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Breast CancerNCT01461044

An Observational Study of Avastin (Bevacizumab) in Patients With HER2-metastatic or Locally Advanced Breast Cancer

An observational study of Breast Cancer, run by Hoffmann-La Roche at 82 sites in France.

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 observational study will evaluate the safety and efficacy of triple negative or HR+ patients with HER2-metastatic or locally advanced breast cancer treated with Avastin (bevacizumab) as first line therapy for at least 12 months and without disease progression for at least 12 months. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer
How many people
228 participants
Where
82 sitesFrance
Study dates
Sep 2011to Nov 2013
Phase
Observational
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

Study population: Patients (triple negative or HR+) with HER2- metastatic or locally advanced breast cancer, treated with Avastin 1st line for at least 12 months and without progression for at least 12 months.

Who may be able to join

  • Adult patients, >/=18 years of age
  • HER2-metastatic breast cancer or locally advanced breast cancer
  • Patients with Avastin as first line therapy administered for at least 12 months
  • Patients without disease progression after the beginning of Avastin treatment for at least 12 months

Who cannot join

  • Patients not willing to give informed consent

Trial locations and contacts

82 sites in 1 country.

82 sites in 1 country

France82 sites
  • Study site

    Aix-en-Provence, 13616

  • Study site

    Aix-en-Provence, 13617

  • Study site

    Ajaccio, 20176

  • Study site

    Amiens, 80090

  • Study site

    Antony, 92166

  • Study site

    Arras, 62012

  • Study site

    Bastia, 20200

  • Study site

    Bayonne, 64100

  • Study site

    Beauvais, 60021

  • Study site

    Besançon, 25030

  • Study site

    Béziers, 34535

  • Study site

    Bobigny, 93009

  • Study site

    Bordeaux, 33030

  • Study site

    Bordeaux, 33077

  • Study site

    Boulogne-Billancourt, 92100

  • Study site

    Bourg-en-Bresse, 01012

  • Study site

    Brest, 29609

  • Study site

    Caen, 14076

  • Study site

    Chambéry, 73011

  • Study site

    Châteauroux, 36019

  • Study site

    Cherbourg Octeville, 50102

  • Study site

    Clermont-Ferrand, 63011

  • Study site

    Clermont-Ferrand, 63050

  • Study site

    Créteil, 94010

  • Study site

    Dax, 40107

  • Study site

    Dijon, 21079

  • Study site

    Eaubonne, 95602

  • Study site

    Évreux, 27025

  • Study site

    Grenoble, 38000

  • Study site

    La Chaussée-Saint-Victor, 41260

  • Study site

    La Roche-sur-Yon, 85925

  • Study site

    La Tronche, 38700

  • Study site

    Le Coudray, 28630

  • Study site

    Lille, 59003

  • Study site

    Lille, 59020

  • Study site

    Limoges, 87042

  • Study site

    Longjumeau, 91161

  • Study site

    Lorient, 56322

  • Study site

    Lormont, 33310

  • Study site

    Lyon, 69337

  • Study site

    Lyon, 69373

  • Study site

    Marseille, 13004

  • Study site

    Marseille, 13273

  • Study site

    Marseille, 13285

  • Study site

    Metz, 57045

  • Study site

    Montivilliers, 76290

  • Study site

    Mougins, 06250

  • Study site

    Nancy, 54100

  • Study site

    Narbonne, 11108

  • Study site

    Nice, 06189

  • Study site

    Osny, 95520

  • Study site

    Paris, 75181

  • Study site

    Paris, 75230

  • Study site

    Paris, 75231

  • Study site

    Paris, 75475

  • Study site

    Paris, 75571

  • Study site

    Paris, 75651

  • Study site

    Paris, 75674

  • Study site

    Paris, 75970

  • Study site

    Périgueux, 24000

  • Study site

    Reims, 51057

  • Study site

    Romans-sur-Isère, 26102

  • Study site

    Rouen, 76000

  • Study site

    Rouen, 76044

  • Study site

    Saint-Brieuc, 22015

  • Study site

    Saint-Cloud, 92210

  • Study site

    Saint-Germain-en-Laye, 78105

  • Study site

    Saint-Grégoire, 35768

  • Study site

    Saint-Jean, 31240

  • Study site

    Saint-Michel-sur-Orge, 16470

  • Study site

    Saint-Priest-en-Jarez, 42271

  • Study site

    Senlis, 60309

  • Study site

    Soyaux, 16800

  • Study site

    Strasbourg, 67010

  • Study site

    Toulon, 83056

  • Study site

    Toulouse, 31076

  • Study site

    Toulouse

  • Study site

    Troyes, 10003

  • Study site

    Valence, 26953

  • Study site

    Vannes, 56001

  • Study site

    Verdun, 55107

  • Study site

    Villejuif, 94805

Other trials in France

About this study

Official title: An Ambispective, Non Interventional Study of 2 Cohorts (Triple Negative or HR+) of Patients With HER2- Metastatic or Locally Advanced Breast Cancer Treated With Avastin® (Bevacizumab) 1st Line for at Least 12 Months and Without Progression for at Least 12 Months.

This observational study will evaluate the safety and efficacy of triple negative or HR+ patients with HER2-metastatic or locally advanced breast cancer treated with Avastin (bevacizumab) as first line therapy for at least 12 months and without disease progression for at least 12 months. Data will be collected retrospectively (from the diagnosis to the inclusion in the study) and for 18 months from study start.

Conditions
Breast Cancer
Medical subject headings
Breast Neoplasms

What participants receive

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

Study groups in NCT01461044
Study groupRoleWhat they receive
CohortNot described

What is being measured

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

  1. Percentage of Participants Who Were Disease-Free for at Least 12 Months After Initial Diagnosis

    Disease free interval was expressed in months: (Date of diagnosis of metastatic disease - Date of initial diagnosis + 1) / 30.4375. Percentage of participants who were disease-free for at least 12 months were reported.

    Measured: From initial diagnosis to the diagnosis of metastatic disease (up to a maximum of 260 months, assessed retrospectively at Baseline)

  2. Percentage of Participants Who Were Disease-Free for at Least 24 Months After Initial Diagnosis

    Disease free interval was expressed in months: (Date of diagnosis of metastatic disease - Date of initial diagnosis + 1) / 30.4375. Percentage of participants who were disease-free for at least 24 months were reported.

    Measured: From initial diagnosis to the diagnosis of metastatic disease (up to a maximum of 260 months, assessed retrospectively at Baseline)

  3. Disease-Free Interval

    Disease free interval was expressed in months: (Date of diagnosis of metastatic disease - Date of initial diagnosis + 1) / 30.4375. Disease free interval was observed retrospectively and assessed at inclusion period or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: From initial diagnosis to the diagnosis of metastatic disease (up to a maximum of 260 months, assessed retrospectively at Baseline)

  4. Mean Age at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  5. Percentage of Participants With Menopausal Status at the Time of Local or Metastatic Progression

    Menopausal status included premenopausal and menopausal. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  6. Percentage of Participants With Eastern Cooperative Oncology Group Performance Status (ECOG PS) at the Time of Local or Metastatic Progression

    ECOG-PS measured on-therapy (time between first dose and last dose date with a 30-day lag) assessed participant's performance status on a 5 point scale: 0 equals (=) fully active/able to carry on all pre-disease activities without restriction; 1=restricted in physically strenuous activity, but ambulatory/able to carry out light or sedentary work; 2=ambulatory (greater than [>] 50 percentage [%] of waking hours [h]), capable of all self care, but unable to carry out any work activities; 3=capable of only limited self care, confined to bed/chair >50% of waking hours; 4= completely disabled, cannot carry on any selfcare, totally confined to bed or chair and 5=Dead. Only participants that reported in any of the specified scale was reported. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  7. Mean Body Weight at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  8. Mean Height at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  9. Mean Body Mass Index (BMI) at the Time of Local or Metastatic Progression

    BMI was calculated by weight divided by height squared and measured as kilogram per square meter (kg/m^2). Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  10. Percentage of Participants With Breast Cancer (BRCA) Mutation at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  11. Percentage of Participants With Metastatic Disease at Identified Metastatic Sites at the Time of Local or Metastatic Progression

    Metastatic diseases were identified at bone, lung, liver, central nervous system, soft tissue, lymph nodes, skin, pleura and other sites. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  12. Percentage of Participants Classified Based on Number of Metastatic Sites at the Time of Local or Metastatic Progression

    Percentage of participants that reported metastatic disease in less than or equal to (<=) 3 sites or greater than (>) 3 sites were assessed. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  13. Percentage of Participants With Visceral Involvement at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  14. Percentage of Participants With Estrogen Receptors (ER) at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  15. Percentage of Participants With Progesterone Receptors (PR) at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  16. Percentage of Participants With Cross Results for Both ER and PR at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  17. Percentage of Participants With HR Status at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  18. Percentage of Participants With Negative HER2 Status at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  19. Percentage of Participants With Mitotic Index (MI) at the Time of Local or Metastatic Progression

    MI is an indirect measure of cell proliferation that has been demonstrated to be a strong predictor of outcome for several human and canine cancers. Percentage of participants that reported a low, intermediate, high and unknown indices were included. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  20. Percentage of Participants With Ki67 (MiB1) at the Time of Local or Metastatic Progression

    The Ki67 (MiB1) a prognostic marker, is used to evaluate the proliferative activity of breast cancer. Percentage of participants with < or >=10% and unknown were reported. Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  21. Percentage of Participants With Previous and Concurrent Disease at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

  22. Percentage of Participants Who Received First-Line Endocrine Therapy at the Time of Local or Metastatic Progression

    Time of local or metastatic progression is the time of advanced or metastatic diagnosis which was assessed at inclusion or baseline (the time after the retrospective phase and at the start of prospective phase).

    Measured: At the time of Advanced or Metastatic Diagnosis (up to a maximum of 260 months, assessed retrospectively at Baseline)

Secondary outcomes (13)
  1. Percentage of Participants With a Best Overall Response (BOR) of Confirmed Complete Response (CR) or Partial Response (PR)

    Objective tumor response was assessed using Response Evaluation Criteria in Solid Tumors (RECIST). Confirmed CR was defined as the disappearance of all target and non-target lesions, and confirmed PR was defined as at least at 30% decrease in the sum of the longest diameters of target lesions. Response was to be confirmed at follow-up assessment completed within 4 weeks of the first documented response. Inclusion (baseline) here was the time after the retrospective phase and at the start of prospective phase.

    Measured: From first administration of bevacizumab to inclusion in the study (up to a maximum of 42.8 months , assessed retrospectively at Baseline)

  2. Percentage of Participants With Disease Progression or Death

    Tumor progression was determined from oncologic assessment data (where data meet the criteria for progressive disease [PD]), or from adverse event (AE) data (where the outcome was "Death"). PD was defined as the appearance of new lesion(s) or at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum obtained at Screening or during treatment.

    Measured: From first administration of bevacizumab to inclusion in the study (up to a maximum of 42.8 months , assessed retrospectively at Baseline)

  3. Progression-Free Survival

    Progression-free survival was defined as the time from first dose of bevacizumab to documented PD or death from any cause, whichever occurred first. PD was defined as the appearance of new lesion(s) or at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum obtained at Screening or during treatment. Inclusion (baseline) here was the time after the retrospective phase and at the start of prospective phase.

    Measured: From first administration of bevacizumab to inclusion in the study (up to a maximum of 42.8 months, assessed retrospectively at Baseline)

  4. Time to Progression

    Objective tumor response was assessed using RECIST. PD was defined as the appearance of new lesion(s) or at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum obtained at Screening or during treatment. Participants who withdrew from the study early for insufficient therapeutic response without tumor assessment for PD were also included within the definition of PD. Time to progression was defined as the time from treatment start to PD. Participants who did not experience PD were censored from the last tumor assessment. Time to progression was estimated using Kaplan-Meier and expressed in months. Inclusion (baseline) here was the time after the retrospective phase and at the start of prospective phase.

    Measured: From first administration of bevacizumab to inclusion in the study (up to a maximum of 42.8 months, assessed retrospectively at Baseline)

  5. Percentage of Participants With Death

    Overall survival (OS) was defined as the time between the first administration of bevacizumab and death from any cause and participants still alive at the end of the study were censored at the last consultation or last contact date.

    Measured: From the first administration of bevacizumab to death from any cause (up to a maximum of 60.8 months including retrospective and prospective treatment)

  6. Overall Survival (OS)

    OS was defined as the time between the first administration of bevacizumab and death from any cause and participants still alive at the end of the study were censored at the last consultation or last contact date.

    Measured: From the first administration of bevacizumab to death from any cause (up to a maximum of 60.8 months including retrospective and prospective treatment)

  7. Duration of Bevacizumab as First Line Treatment

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  8. Percentage of Participants With Temporary Discontinuation

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  9. Percentage of Participants With Reasons for Temporary Discontinuation

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  10. Percentage of Participants With Definitive Discontinuation

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  11. Percentage of Participants With Reasons for Definitive Discontinuation

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  12. Percentage of Participants Who Maintained Bevacizumab Beyond the First Progressive Disease

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

  13. Percentage of Participants Who Received Induction Therapy in Combination With Bevacizumab

    Measured: From start of bevacizumab until 18 months after inclusion (up to a maximum of 60.8 months including retrospective and prospective treatment)

Timeline

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

  1. First posted27 Oct 2011 (estimated)
  2. Study startSep 2011
  3. Primary completionNov 2013
  4. Study completionNov 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Enrolment
228 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01461044
Sponsor's protocol ID
ML27760
Status last verified
Dec 2015
First submitted
24 Oct 2011
Last updated
26 Jan 2016

Questions about this trial

What is this clinical trial studying?

An observational study of Breast Cancer, run by Hoffmann-La Roche at 82 sites in France.

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 1 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 26 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 82 sites in France. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Jan 2016). 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 Who Were Disease-Free for at Least 12 Months After Initial Diagnosis (time frame: From initial diagnosis to the diagnosis of metastatic disease (up to a maximum of 260 months, assessed retrospectively at Baseline)). The study lists 22 primary outcomes in all. 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 26 Jan 2016.

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