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Breast CancerPhase 2NCT00773695

A Study of Bevacizumab (Avastin) in Combination With Neoadjuvant Treatment Regimens in Participants With Primary Human Epidermal Growth Factor Receptor 2 (HER2) Negative Breast Cancer

A Phase 2 study testing Aromatase Inhibitor, Bevacizumab and Epirubicine in people with Breast Cancer, run by Hoffmann-La Roche at 3 sites in Norway.

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 study will evaluate the effect of bevacizumab in combination with chemotherapy or endocrine therapy, as preoperative treatment, in participants with HER2 negative breast cancer. 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?
Aromatase Inhibitor, Bevacizumab and Epirubicine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
3 sitesNorway
Study dates
7 Nov 2008to 9 Nov 2022
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed, HER2-negative, men or pre- or post-menopausal women with primary operable adenocarcinoma of the breast, greater than or equal to (>=) 2.5 centimeters (cm) in size
  • Eastern Cooperative Oncology Group (ECOG)/world health organization (WHO) performance status less than or equal to (</=) 2
  • Normal baseline cardiac function (Left Ventricular Ejection Fraction [LVEF])

Who cannot join

  • Stage IV (metastatic) disease
  • Previous treatment for localized breast cancer less than (<) 24 months from diagnosis of present breast cancer
  • Other previous or current cancer except for basal cell cancer or in situ cervical cancer
  • Current or recent use of aspirin (greater than [>] 325 milligrams per day)
  • Clinically significant cardiovascular disease

Trial locations and contacts

3 sites in 1 country.

Norway3 sites
  • The Norvegian Radium Hospital Montebello; Dept of Oncology

    Oslo, 0379

  • Ullevael Sykehus; Dept of Oncology

    Oslo, 0407

  • St. Olavs Hospital; Kreftavdelingen

    Trondheim, 7000

Other trials in Norway

About this study

Official title: A Multicenter, Randomized, Phase II Clinical Trial to Evaluate the Effect of Avastin in Combination With Neoadjuvant Treatment Regimens on the Molecular and Metabolic Characteristics and Changes in the Primary Tumors With Reference to the Obtained Responses in Patients With Large Primary HER2 Negative Breast Cancers

This study will evaluate the effect of bevacizumab in combination with chemotherapy or endocrine therapy, as preoperative treatment, in participants with HER2 negative breast cancer. Participants will be randomized to receive either chemotherapy (FEC100: Epirubicine 100 milligrams per square meter [mg/m^2], 5-fluorouracil 600 mg/m^2, and cyclophosphamide 600 mg/m^2] for 12 weeks followed by taxane (paclitaxel/docetaxel) for 12 weeks or endocrine therapy (an aromatase inhibitor] daily for 24 weeks) with or without bevacizumab (15 milligrams per kilogram [mg/kg] as intravenous [IV] infusion every 3 weeks up 24 weeks).

Conditions
Breast Cancer
Being tested
Aromatase Inhibitor, Bevacizumab, Epirubicine, 5-Fluorouracil (5FU), Cyclophosphamide
Medical subject headings
Breast Neoplasms

What participants receive

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

  • Aromatase InhibitorDrug

    Participants will receive aromatase inhibitor therapy, at a dose per investigator discretion, once daily for 24 weeks.

  • BevacizumabDrug

    Also called Avastin

    Bevacizumab will be administered at a dose of 15 mg/kg as IV infusion every 3 weeks (or 10 mg/kg every other week in participants receiving weekly paclitaxel), for 24 weeks.

  • EpirubicineDrug

    Participants will receive epirubicine at a dose of 100 mg/m^2 as IV infusion every 3 weeks for 12 weeks.

  • 5-Fluorouracil (5FU)Drug

    Participants will receive 5FU at a dose of 600 mg/m^2 as IV infusion every 3 weeks for 12 weeks.

  • CyclophosphamideDrug

    Participants will receive cyclophosphamide at a dose of 600 mg/m^2 as IV infusion every 3 weeks for 12 weeks.

  • PaclitaxelDrug

    Participants will receive paclitaxel at a dose of 80 mg/m^2 as IV infusion every week for 12 weeks.

  • DocetaxelDrug

    Participants will receive docetaxel at a dose of 100 mg/m^2 as IV infusion every 3 weeks for 12 weeks.

Study groups in NCT00773695
Study groupRoleWhat they receive
ChemotherapyActive comparatorParticipants will receive epirubicine, 5-fluorouracil, and cyclophosphamide (FEC 100) for 12 weeks followed by taxane therapy (paclitaxel or docetaxel) for next 12 weeks.
Receives: Drug: Epirubicine; Drug: 5-Fluorouracil (5FU); Drug: Cyclophosphamide; Drug: Paclitaxel; Drug: Docetaxel
Chemotherapy and BevacizumabExperimentalParticipants will receive epirubicine, 5-fluorouracil, and cyclophosphamide (FEC 100) for 12 weeks followed by taxane therapy (paclitaxel or docetaxel) for next 12 weeks. Participants will also receive concurrent treatment with bevacizumab every 3 weeks for 24 weeks.
Receives: Drug: Bevacizumab; Drug: Epirubicine; Drug: 5-Fluorouracil (5FU); Drug: Cyclophosphamide; Drug: Paclitaxel; Drug: Docetaxel
Endocrine TherapyActive comparatorParticipants will receive aromatase inhibitor therapy at discretion of the investigator for a period of 24 weeks.
Receives: Drug: Aromatase Inhibitor
Endocrine Therapy and BevacizumabExperimentalParticipants will receive aromatase inhibitor therapy at discretion of the investigator and concurrent treatment with bevacizumab for a period of 24 weeks.
Receives: Drug: Aromatase Inhibitor; Drug: Bevacizumab

What is being measured

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

  1. Percentage of Participants With Messenger Ribonucleic Acid (mRNA) Markers of Pathological Complete Response, as Assessed by Magnetic Resonance Imaging (MRI)

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

Secondary outcomes (22)
  1. Percentage of Participants With Objective Pathological Complete Response, as Assessed by Clinical Assessment

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  2. Percentage of Participants With Type of Surgery

    Percentage of participants with different surgery types (for example, Mastectomy, Tumorectomy/Breast conserving therapy (BCT), and Tumorectomy followed by mastectomy) will be reported.

    Measured: At Surgery (Between Weeks 24 and 25)

  3. Percentage of Participants With Axillary Lymph Node Dissection Performed

    Measured: At Surgery (Between Weeks 24 and 25)

  4. Pathological Tumor Size, as Assessed by Histopathological Examination

    Measured: At Surgery (Between Weeks 24 and 25)

  5. Percentage of Participants With Presence of Tumor Cells Close to Resection Margin

    Measured: At Surgery (Between Weeks 24 and 25)

  6. Percentage of Participants With Tumor Deposit in Other Body Parts

    Measured: At Surgery (Between Weeks 24 and 25)

  7. Tumor Free Resection Margin

    Measured: At Surgery (Between Weeks 24 and 25)

  8. Pathological Tumor Size as Measure Using Caliper

    Measured: Cycles 1 to 10 (cycle length=21 days), and Week 25

  9. Pathological Tumor Size as Measure Using MRI

    Measured: Baseline, Weeks 12 and 25

  10. Pathological Tumor Size as Measure Using Mamography

    Measured: Baseline, Weeks 12 and 25

  11. Pathological Breast Tumor Size as Measure Using Ultrasound

    Measured: Baseline, Weeks 12 and 25

  12. Pathological Axilla Tumor Size as Measure Using Ultrasound

    Measured: Baseline, Weeks 12 and 25

  13. Percentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status

    Measured: Screening, Cycles 1 to 10 (cycle length=21 days), and Week 25

  14. Percentage of Participants With Lymph Node Involvement

    Measured: Cycles 1 to 10 (cycle length=21 days), and Week 25

  15. Percentage of Participants With Objective Tumor Response, as Assessed Using Response Evaluation Criteria in Solid Tumors (RECIST)

    Measured: Weeks 12 and 25

  16. Percentage of Participants With New Lesions

    Measured: Weeks 12 and 25

  17. Percentage of Participants With Molecular Changes in Protein Kinase Expression

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  18. Percentage of Participants With Molecular Changes in Messenger Ribonucleic Acid (mRNA)/microRNA(miRNA)

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  19. Percentage of Participants With Molecular Changes in Protein Expression

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  20. Percentage of Participants With Single Nucleotide Polymorphism (SNP) Profiles Predicting Treatment Response

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  21. Percentage of Participants With Treatment-Induced Changes in Tumor Cells as Determined by Number of Disseminated Tumor Cells in Bone Marrow

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

  22. Percentage of Participants With Treatment-Induced Changes in Tumor Cells as Determined by Number of Circulating Tumor Cells in Peripheral Blood

    Measured: Baseline up to end of study treatment (approximately 24 weeks)

Timeline

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

  1. First posted16 Oct 2008 (estimated)
  2. Study start7 Nov 2008
  3. Primary completion9 Nov 2022
  4. Study completion9 Nov 2022

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
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00773695
Sponsor's protocol ID
ML21744
Status last verified
Jan 2023
First submitted
15 Oct 2008
Last updated
9 Jan 2023
Results posted
No

Publications

  • Trnkova L, Burikova M, Soltysova A, Ficek A, Plava J, Cumova A, Rojikova L, Jakic K, Sedlackova E, Tichy B, Bystry V, Busato F, Shen Y, Matuskova M, Kucerova L, Oy GF, Maelandsmo GM, Fleischer T, Tost J, Miklikova S, Cihova M, Buocikova V, Smolkova B. Molecular profiling of chemotherapy-resistant breast cancer reveals DNA methylation remodeling associated with the acquisition of paclitaxel resistance. Drug Resist Updat. 2026 Mar;85:101350. doi: 10.1016/j.drup.2026.101350. Epub 2026 Jan 2.

    PubMed 41529624
  • Hoglander EK, Nord S, Wedge DC, Lingjaerde OC, Silwal-Pandit L, Gythfeldt HV, Vollan HKM, Fleischer T, Krohn M, Schlitchting E, Borgen E, Garred O, Holmen MM, Wist E, Naume B, Van Loo P, Borresen-Dale AL, Engebraaten O, Kristensen V. Time series analysis of neoadjuvant chemotherapy and bevacizumab-treated breast carcinomas reveals a systemic shift in genomic aberrations. Genome Med. 2018 Nov 29;10(1):92. doi: 10.1186/s13073-018-0601-y.

    PubMed 30497530
  • Reinertsen KV, Engebraaten O, Loge JH, Cvancarova M, Naume B, Wist E, Edvardsen H, Wille E, Bjoro T, Kiserud CE. Fatigue During and After Breast Cancer Therapy-A Prospective Study. J Pain Symptom Manage. 2017 Mar;53(3):551-560. doi: 10.1016/j.jpainsymman.2016.09.011. Epub 2016 Dec 29.

    PubMed 28042070

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Aromatase Inhibitor, Bevacizumab and Epirubicine in people with Breast Cancer, run by Hoffmann-La Roche at 3 sites in Norway.

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 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 9 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Norway. 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 Messenger Ribonucleic Acid (mRNA) Markers of Pathological Complete Response, as Assessed by Magnetic Resonance Imaging (MRI) (time frame: Baseline up to end of study treatment (approximately 24 weeks)). 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 NCT00773695, which also lists 3 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 9 Jan 2023.

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