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Breast CancerPhase 3NCT00391092

A Study of Avastin (Bevacizumab) in Combination With Herceptin (Trastuzumab)/Docetaxel in Patients With HER2 Positive Metastatic Breast Cancer.

A Phase 3 study testing bevacizumab [Avastin], Docetaxel and Herceptin in people with Breast Cancer, run by Hoffmann-La Roche at 89 sites in 16 countries.

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 2 arm study will compare the efficacy and safety of Avastin plus Herceptin/docetaxel, versus Herceptin/docetaxel alone, in patients with HER2 positive locally recurrent or metastatic breast cancer who have not received prior chemotherapy for their metastatic disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer
What is being tested?
bevacizumab [Avastin], Docetaxel and Herceptin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
424 participants
Where
89 sitesin 16 countries
Study dates
Sep 2006to Aug 2014
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients, >=18 years of age;
  • HER2 positive breast cancer with locally recurrent or metastatic lesions;
  • eligible for chemotherapy;
  • baseline LVEF >=50%.

Who cannot join

  • previous chemotherapy for metastatic or locally recurrent breast cancer;
  • previous radiotherapy for metastatic breast cancer (except for metastatic bone pain relief);
  • other primary tumor within last 5 years, with the exception of basal or squamous skin cancer, or in situ cancer of the cervix;
  • clinically significant cardiovascular disease;
  • chronic daily treatment with aspirin (>325mg/day) or clopidogrel (>75mg/day).

Trial locations and contacts

89 sites in 16 countries.

89 sites in 16 countries

Canada11 sites
  • Study site

    Calgary, Alberta, T2N 4N2

  • Study site

    Greater Sudbury, Ontario, P3E 5J1

  • Study site

    Halifax, Nova Scotia, B3H 1V7

  • Study site

    Hamilton, Ontario, L8V 5C2

  • Study site

    Montreal, Quebec, H2W 1S6

  • Study site

    Montreal, Quebec, H3A 1A1

  • Study site

    Montreal, Quebec, H3T 1E2

  • Study site

    Québec, Quebec, G1S 4L8

  • Study site

    Saskatoon, Saskatchewan, S7N 4H4

  • Study site

    Toronto, Ontario, M4N 3M5

  • Study site

    Vancouver, British Columbia, V5Z 4E6

Other trials in Canada

Australia10 sites
  • Study site

    Auchenflower, Queensland, 4066

  • Study site

    Fitzroy, Victoria, 3065

  • Study site

    Geelong, Victoria, 3220

  • Study site

    Lismore, New South Wales, 2480

  • Study site

    Nambour, Queensland, 4560

  • Study site

    Newcastle, New South Wales, 2298

  • Study site

    Perth, Western Australia, 6000

  • Study site

    Port Macquarie, New South Wales, 2444

  • Study site

    Wahroonga, New South Wales, 2076

  • Study site

    Wollongong, New South Wales, 2500

Other trials in Australia

Argentina9 sites
  • Study site

    Buenos Aires, 1417

  • Study site

    Córdoba, 5004

  • Study site

    La Plata, B1902CMK

  • Study site

    Mar del Plata, 7600

  • Study site

    Mendoza, 5500

  • Study site

    Salta, 4400

  • Study site

    San Martin, 1650

  • Study site

    Santa Fe, 03000

  • Study site

    Santa Fe, 2000

Other trials in Argentina

France9 sites
  • Study site

    Avignon, 84918

  • 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

Other trials in France

United Kingdom8 sites
  • Study site

    Exeter, EX2 5DW

  • Study site

    London, SE1 7EH

  • Study site

    Manchester, M20 4BX

  • Study site

    Nottingham, NG5 1PB

  • Study site

    Preston, PR2 9HT

  • Study site

    Rhyl, LL18 5UJ

  • Study site

    Stoke-on-Trent, ST4 6QG

  • Study site

    Weston-super-Mare, BS23 4TQ

Other trials in United Kingdom

Russia6 sites
  • Study site

    Kazan', 420029

  • Study site

    Moscow, 115478

  • Study site

    Obninsk, 249036

  • Study site

    Ryazan, 390011

  • Study site

    Saint Petersburg, 197758

  • Study site

    Ufa, 450054

Other trials in Russia

Brazil5 sites
  • Study site

    Barretos, São Paulo, 14784-400

  • 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

Other trials in Brazil

Mexico5 sites
  • Study site

    Acapulco, 39850

  • Study site

    Guadalajara, 45100

  • Study site

    Mérida, 97500

  • Study site

    Monterrey, 66260

  • Study site

    Torreón, 27000

Other trials in Mexico

Spain5 sites
  • Study site

    Barcelona, Barcelona, 08003

  • Study site

    Córdoba, Cordoba, 14004

  • Study site

    Madrid, Madrid, 28046

  • Study site

    Sabadell, Barcelona, Barcelona, 08208

  • Study site

    Zaragoza, Zaragoza, 50009

Other trials in Spain

Austria4 sites
  • Study site

    Graz, 8036

  • Study site

    Salzburg, 5020

  • Study site

    Vienna, 1090

  • Study site

    Vöcklabruck, 4840

Other trials in Austria

Italy4 sites
  • Study site

    Milan, Lombardy, 20133

  • Study site

    Parma, Emilia-Romagna, 43100

  • Study site

    Pavia, Lombardy, 27100

  • Study site

    Udine, Friuli Venezia Giulia, 33100

Other trials in Italy

Romania4 sites
  • Study site

    Bucharest, 022328

  • Study site

    Bucharest, 050098

  • Study site

    Cluj-Napoca, 400015

  • Study site

    Iași, 700106

Other trials in Romania

Bosnia and Herzegovina3 sites
  • Study site

    Banja Luka, 78000

  • Study site

    Sarajevo, 71000

  • Study site

    Tuzla, 75000

Other trials in Bosnia and Herzegovina

Czechia2 sites
  • Study site

    Prague, 128 08

  • Study site

    Prague, 150 06

Other trials in Czechia

Turkey (Türkiye)2 sites
  • Study site

    Izmir, 35100

  • Study site

    Sıhhiye, Ankara, 06100

Other trials in Turkey (Türkiye)

Uruguay2 sites
  • Study site

    Montevideo, 11200

  • Study site

    Montevideo, 11600

Other trials in Uruguay

About this study

Official title: A Randomized, Open-label Study to Compare the Effect of First-line Treatment With Avastin in Combination With Herceptin/Docetaxel and Herceptin/Docetaxel Alone on Progression-free Survival in Patients With HER2 Positive Locally Recurrent or Metastatic Breast Cancer.

This 2 arm study will compare the efficacy and safety of Avastin plus Herceptin/docetaxel, versus Herceptin/docetaxel alone, in patients with HER2 positive locally recurrent or metastatic breast cancer who have not received prior chemotherapy for their metastatic disease. Patients will be randomized 1:1 to receive either Avastin (15mg/kg iv q3weeks) + Herceptin (8mg/kg iv loading dose and 6mg/kg iv q3weeks maintenance) + docetaxel (100mg/m2 iv q3weeks) or Herceptin + docetaxel alone. The anticipated time on study treatment is until disease progression, and the target sample size is 100-500 individuals.

Conditions
Breast Cancer
Being tested
bevacizumab [Avastin], Docetaxel, Herceptin
Medical subject headings
Breast Neoplasms

What participants receive

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

  • bevacizumab [Avastin]Drug

    15mg/kg iv every 3 weeks

  • DocetaxelDrug

    100mg/m2 iv every 3 weeks

  • HerceptinDrug

    8mg/kg iv loading dose, followed by 6mg/kg iv every 3 weeks

Study groups in NCT00391092
Study groupRoleWhat they receive
1ExperimentalNot described
Receives: Drug: bevacizumab [Avastin]; Drug: Docetaxel; Drug: Herceptin
2Active comparatorNot described
Receives: Drug: Docetaxel; Drug: Herceptin

What is being measured

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

  1. Progression Free Survival (PFS)

    PFS was defined as the time from randomization to time of first documented disease progression (unequivocal progression of existing non-target lesions) or death, whichever occurred first as assessed by Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST v1.0). Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started. Primary PFS variable was defined based on the investigators' assessments and the statistical conclusions on the primary efficacy endpoint were based on investigator assessed PFS. PFS was estimated using Kaplan-Meier methods.

    Measured: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

Secondary outcomes (6)
  1. Overall Survival (OS)

    OS was defined as the time from randomization to the date of death, regardless of the cause of death. OS was estimated using Kaplan-Meier methods.

    Measured: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  2. Percentage of Participants With a Best Overall Response (OR) of Confirmed Complete Response (CR) or Partial Response (PR) in Participants With Measurable Disease at Baseline

    Best OR was assessed using RECIST v1.0 criteria. Participants were classified as responders if their best OR was either confirmed CR (disappearance of all target lesions) or confirmed PR (at least a 30% decrease in the sum of the longest diameter [LD] of target lesions, taking as reference the baseline sum LD). Participants without any post-baseline assessments were regarded as non-responders. The 95% CI for the one sample binomial using Pearson-Clopper method.

    Measured: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  3. Duration of Response (DR)

    DR was defined as the time when response (CR or PR per RECIST v1.0) was first documented to the date of disease progression per RECIST v1.0 (unequivocal progression of existing non-target lesions) or death. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

    Measured: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  4. Time to Treatment Failure (TTF)

    TTF was defined as the time between randomization and date of disease progression (per RECIST v1.0; unequivocal progression of existing non-target lesions), death, or withdrawal of treatment due to adverse events, withdrawal of informed consent, insufficient therapeutic response, refusal of treatment/failure to co-operate, or failure to return, whichever occurred first. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

    Measured: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  5. Functional Assessment of Cancer Therapy - Generic (FACT-G) and Functional Assessment of Cancer Therapy - Breast (FACT-B) Subscale Scores

    FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

    Measured: Baseline, Cycles 3, 5, 11, and post progressive disease (PD; 14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])

  6. Change From Baseline for FACT-G and FACT-B

    FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

    Measured: Baseline, Cycles 3, 5, 11, and post PD (14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])

Timeline

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

  1. First posted23 Oct 2006 (estimated)
  2. Study startSep 2006
  3. Primary completionAug 2014
  4. Study completionAug 2014

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
424 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00391092
Sponsor's protocol ID
BO20231
Status last verified
Aug 2015
First submitted
20 Oct 2006
Last updated
28 Aug 2015

Publications

  • Gianni L, Romieu GH, Lichinitser M, Serrano SV, Mansutti M, Pivot X, Mariani P, Andre F, Chan A, Lipatov O, Chan S, Wardley A, Greil R, Moore N, Prot S, Pallaud C, Semiglazov V. AVEREL: a randomized phase III Trial evaluating bevacizumab in combination with docetaxel and trastuzumab as first-line therapy for HER2-positive locally recurrent/metastatic breast cancer. J Clin Oncol. 2013 May 10;31(14):1719-25. doi: 10.1200/JCO.2012.44.7912. Epub 2013 Apr 8.

    PubMed 23569311

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing bevacizumab [Avastin], Docetaxel and Herceptin in people with Breast Cancer, run by Hoffmann-La Roche at 89 sites in 16 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 5 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 28 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in Canada, Australia, Argentina, France, United Kingdom and 11 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 14 Aug 2015). 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 (PFS) (time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 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 NCT00391092, 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 28 Aug 2015.

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