Triple Negative Breast CancerPhase 2BATON-BCNCT01745367
Tivozanib in Combination With Paclitaxel in Patients With Locally Recurrent or Metastatic Triple Negative Breast Cancer
A Phase 2 study testing Tivozanib Hydrochloride and paclitaxel in people with Triple Negative Breast Cancer, run by AVEO Pharmaceuticals, Inc. at 54 sites in 10 countries.
Trial summary
This is a phase 2 multicenter, double-blind, randomized, placebo-controlled, two-arm study for subjects with locally recurrent or metastatic triple negative breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- Tivozanib Hydrochloride and paclitaxel
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 30 participants
- Where
- 54 sitesin 10 countries
- Study dates
- Nov 2012to Jun 2014
- Phase
- Phase 2
- 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
- Locally recurrent or metastatic TNBC, defined as ER/PR <1%, HER2 0-1+, or 2+ with negative FISH
- Measurable disease per RECIST version 1.1
- ECOG performance status of 0 or 1
- Confirmed available archival tumor tissue.
Who cannot join
- More than 1 prior systemic chemotherapy for treatment of locally recurrent or metastatic breast cancer (neoadjuvant and adjuvant therapy is allowed provided the subject did not progress within 12 months of taxane based therapy
- Prior treatment with VEGF pathway targeted agent
- Major surgery within 4 weeks or minor surgery or radiotherapy within 2 weeks of first dose of study drug
- Known history of central nervous system metastasis (subjects with previously treated (radiotherapy or surgery) brain metastasis that have been stable off steroids or enzyme-inducing antiepileptic drugs for at least 3 months following prior treatment may be enrolled)
- Significant hematologic, gastrointestinal, thromboembolic, vascular, bleeding, or coagulation disorders
- Significant serum chemistry or urinalysis abnormalities
Show all 9Show fewer
- Significant cardiovascular disease, including: uncontrolled hypertension; myocardial infarction or unstable angina within 6 months prior to administration of first dose of study drug; and symptomatic left ventricular dysfunction or baseline left ventricular ejection fraction (LVEF) by multigated acquisition scan (MUGA) or ECHO.
- Severe peripheral neuropathy ≥ Grade 2
- Currently active second primary malignancy
Trial locations and contacts
54 sites in 10 countries.
54 sites in 10 countries
United States20 sites
Study site
Atlanta, Georgia, 30301
Study site
Baltimore, Maryland, 21201
Study site
Birmingham, Alabama, 35005
Study site
Boston, Massachusetts, 01841
Study site
Chapel Hill, North Carolina, 27514
Study site
Charleston, South Carolina, 02129
Study site
Chicago, Illinois, 60007
Study site
Dallas, Texas, 75001
Study site
Fargo, North Dakota, 58102
Study site
Fort Wayne, Indiana, 46774
Study site
Galveston, Texas, 77550
Study site
Indianapolis, Indiana, 46077
Study site
Jacksonville, Florida, 32034
Study site
Memphis, Tennessee, 37501
Study site
Miami, Florida, 33018
Study site
New York, New York, 10001
Study site
Oak Lawn, Illinois, 60456
Study site
Sioux Falls, South Dakota, 57101
Study site
St Louis, Missouri, 63101
Study site
The Bronx, New York, 10453
Australia6 sites
Study site
Bentleigh, Victoria, 3204
Study site
Newcastle
Study site
Port Macquarie, New South Wales
Study site
South Brisbane
Study site
St Leonards
Study site
Woodville South, South Australia
Germany6 sites
Study site
Berlin
Study site
Cologne
Study site
Hanau, 63454
Study site
Leipzig
Study site
Münster
Study site
Tübingen
Canada5 sites
Study site
Calgary, Alberta
Study site
Edmonton, Alberta
Study site
Saint John
Study site
Toronto, Ontario
Study site
Vancouver, British Columbia
Italy5 sites
Study site
Avellino
Study site
Milan
Study site
Roma
Study site
Torino
Study site
Viterbo
Spain4 sites
Study site
Barcelona
Study site
Madrid
Study site
Málaga
Study site
Seville
Ukraine4 sites
Study site
Dnipropetrovsk
Study site
Donetsk
Study site
Uzhhorod
Study site
Vinnytsia
The Bahamas1 site
Study site
Nassau
About this study
Official title: A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Study Comparing Tivozanib Hydrochloride in Combination With Paclitaxel v Placebo in Combination With Paclitaxel in Locally Recurrent and/or Metastatic Triple Negative Breast Cancer
This is a phase 2 multicenter, double-blind, randomized, placebo-controlled, two-arm study for subjects with locally recurrent or metastatic triple negative breast cancer.
Read the detailed description
This is a phase 2 multicenter, double-blind, randomized, placebo-controlled, two-arm study for subjects with locally recurrent or metastatic triple negative breast cancer.
Patients will be randomized 2:1 to either tivozanib hydrochloride and weekly paclitaxel or placebo and weekly paclitaxel.
Subjects will be stratified based on Eastern Cooperative Oncology Group (ECOG) performance score (0 vs 1) and line of treatment (first vs second).
All subjects will be evaluated for progression free survival and overall survival as well as safety and tolerability. Biomarker and pharmacokinetic (PK) analysis are also included in study. This study will determine whether tivozanib hydrocholoride combined with weekly paclitaxel improves clinical outcomes in patients with triple negative breast cancer.
- Conditions
- Triple Negative Breast Cancer
- Being tested
- Tivozanib Hydrochloride, paclitaxel, Placebo
- Keywords
- Tivozanib hydrochloride, triple negative breast cancer, paclitaxel, pharmacokinetics, biomarkers, metastatic breast cancer, mBC, TNBC
- Medical subject headings
- Triple Negative Breast Neoplasms, Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tivozanib HydrochlorideDrug
Also called Tivozanib
paclitaxelDrug
Also called PTX
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| Placebo in combination with paclitaxel | Active comparator | Placebo orally once daily on a 3 weeks on/1 week off schedule with 90 mg/m2 of paclitaxel administered intravenously 3 weeks on (Day 1, Day 8 and Day 15)/1 week off (4 weeks = 1 Cycle). Receives: Drug: paclitaxel; Drug: Placebo |
| Tivo in combination with paclitaxel | Experimental | 1.5 mg tivozanib hydrochloride orally once daily on a 3 weeks on/1 week off schedule with 90 mg/m2 of paclitaxel administered intravenously 3 weeks on (Day 1, Day 8 and Day 15)/1 week off (4 weeks = 1 Cycle). Receives: Drug: Tivozanib Hydrochloride; Drug: paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of Progression-free Survival (PFS) of Subjects
PFS is defined as the time from randomization to progressive disease (PD) or death. The PFS comparison was performed for subjects treated with tivozanib hydrochloride in combination with paclitaxel vs placebo in combination with paclitaxel.
Measured: approximately 24 months
Secondary outcomes (6)
Comparison of Objective Response Rate (ORR) and Duration of Response (DoR) of Subjects
ORR is defined as the proportion of patients with tumor size reduction of a predefined amount and for a minimum time period. DoR is defined as the length of time that a tumor continues to respond to treatment without the cancer growing or spreading. The ORR and DoR comparison was performed for subjects treated with tivozanib hydrochloride in combination with paclitaxel vs placebo in combination with paclitaxel.
Measured: approximately 24 months
Comparison of Overall Survival (OS) of Subjects
OS measures how long subjects, who undergo a certain treatment regimen, live compared to subjects who are in a control group (i.e., taking either another drug or an inactive treatment, known as a placebo). OS comparison was performed for subjects treated with tivozanib hydrochloride in combination with paclitaxel vs placebo in combination with paclitaxel.
Measured: approximately 24 months
Safety and Tolerability of Tivozanib Hydrochloride in Combination With Paclitaxel vs Placebo in Combination With Paclitaxel
Number of subjects with serious and non-serious adverse events.
Measured: approximately 24 months
Pharmacokinetics (PK) of Tivozanib Hydrochloride and Paclitaxel When Administered in Combination
PK is defined as the study of the bodily absorption, distribution, metabolism, and excretion of drugs.
Measured: approximately 24 months
Identification of Hypoxia Gene Signature
Evaluation of hypoxia gene signature as a predictive biomarker of tivozanib hydrochloride response and establish the optimal cut-off to identify biomarker positive and negative subgroups. The genes comprising the hypoxia gene signature was analyzed in tumor tissue from subjects.
Measured: Cycle 1, Day 1: Pre-dose and 2, 4 and 24 hours post dose; Cycle 1, Day 8: Pre-dose; Cycle 1, Day 21: Pre-dose and 2, 4, 24, 48, and 96 hours post dose; Cycle 2 (Day 1): Pre-dose
Measurement of Subjects' Quality of Life (QoL)
The Functional Assessment of Cancer Therapy-Breast (FACT-B) and Euro Quality of Life - 5 Dimensions (EQ-5D) questionnaires was used throughout the study to measure subjects' health-related QoL.
Measured: approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2012 (estimated)
- Study startNov 2012
- Primary completionJun 2014
- Study completionJun 2014
Why it stopped: low enrollment
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.
- Other trials for Triple Negative Breast CancerStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- AVEO Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc
- Responsible party
- Sponsor
- Investigators
- Michael Needle, Study chair, AVEO Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01745367
- Sponsor's protocol ID
- AV-951-12-204
- Other IDs
- 2012-003507-35
- Acronym
- BATON-BC
- Status last verified
- Oct 2020
- First submitted
- 6 Dec 2012
- Last updated
- 27 Oct 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Randomized, Double-Blind, Placebo-Controlled, Study Comparing Tivozanib Hydrochloride in Combination With Paclitaxel v Placebo in Combination With Paclitaxel in Locally Recurrent and/or Metastatic Triple Negative Breast Cancer
- ClinicalTrials.gov ID
- NCT01745367
- Acronym / sponsor ID
- BATON-BC / AV-951-12-204
- Conditions
- Triple Negative Breast Cancer
- Keywords
- Tivozanib hydrochloride, triple negative breast cancer, paclitaxel, pharmacokinetics, biomarkers, metastatic breast cancer, mBC, TNBC
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: low enrollment
- Enrolment
- 30 participants (actual)
- Lead sponsor
- AVEO Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc
- Study start
- Nov 2012
- Primary completion
- Jun 2014 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 10 Dec 2012 (estimated)
- Results
- Posted 27 Oct 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase 2 multicenter, double-blind, randomized, placebo-controlled, two-arm study for subjects with locally recurrent or metastatic triple negative breast cancer.
Detailed description
This is a phase 2 multicenter, double-blind, randomized, placebo-controlled, two-arm study for subjects with locally recurrent or metastatic triple negative breast cancer.
Patients will be randomized 2:1 to either tivozanib hydrochloride and weekly paclitaxel or placebo and weekly paclitaxel.
Subjects will be stratified based on Eastern Cooperative Oncology Group (ECOG) performance score (0 vs 1) and line of treatment (first vs second).
All subjects will be evaluated for progression free survival and overall survival as well as safety and tolerability. Biomarker and pharmacokinetic (PK) analysis are also included in study. This study will determine whether tivozanib hydrocholoride combined with weekly paclitaxel improves clinical outcomes in patients with triple negative breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo in combination with paclitaxel | Active comparator | Drug: paclitaxel, Drug: PlaceboPlacebo orally once daily on a 3 weeks on/1 week off schedule with 90 mg/m2 of paclitaxel administered intravenously 3 weeks on (Day 1, Day 8 and Day 15)/1 week off (4 weeks = 1 Cycle). |
| Tivo in combination with paclitaxel | Experimental | Drug: Tivozanib Hydrochloride, Drug: paclitaxel1.5 mg tivozanib hydrochloride orally once daily on a 3 weeks on/1 week off schedule with 90 mg/m2 of paclitaxel administered intravenously 3 weeks on (Day 1, Day 8 and Day 15)/1 week off (4 weeks = 1 Cycle). |
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)
- Locally recurrent or metastatic TNBC, defined as ER/PR <1%, HER2 0-1+, or 2+ with negative FISH
- Measurable disease per RECIST version 1.1
- ECOG performance status of 0 or 1
- Confirmed available archival tumor tissue.
Key exclusion criteria (9 listed)
- More than 1 prior systemic chemotherapy for treatment of locally recurrent or metastatic breast cancer (neoadjuvant and adjuvant therapy is allowed provided the subject did not progress within 12 months of taxane based therapy
- Prior treatment with VEGF pathway targeted agent
- Major surgery within 4 weeks or minor surgery or radiotherapy within 2 weeks of first dose of study drug
- Known history of central nervous system metastasis (subjects with previously treated (radiotherapy or surgery) brain metastasis that have been stable off steroids or enzyme-inducing antiepileptic drugs for at least 3 months following prior treatment may be enrolled)
- Significant hematologic, gastrointestinal, thromboembolic, vascular, bleeding, or coagulation disorders
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 |
|---|---|---|
| Tivozanib HydrochlorideAlso: Tivozanib | Drug | Tivo in combination with paclitaxel |
| paclitaxelAlso: PTX | Drug | Placebo in combination with paclitaxel, Tivo in combination with paclitaxel |
| Placebo | Drug | Placebo in combination with paclitaxel |
Primary outcome
Comparison of Progression-free Survival (PFS) of Subjects
Time frame: approximately 24 months
PFS is defined as the time from randomization to progressive disease (PD) or death. The PFS comparison was performed for subjects treated with tivozanib hydrochloride in combination with paclitaxel vs placebo in combination with paclitaxel.
6 secondary outcomes
Comparison of Objective Response Rate (ORR) and Duration of Response (DoR) of Subjects
Time frame: approximately 24 months
Comparison of Overall Survival (OS) of Subjects
Time frame: approximately 24 months
Safety and Tolerability of Tivozanib Hydrochloride in Combination With Paclitaxel vs Placebo in Combination With Paclitaxel
Time frame: approximately 24 months
Pharmacokinetics (PK) of Tivozanib Hydrochloride and Paclitaxel When Administered in Combination
Time frame: approximately 24 months
Identification of Hypoxia Gene Signature
Time frame: Cycle 1, Day 1: Pre-dose and 2, 4 and 24 hours post dose; Cycle 1, Day 8: Pre-dose; Cycle 1, Day 21: Pre-dose and 2, 4, 24, 48, and 96 hours post dose; Cycle 2 (Day 1): Pre-dose
Measurement of Subjects' Quality of Life (QoL)
Time frame: approximately 24 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Aveo Pharmaceuticals, Inc. official web pageLink provided by the sponsor.
- Individual participant dataSharing planned: No
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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.
Michael Needle study chair
AVEO Pharmaceuticals, Inc.
54 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tivozanib Hydrochloride and paclitaxel in people with Triple Negative Breast Cancer, run by AVEO Pharmaceuticals, Inc. at 54 sites in 10 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 9 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: stopped early, as of the sponsor's last update on 27 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 54 sites in United States, Australia, Germany, Canada, Italy and 5 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 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?
Yes. Results are posted in the registry (first posted 27 Oct 2020). 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?
Comparison of Progression-free Survival (PFS) of Subjects (time frame: approximately 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Oct 2020.