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Breast CancerPhase 2AVATAXHERNCT01142778

A Study of Bevacizumab Added to Trastuzumab Plus Docetaxel in the Neoadjuvant Setting in Participants With Early Stage HER2-Positive Breast Cancer

A Phase 2 study testing Bevacizumab, Docetaxel and Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 28 sites in France.

Completed

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

Official record
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Trial summary

This randomized study will assess the effect of adding bevacizumab to trastuzumab plus docetaxel in neoadjuvant therapy in participants with early stage human epidermal growth factor receptor 2 (HER2)-positive 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?
Bevacizumab, Docetaxel and Trastuzumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
152 participants
Where
28 sitesFrance
Study dates
19 May 2010to 13 Dec 2017
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Participants with early stage HER2-positive breast cancer
  • Scheduled to receive neoadjuvant therapy with the objective of conservative surgery
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2

Who cannot join

  • Participants with partial or total lobular carcinoma
  • Participants with inflammatory breast cancer
  • Previous treatment with chemotherapy, radiation therapy or hormonal therapy for breast cancer
  • Previous history of cancer (other than curatively treated basal and squamous cell carcinoma of the skin and/or in situ carcinoma of the cervix) relapsing within the 5 years before study entry or in situ contralateral breast carcinoma

Trial locations and contacts

28 sites in 1 country.

28 sites in 1 country

France28 sites
  • Centre Radiotherapie Marie Curie

    Arras, 62000

  • Centre Hospitalier; Hematologie-Oncologie

    Beauvais, 60021

  • Clinique Tivoli; Sce Radiotherapie

    Bordeaux, 33000

  • Hopital Augustin Morvan; Federation De Cancerologie

    Brest, 29200

  • Centre Jean Perrin; Hopital De Jour

    Clermont-Ferrand, 63011

  • Pole Sante Republique;Oncologie Hematologie

    Clermont-Ferrand, 63050

  • Centre Georges Francois Leclerc; Oncologie 3

    Dijon, 21079

  • Institut Daniel Hollard

    Grenoble, 38000

  • Centre Hospitalier Departemental Les Oudairies

    La Roche-sur-Yon, 85925

  • Hopital Dupuytren; Oncologie Medicale

    Limoges, 87042

  • Centre Leon Berard; Oncologie Genetique

    Lyon, 69373

  • Hopital Clinique Claude Bernard; Oncologie Medicale

    Metz, 57000

  • Ch De Montlucon; Sce Med Interne Hemato Onco

    Montluçon, 03100

  • Institut régional du Cancer Montpellier

    Montpellier, 34298

  • Centre D'Oncologie de Gentilly; Oncology

    Nancy, 54100

  • Centre Antoine Lacassagne; Hopital De Jour A2

    Nice, 06189

  • Institut Curie; Oncologie Medicale

    Paris, 75231

  • GH Paris Saint Joseph; Hopital De Jour Oncologie

    Paris, 75674

  • HOPITAL TENON; Cancerologie Medicale

    Paris, 75970

  • Clinique Francheville; Radiotherapie

    Périgueux, 24000

  • Institut Jean Godinot; Oncologie Medicale

    Reims, 51056

  • Centre Eugene Marquis; Unite Huguenin

    Rennes, 35042

  • Clinique de L'Union; Oncologie

    Saint-Jean, 31240

  • Institut de Cancerologie de La Loire; Radiotherapie

    Saint-Priest-en-Jarez, 42271

  • Centre Paul Strauss; Oncologie Medicale

    Strasbourg, 67065

  • Clinique Pasteur; Oncologie Medicale

    Toulouse, 31076

  • Centre Henry S Kaplan - CHU Bretonneau ; service oncologie

    Tours, 37044

  • Centre Alexis Vautrin; Oncologie Medicale

    Vandœuvre-lès-Nancy, 54511

Other trials in France

About this study

Official title: An Open-Label, Randomized, Multicenter, Phase II, Non Comparative, Exploratory Study on Neoadjuvant Treatment With Trastuzumab Plus Docetaxel Plus Bevacizumab According to Positon Emission Tomography (PET) Value Modification in Patients With Early Stage HER2 Positive Breast Cancer

This randomized study will assess the effect of adding bevacizumab to trastuzumab plus docetaxel in neoadjuvant therapy in participants with early stage human epidermal growth factor receptor 2 (HER2)-positive breast cancer. After 2 cycles of trastuzumab and docetaxel once every 3 weeks, participants with a response (change in standard uptake value [SUV]) of less than (<) 70 percent (%) on Positron Emission Tomography (PET) will be randomized in a 2:1 ratio to receive Cycles 3 to 6 of trastuzumab (6 milligrams per kilogram [mg/kg]) and docetaxel (100 milligrams per square meter [mg/m^2]) with or without bevacizumab (15 mg/kg). Participants with a response of greater than or equal to (>/=) 70% will receive trastuzumab plus docetaxel in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery (as per investigator's discretion) after Cycle 7 and between 4 and 6 weeks after the treatment perfusion of Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy (starting from 4-8 weeks after surgery during 4-6 weeks, according to site's standard practice) with or without hormonal therapy (mandatory if positive hormone receptors). Participants will be followed for up to 5 years from start of neoadjuvant treatment.

Conditions
Breast Cancer
Being tested
Bevacizumab, Docetaxel, Trastuzumab, Surgery, Radiotherapy
Medical subject headings
Breast Neoplasms

What participants receive

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

  • BevacizumabDrug

    Also called Avastin

    Bevacizumab at a dose of 15 mg/kg will be administered as IV infusion over 90 minutes from Cycles 3-6 (1 Cycle=21 days).

  • DocetaxelDrug

    Also called Taxotere

    Docetaxel at a dose of 100 mg/m^2 will be administered as IV infusion from Cycles 1-6 (1 Cycle=21 days).

  • TrastuzumabDrug

    Also called Herceptin

    Trastuzumab will be administered as a loading dose of 8 mg/kg as IV infusion in Cycle 1, followed by subsequent dose of 6 mg/kg as IV infusion in Cycles 2 to 7, and during additional 11 cycles post surgery (1 Cycle=21 days).

  • SurgeryProcedure or surgery

    All participants will undergo surgery (as per investigator's discretion) after Cycle 7 and between 4 and 6 weeks after the study treatment infusion in Cycle 6 (1 Cycle=21 days).

  • RadiotherapyRadiation

    All participants will receive radiotherapy starting about 4 to 8 weeks after surgery, and will last around 4 to 6 weeks as per site's standard practice.

  • Hormonal TherapyDrug

    Participants who are hormone receptors positive, will receive hormonal therapy after completion of radio therapy period as per investigator's discretion and site's standard practice.

Study groups in NCT01142778
Study groupRoleWhat they receive
Trastuzumab, Docetaxel, and BevacizumabExperimentalParticipants will receive 2 cycles of trastuzumab and docetaxel once every 3 weeks. Then, participants with a response of <70% will receive trastuzumab and docetaxel along with bevacizumab in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery after Cycle 7 and between 4 and 6 weeks after the bevacizumab infusion in Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy with or without hormonal therapy as per site's standard practice, and will be followed for up to 5 years from start of neoadjuvant treatment.
Receives: Drug: Bevacizumab; Drug: Docetaxel; Drug: Trastuzumab; Procedure: Surgery; Radiation: Radiotherapy; Drug: Hormonal Therapy
Trastuzumab and DocetaxelActive comparatorParticipants will receive 2 cycles of trastuzumab and docetaxel once every 3 weeks. Then, participants with a response of <70% will receive trastuzumab and docetaxel in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery after Cycle 7 and between 4 and 6 weeks after the study treatment perfusion in Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy with or without hormonal therapy as per site's standard practice, and will be followed for up to 5 years from start of neoadjuvant treatment.
Receives: Drug: Docetaxel; Drug: Trastuzumab; Procedure: Surgery; Radiation: Radiotherapy; Drug: Hormonal Therapy
Trastuzumab and Docetaxel (Standard Regimen)Active comparatorParticipants will receive 2 cycles of trastuzumab and docetaxel once every 3 weeks. Then, participants with a response of >/=70% will receive trastuzumab and docetaxel in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery after Cycle 7 and between 4 and 6 weeks after the study treatment perfusion in Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy with or without hormonal therapy as per site's standard practice, and will be followed for up to 5 years from start of neoadjuvant treatment.
Receives: Drug: Docetaxel; Drug: Trastuzumab; Procedure: Surgery; Radiation: Radiotherapy; Drug: Hormonal Therapy

What is being measured

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

  1. Percentage of Participants With Pathological Complete Response as per Chevallier's Classification as Reviewed by an Independent Committee

    Measured: After 6 cycles (18 weeks) of neoadjuvant therapy (cycle length=21 days)

Secondary outcomes (9)
  1. Percentage of Participants With Pathological Complete Response According to Chevallier's Classification as per Local Procedures

    Measured: After 6 cycles (18 weeks) of neoadjuvant therapy (cycle length=21 days)

  2. Percentage of Participants With Pathological Complete Response According to Sataloff's Classification as Reviewed by an Independent Committee

    Measured: After 6 cycles (18 weeks) of neoadjuvant therapy (cycle length=21 days)

  3. Percentage of Participants With Ultrasound Response According to Modified Response Evaluation Criteria in Solid Tumors (RECIST)

    Measured: Neodajuvant treatment period (21 weeks)

  4. Percentage of Participants With Conservative Surgery Post Neoadjuvant Treatment

    Measured: Week 20 (between Day 28 and Day 35 after the Cycle 6, cycle length=21 days)

  5. Local Relapse-Free Interval (LRFI) According to Modified RECIST Criteria

    Measured: From baseline to occurrence of relapse/disease or death of any cause (up to 5 years)

  6. Disease-Free Survival (DFS) According to Modified RECIST Criteria

    Measured: From baseline to occurrence of relapse/disease or death of any cause (up to 5 years)

  7. Distant Disease-Free Interval (DDFI) According to Modified RECIST Criteria

    Measured: From baseline to occurrence of relapse/disease or death of any cause (up to 5 years)

  8. Overall Survival

    Measured: Baseline up to occurrence of death (up to 5 years)

  9. Percentage of Participants With Adverse Events

    Measured: Baseline up to 5 years

Timeline

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

  1. First posted11 Jun 2010 (estimated)
  2. Study start19 May 2010
  3. Primary completion13 Dec 2017
  4. Study completion13 Dec 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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
152 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01142778
Sponsor's protocol ID
ML22229
Other IDs
2009-013410-26, 2009
Acronym
AVATAXHER
Status last verified
Mar 2018
First submitted
10 Jun 2010
Last updated
16 Mar 2018
Results posted
No

Publications

  • Coudert B, Pierga JY, Mouret-Reynier MA, Kerrou K, Ferrero JM, Petit T, Kerbrat P, Dupre PF, Bachelot T, Gabelle P, Giard S, Coeffic D, Bougnoux P, Prevost JB, Paintaud G, Thibault G, Hernandez J, Coudert M, Arnould L, Berriolo-Riedinger A. Use of [(18)F]-FDG PET to predict response to neoadjuvant trastuzumab and docetaxel in patients with HER2-positive breast cancer, and addition of bevacizumab to neoadjuvant trastuzumab and docetaxel in [(18)F]-FDG PET-predicted non-responders (AVATAXHER): an open-label, randomised phase 2 trial. Lancet Oncol. 2014 Dec;15(13):1493-1502. doi: 10.1016/S1470-2045(14)70475-9. Epub 2014 Oct 30.

    PubMed 25456368

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bevacizumab, Docetaxel and Trastuzumab in people with Breast Cancer, run by Hoffmann-La Roche at 28 sites in France.

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 3 inclusion and 4 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 16 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 28 sites in France. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Percentage of Participants With Pathological Complete Response as per Chevallier's Classification as Reviewed by an Independent Committee (time frame: After 6 cycles (18 weeks) of neoadjuvant therapy (cycle length=21 days)). 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 NCT01142778, 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 16 Mar 2018.

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