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Breast CancerPhase 3NCT00929240

A Study of Avastin (Bevacizumab) + Xeloda (Capecitabine)as Maintenance Therapy in Patients With HER2-Negative Metastatic Breast Cancer

A Phase 3 study testing bevacizumab [Avastin] and capecitabine [Xeloda] in people with Breast Cancer, run by Hoffmann-La Roche at 63 sites in 11 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 randomized study will compare maintenance therapy with Avastin (bevacizumab) + Xeloda (capecitabine) versus Avastin alone, in patients with HER2-negative metastatic breast cancer who have not progressed during first-line therapy with docetaxel + Avastin. 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 [Avastin] and capecitabine [Xeloda]
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
287 participants
Where
63 sitesin 11 countries
Study dates
Jul 2009to Jun 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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients, >=18 years of age;
  • HER2-negative metastatic breast cancer
  • candidates for taxane-based chemotherapy;
  • ECOG performance status of 0 or 1.

Who cannot join

  • previous chemotherapy for metastatic breast cancer;
  • prior adjuvant/neo-adjuvant chemotherapy within 6 months prior to study;
  • prior radiotherapy for treatment of metastatic disease;
  • chronic daily treatment with aspirin (325 mg/day) or clopidogrel(>75mg/day).

Trial locations and contacts

63 sites in 11 countries.

63 sites in 11 countries

France14 sites
  • Study site

    Amiens, 80090

  • Study site

    Angers, 49933

  • Study site

    Besançon, 25030

  • Study site

    Bobigny, 93009

  • Study site

    Dijon, 21079

  • Study site

    Hyères, 83400

  • Study site

    Le Coudray, 28630

  • Study site

    Lille, 59000

  • Study site

    Paris, 75231

  • Study site

    Paris, 75970

  • Study site

    Périgueux, 24000

  • Study site

    Rodez, 12027

  • Study site

    Saint-Priest-en-Jarez, 42271

  • Study site

    Strasbourg, 67010

Other trials in France

Brazil9 sites
  • Study site

    Belo Horizonte, Minas Gerais, 30190-130

  • Study site

    Fortaleza, Ceará, 60336-550

  • Study site

    Ijuí, Rio Grande do Sul, 98700-000

  • Study site

    Jaú, São Paulo, 17210-080

  • Study site

    Porto Alegre, Rio Grande do Sul, 90035-003

  • Study site

    Rio de Janeiro, Rio de Janeiro, 20560-120

  • Study site

    Santo André, São Paulo, 09060-650

  • Study site

    São Paulo, São Paulo, 01246-000

  • Study site

    São Paulo, São Paulo, 08270-070

Other trials in Brazil

Spain8 sites
  • Study site

    Alcazar de S. Juan, Ciudad Real, 13600

  • Study site

    Alcoy, Alicante, 03804

  • Study site

    Barakaldo, Vizcaya, 48903

  • Study site

    Jaén, Jaen, 23007

  • Study site

    Málaga, Malaga, 29010

  • Study site

    Sabadell, Barcelona, Barcelona, 08208

  • Study site

    Toledo, Toledo, 45004

  • Study site

    Valencia, Valencia, 46026

Other trials in Spain

China6 sites
  • Study site

    Beijing, 100021

  • Study site

    Beijing, 100071

  • Study site

    Beijing, 100853

  • Study site

    Hangzhou, 310009

  • Study site

    Hangzhou, 310022

  • Study site

    Shanghai, 200032

Other trials in China

India6 sites
  • Study site

    Bangalore, 560027

  • Study site

    Hyderabad, 500034

  • Study site

    Mumbai, 400012

  • Study site

    Mumbai, 400020

  • Study site

    New Delhi, 110 060

  • Study site

    New Delhi, 110085

Other trials in India

Italy6 sites
  • Study site

    Antella (FI), Tuscany, 50011

  • Study site

    Brindisi, Apulia, 72100

  • Study site

    Genoa, Liguria, 16132

  • Study site

    Naples, Campania, 80131

  • Study site

    Saronno, Lombardy, 21047

  • Study site

    Trieste, Friuli Venezia Giulia, 34100

Other trials in Italy

Turkey (Türkiye)5 sites
  • Study site

    Ankara, 06500

  • Study site

    Ankara, 06800

  • Study site

    Antalya, 07070

  • Study site

    Istanbul, 34000

  • Study site

    Sıhhiye, Ankara, 06100

Other trials in Turkey (Türkiye)

Saudi Arabia3 sites
  • Study site

    Dammam, 31444

  • Study site

    Jeddah, 21497

  • Study site

    Jeddah, 21589

Other trials in Saudi Arabia

Egypt2 sites
  • Study site

    Alexandria, 11737

  • Study site

    Cairo, 11796

Other trials in Egypt

Hong Kong2 sites
  • Study site

    Hong Kong, 852

  • Study site

    Hong Kong

Other trials in Hong Kong

Poland2 sites
  • Study site

    Bydgoszcz, 85-796

  • Study site

    Wroclaw, 53-413

Other trials in Poland

About this study

Official title: A Randomized Study of the Effect of Maintenance Therapy With Bevacizumab + Capecitabine Versus Bevacizumab Alone on Progression-free Survival in Patients With HER2-negative Metastatic Breast Cancer That Has Not Progressed During First-line Docetaxel Plus Bevacizumab Therapy

This randomized study will compare maintenance therapy with Avastin (bevacizumab) + Xeloda (capecitabine) versus Avastin alone, in patients with HER2-negative metastatic breast cancer who have not progressed during first-line therapy with docetaxel + Avastin. Eligible patients will receive up to 6 x 3 week cycles of treatment with Avastin (15 mg/mg IV on Day 1 of each cycle) + docetaxel (75-100 mg/m2 IV on Day 1 of each cycle). Those patients who do not progress will be randomized to 3 week cycles of either a) Avastin (15 mg/kg IV on Day 1 of each cycle) + Xeloda (1000 mg/m2 po bid on Days 1-14 of each cycle) or b) Avastin alone. Study treatment will continue until disease progression, unacceptable toxicity, patient request for withdrawal or end of study, and the target sample size is 100-500 individuals.

Conditions
Breast Cancer
Being tested
bevacizumab [Avastin], capecitabine [Xeloda]
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

    15 mg/kg iv on day 1 of each 3 week cycle (maintenance phase)

  • capecitabine [Xeloda]Drug

    1000 mg/m2 po bid on days 1-14 of each 3 week cycle (maintenance phase)

Study groups in NCT00929240
Study groupRoleWhat they receive
Avastin (bevacizumab)Active comparatorNot described
Receives: Drug: bevacizumab [Avastin]
Avastin (bevacizumab) + Xeloda (capecitabine)ExperimentalNot described
Receives: Drug: bevacizumab [Avastin]; Drug: capecitabine [Xeloda]

What is being measured

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

  1. Percentage of Participants With Disease Progression or Death (Maintenance Phase Data Cutoff October 4, 2013)

    Progression Free Survival (PFS) was defined as the time from first study drug dosing (during the maintenance treatment phase) to the first documented disease progression or death, whichever occurred first. Progression was based on tumor assessment made by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST). Progressive Disease (PD) was defined as a 20 percent (%) or greater increase in the sum of the Longest Diameter (LD) of the target lesions taking as reference the smallest sum LD recorded or appearance of new lesions.

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

  2. Progression Free Survival (Maintenance Phase Data Cutoff October 4, 2013)

    PFS was defined as the time from first study drug dosing to the first documented disease progression or death, whichever occurred first.Time to progression was defined as the time from randomization to the first documented disease progression defined per RECIST 1.0 criteria. Participants without an event at data cut-off or who were withdrawn from the study without documented progression were censored at the date of the last tumor assessment when the participant was known to be progression free. Participants who took other non-protocol anti-cancer drugs while being on study medication, and who were still event free were censored on the date of first dose of the anti-cancer drug. Participants without post-randomization tumor assessments but alive were censored at the time of randomization. Participants without post-randomization assessments, who died after randomization were considered to have the PFS event at date of death. Kaplan-Meier estimation was used for median time to PFS

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

Secondary outcomes (10)
  1. Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Maintenance Phase Data Cutoff October 4, 2013)

    Objective Response was determined by the investigator using modified RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as greater than or equal to (≥) 30 % decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. Progressive disease (PD) was defined as 20% increase in the sum of the longest diameter of target lesions and SD was defined as small changes that do not meet above criteria. Pearson-Clopper one-sample method was used for Confidence intervals (CIs).

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

  2. Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Data Cutoff October 4, 2013)

    CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥ 30 % decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. SD was defined as small changes that do not meet above criteria.

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

  3. Percentage of Participants Who Died (Maintenance Phase Data Cutoff October 4, 2013)

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

  4. Overall Survival (Maintenance Phase Data Cutoff October 4, 2013)

    Duration of Overall Survival (OS) was defined as the time from randomization to death of any cause. The OS data for participants for whom no death was captured in the clinical database were censored at the last time they were known to be alive. Kaplan Meier estimation was used to determine OS.

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years

  5. Percentage of Participants Expected to Be Alive After 1 and 2 Years on Treatment (Maintenance Phase Data Cutoff October 4, 2013)

    Probability of being alive after 1 and 2 years on treatment with 95% CIs was calculated using Kaplan Meier approach with LOGLOG transformation.

    Measured: Years 1 and 2

  6. Percentage Of Participants With PD or Death Due to PD (Maintenance Phase Data Cutoff October 4, 2013)

    PD was defined per RECIST 1.0 as 20% increase in the sum of the longest diameter of target lesions.

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013

  7. Time To Progression (Maintenance Phase Data Cutoff October 4, 2013)

    Time to Progression was defined as the time from randomization to the first documented disease progression (using investigator assessments of disease progression by RECIST 1.0). PD was defined as 20% increase in the sum of the longest diameter of target lesions.

    Measured: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013

  8. Quality of Life Assessed As Change From Baseline in Global Health Status Using The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - 30 (EORTC QLQ - C30) (Maintenance Phase Data Cutoff October 4, 2013)

    The EORTC QLQ-C30 incorporates 9 multi-item scales: 5 functional scales (physical, role, cognitive, emotional, and social); 9 symptom scales (fatigue, pain, nausea and vomiting, dyspnoea, insomnia, appetite loss, constipation, diarrhea and financial difficulties); and a global health and quality-of-life scale. Most questions used 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores were averaged and transformed to 0-100 scale; higher score=better level of functioning or greater degree of symptoms. The change in global health status was determined to be the difference in values at baseline and each specific visit. The term ''baseline'' refers to the time of randomization to the maintenance phase.

    Measured: Baseline, Randomization and Cycles 3, 6, 9 and 12

  9. Percentage of Participants With Best Overall Confirmed Objective Response of CR or PR Per RECIST 1.0 (Initial Treatment Phase)

    Objective Response was determined by the investigator using RECIST criteria, Version 1.0. An objective response was a complete or partial overall confirmed response as determined by investigators. CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥ 30% decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. Pearson-Clopper one-sample method was used for CI.

    Measured: Screening and at the end of every third cycle until randomization for an average of 18 weeks

  10. Percentage of Participants With Clinical Benefit (CR, PR and SD) Per RECIST 1.0 (Initial Treatment Phase)

    CR was defined as complete disappearance of all target and non-target lesions and no new lesions. PR was defined as ≥30% decrease in the sum of appropriate diameters of all target measurable lesions, no progress in the non-measurable disease, and no new lesions. SD was defined as small changes that do not meet above criteria.

    Measured: Screening and at the end of every third cycle until randomization for an average of 18 weeks

Timeline

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

  1. First posted26 Jun 2009 (estimated)
  2. Study startJul 2009
  3. Primary completionJun 2014
  4. Study completionJun 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
287 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00929240
Sponsor's protocol ID
MO22223
Other IDs
2008-006872-31, 2008
Status last verified
Mar 2015
First submitted
16 Jun 2009
Last updated
3 Mar 2015

Publications

  • Gligorov J, Doval D, Bines J, Alba E, Cortes P, Pierga JY, Gupta V, Costa R, Srock S, de Ducla S, Freudensprung U, Mustacchi G. Maintenance capecitabine and bevacizumab versus bevacizumab alone after initial first-line bevacizumab and docetaxel for patients with HER2-negative metastatic breast cancer (IMELDA): a randomised, open-label, phase 3 trial. Lancet Oncol. 2014 Nov;15(12):1351-60. doi: 10.1016/S1470-2045(14)70444-9. Epub 2014 Sep 28.

    PubMed 25273343

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing bevacizumab [Avastin] and capecitabine [Xeloda] in people with Breast Cancer, run by Hoffmann-La Roche at 63 sites in 11 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 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 3 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in France, Brazil, Spain, China, India and 6 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 3 Mar 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?

Percentage of Participants With Disease Progression or Death (Maintenance Phase Data Cutoff October 4, 2013) (time frame: Randomization, at the end of every third cycle (every 9 weeks) until the end of maintenance phase and every 3 months until disease progression or death until data cutoff on October 4, 2013, up to 4 years). The study lists 2 primary outcomes in all. 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 NCT00929240, 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 3 Mar 2015.

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