinnytsia

  • Study site

    Zaporizhzhya

Other trials in Ukraine

United States14 sites
  • Study site

    Alexandria, Louisiana

  • Study site

    Anaheim, California

  • Study site

    Corpus Christi, Texas

  • Study site

    Gainesville, Florida

  • Study site

    Hazard, Kentucky

  • Study site

    Houston, Texas

  • Study site

    Jackson, Mississippi

  • Study site

    Lake Success, New York

  • Study site

    Marrero, Louisiana

  • Study site

    Miami, Florida

  • Study site

    New Port Richey, Florida

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Rockledge, Florida

  • Study site

    Staten Island, New York

Other trials in United States

Brazil12 sites
  • Study site

    Barretos

  • Study site

    Curitiba

  • Study site

    Goiânia/Go

  • Study site

    Ijuí

  • Study site

    Jaú

  • Study site

    Piracicaba

  • Study site

    Porto Alegre

  • Study site

    Ribeirão Preto/Sp

  • Study site

    Santo André

  • Study site

    São José do Rio Preto

  • Study site

    São Paulo

  • Study site

    São Paulol

Other trials in Brazil

Argentina9 sites
  • Study site

    Buenos Aires

  • Study site

    Capital Federal

  • Study site

    Ciudad Autonoma de Buenos Airess

  • Study site

    Córdoba

  • Study site

    La Plata

  • Study site

    Mendoza

  • Study site

    Quilmes

  • Study site

    Rosario

  • Study site

    Santa Fe

Other trials in Argentina

Mexico9 sites
  • Study site

    Chihuahua City

  • Study site

    Guerrero

  • Study site

    León

  • Study site

    Mérida

  • Study site

    Morelia

  • Study site

    Puebla City

  • Study site

    San Luis Potosí City

  • Study site

    Sinaloa

  • Study site

    Zapopan

Other trials in Mexico

Poland9 sites
  • Study site

    Bialystok

  • Study site

    Gdansk

  • Study site

    Gliwice

  • Study site

    Katowice

  • Study site

    Krakow

  • Study site

    Lodz

  • Study site

    Olsztyn

  • Study site

    Poznan

  • Study site

    Wroclaw

Other trials in Poland

Romania8 sites
  • Study site

    Brasov

  • Study site

    Bucharest

  • Study site

    Cluj-Napoca

  • Study site

    Iași

  • Study site

    Onești

  • Study site

    Sibiu

  • Study site

    Suceava

  • Study site

    Timișoara

Other trials in Romania

Taiwan8 sites
  • Study site

    Changhua

  • Study site

    Chiayi City

  • Study site

    Hualien City

  • Study site

    Kaohsiung City

  • Study site

    Taichung

  • Study site

    Tainan

  • Study site

    Taipei

  • Study site

    Taoyuan

Other trials in Taiwan

South Africa7 sites
  • Study site

    Bloemfontein

  • Study site

    Cape Town

  • Study site

    Durban

  • Study site

    Johannesburg

  • Study site

    Klerksdorp

  • Study site

    Port Elizabeth

  • Study site

    Pretoria

Other trials in South Africa

Bulgaria5 sites
  • Study site

    Plovdiv

  • Study site

    Rousse

  • Study site

    Sofia

  • Study site

    Stara Zagora

  • Study site

    Varna

Other trials in Bulgaria

Chile5 sites
  • Study site

    Arica

  • Study site

    Santiago

  • Study site

    Temuco

  • Study site

    Valdivia

  • Study site

    Valparaíso

Other trials in Chile

Malaysia5 sites
  • Study site

    George Town

  • Study site

    Kampung Baharu Nilai

  • Study site

    Kelantan

  • Study site

    Kuala Lumpur

  • Study site

    Tanjung Bungah

Other trials in Malaysia

Philippines5 sites
  • Study site

    Cebu

  • Study site

    Davao City

  • Study site

    Iloilo City

  • Study site

    Manila

  • Study site

    Quezon City

Other trials in Philippines

Ecuador4 sites
  • Study site

    Cuenca

  • Study site

    Guayaquil

  • Study site

    Portoviejo

  • Study site

    Quito

Other trials in Ecuador

Indonesia4 sites
  • Study site

    Bandung

  • Study site

    Jakarta

  • Study site

    Semarang

  • Study site

    Yogyakarta

Other trials in Indonesia

Colombia3 sites
  • Study site

    Bogotá

  • Study site

    Floridablanca-Santander

  • Study site

    Montería

Other trials in Colombia

Georgia2 sites
  • Study site

    Batumi

  • Study site

    Tbilisi

Other trials in Georgia

North Macedonia2 sites
  • Study site

    Bitola

  • Study site

    Skopje

Other trials in North Macedonia

Hong Kong1 site
  • Study site

    New Territories

Other trials in Hong Kong

About this study

Official title: A Randomized, Open-label, Multicenter, Phase 3 Study of Epoetin Alfa Plus Standard Supportive Care Versus Standard Supportive Care in Anemic Patients With Metastatic Breast Cancer Receiving Standard Chemotherapy

The purpose of this study is to assess the impact on tumor progression as evaluated by progression-free survival (PFS) of epoetin alfa plus standard supportive care as compared with standard supportive care alone (packed red blood cell (RBC) transfusions), for treating anemia according to label guidance in patients with metastatic breast cancer receiving standard chemotherapy.

Read the detailed description

Anemia is a common complication of the treatment of metastatic breast cancer and is related to the effects of chemotherapy and to chronic disease itself. This is a randomized, open-label, multicenter, international study to further examine the safety of the study drug used with standard supportive care (i.e., packed RBC transfusions) compared to standard supportive care alone, when used to treat anemia associated with chemotherapy. This study will be done in subjects with metastatic breast cancer who are being or will be treated with first-line chemotherapy with standard dose schedules of taxane monotherapy, or a taxane plus trastuzumab, or an anthracycline plus either a taxane or cyclophosphamide. The study hypothesis is that epoetin alfa, when used as supportive anemia care, does not increase the risk of tumor progression or death. The study treatment will be compared to the control treatment by comparing progression-free survival, i.e., the number of months from the date a patient is randomized into the trial to the date of the first documented disease progression or death. In addition to their chemotherapy, half of the subjects will be assigned to receive study drug (epoetin alfa) and half of the subjects will be assigned to standard supportive care for anemia. Subjects treated with the study drug will receive standard supportive care (packed RBC transfusions) plus 40,000 IU epoetin alfa given subcutaneously once a week until 4 weeks after the last cycle of chemotherapy or until disease progression, whichever comes first.The hypothesis is to test that epoetin alfa, when used as supportive anemia care, is non-inferior to control (standard supportive care alone), as measured by progression free survival (PFS). Patients treated with the study drug will receive standard supportive care (packed red blood cells (RBC) transfusions) plus 40,000 IU epoetin alfa given subcutaneously once a week until 4 weeks after the last cycle of chemotherapy or until disease progression, whichever comes first. Dose adjustments (dose escalation, dose reduction, dose interruption, and dose resumption) of epoetin alfa will be based on hemoglobin (Hb) and confirm to prescribing information.

Being tested
Standard supportive care (packed RBC transfusion), epoetin alfa + packed RBC transfusion
Keywords
anemia, metastatic breast cancer, Hemoglobin, progression-free survival (PFS), erythropoiesis-stimulating agents (ESA)
Medical subject headings
Breast Neoplasms, Neoplasm Metastasis, Anemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard supportive care (packed RBC transfusion)Other

    Per doctor prescription

  • epoetin alfa + packed RBC transfusionDrug

    40,000 IU SC once a week.

Study groups in NCT00338286
Study groupRoleWhat they receive
001Experimentalepoetin alfa + packed RBC transfusion 40 000 IU SC once a week.
Receives: Drug: epoetin alfa + packed RBC transfusion
002OtherStandard supportive care (packed RBC transfusion) Per doctor prescription
Receives: Other: Standard supportive care (packed RBC transfusion)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival

    Progression free survival was based in investigator-determined progressive disease (PD) and calculated from the date of randomization to the date of PD or the date of death, whichever occurred first. Participants who had not progressed and were still alive at the time of clinical cut off were censored at the last disease assessment prior to the clinical cutoff. For PD or death with a missing interval immediately preceding the event, progression-free survival (PFS) was censored at the last disease assessment prior to the missing interval. Participants who withdrew from the study (withdrawal of consent or lost to follow-up) without progression were censored at the time of the last disease assessment.

    Measured: From the date of randomization to the date of disease progression (PD) or death, whichever occurred first (up to 8.4 years)

Secondary outcomes (4)
  1. Overall Survival

    Overall survival (OS) was defined as the interval between the date of randomization to the date of death from any cause. For participants who were lost to follow-up or withdrew before the final database lock, OS was censored at the last date the participants was known to be alive. For participants who were still alive and on study at the time of the final database lock, OS was censored at the date of final database lock.

    Measured: From randomization up to death from any cause (up to 8.4 years)

  2. Time to Tumor Progression

    The Time to tumor progression (TTP) was defined as the time from the date of starting treatment until the date of first documented evidence of progression of tumor. TTP was measured from the date of randomization to the date of the first documented PD (including death due to PD without prior PD).

    Measured: From date of randomization to the date of the first documented PD (up to 8.4 years)

  3. Overall Response Rate (ORR)

    Overall response was RECIST criteria. Complete response (CR) is appearance of all target and non-target lesions. Partial response (PR):a) 30% decrease in sum of lactate dehydrogenase(LD) of target lesions from baseline OR b) complete disappearance of target lesions, with persistence of one or more non-target measurable lesion or one or more non-measurable, evaluable lesions. Progressive disease(PD):a) 20% increase in sum of LDs of target lesions, taking as reference smallest sum LD recorded since treatment started; OR b) appearance of one or more new lesions or a clear worsening of measurable non-target lesions or evaluable disease with stable measurable lesions. Stable disease (SD):a) sufficient shrinkage to qualify for PR;b) sufficient increase to qualify for PD. Non evaluable(NE) lesion: all other lesions, including small lesions (longest diameter <20 millimeter (mm) with conventional techniques or <10 mm with spiral CT scan) and truly non-measurable lesions.

    Measured: every 8 weeks for 1 year and then every 12 weeks until PD or death, whichever occurred first (up to 8.4 years)

  4. Percentage of Participants With Suspected Thrombotic Vascular Events (TVEs)

    Suspected TVEs were identified by investigators and relevant clinical information was collected.

    Measured: up to 8.4 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jun 2006 (estimated)
  2. Study start2 Mar 2006
  3. Primary completion7 Jul 2014
  4. Study completion31 Jan 2017

Resources

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
None (open label)
Enrolment
2,098 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00338286
Sponsor's protocol ID
CR005143
Other IDs
EPOANE3010, CR005143, 2005-001817-17, 2005
Status last verified
Feb 2018
First submitted
16 Jun 2006
Last updated
19 Mar 2018
Data monitoring committee
Yes
FDA-regulated device
No

Publications

  • Leyland-Jones B, Bondarenko I, Nemsadze G, Smirnov V, Litvin I, Kokhreidze I, Abshilava L, Janjalia M, Li R, Lakshmaiah KC, Samkharadze B, Tarasova O, Mohapatra RK, Sparyk Y, Polenkov S, Vladimirov V, Xiu L, Zhu E, Kimelblatt B, Deprince K, Safonov I, Bowers P, Vercammen E. A Randomized, Open-Label, Multicenter, Phase III Study of Epoetin Alfa Versus Best Standard of Care in Anemic Patients With Metastatic Breast Cancer Receiving Standard Chemotherapy. J Clin Oncol. 2016 Apr 10;34(11):1197-207. doi: 10.1200/JCO.2015.63.5649. Epub 2016 Feb 8.

    PubMed 26858335

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Standard supportive care (packed RBC transfusion) and epoetin alfa + packed RBC transfusion in people with Breast Cancer and Neoplasm Metastasis, run by Janssen Research & Development, LLC at 174 sites in 21 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 9 inclusion and 11 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 19 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 174 sites in Russia, India, Ukraine, United States, Brazil and 16 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 24 Mar 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: From the date of randomization to the date of disease progression (PD) or death, whichever occurred first (up to 8.4 years)). 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 NCT00338286, 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 19 Mar 2018.

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