Breast CancerPhase 3NCT00388726
E7389 Versus Treatment of Physician's Choice in Patients With Locally Recurrent or Metastatic Breast Cancer
A Phase 3 study testing E7389 and Physician's Choice in people with Breast Cancer, run by Eisai Inc. at 137 sites in 17 countries.
Trial summary
The purpose of this study is to compare Overall Survival (OS), Progression Free Survival (PFS), objective tumor response rate, duration of response, and safety in patients treated with E7389 versus the Treatment of Physician's Choice (TPC) in patients with locally recurrent or metastatic breast cancer. 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?
- E7389 and Physician's Choice
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 762 participants
- Where
- 137 sitesin 17 countries
- Study dates
- Nov 2006to Jun 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 with histologically or cytologically confirmed carcinoma of the breast.
- Every effort should be made to make paraffin embedded tissue or slides from the diagnostic biopsy or surgical specimen available for confirmation of diagnosis.
- Patients with locally recurrent or metastatic disease who have received at least two (and not more than five) prior chemotherapeutic regimens for breast cancer, at least two of which were administered for treatment of locally recurrent and/or metastatic disease.
- Prior therapy must be documented by the following criteria prior to entry onto study:
- Regimens must have included an anthracycline (e.g., doxorubicin, epirubicin) and a taxane (e.g., paclitaxel, docetaxel) in any combination or order. Treatment with any of these agents is not required if they are contraindicated for a certain patient.
- One or two of these regimens may have been administered as adjuvant and/or neoadjuvant therapy, but at least 2 must have been given for relapsed or metastatic disease.
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- Patients must have proved refractory to the most recent chemotherapy, documented by progression on or within six (6) months of therapy.
- Patients with Human Epidermal Growth Factor 2 (HER2/neu) positive tumors may additionally have been treated with trastuzumab.
- Patients may have additionally been treated with anti-hormonal therapy.
- Resolution of all chemotherapy or radiation-related toxicities to Grade 1 severity or lower, except for stable sensory neuropathy <= Grade 2 and alopecia.
- Age >= 18 years.
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2.
- Life expectancy of >= 3 months.
- Adequate renal function as evidenced by serum creatinine <= 2.0 mg/dL or calculated creatinine clearance >= 40 mL/min per the Cockcroft and Gault formula.
- Adequate bone marrow function as evidenced by absolute neutrophil count (ANC) >= 1.5 x 10^9/L, hemoglobin >= 10.0 g/dL (a hemoglobin <10.0 g/dL is acceptable if it is corrected by growth factor or transfusion), and platelet count >= 100 x 10^9/L.
- Adequate liver function as evidenced by bilirubin <= 1.5 times the upper limits of normal (ULN) and alkaline phosphatase, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) <= 3 x ULN (in the case of liver metastases <= 5 x ULN), unless there are bone metastases, in which case liver specific alkaline phosphatase must be separated from the total and used to assess the liver function instead of the total alkaline phosphatase. In case alkaline phosphatase is >3 x ULN (in absence of liver metastases) or > 5 x ULN (in presence of liver metastases) AND patient is known to have bone metastases, the liver specific alkaline phosphatase must be separated from the total and used to assess the liver function instead of the total alkaline phosphatase.
- Patients willing and able to comply with the study protocol for the duration of the study.
- Written informed consent prior to any study-specific screening procedures with the understanding that the patient may withdraw consent at any time without prejudice.
Who cannot join
- Patients who have received any of the following treatments within the specified period before E7389 or TPC treatment start:
- chemotherapy, radiation, trastuzumab or hormonal therapy within three weeks.
- any investigational drug within four weeks.
- Radiation therapy encompassing > 30% of marrow.
- Prior treatment with mitomycin C or nitrosourea.
- Pulmonary lymphangitic involvement that results in pulmonary dysfunction requiring active treatment, including the use of oxygen.
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- Patients with brain or subdural metastases are not eligible, unless they have completed local therapy and have discontinued the use of corticosteroids for this indication for at least 4 weeks before starting treatment in this study. Any signs (e.g., radiologic) and/or symptoms of brain metastases must be stable for at least 4 weeks before starting study treatment; radiographic stability should be determined by comparing a contrast-enhanced computed tomography or magnetic resonance imaging brain scan performed during screening to a prior scan performed at least 4 weeks earlier.
- Patients with meningeal carcinomatosis.
- Patients who are receiving anti-coagulant therapy with warfarin or related compounds, other than for line patency, and cannot be changed to heparin-based therapy if randomized to E7389 are not eligible. If a patient is to continue on mini-dose warfarin, then the prothrombin time (PT) or international normalized ratio (INR) must be closely monitored.
- Women who are pregnant or breast-feeding; women of childbearing potential with either a positive pregnancy test at screening or no pregnancy test; women of childbearing potential unless (1) surgically sterile or (2) using adequate measures of contraception in the opinion of the Investigator. Perimenopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential.
- Severe/uncontrolled intercurrent illness/infection.
- Significant cardiovascular impairment (history of congestive heart failure > New York Heart Association grade II, unstable angina or myocardial infarction within the past six months, or serious cardiac arrhythmia).
- Patients with organ allografts requiring immunosuppression.
- Patients with known positive HIV status.
- Patients who have had a prior malignancy, other than previous breast cancer, carcinoma in situ of the cervix, or non-melanoma skin cancer, unless the prior malignancy was diagnosed and definitively treated >= 5 years previously with no subsequent evidence of recurrence.
- Patients with pre-existing neuropathy > Grade 2.
- Patients with a hypersensitivity to halichondrin B and/or halichondrin B chemical derivative.
- Patients who participated in a prior E7389 clinical trial whether or not E7389 was received.
- Patients with other significant disease or disorders that, in the Investigator's opinion, would exclude the patient from the study.
Trial locations and contacts
137 sites in 17 countries.
137 sites in 17 countries
United States32 sites
US Oncology
Albany, New York
Peachtree Hematology/Oncology Consultants, PC
Atlanta, Georgia
Hematology Oncology Clinic
Baton Rouge, Louisiana
US Oncology
Bedford, Texas
Bellflower Satellite
Bellflower, California
US Oncology St. Vincent's Hospital - Bruno Cancer Center
Birmingham, Alabama
Carolina Hematology Oncology Associates
Charlotte, North Carolina
US Oncology
Columbia, Missouri
US Oncology
Dallas, Texas
Florida Cancer Research Institute
Davie, Florida
US Oncology
Denver, Colorado
North Shore Hematology/Oncology Associates
East Setauket, New York
US Oncology
Eugene, Oregon
Research Center
Gilroy, California, 95020
US Oncology
Houston, Texas
US Oncology
Indianapolis, Indiana
University of Iowa Hospital and Clinic
Iowa City, Iowa
US Oncology
Las Vegas, Nevada
US Oncology
McAllen, Texas
Innovative Medical Research of South Florida, Inc.
Miami, Florida, 33179
US Oncology
Midland, Texas
Montana Cancer Specialists
Missoula, Montana, 59820
Weill Cornell Breast Cancer Center
New York, New York
US Oncology
Niles, Illinois
St. Vincent Medical Center
Portland, Oregon
US Oncology
Raleigh, North Carolina
Oncology Care Associates, P.L.L.C.
Saint Joseph, Michigan
US Oncology
Spokane, Washington
Northwest Medical Specialists
Tacoma, Washington, 98401
US Oncology
Tyler, Texas
US Oncology
Vancouver, Washington
US Oncology
Yakima, Washington
Argentina13 sites
Instituto Oncologico "Las Heras"
Bahía Blanca, Buenos Aires, B8000ILF
Hosptial Interzonal General de Mar del Plata
Buenos Aires, 7600
Hospital Britanico
C.a.b.a, Buenos Aires, C1280AEB
Clinica Universitaria Privada Reina Fabiola
Córdoba
Sanatorio Frances
Córdoba
Instituto FIDES especialidades Medicas
La Plata, Buenos Aires, 1900
Breast Clinica de la Mama
La Plata, Buenos Aires
CITEM
Quilmes, Buenos Aires
CER Instituto Medico
Quilmes Oeste, Buenos Aires
Instituto CAICI
Rosario, Pcia. Santa Fe, S2000PBJ
Instituto de Oncologia y Especialidades Medicas
Rosario Santa Fe, 2000
Centro Medico San Roque
San Miguel de Tucumán, San Miguel de Tucuman
Clinica Especializada ISIS
Santa Fe, S3000FFU
Russia13 sites
Republic Clinical Oncology Dispensary
Izhervsk Udmurtia, 426009
Kazan State Medical University
Kazan', 420012
Krasnodar Territory Clinical Oncology Center
Krasnodar, 350040
Burdenko Main Military Hospital
Moscow, 105229
Nizhniy Novgorod City Oncology Center
Nizhny Novgorod, 603081
City Clinical Hospital #1
Novosibirisk, 630047
Republican Oncology Center
Petrozavodsk, 185007
State Institution of Healthcare Stavropol Region clinical Oncology dispensary
Pyatigorsk
Pavlov Medical University
Saint Petersburg, 190722
St Petersburg City Oncology Center
Saint Petersburg, 197022
NN Petrov Research Institute of Oncology
Saint Petersburg, 197758
Tomsk Regional Oncology Dispensary
Tomsk, 634050
GUZ YO Regional Clinical Oncology Hospital
Yaroslavl, 150054
France10 sites
Centre Paul Papin
Agners Cedex 01, 46033
Hopital Jean Minjoz
Besançon, 25030
Polyclinique Boredaux Nord Aquitaine
Bordeaux, 33300
Centre Francois Baclesse Caen
Caen, 14076
Centre Jean Perrin - CRLC
Clermont-Ferrand, 63011
Centre Georges-Francois Lecierc
Dijon, 21079
Hopital Edourad Herriot
Lyon, 69008
Institut Curie
Paris, 75005
Clinique Armoricaine de Radiologie
Saint-Brieuc, 22015
Hopital Bretonneau
Tours, 37044
Brazil9 sites
Hospital Erasto Gaertner
Curitiba, Pará
Centro Regional Integrado de Oncologia-CRIO
Fortaleza, Ceará
Centro de Pesquisas e Estudios do Centro Goiano
Giana, Goiás
CPO-Centro de Pesquisas em Oncologia
Porto Alegre, Rio Grande do Sul
Instituto Nacional do Cancer-Unidade III (INCA III)
Rio de Janiero, Rio de Janeiro
CEPHO-Centro de Estudos e Pesquisa de Hematologia e oncologia
Santo André, São Paulo
Santo Andre Diagnosticos e Tratamentos
Santo André, São Paulo
Clinica de Oncologia Medica
São Paulo, São Paulo
Hospital Amaral Carvalho
Vila Assis, São Paulo
Spain8 sites
Hospital Vall d Hebron
Barcelona, 08035
Hospital Mutua de Terrassa
Barcelona, E-08221
Hospital Universitario de Girona Dr. Josep Trueta
Girona, 17007
Complejo Hospitalario de Jaen
Jaén, E-23007
Hospital Unversitatio de Salamanca
Salamanca, E37007
Hospital Universitario de Canarias
Santa Cruz de Tenerife, E-38320
Hospital General Virgen del Rocio
Seville, E-41013
Hospital Clinico de Zaragoza
Zanagoza, 50009
Italy7 sites
Azienda Ospedaliera Careggi
Firenze (FI), 50139
Ospedale San Martino
Genova, 16132
Ospedale "Vito Fazzi" - Lecce
Lecce (LE), 73100
Istituto Scientifico San Raffaele
Milan, 20132
Ospedale San Filippo Neri
Roma, 00135
Istituto Clinico Humanitas
Rozzano, 20089
UO di Oncologia
Sora, 03039
Poland7 sites
Akademickie Centrum Kliniczne Szpital Akademii Medycznej w
Gdansk, 80952
Szpital Morski im PCK w Gdyni Gdynskie Centrum Onkologii
Gdynia, 81519
Centrum Onkologii Instytut M. Sklodowskiej Curie w Warszawie Oddzial Gilwice
Gilwice, 44101
Centrum Onkologii Instytut M Sklodowskiej Curie, Oddzial w Krakowie
Krakow, 31-115
Szpital Kiniczny Przemienienia Panskiego Uniwersyteu Medycznego im Karola Marcinkowskiego w Poznaniu
Poznan, 61878
Zachodniopomorski e Centrum
Szczecin, 71-730
Centrum Onkologii Instytut im M. Sklodowskiej Curie w Warszawie
Warsaw, 02781
Australia6 sites
Maroondah Breast Clinic
Melbourne, 3135
Mater Medical Centre
North Sydney, 2060
Mount Hospital
Perth, 6000
Royal Perth Hospital, Department of Medical Oncology
Perth, 6000
The Queen Elizabeth Hospital
Southport, Queensland, 4215
Servicio De Oncologia
Woodville South, South Australia, 5011
Czechia6 sites
Masaryk Memorial Cancer Institute
Brno, 656 53
Hospital Jihlava
Jihlava, 58633
Clinic of Radiotherapy and Oncology
Prague, 100 34
General Faculty Hospital Prague
Prague, 128 08
Fakultni Thomayerova Nemocnice
Prague, 14059
Ustav radia ni onkologie 1. LF UK a FNB
Prague, 18000
Belgium5 sites
Institut Jules Bordet
Brussels, 1000
Cliniques Universitaires Saint-Luc
Brussels, 1200
Centre Hospitalier Notre-Dame - Reine Fabiola
Charleroi, 6000
UZ Gent
Ghent, B-9000
AZ Groeninge, Campus Maria's Voorzienigheid
Kortrijk, 8500
Switzerland5 sites
Kantonsspital Aarau
Aarau, 5001
Inselspital Bern
Bern Bern, 3010
Kantonsspital Oncology Haematology
Sankt Gallen, CH9007
Spital Thun-Simmental AG
Thun, 3600
Kantonsspital Winterhur
Winterhur, CH-8401
Hungary4 sites
Semmelweis Medical University, III. Dep. of Internal Med.
Budapest, 1125
Debrecen Medical University, Department of Oncology
Debrecen, 4012
University of Pecs
Pécs, 7200
Markusovszky Teaching Hospital, Dept. of Oncoradiology, Sec. Med. Oncology
Szombathely, 9700
South Africa4 sites
Sandton Oncology Centre
Johannesburg, 2057
Panorama Medical Centre
Panorama, Cape Town, 7500
Eastern Cape Oncology Centre, GVI, St Georges Hospital
Port Elizabeth, Eastern Cape, 6001
Pretoria Academic Hospital
Pretoria, 0001
Canada3 sites
McGill University Health Centre, Department of Oncology, Gerald Bronfman Center
Montreal, Quebec
The Ottawa Hospital Regional Cancer Center
Ottawa, Ontario
Sunnybrook Odette Cancer Centre
Toronto, Ontario, M4N 3M5
Croatia3 sites
Clinical Hospital Osijek
Osijek, 31000
University Hospital Center Zagreb
Zagreb, 1000
University Hospital for Tumors Zagreb
Zagreb, 1000
Austria2 sites
Medizinische Universitatsklinik Graz
Graz Steiermark, 8036
Salzburger Landeskliniken Universitatsklinik fur Innere medizin III
Salzburg, 5020
About this study
Official title: The "EMBRACE" Trial: Eisai Metastatic Breast Cancer Study Assessing Physician's Choice Versus E7389. A Phase III Open-Label, Randomized, Parallel, Two-arm, Multi-center Study of E7389 Versus "Treatment of Physician's Choice" in Patients With Locally Recurrent, Metastatic Breast Cancer, Previously Treated With At Least Two and a Maximum of Five Prior Chemotherapy Regimens, Including an Anthracycline and a Taxane
The purpose of this study is to compare Overall Survival (OS), Progression Free Survival (PFS), objective tumor response rate, duration of response, and safety in patients treated with E7389 versus the Treatment of Physician's Choice (TPC) in patients with locally recurrent or metastatic breast cancer.
- Conditions
- Breast Cancer
- Being tested
- E7389, Physician's Choice
- Keywords
- Locally recurrent breast cancer, metastatic breast cancer
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
E7389Drug
1.4 mg/m^2 intravenous (IV) infusion given over 2-5 minutes on Days 1 and 8 every 21 days.
Physician's ChoiceDrug
Treatment of the Physician's Choice defined as any single agent chemotherapy, hormonal treatment or biological therapy approved for the treatment of cancer; or palliative treatment or radiotherapy, administered according to local practice, if applicable.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Drug: E7389 |
| 2 | Active comparator | Not described Receives: Drug: Physician's Choice |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Defined as the time from the date of randomization until the date of death from any cause.
Measured: From date of randomization until death from any cause
Secondary outcomes (4)
Progression-Free Survival.
Measured using Response Evaluation Criteria in Solid Tumors (RECIST) and defined as the time from the date of randomization until progressive disease or death from any cause in the absence of of progressive disease.
Measured: Until disease progression or death.
Best Overall Response
Measured by RECIST criteria and defined as the best response from the start of treatment until disease progression or recurrence. Lesions measured by computed tomography (CT) scan and magnetic resonance imaging (MRI). Objective response rate: complete response (CR-disappearance of all lesions)+ partial response (PR-30% decrease in lesion diameter), Progressive Disease (PD-20% increase in lesion diameter), stable disease (SD-neither shrinkage nor increase of lesions).
Measured: Until Day 30 or every 3 months during Follow-up period for patients who complete study without PD.
Duration of Response.
As measured by RECIST criteria and defined as the time from the first documented CR or PR until disease progression or death from any cause.
Measured: From first documented CR or PR until disease progression or death.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Measured: From start of study drug administration up to 30 days after the last dose of study drug (approximately up to 42 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Oct 2006 (estimated)
- Study startNov 2006
- Primary completionMay 2009
- Study completionJun 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 (7)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 Eisai Inc.The 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
- None (open label)
- Enrolment
- 762 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eisai Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Eisai Limited
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00388726
- Sponsor's protocol ID
- E7389-G000-305
- Other IDs
- 2006-001949-34
- Status last verified
- Jul 2014
- First submitted
- 13 Oct 2006
- Last updated
- 7 Jan 2020
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.
PubMed 34037241Miyoshi Y, Yoshimura Y, Saito K, Muramoto K, Sugawara M, Alexis K, Nomoto K, Nakamura S, Saeki T, Watanabe J, Perez-Garcia JM, Cortes J. High absolute lymphocyte counts are associated with longer overall survival in patients with metastatic breast cancer treated with eribulin-but not with treatment of physician's choice-in the EMBRACE study. Breast Cancer. 2020 Jul;27(4):706-715. doi: 10.1007/s12282-020-01067-2. Epub 2020 Mar 5.
PubMed 32133606Wedam 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 29522361Twelves C, Cortes J, Kaufman PA, Yelle L, Awada A, Binder TA, Olivo M, Song J, O'Shaughnessy JA, Jove M, Perez EA. "New" metastases are associated with a poorer prognosis than growth of pre-existing metastases in patients with metastatic breast cancer treated with chemotherapy. Breast Cancer Res. 2015 Dec 9;17(1):150. doi: 10.1186/s13058-015-0657-1.
PubMed 27391598Muss H, Cortes J, Vahdat LT, Cardoso F, Twelves C, Wanders J, Dutcus CE, Yang J, Seegobin S, O'Shaughnessy J. Eribulin monotherapy in patients aged 70 years and older with metastatic breast cancer. Oncologist. 2014 Apr;19(4):318-27. doi: 10.1634/theoncologist.2013-0282. Epub 2014 Mar 28.
PubMed 24682463Cortes J, O'Shaughnessy J, Loesch D, Blum JL, Vahdat LT, Petrakova K, Chollet P, Manikas A, Dieras V, Delozier T, Vladimirov V, Cardoso F, Koh H, Bougnoux P, Dutcus CE, Seegobin S, Mir D, Meneses N, Wanders J, Twelves C; EMBRACE (Eisai Metastatic Breast Cancer Study Assessing Physician's Choice Versus E7389) investigators. Eribulin monotherapy versus treatment of physician's choice in patients with metastatic breast cancer (EMBRACE): a phase 3 open-label randomised study. Lancet. 2011 Mar 12;377(9769):914-23. doi: 10.1016/S0140-6736(11)60070-6. Epub 2011 Mar 2.
PubMed 21376385Twelves C, Cortes J, Vahdat LT, Wanders J, Akerele C, Kaufman PA. Phase III trials of eribulin mesylate (E7389) in extensively pretreated patients with locally recurrent or metastatic breast cancer. Clin Breast Cancer. 2010 Apr;10(2):160-3. doi: 10.3816/CBC.2010.n.023.
PubMed 20299316
Study at a glance
From the registry record, last updated by the sponsor on 7 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The "EMBRACE" Trial: Eisai Metastatic Breast Cancer Study Assessing Physician's Choice Versus E7389. A Phase III Open-Label, Randomized, Parallel, Two-arm, Multi-center Study of E7389 Versus "Treatment of Physician's Choice" in Patients With Locally Recurrent, Metastatic Breast Cancer, Previously Treated With At Least Two and a Maximum of Five Prior Chemotherapy Regimens, Including an Anthracycline and a Taxane
- ClinicalTrials.gov ID
- NCT00388726
- Acronym / sponsor ID
- E7389-G000-305
- Conditions
- Breast Cancer
- Keywords
- Locally recurrent breast cancer, metastatic breast cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 762 participants (actual)
- Lead sponsor
- Eisai Inc.Industry (pharma, biotech, devices)
- Collaborators
- Eisai Limited
- Study start
- Nov 2006 (actual)
- Primary completion
- May 2009 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 17 Oct 2006 (estimated)
- Results
- Posted 30 Jan 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare Overall Survival (OS), Progression Free Survival (PFS), objective tumor response rate, duration of response, and safety in patients treated with E7389 versus the Treatment of Physician's Choice (TPC) in patients with locally recurrent or metastatic breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Drug: E7389 |
| 2 | Active comparator | Drug: Physician's Choice |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Female patients with histologically or cytologically confirmed carcinoma of the breast.
- Every effort should be made to make paraffin embedded tissue or slides from the diagnostic biopsy or surgical specimen available for confirmation of diagnosis.
- Patients with locally recurrent or metastatic disease who have received at least two (and not more than five) prior chemotherapeutic regimens for breast cancer, at least two of which were administered for treatment of locally recurrent and/or metastatic disease.
- Resolution of all chemotherapy or radiation-related toxicities to Grade 1 severity or lower, except for stable sensory neuropathy <= Grade 2 and alopecia.
- Age >= 18 years.
Key exclusion criteria (19 listed)
- Patients who have received any of the following treatments within the specified period before E7389 or TPC treatment start:
- Radiation therapy encompassing > 30% of marrow.
- Prior treatment with mitomycin C or nitrosourea.
- Pulmonary lymphangitic involvement that results in pulmonary dysfunction requiring active treatment, including the use of oxygen.
- Patients with brain or subdural metastases are not eligible, unless they have completed local therapy and have discontinued the use of corticosteroids for this indication for at least 4 weeks before starting treatment in this study. Any signs (e.g., radiologic) and/or symptoms of brain metastases must be stable for at least 4 weeks before starting study treatment; radiographic stability should be determined by comparing a contrast-enhanced computed tomography or magnetic resonance imaging brain scan performed during screening to a prior scan performed at least 4 weeks earlier.
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 |
|---|---|---|
| E73891.4 mg/m^2 intravenous (IV) infusion given over 2-5 minutes on Days 1 and 8 every 21 days. | Drug | 1 |
| Physician's ChoiceTreatment of the Physician's Choice defined as any single agent chemotherapy, hormonal treatment or biological therapy approved for the treatment of cancer; or palliative treatment or radiotherapy, administered according to local practice, if applicable. | Drug | 2 |
Primary outcome
Overall Survival
Time frame: From date of randomization until death from any cause
Defined as the time from the date of randomization until the date of death from any cause.
4 secondary outcomes
Progression-Free Survival.
Time frame: Until disease progression or death.
Best Overall Response
Time frame: Until Day 30 or every 3 months during Follow-up period for patients who complete study without PD.
Duration of Response.
Time frame: From first documented CR or PR until disease progression or death.
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: From start of study drug administration up to 30 days after the last dose of study drug (approximately up to 42 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jan 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34037241Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.
- Derived from this study: PubMed 32133606Miyoshi Y, Yoshimura Y, Saito K, Muramoto K, Sugawara M, Alexis K, Nomoto K, Nakamura S, Saeki T, Watanabe J, Perez-Garcia JM, Cortes J. High absolute lymphocyte counts are associated with longer overall survival in patients with metastatic breast cancer treated with eribulin-but not with treatment of physician's choice-in the EMBRACE study. Breast Cancer. 2020 Jul;27(4):706-715. doi: 10.1007/s12282-020-01067-2. Epub 2020 Mar 5.
- 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.
- Derived from this study: PubMed 27391598Twelves C, Cortes J, Kaufman PA, Yelle L, Awada A, Binder TA, Olivo M, Song J, O'Shaughnessy JA, Jove M, Perez EA. "New" metastases are associated with a poorer prognosis than growth of pre-existing metastases in patients with metastatic breast cancer treated with chemotherapy. Breast Cancer Res. 2015 Dec 9;17(1):150. doi: 10.1186/s13058-015-0657-1.
- Derived from this study: PubMed 24682463Muss H, Cortes J, Vahdat LT, Cardoso F, Twelves C, Wanders J, Dutcus CE, Yang J, Seegobin S, O'Shaughnessy J. Eribulin monotherapy in patients aged 70 years and older with metastatic breast cancer. Oncologist. 2014 Apr;19(4):318-27. doi: 10.1634/theoncologist.2013-0282. Epub 2014 Mar 28.
- Derived from this study: PubMed 21376385Cortes J, O'Shaughnessy J, Loesch D, Blum JL, Vahdat LT, Petrakova K, Chollet P, Manikas A, Dieras V, Delozier T, Vladimirov V, Cardoso F, Koh H, Bougnoux P, Dutcus CE, Seegobin S, Mir D, Meneses N, Wanders J, Twelves C; EMBRACE (Eisai Metastatic Breast Cancer Study Assessing Physician's Choice Versus E7389) investigators. Eribulin monotherapy versus treatment of physician's choice in patients with metastatic breast cancer (EMBRACE): a phase 3 open-label randomised study. Lancet. 2011 Mar 12;377(9769):914-23. doi: 10.1016/S0140-6736(11)60070-6. Epub 2011 Mar 2.
- Derived from this study: PubMed 20299316Twelves C, Cortes J, Vahdat LT, Wanders J, Akerele C, Kaufman PA. Phase III trials of eribulin mesylate (E7389) in extensively pretreated patients with locally recurrent or metastatic breast cancer. Clin Breast Cancer. 2010 Apr;10(2):160-3. doi: 10.3816/CBC.2010.n.023.
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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.
The record lists no contact. Use the official record to reach the sponsor.
137 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing E7389 and Physician's Choice in people with Breast Cancer, run by Eisai Inc. at 137 sites in 17 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 18 inclusion and 19 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 7 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 137 sites in United States, Argentina, Russia, France, Brazil and 12 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 30 Jan 2012). 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?
Overall Survival (time frame: From date of randomization until death from any cause). 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 NCT00388726, which also lists 7 linked publications.
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 7 Jan 2020.