HER2/Neu Over-expressing Locally Advanced Breast CancerPhase 3BOLERO-3NCT01007942
Daily Everolimus in Combination With Trastuzumab and Vinorelbine in HER2/Neu Positive Women With Locally Advanced or Metastatic Breast Cancer
A Phase 3 study testing everolimus, vinorelbine and trastuzumab in people with HER2/Neu Over-expressing Locally Advanced Breast Cancer and Metastatic Breast Cancer, run by Novartis Pharmaceuticals at 161 sites in 21 countries.
Trial summary
This phase III, double-blind, placebo-controlled multinational study will assess the combination everolimus, vinorelbine, and trastuzumab compared to the combination vinorelbine and trastuzumab with respect to progressive-free survival and over survival in HER2/neu positive women with locally advanced or metastatic… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- HER2/Neu Over-expressing Locally Advanced Breast Cancer, Metastatic Breast Cancer
- What is being tested?
- everolimus, vinorelbine and trastuzumab
- 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
- 569 participants
- Where
- 161 sitesin 21 countries
- Study dates
- Oct 2009to Jun 2015
- 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
- Histologically or cytologically confirmed invasive breast carcinoma with locally recurrent or radiological evidence of metastatic disease. Locally recurrent disease must not be amenable to resection with curative intent.
- HER2+ status defined as IHC 3+ staining or in situ hybridization positive
- Patients with resistance to trastuzumab
- Prior taxane therapy
- Patients with an ECOG performance status of 0 - 2
- Patients with measurable disease as per RECIST criteria
- Documentation of negative pregnancy test for patients of child bearing potential prior to enrollment within 7 days prior to randomization. Sexually active pre-menopausal women must use adequate contraceptive measures, excluding estrogen containing contraceptives, while on study;
- Patients must meet laboratory criteria defined in the study within 21 days prior to randomization
Who cannot join
- Prior mTOR inhibitors or vinca alkaloid agents for the treatment of cancer
- More than three prior chemotherapy lines for advanced disease.
- Symptomatic CNS metastases or evidence of leptomeningeal disease. Previously treated asymptomatic CNS metastases are allowed provided that the last treatment for CNS metastases was completed >8 weeks prior to randomization
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral everolimus
- Peripheral neuropathy ≥ grade 2 at randomization
- Active cardiac disease
Show all 10Show fewer
- History of cardiac dysfunction
- Any malignancy within 5 years prior to randomization, with the exception of adequately treated in-situ carcinoma of the cervix uteri, basal or squamous cell carcinoma or non-melanomatous skin cancer
- Known hypersensitivity to any study medication
- Breastfeeding or pregnant
Trial locations and contacts
161 sites in 21 countries.
161 sites in 21 countries
United States43 sites
Emory University School of Medicine/Winship Cancer Institute Dept.of WinshipCancerInst. (2)
Atlanta, Georgia, 30322
Comprehensive Cancer Center - Boca Raton Deerfield Beach
Boca Raton, Florida, 33248
Comprehensive Cancer Center - Boca Raton Dept.of BocaRatonCompCanCtr
Boca Raton, Florida, 33248
Texas Cancer Center ( Medical City Dallas Hospital) Dept. of Texas Cancer Ctr. (2)
Dallas, Texas, 75230
Texas Oncology Presbyterian Hospital (2)
Dallas, Texas, 75246
Texas Oncology Texas Onc - Amarillo
Dallas, Texas, 75246
Texas Oncology Texas Oncology - Sammons
Dallas, Texas, 75246
Texas Oncology Midtown
Dallas, Texas, 75251
University of Texas Southwestern Medical Center University of TX SW Med Ctr(2)
Dallas, Texas, 75390-8852
Duke University Medical Center Dept. of DUMC (2)
Durham, North Carolina, 27710
North Shore University Health System NSU
Evanston, Illinois, 60201
Virginia Cancer Specialists Fairfax No.VA (2)
Fairfax, Virginia, 22031
Florida Cancer Specialists DeptofFloridaCancerSpecialists
Fort Myers, Florida, 33916
The Jones Clinic Dept .of The Jones Clinic (3)
Germantown, Tennessee, 38138
Green Bay Oncology Green Bay Oncology
Green Bay, Wisconsin, 54301
Rocky Mountain Cancer Centers RMCC
Greenwood Village, Colorado
Memorial Hospital Memorial Cancer Institute
Hollywood, Florida, 33021
University of Texas/MD Anderson Cancer Center SC-5
Houston, Texas, 77030-4009
Baylor College of Medicine Baylor
Houston, Texas, 77030
University of California San Diego - Moores Cancer Center La Jolla - UCSD Moores Cancer
La Jolla, California, 92093-0658
Clinical Research Alliance Dept.ofArenaOncologyAssoc(2)
Lake Success, New York, 11042
Comprehensive Cancer Centers of Nevada CCC of Nevada Henderson (4)
Las Vegas, Nevada, 89109
Nevada Cancer Institute Dept. of Nevada Cancer (3)
Las Vegas, Nevada, 89135
Longview Cancer Center Longview Cancer Center (2)
Longview, Texas, 75601
Sarah Cannon Research Institute Dept.ofSarahCannonCancerCtr(6)
Nashville, Tennessee, 37203
Virginia Oncology Associates Dept. of VOA (2)
Norfolk, Virginia, 23502
University of Nebraska Medical Center Unv Nebraska Med Ctr (2)
Omaha, Nebraska, 68198
MD Anderson Cancer Center - Orlando Dept.ofMDACC-Orlando(2)
Orlando, Florida, 32806
Kansas City Cancer Center KCCC- South (2)
Overland Park, Kansas, 66210
Maryland Oncology Hematology
Owning Mills, Maryland, 21117,
University of Pittsburgh Cancer Institute DeptofMageeWomen'sHospital(2)
Pittsburgh, Pennsylvania, 15232
Northwest Cancer Specialists Tutlatin
Portland, Oregon, 97210
Park Nicollet Institute Dept. of Park Nicollet
Saint Louis Park, Minnesota, 55416
Utah Cancer Specialists Utah Cancer (2)
Salt Lake City, Utah, 84106
Cancer Care Centers of South Texas / HOAST CCC of So. TX- San Antonio(2)
San Antonio, Texas, 78229
South Texas Oncology and Hematology, PA South Texas Oncology (2)
San Antonio, Texas, 78258
Swedish Cancer Institute Swedish Cancer Institute
Seattle, Washington, 98104
St. Louis University Cancer Center SLU Cancer Center
St Louis, Missouri, 63110
Overlook Hospital - Carol G Simon Cancer Center Carol G Simon
Summit, New Jersey, 07901
University of Arizona / Cancer Center AZ Onc Assoc
Tucson, Arizona, 85724
University of Arizona / Cancer Center Deptof Uof A/Arizona Cancer(3)
Tucson, Arizona, 85724
Tyler Cancer Center Dept.ofTylerCancerCtr. (2)
Tyler, Texas, 75702
Georgetown University/Lombardi Cancer Center Dept.of Lombardi CancerCtr (3)
Washington D.C., District of Columbia, 20007-2197
Spain15 sites
Novartis Investigative Site
A Coruña, Galicia, 15006
Novartis Investigative Site
A Coruña, Galicia, 15009
Novartis Investigative Site
Barcelona, Barcelona, 08041
Novartis Investigative Site
Barcelona, Catalonia, 08036
Novartis Investigative Site
Córdoba, Andalusia, 14004
Novartis Investigative Site
Jaén, Andalusia, 23007
Novartis Investigative Site
Madrid, Madrid, 28007
Novartis Investigative Site
Madrid, Madrid, 28034
Novartis Investigative Site
Madrid, Madrid, 28040
Novartis Investigative Site
Majadahonda, Madrid, 28222
Novartis Investigative Site
Sabadell, Barcelona, 08208
Novartis Investigative Site
San Cristóbal de La Laguna, Santa Cruz de Tenerife, 38320
Novartis Investigative Site
Seville, Andalusia, 41014
Novartis Investigative Site
Valencia, Valencia, 46009
Novartis Investigative Site
Zaragoza, Zaragoza, 50009
Germany13 sites
Novartis Investigative Site
Berlin, 14195
Novartis Investigative Site
Frankfurt, 60590
Novartis Investigative Site
Gerlingen, 70839
Novartis Investigative Site
Halle, 06120
Novartis Investigative Site
Hamburg, 20249
Novartis Investigative Site
Homburg, 66421
Novartis Investigative Site
Kiel, 24105
Novartis Investigative Site
Magdeburg, 39108
Novartis Investigative Site
Mainz, Germany, 55131
Novartis Investigative Site
Minden, 32429
Novartis Investigative Site
München, 80638
Novartis Investigative Site
Recklinghausen, 45657
Novartis Investigative Site
Velbert, 42551
Japan13 sites
Novartis Investigative Site
Bunkyo-ku, Tokyo, 113-8431
Novartis Investigative Site
Fukuoka, Fukuoka, 811-1395
Novartis Investigative Site
Kashiwa, Chiba, 277-8577
Novartis Investigative Site
Koto, Tokyo, 135-8550
Novartis Investigative Site
Kumamoto, Kumamoto, 860-8556
Novartis Investigative Site
Kyoto, Kyoto, 606-8507
Novartis Investigative Site
Maebashi, Gunma, 371-8511
Novartis Investigative Site
Nagoya, Aichi-ken, 464-8681
Novartis Investigative Site
Osaka, Osaka, 537-8511
Novartis Investigative Site
Osaka, Osaka, 540-0006
Novartis Investigative Site
Sapporo, Hokkaido, 003-0804
Novartis Investigative Site
Suita, Osaka, 565-0871
Novartis Investigative Site
Yokohama, Kanagawa, 241-8515
Argentina9 sites
Novartis Investigative Site
C A B A, Buenos Aires, C1019ABS
Novartis Investigative Site
Caba, Buenos Aires, C1050AAK
Novartis Investigative Site
Córdoba, Córdoba Province, X5002AOQ
Novartis Investigative Site
Mar del Plata, Buenos Aires, 7600
Novartis Investigative Site
Posadas, Misiones Province
Novartis Investigative Site
Quilmes, Buenos Aires, B1878DVB
Novartis Investigative Site
Rio Negro, Viedma, 8500
Novartis Investigative Site
Rosario, Sante Fe, S200KZE
Novartis Investigative Site
San Miguel de Tucumán, Tucumán Province, T4000IAK
France8 sites
Novartis Investigative Site
Bayonne, 64100
Novartis Investigative Site
Besançon, 25030
Novartis Investigative Site
Hyères, 83400
Novartis Investigative Site
La Chaussée-Saint-Victor, 41260
Novartis Investigative Site
La Roche-sur-Yon, 85925
Novartis Investigative Site
Nice, 06189
Novartis Investigative Site
Saint-Brieuc Cédex, 22015
Novartis Investigative Site
Villejuif, 94805
United Kingdom7 sites
Novartis Investigative Site
Bournemouth, BH7 7DW
Novartis Investigative Site
Leeds, LS9 7TF
Novartis Investigative Site
London, EC1A 7BE
Novartis Investigative Site
Manchester, M20 4BX
Novartis Investigative Site
Plymouth, PL6 8DH
Novartis Investigative Site
Surrey, England, GU2 7XX
Novartis Investigative Site
Truro, Cornwall, TR1 3LJ
Australia6 sites
Novartis Investigative Site
East Bentleigh, Victoria, 3165
Novartis Investigative Site
Hobart, Tasmania, 7000
Novartis Investigative Site
Kogarah, New South Wales, 2217
Novartis Investigative Site
South Brisbane, Queensland, 4101
Novartis Investigative Site
Southport, Queensland, 4215
Novartis Investigative Site
St Leonards, New South Wales, 2065
China6 sites
Novartis Investigative Site
Beijing, 100021
Novartis Investigative Site
Beijing, 100039
Novartis Investigative Site
Guangzhou, 510060
Novartis Investigative Site
Hangzhou, Zhejiang, 310022
Novartis Investigative Site
Shanghai, Shanghai Municipality, 200032
Novartis Investigative Site
Shanghai, 200025
Greece6 sites
Novartis Investigative Site
Athens, Greece, 18547
Novartis Investigative Site
Athens, GR, 151 23
Novartis Investigative Site
Heraklion Crete, Greece, 711 10
Novartis Investigative Site
Patra - RIO, GR, 265 04
Novartis Investigative Site
Thessaloniki, GR, 546 45
Novartis Investigative Site
Thessaloniki, GR, 564 03
Italy6 sites
Novartis Investigative Site
Catania, CT, 95125
Novartis Investigative Site
Milan, MI, 20132
Novartis Investigative Site
Milan, MI, 20133
Novartis Investigative Site
Milan, MI, 20157
Novartis Investigative Site
Pavia, PV, 27100
Novartis Investigative Site
Sondrio, SO, 23100
Belgium5 sites
Novartis Investigative Site
Brussels, 1000
Novartis Investigative Site
Brussels, 1090
Novartis Investigative Site
Liège, 4000
Novartis Investigative Site
Namur, 5000
Novartis Investigative Site
Sint-Niklaas, 9100
Hungary4 sites
Novartis Investigative Site
Budapest, 1062
Novartis Investigative Site
Budapest, H-1122
Novartis Investigative Site
Debrecen, 4032
Novartis Investigative Site
Győr, Hungary, H-9023
Israel4 sites
Novartis Investigative Site
Jerusalem, 9112001
Novartis Investigative Site
Petah Tikva, 49100
Novartis Investigative Site
Ramat Gan, 5266202
Novartis Investigative Site
Tel Aviv, 6423906
Czechia3 sites
Novartis Investigative Site
Nový Jičín, 741 01
Novartis Investigative Site
Olomouc, 775 20
Novartis Investigative Site
Prague, 150 00
Thailand3 sites
Novartis Investigative Site
Bangkok, 10330
Novartis Investigative Site
Bangkok, 10400
Novartis Investigative Site
Songkhla, 90110
Turkey (Türkiye)3 sites
Novartis Investigative Site
Ankara, Turkey, 06100
Novartis Investigative Site
Fatih / Istanbul, 34098
Novartis Investigative Site
Izmir, Turkey, 35040
Mexico2 sites
Novartis Investigative Site
León, Guanajuato, 37000
Novartis Investigative Site
Mexico City, Mexico City, 04980
Poland2 sites
Novartis Investigative Site
Lublin, 20-090
Novartis Investigative Site
Warsaw, 02-781
Slovakia2 sites
Novartis Investigative Site
Bratislava, 83310
Novartis Investigative Site
Košice, 040 91
About this study
Official title: A Randomized Phase III, Double-blind, Placebo-controlled Multicenter Trial of Daily Everolimus in Combination With Trastuzumab and Vinorelbine, in Pretreated Women With HER2/Neu Over-expressing Locally Advanced or Metastatic Breast Cancer.
This phase III, double-blind, placebo-controlled multinational study will assess the combination everolimus, vinorelbine, and trastuzumab compared to the combination vinorelbine and trastuzumab with respect to progressive-free survival and over survival in HER2/neu positive women with locally advanced or metastatic breast cancer who are resistant to trastuzumab and have been pre-treated with a taxane.
- Being tested
- everolimus, Placebo, vinorelbine, trastuzumab
- Keywords
- Metastatic breast cancer, locally advanced breast cancer, HER2/neu positive breast cancer, HER2/neu over-expressing, progressive-free survival (PFS), over survival (OS), bolero, bolero 3, Breast cancer, everolimus, HER+, vinorelbine, herceptin, trastuzumab, RAD001
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
everolimusDrug
Also called RAD001
Oral everolimus was taken once 5 mg/day (2 × 2.5 mg tablets) and were packaged into blister packs.
PlaceboDrug
Oral everolimus placebo was taken once 5 mg/day (2 × 2.5 mg tablets) and were packaged into blister packs.
vinorelbineDrug
intravenous vinorelbine (25 mg/m2 weekly)
trastuzumabDrug
intravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only)
| Study group | Role | What they receive |
|---|---|---|
| Everolimus + vinorelbine + trastuzumab | Experimental | Oral everolimus (5 mg/day) + intravenous vinorelbine (25 mg/m2 weekly) + intravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only) Receives: Drug: everolimus; Drug: vinorelbine; Drug: trastuzumab |
| placebo + vinorelbine + trastuzumab | Placebo comparator | Oral daily matching placebo + intravenous vinorelbine (25 mg/m2 weekly) + intravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only Receives: Drug: Placebo; Drug: vinorelbine; Drug: trastuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progressive-free Survival (PFS) Per Investigator Assessment
PFS was defined as the time from the date of randomization to the date of first radiologically documented tumor progression or death from any cause, whichever occurs first. PFS primary analysis performed when 415 events were reached. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Measured: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
Secondary outcomes (8)
Overall Survival (OS)
OS was defined as the time from date of randomization to the date of death from any cause. Final OS was conducted when 388 deaths occurred.
Measured: Every 3 months until death up to 41 months
Overall Response Rate (ORR)
ORR was defined as the percentage of participants whose best overall response was either complete response (CR) or partial response (PR) according to RECIST version 1.0. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
Measured: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
Clinical Benefit Rate (CBR)
CBR was defined as the percentage of participants whose best overall response, according to RECIST, was either complete response (CR), a partial response (PR) or stable disease (SD) lasting for at least 24 weeks. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; SD = Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD; PD = At least a 20% increase in the sum of the longest diameter of all measured target lesions, taking as reference the smallest sum of longest diameter of all target lesions recorded at or after baseline.
Measured: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
Median Time to Deterioration of the ECOG Performance Status Score
Time to deterioration of ECOG performance status score was summarized at time of assessment. ECOG (Eastern Cooperative Oncology Group)performance scale is a standard criteria for measuring how treatment of cancer impacts their level of functioning in terms of their ability to care for themselves, daily activity, \& physical ability (walking, working, etc.). Scale score ranges from 0 to 5, 5 being the worst. ECOG scale index: 0 - Fully active, able to carry on all pre-disease performance without restriction. 1 - Restricted in physically strenuous activity but ambulatory \& able to carry out work of a light or sedentary nature, e.g., light housework, office work. 2 - Ambulatory \& capable of all self-care but unable to carry out any work activities. Up \& about more than 50% of waking hours. 3 - Capable of only limited self-care, confined to bed or chair more than 50% of waking hours. 4 - Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair. 5 - Dead
Measured: baseline, until disease progression or death up to about 41 months
PRO: Time to Deterioration in Global Health Status/QoL Domain Score of the European Organization for the Research and Treatment of Cancer (EORTC)-Core Quality of Life Questionnaire (QLQ-C30) (by at Least 10%)
PRO = patient reported outcomes; Time to deterioration (≥ 10% worsening from baseline), in the global health status of EORTC QLQ-C30 scale was done in the 3 functional scales (emotional, physical, \& social functioning [EF, PF, \& SF]). It contains 30 items \& is composed of multi-item scales \& single-item measures. These include 5 functional scales (physical, role, emotional, social \& cognitive functioning), 3 symptom scales (fatigue, pain, nausea, \& vomiting), a global health status/QoL scale, and 6 single items (dyspnea, diarrhea, constipation, anorexia, insomnia \& financial impact). Each of the multi-item scale includes a different set of items - no item occurs in more than 1 scale. Each item in the EORTC QLQ-C30 has 4 response categories (1=Not at all, 2= A little, 3= Quite a bit, 4= Very much) with the higher number representing a worse outcome. The global health domain score of the QLQ-C30 questionnaire was pre-specified as the primary QoL domain of interest \& disclosed here.
Measured: Baseline, until disease progression or death up to about 41 months
Everolimus Blood Concentrations by Leading Dose and Time Point
Pre-dose (Cmin) and 2 hours post-dose (C2h) everolimus PK blood samples were collected at Cycle 2 Day 1. Only valid everolimus PK blood samples collected at steady state were used in the analyses.
Measured: Cycle 2, Day 1
Vinorelbine Blood Concentrations by Leading Dose and Time Point
Pre-infusion (Cmin) and end of infusion (C2h) vinorelbine PK blood samples were collected at Cycle 2 Day 1. Only valid vinorelbine PK blood samples collected at steady state were used in the analyses.
Measured: Cycle 2, Day 1
Trastuzumab Blood Concentrations by Leading Dose and Time Point
Pre-infusion (Cmin) and end of infusion (C2h) trastuzumab PK blood samples were collected at Cycle 3 Day 1. Only valid trastuzumab PK blood samples collected at steady state were used in the analyses.
Measured: Cycle 3, Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Nov 2009 (estimated)
- Study startOct 2009
- Primary completionJun 2015
- Study completionJun 2015
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HER2/Neu Over-expressing Locally Advanced Breast CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 569 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01007942
- Sponsor's protocol ID
- CRAD001W2301
- Other IDs
- 2008-008697-31, 2008
- Acronym
- BOLERO-3
- Status last verified
- Feb 2017
- First submitted
- 2 Nov 2009
- Last updated
- 5 Apr 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Andre F, O'Regan R, Ozguroglu M, Toi M, Xu B, Jerusalem G, Masuda N, Wilks S, Arena F, Isaacs C, Yap YS, Papai Z, Lang I, Armstrong A, Lerzo G, White M, Shen K, Litton J, Chen D, Zhang Y, Ali S, Taran T, Gianni L. Everolimus for women with trastuzumab-resistant, HER2-positive, advanced breast cancer (BOLERO-3): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet Oncol. 2014 May;15(6):580-91. doi: 10.1016/S1470-2045(14)70138-X. Epub 2014 Apr 14.
PubMed 24742739
Study at a glance
From the registry record, last updated by the sponsor on 5 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase III, Double-blind, Placebo-controlled Multicenter Trial of Daily Everolimus in Combination With Trastuzumab and Vinorelbine, in Pretreated Women With HER2/Neu Over-expressing Locally Advanced or Metastatic Breast Cancer.
- ClinicalTrials.gov ID
- NCT01007942
- Acronym / sponsor ID
- BOLERO-3 / CRAD001W2301
- Keywords
- Metastatic breast cancer, locally advanced breast cancer, HER2/neu positive breast cancer, HER2/neu over-expressing, progressive-free survival (PFS), over survival (OS), bolero, bolero 3
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 569 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- Oct 2009
- Primary completion
- Jun 2015 (actual)
- Study completion
- Jun 2015 (actual)
- First posted
- 4 Nov 2009 (estimated)
- Results
- Posted 5 Apr 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase III, double-blind, placebo-controlled multinational study will assess the combination everolimus, vinorelbine, and trastuzumab compared to the combination vinorelbine and trastuzumab with respect to progressive-free survival and over survival in HER2/neu positive women with locally advanced or metastatic breast cancer who are resistant to trastuzumab and have been pre-treated with a taxane.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Everolimus + vinorelbine + trastuzumab | Experimental | Drug: everolimus, Drug: vinorelbine, Drug: trastuzumabOral everolimus (5 mg/day) + intravenous vinorelbine (25 mg/m2 weekly) + intravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only) |
| placebo + vinorelbine + trastuzumab | Placebo comparator | Drug: Placebo, Drug: vinorelbine, Drug: trastuzumabOral daily matching placebo + intravenous vinorelbine (25 mg/m2 weekly) + intravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically or cytologically confirmed invasive breast carcinoma with locally recurrent or radiological evidence of metastatic disease. Locally recurrent disease must not be amenable to resection with curative intent.
- HER2+ status defined as IHC 3+ staining or in situ hybridization positive
- Patients with resistance to trastuzumab
- Prior taxane therapy
- Patients with an ECOG performance status of 0 - 2
Key exclusion criteria (10 listed)
- Prior mTOR inhibitors or vinca alkaloid agents for the treatment of cancer
- More than three prior chemotherapy lines for advanced disease.
- Symptomatic CNS metastases or evidence of leptomeningeal disease. Previously treated asymptomatic CNS metastases are allowed provided that the last treatment for CNS metastases was completed >8 weeks prior to randomization
- Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral everolimus
- Peripheral neuropathy ≥ grade 2 at randomization
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 |
|---|---|---|
| everolimusAlso: RAD001Oral everolimus was taken once 5 mg/day (2 × 2.5 mg tablets) and were packaged into blister packs. | Drug | Everolimus + vinorelbine + trastuzumab |
| PlaceboOral everolimus placebo was taken once 5 mg/day (2 × 2.5 mg tablets) and were packaged into blister packs. | Drug | placebo + vinorelbine + trastuzumab |
| vinorelbineintravenous vinorelbine (25 mg/m2 weekly) | Drug | Everolimus + vinorelbine + trastuzumab, placebo + vinorelbine + trastuzumab |
| trastuzumabintravenous trastuzumab (2 mg/kg weekly following a 4 mg/kg loading dose on Day 1 of Cycle 1 only) | Drug | Everolimus + vinorelbine + trastuzumab, placebo + vinorelbine + trastuzumab |
Primary outcome
Progressive-free Survival (PFS) Per Investigator Assessment
Time frame: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
PFS was defined as the time from the date of randomization to the date of first radiologically documented tumor progression or death from any cause, whichever occurs first. PFS primary analysis performed when 415 events were reached. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
8 secondary outcomes
Overall Survival (OS)
Time frame: Every 3 months until death up to 41 months
Overall Response Rate (ORR)
Time frame: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
Clinical Benefit Rate (CBR)
Time frame: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months
Median Time to Deterioration of the ECOG Performance Status Score
Time frame: baseline, until disease progression or death up to about 41 months
PRO: Time to Deterioration in Global Health Status/QoL Domain Score of the European Organization for the Research and Treatment of Cancer (EORTC)-Core Quality of Life Questionnaire (QLQ-C30) (by at Least 10%)
Time frame: Baseline, until disease progression or death up to about 41 months
Everolimus Blood Concentrations by Leading Dose and Time Point
Time frame: Cycle 2, Day 1
Vinorelbine Blood Concentrations by Leading Dose and Time Point
Time frame: Cycle 2, Day 1
Trastuzumab Blood Concentrations by Leading Dose and Time Point
Time frame: Cycle 3, Day 1
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Apr 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24742739Andre F, O'Regan R, Ozguroglu M, Toi M, Xu B, Jerusalem G, Masuda N, Wilks S, Arena F, Isaacs C, Yap YS, Papai Z, Lang I, Armstrong A, Lerzo G, White M, Shen K, Litton J, Chen D, Zhang Y, Ali S, Taran T, Gianni L. Everolimus for women with trastuzumab-resistant, HER2-positive, advanced breast cancer (BOLERO-3): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet Oncol. 2014 May;15(6):580-91. doi: 10.1016/S1470-2045(14)70138-X. Epub 2014 Apr 14.
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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
161 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing everolimus, vinorelbine and trastuzumab in people with HER2/Neu Over-expressing Locally Advanced Breast Cancer and Metastatic Breast Cancer, run by Novartis Pharmaceuticals at 161 sites in 21 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 8 inclusion and 10 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 5 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 161 sites in United States, Spain, Germany, Japan, Argentina and 16 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. Some participants in this study may receive a placebo. 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 5 Apr 2017). 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?
Progressive-free Survival (PFS) Per Investigator Assessment (time frame: Every 6 weeks until disease progression or death which ever occurred first up to about 41 months). 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 NCT01007942, 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 5 Apr 2017.