Locally Recurrent Breast CancerPhase 3BEACONNCT01492101
The BEACON Study (Breast Cancer Outcomes With NKTR-102)
A Phase 3 study testing NKTR-102 and Treatment of Physician's Choice (TPC) in people with Locally Recurrent Breast Cancer and Metastatic Breast Cancer, run by Nektar Therapeutics at 153 sites in 11 countries.
Trial summary
The study is designed as an open-label, randomized, parallel, two arm, multicenter, international Phase 3 study in patients with recurrent or metastatic breast cancer previously treated with cytotoxic chemotherapy regimens. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Locally Recurrent Breast Cancer, Metastatic Breast Cancer
- What is being tested?
- NKTR-102 and Treatment of Physician's Choice (TPC)
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 852 participants
- Where
- 153 sitesin 11 countries
- Study dates
- Dec 2011to Jun 2016
- 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
- Patient is an adult female with histologically or cytologically confirmed carcinoma of the breast for whom single-agent cytotoxic chemotherapy is indicated
- Patient can have either measurable or non-measurable disease by RECIST.
- Patient has received prior therapy (administered in the neoadjuvant, adjuvant and/or metastatic setting) with an anthracycline, a taxane and capecitabine
- Patient has minimum of 2 and a maximum of 5 prior cytotoxic chemotherapy regimens with the last dose administered within 6 months. A minimum of two chemotherapy regimens had to be for locally recurrent and/or metastatic disease. All therapy received prior to a diagnosis of metastatic disease (eg, neoadjuvant, adjuvant or repeated adjuvant therapy following a second resection) is counted as one regimen.
- Patient has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate hematopoietic, liver and kidney functions.
Who cannot join
- Patient with chemotherapy within 21 days, radiotherapy within 14 days, biological therapy with 14 days, hormonal therapy within 7 days and investigational therapy within 21 days prior to randomization.
- Patient with any major surgery within 28 days prior to randomization.
- Patient with concurrent use of biologic agents for the treatment of cancer including antibodies or any investigational agent(s).
- Patient with prior treatment for cancer with a camptothecin derivative.
- Patient with chronic or acute GI disorders resulting in diarrhea of any severity grade; patients who are using chronic anti-diarrheal supportive care to control diarrhea in the 28 days prior to randomization.
- Patient received pharmacotherapy for hepatitis B or C, tuberculosis or HIV.
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- Patient with known cirrhosis diagnosed with Child-PUGH Class A or higher liver disease.
- Patient with prior malignancy (other than breast cancer) except for non-melanoma skin cancer and carcinoma in situ (of the cervix or bladder), unless diagnosed and definitively treated more than 5 years prior to randomization.
- Patient requiring daily use of oxygen supplementation in the 28 days prior to randomization.
- Patients with significant cardiovascular impairment.
Trial locations and contacts
153 sites in 11 countries.
153 sites in 11 countries
United States88 sites
Texas Oncology-Abilene
Abilene, Texas, 79606
New York Oncology Hematology, P.C.
Albany, New York, 12206
UNM Cancer Center
Albuquerque, New Mexico, 87106
Northeast Georgia Cancer Care
Athens, Georgia, 30607
Peachtree Hematology Oncology Consultants
Atlanta, Georgia, 30318
Emory University
Atlanta, Georgia, 30322
Texas Oncology-Austin Midtown
Austin, Texas, 78705
Texas Oncology-Beaumont, Mamie McFaddin Ward Cancer Center
Beaumont, Texas, 77702
Texas Oncology-Bedford
Bedford, Texas, 76022
Frontier Cancer Center and Blood Institute
Billings, Montana, 59102
Providence Health System - Southern California d/b/a Roy and Patricia Disney Family Cancer Center
Burbank, California, 91505
Hall-Perrine Cancer Center, 3rd Floor
Cedar Rapids, Iowa, 52403
Carolinas Hematology Oncology Associates
Charlotte, North Carolina, 28202
University of Virginia
Charlottesville, Virginia, 22908
The University of Chicago Medicine
Chicago, Illinois, 60637
University of Cincinnati
Cincinnati, Ohio, 45267-0502
Maryland Oncology Hematology, P.A.
Columbia, Maryland, 21044
Missouri Cancer Associates
Columbia, Missouri, 65201
Comprehensive Breast Cancer
Columbus, Ohio, 43212
Texas Oncology-Medical City Dallas
Dallas, Texas, 75230
Texas Oncology-Dallas Presbyterian Hospital
Dallas, Texas, 75231
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Texas Oncology-Denton South
Denton, Texas, 76210
Rocky Mountain Cancer Centers
Denver, Colorado, 80220
DUMC, Duke South
Durham, North Carolina, 27710
Cancer Centers of the Carolinas
Easley, South Carolina, 29640
Sanford Research/USD
Fargo, North Dakota, 58122
Arizona Oncology Associates, PC - NAHOA
Flagstaff, Arizona, 86001
Texas Oncology-Fort Worth
Fort Worth, Texas, 76104
Cancer TEAM Bellin Health
Green Bay, Wisconsin, 54313
Texas Oncology-Memorial City
Houston, Texas, 77024
IU Health Simon Cancer Center
Indianapolis, Indiana, 46202
Mayo Clinic in Florida
Jacksonville, Florida, 32224
Medical Oncology Associates of Wyoming Valley, PC
Kingston, Pennsylvania, 18704
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Texas Oncology-Lewisville
Lewisville, Texas, 75067
University of Southern California
Los Angeles, California, 90033
Louisville Oncology Clinical Research Program
Louisville, Kentucky, 40207
Central Georgia Cancer Care
Macon, Georgia, 31201
Northwest Georgia Oncology Centers, P.C.
Marietta, Georgia, 30060
The West Clinic
Memphis, Tennessee, 38120
Texas Oncology-Mesquite
Mesquite, Texas, 75150
University of Miami School of Medicine
Miami, Florida, 33136
Advanced Medical Specialties
Miami, Florida, 33176
Signal Point Clinical Research Center
Middletown, Ohio, 45042
Texas Oncology-Midland Allison Cancer Center
Midland, Texas, 79701
Minnesota Oncology Hematology, P.A.
Minneapolis, Minnesota, 55404
University of Minnesota
Minneapolis, Minnesota, 55455
Hematology-Oncology Associates of Northern NJ, PA
Morristown, New Jersey, 07962
Sarah Cannon Research Institute (SCRI)
Nashville, Tennessee, 37203
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
The cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Beth Israel Medical Center
New York, New York, 10003
Cornell University
New York, New York, 10065
Oncology Specialists
Niles, Illinois, 60714
Virginia Oncology Associates
Norfolk, Virginia, 23502
Kansas City Cancer Center
Overland Park, Kansas, 66210
PMK Medical Group, Inc., DBA Ventura County Hematology Oncology Specialists
Oxnard, California, 93030
Wilshire Oncology Medical Group, Inc.
Pasadena, California, 91105
Illinois Cancer Care, P.C.
Peoria, Illinois, 61547
Texas Oncology, P.A. - Plano
Plano, Texas, 92270
Florida Cancer Research Institute
Plantation, Florida, 33324
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, 34592
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97225
Desert Hematology Oncology Medical Group
Rancho Mirage, California, 92270
Mayo Clinic
Rochester, Minnesota, 55905
Coborn Cancer Center
Saint Cloud, Minnesota, 56303
Oncology and Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care
Salem, Virginia, 24153
Cancer Care Centers of South Texas
San Antonio, Texas, 78217
University of California San Francisco
San Francisco, California, 94143
Summit Cancer Care, P.C.
Savannah, Georgia, 31405
Virginia Mason Medical Center
Seattle, Washington, 98101
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Texas Oncology - Sherman
Sherman, Texas, 75090
Sanford Research/USD
Sioux Falls, South Dakota, 57104
Cancer Care Northwest
Spokane, Washington, 99202
Washington University in St. Louis
St Louis, Missouri, 63110
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Stanford University School of Medicine
Stanford, California, 94305
SUNY Upstate Medical University
Syracuse, New York, 13210
Monte fiore
The Bronx, New York, 10461
Sciode Medical Associates, PLLC, d.b.a. Eastchester Center for Cancer Care
The Bronx, New York, 10469
Texas Oncology-Tyler
Tyler, Texas, 75702
Kaiser Permanente
Vallejo, California, 94589
Cooper University Hospital
Voorhees Township, New Jersey, 08043
Pre clinical Science Bldg LR3
Washington D.C., District of Columbia, 20007
Medstar
Washington D.C., District of Columbia, 20010
Yakima Valley Memorial Hospital/North Star Lodge
Yakima, Washington, 98902
France9 sites
Institut Bergonie Service Oncologie Médicale
Bordeaux, 33076
Sorecoh
Le Mans, 72000
Centre Oscar Lambret
Lille, 59020
Institut Paoli Calmettes, Service Pharmacie
Marseille, 13273
Centra Regional de Lutte contre le Cancer
Montpellier, 34298
Institut Curie, UGEC
Paris, 75005
Hopital Tenon Service oncologie médicale
Paris, 75020
Centre Régional de Lutte Contre le Cancer Nantes Atlantique René Gauducheau
Saint-Herblain, 44805
Institut de Cancérologie Gustave Roussy
Villejuif, 94805
Belgium8 sites
Institut Jules Bordet
Brussels, 2-2-541-72-26
GHdC - Site Notre Dame
Charleroi, 6000
Universtair Ziekenhuis Antwerpen
Edegem, 2650
UZ Gent Medische Oncologie
Ghent, 9000
UZ Leuven, Campus Gasthuisberg, trialbureau Algemene Medische Oncologie
Leuven, 3000
Centre Hospitalier Universitaire de Liège- Site du Sart Tilman
Liège, 4000
Centre Hospitalier Universitaire Ambroise Paré
Mons, 7000
GZA Ziekenhuizen, Campus St Augustinus, CLINICAL TRIALS ONCOLOGY
Wilrijk, 2610
South Korea8 sites
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 361-711
Seoul National University Bundang Hospital
Gyeonggi-do, 463-707
Samsung Medical Center
Irwon-dong, Seoul, 135-710
Hematology-oncology Department, Ewha Womans University Mokdong Hospital
Seoul, 120-750
Severance Hospital, Yonsei University Health System
Seoul, 120-752
Asan Medical Center
Seoul, 138-736
Seoul National University Hospital,
Soeul, 110-744
Hematology-oncology Department, Ajou University Hospital
Sŏwŏn, Suwon, 443-721
Germany7 sites
Klinikum St. Marien Amberg
Amberg
Onkoplus
Berlin, 14195
Oncoresearch
Dortmund
Universitaetsklinikum Erlangen
Erlangen, 91054
Wilhelm-Anton-Hospital gGmbH
Goch, 47574
Universitaetsklinikum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Ulm, Frauenklinik
Ulm, 89075
Spain7 sites
Hospital Vall d'Hebron
Barcelona, 08035
ICO l´Hospitalet - Hospital Duran i Reynals
Barcelona, 08908
Hospital Universitari Arnau de Vilanova
Lleida, 25198
Hospital General Universitario Gregorio Marañon
Madrid, 28007
MD Anderson Cancer Center Arturo
Madrid, 28033
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Sant Joan de Reus
Tarragona, 43204
United Kingdom7 sites
Clinical Trials Unit, Velindre Cancer Centre
Cardiff, CF14 2TL
Beaston Oncology Center
Glasgow, G12 ONY
St James University Hospital
Leeds, LS97TF
NCRN
London, EC1A 7BE
The Christie Hospitals NHS Foundation Trust
Manchester, M20 4BX
Nottingham City Hospital
Nottingham, NG5 1PB
Cancer Clinical Trials Centre, Weston Park Hospital
Sheffield, S10 2SJ
Canada6 sites
CHUM-Hopital Notre-Dame
Montreal, Quebec, H2L 4M1
MUHC- Montreal General Hospital
Montreal, Quebec, H3G1A4
Hôpital Charles-LeMoyne - CICM
Québec, J4V 2H1
Odette Cancer Centre OCC Clinical Research
Toronto, Ontario, M4N 3M5
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z 4E6
Italy5 sites
Istituto tumori Giovanni Paolo II-ospedale oncologico, Oncologia Medica e Sperimentale
Bari, 700124
Via Olgettina
Milan, 20132
Azienda Ospedaliero Universitaria Pisana, U.O. Oncologia Medica
Pisa, 56126
Oncologia Ospedale Infermi- Viale
Rimini, 47923
Istituto Nazionale tumori Regina Elena IRCCS
Roma, 144
Russia5 sites
Leningrad Regional Oncology Dispensary
Kuz'molovskiy, 188663
State Institution "Russian Oncology Research Centre named after N.N. Blokhin RAMS"
Moscow, 115478
Non-state Health Institution "Dorozhnaya Clinical Hospital of OAO "Russian Railways"
Saint Petersburg, 195271
St. Petersburg State Budget Healthcare Institution "City Clinical Oncology Dispensary"
Saint Petersburg, 197022
Scientific Research Oncology Institute named after N.N. Petrov
Saint Petersburg, 197758
Netherlands3 sites
VUmc
Amsterdam, 1081
MUMC
Maastricht, 6229
Tweesteden Ziekenhuis
Tilburg
About this study
Official title: The BEACON Study (Breast Cancer Outcomes With NKTR-102): A Phase 3 Open-Label, Randomized, Multicenter Study of NKTR-102 Versus Treatment of Physician's Choice (TPC) in Patients With Locally Recurrent or Metastatic Breast Cancer Previously Treated With an Anthracycline, a Taxane and Capecitabine
The study is designed as an open-label, randomized, parallel, two arm, multicenter, international Phase 3 study in patients with recurrent or metastatic breast cancer previously treated with cytotoxic chemotherapy regimens.
The primary study objective is to compare overall survival of patients who receive NKTR-102 given once every 21 days to patients who receive treatment of Physician's Choice selected from a list of seven single-agent intravenous therapies.
- Being tested
- NKTR-102, Treatment of Physician's Choice (TPC)
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NKTR-102Drug
145 mg/m2 NKTR-102 will be delivered q21day as a 90-minute intravenous (IV) infusion on day 1 of each treatment cycle.
Treatment of Physician's Choice (TPC)Drug
One of the following Treatment of Physician Choice will be administered per standard of care:
eribulin, ixabepilone, vinorelbine, gemcitabine, paclitaxel, docetaxel, or nab-paclitaxel
| Study group | Role | What they receive |
|---|---|---|
| NKTR-102 | Experimental | Not described Receives: Drug: NKTR-102 |
| Physician's Treatment of Choice | Active comparator | Not described Receives: Drug: Treatment of Physician's Choice (TPC) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Kaplan-Meier Estimate of Overall Survival: Intention to Treat (ITT) Population
Duration of OS was defined as the time from the date of randomisation to the date of death due to any cause. Subjects were followed until their date of death, loss to follow-up, withdrawal of consent for further follow-up for survival, or final database closure. OS was determined using the ITT population which included all subjects randomized into 1 of the 2 treatment arms. Subjects who were lost-to-follow-up or were not known to have died were censored at last date they were shown to be alive. Subjects who did not have any follow-up since the date of randomization were censored at the date of randomization.
Measured: 36 Months
Secondary outcomes (12)
Kaplan-Meier Estimate of Progression-Free Survival (PFS): ITT Population
PFS was defined as the time from the date of randomization to the earliest date of disease progression (assessed by the investigator according to RECIST version 1.1) or death due to any cause. PFS was determined using the ITT population which included all subjects randomized into 1 of the 2 treatment arms. For subjects whose disease did not progress or who did not die, the PFS time was censored at the time of the last tumor assessment that demonstrated lack of disease progression. For subjects who received new anti-cancer therapy, the PFS time was censored at the start of the new anti-cancer therapy.
Measured: Up to 38 months.
Clinical Benefit Rate (CBR): ITT Population
CBR was defined as the proportion of subjects with a CR, PR, or stable disease (SD) for at least 6 months (≥ 182 days).
Measured: Up to 38 months.
Duration of Response (DOR): Efficacy Evaluable Population
DOR was defined as the time from first documented CR or PR until the earliest evidence of disease progression or death from any cause. Subjects who were alive without documented disease progression per RECIST version 1.1 were censored at the date of last tumor assessment without disease progression or start of new anti-cancer therapy for the study disease.
Measured: Up to 38 months.
Incidence of Dose Reductions: Safety Population
Proportion of subjects who had a reduction in dose.
Measured: Up to 38 months.
Quality of Life Questionnaire-Core 30 (QLQ-C30) Individual Scale, Overall Score: ITT Population
The QLQ-C30 is composed of 5 multi-item functional scales (physical, role, social, emotional and cognitive functioning), a global health status/QoL scale, 3 symptom scales (fatigue, nausea/vomiting, and pain), and 6 single items (financial impact, appetite loss, diarrhoea, constipation, insomnia and dyspnoea). Most items are scaled 1 to 4 (1 = not at all, 2 = a little, 3 = quite a bit, 4 = very much) except the items contributing to the global health status/QoL, which are 7-point questions (1 = very poor to 7 = excellent). Raw scores were transformed using a linear transformation to standardize the results so that scores range from 0 to 100. n=number of subjects who completed each individual scale. Note that for scores measuring function, a higher score represented a higher "better" level of functioning, while for scores measuring symptoms, a higher score represented a lower "worse" level of symptoms.
Measured: Up to 39 months
QLQ-C30 Individual Scale, Change Over Time: ITT Population
The QLQ-C30 is composed of 5 multi-item functional scales (physical, role, social, emotional and cognitive functioning), a global health status/QoL scale, 3 symptom scales (fatigue, nausea/vomiting, and pain), and 6 single items (financial impact, appetite loss, diarrhea, constipation, insomnia and dyspnea). Most items are scaled 1 to 4 (1 = not at all, 2 = a little, 3 = quite a bit, 4 = very much) except the items contributing to the global health status/QoL, which are 7-point questions (from 1 = very poor to 7 = excellent). Raw scores were transformed using a linear transformation to standardize the results so that scores range from 0 to 100. n=number of subjects who completed each individual scale. Note that for scores measuring function, a higher score represented a higher "better" level of functioning, while for scores measuring symptoms, a higher score represented a lower "worse" level of symptoms.
Measured: From Baseline to Week 8, Week 16, Week 24, Week 32, Week 40, Week 48, Week 56.
Quality of Life Questionnaire-breast Cancer-specific Module (BR23) Score Value: ITT Population
The QLQ-BR23 incorporates 5 multi-item scales to assess systemic therapy side effects, arm symptoms, breast symptoms, body image and sexual functioning, and 3 single items to assess sexual enjoyment, upset by hair loss and future perspective. Most items were scaled one to four except the items contributing to the global health status/QoL, which were seven-point questions. Raw scores were transformed using a linear transformation to standardize the results so that scores ranged from 0-100. Note that for scores measuring function, a higher score represented a higher "better" level of functioning, while for scores measuring symptoms, a higher score represented a lower "worse" level of symptoms.
Measured: Baseline
BR23 Score Change Over Time: ITT Population
The QLQ-BR23 incorporates 5 multi-item scales to assess systemic therapy side effects, arm symptoms, breast symptoms, body image and sexual functioning, and 3 single items assess sexual enjoyment, upset by hair loss and future perspective. Most items were scaled one to four except the items contributing to the global health status/QoL, which were seven-point questions. Raw scores were transformed using a linear transformation to standardize the results so that scores ranged from 0-100. Note that for scores measuring function, a higher score represented a higher "better" level of functioning, while for scores measuring symptoms, a higher score represented a lower "worse" level of symptoms.
Measured: Up to 38 months.
Population Mean ± Standard Deviation (SD) Area Under the Concentration-Time Curve (AUC) for NKTR-102 and Metabolites After Multiple Administration of 145 mg/m^2 NKTR-102 [25]
Plasma concentrations of NKTR-102 and its major metabolites irinotecan, SN38, SN38G, and APC were measured using validated analytical methods. The population pharmacokinetic (PK) model-derived mean AUC values were computed by integration from t = 0 (start of first dose) to 21 days after the last dose. Integration was implemented using a separate compartment defined as the amount of drug or metabolite in the central compartment divided by the model-estimated volume of distribution.
Measured: Up to 38 months.
Population Mean ± SD Maximum Plasma Concentration (Cmax) for NKTR-102 and Metabolites After Multiple Administration of 145 mg/m^2 NKTR-102 [26]
Plasma concentrations of NKTR-102 and its major metabolites irinotecan, SN38, SN38G, and APC were measured using validated analytical methods. The population PK model-derived mean Cmax values were computed by integration from t = 0 (start of first dose) to 21 days after the last dose. Integration was implemented using a separate compartment defined as the amount of drug or metabolite in the central compartment divided by the model-estimated volume of distribution.
Measured: Up to 38 months.
Population Mean ± SD Elimination Half-life (t½) for NKTR-102 After Multiple Administration of 145 mg/m^2 NKTR-102 [27]
Plasma concentrations of NKTR-102 and its major metabolites irinotecan, SN38, SN38G, and APC were measured using validated analytical methods. The population PK model-derived mean t½ values were computed by integration from t = 0 (start of first dose) to 21 days after the last dose. Integration was implemented using a separate compartment defined as the amount of drug or metabolite in the central compartment divided by the model-estimated volume of distribution. The t½ of all analytes was primarily driven by NKTR-102. Thus, the NKTR-102 t½ of 37 days also applies to all NKTR-102 metabolites.
Measured: Up to 38 months.
Objective Response Rate (ORR): Efficacy Evaluable Population
ORR was defined as the proportion of subjects with a complete response (CR) or a partial response (PR), assessed by the investigator based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 The analyses were performed for subjects in the efficacy evaluable population who had measurable disease as determined by the investigator at baseline.
Measured: Up to 38 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2011 (estimated)
- Study startDec 2011
- Primary completionApr 2016
- Study completionJun 2016
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 (4)Papers the sponsor has linked to this study.
- Other trials for Locally Recurrent Breast CancerStudies of the same condition, open and under way.
- 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
- None (open label)
- Enrolment
- 852 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nektar Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Alison Hannah, MD, Study director, Nektar Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01492101
- Sponsor's protocol ID
- 11-PIR-11
- Acronym
- BEACON
- Status last verified
- May 2021
- First submitted
- 12 Dec 2011
- Last updated
- 1 Jun 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.
PubMed 30957581Cortes J, Rugo HS, Awada A, Twelves C, Perez EA, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, O'Shaughnessy J. Prolonged survival in patients with breast cancer and a history of brain metastases: results of a preplanned subgroup analysis from the randomized phase III BEACON trial. Breast Cancer Res Treat. 2017 Sep;165(2):329-341. doi: 10.1007/s10549-017-4304-7. Epub 2017 Jun 13.
PubMed 28612225Twelves C, Cortes J, O'Shaughnessy J, Awada A, Perez EA, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, Rugo HS. Health-related quality of life in patients with locally recurrent or metastatic breast cancer treated with etirinotecan pegol versus treatment of physician's choice: Results from the randomised phase III BEACON trial. Eur J Cancer. 2017 May;76:205-215. doi: 10.1016/j.ejca.2017.02.011. Epub 2017 Mar 27.
PubMed 28360015Perez EA, Awada A, O'Shaughnessy J, Rugo HS, Twelves C, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, Cortes J. Etirinotecan pegol (NKTR-102) versus treatment of physician's choice in women with advanced breast cancer previously treated with an anthracycline, a taxane, and capecitabine (BEACON): a randomised, open-label, multicentre, phase 3 trial. Lancet Oncol. 2015 Nov;16(15):1556-1568. doi: 10.1016/S1470-2045(15)00332-0. Epub 2015 Oct 22.
PubMed 26482278
Study at a glance
From the registry record, last updated by the sponsor on 1 Jun 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The BEACON Study (Breast Cancer Outcomes With NKTR-102): A Phase 3 Open-Label, Randomized, Multicenter Study of NKTR-102 Versus Treatment of Physician's Choice (TPC) in Patients With Locally Recurrent or Metastatic Breast Cancer Previously Treated With an Anthracycline, a Taxane and Capecitabine
- ClinicalTrials.gov ID
- NCT01492101
- Acronym / sponsor ID
- BEACON / 11-PIR-11
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 852 participants (actual)
- Lead sponsor
- Nektar TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- Dec 2011
- Primary completion
- Apr 2016 (actual)
- Study completion
- Jun 2016 (actual)
- First posted
- 14 Dec 2011 (estimated)
- Results
- Posted 1 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is designed as an open-label, randomized, parallel, two arm, multicenter, international Phase 3 study in patients with recurrent or metastatic breast cancer previously treated with cytotoxic chemotherapy regimens.
The primary study objective is to compare overall survival of patients who receive NKTR-102 given once every 21 days to patients who receive treatment of Physician's Choice selected from a list of seven single-agent intravenous therapies.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| NKTR-102 | Experimental | Drug: NKTR-102 |
| Physician's Treatment of Choice | Active comparator | Drug: Treatment of Physician's Choice (TPC) |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patient is an adult female with histologically or cytologically confirmed carcinoma of the breast for whom single-agent cytotoxic chemotherapy is indicated
- Patient can have either measurable or non-measurable disease by RECIST.
- Patient has received prior therapy (administered in the neoadjuvant, adjuvant and/or metastatic setting) with an anthracycline, a taxane and capecitabine
- Patient has minimum of 2 and a maximum of 5 prior cytotoxic chemotherapy regimens with the last dose administered within 6 months. A minimum of two chemotherapy regimens had to be for locally recurrent and/or metastatic disease. All therapy received prior to a diagnosis of metastatic disease (eg, neoadjuvant, adjuvant or repeated adjuvant therapy following a second resection) is counted as one regimen.
- Patient has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (10 listed)
- Patient with chemotherapy within 21 days, radiotherapy within 14 days, biological therapy with 14 days, hormonal therapy within 7 days and investigational therapy within 21 days prior to randomization.
- Patient with any major surgery within 28 days prior to randomization.
- Patient with concurrent use of biologic agents for the treatment of cancer including antibodies or any investigational agent(s).
- Patient with prior treatment for cancer with a camptothecin derivative.
- Patient with chronic or acute GI disorders resulting in diarrhea of any severity grade; patients who are using chronic anti-diarrheal supportive care to control diarrhea in the 28 days prior to 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 |
|---|---|---|
| NKTR-102145 mg/m2 NKTR-102 will be delivered q21day as a 90-minute intravenous (IV) infusion on day 1 of each treatment cycle. | Drug | NKTR-102 |
| Treatment of Physician's Choice (TPC)One of the following Treatment of Physician Choice will be administered per standard of care: eribulin, ixabepilone, vinorelbine, gemcitabine, paclitaxel, docetaxel, or nab-paclitaxel | Drug | Physician's Treatment of Choice |
Primary outcome
Kaplan-Meier Estimate of Overall Survival: Intention to Treat (ITT) Population
Time frame: 36 Months
Duration of OS was defined as the time from the date of randomisation to the date of death due to any cause. Subjects were followed until their date of death, loss to follow-up, withdrawal of consent for further follow-up for survival, or final database closure. OS was determined using the ITT population which included all subjects randomized into 1 of the 2 treatment arms. Subjects who were lost-to-follow-up or were not known to have died were censored at last date they were shown to be alive. Subjects who did not have any follow-up since the date of randomization were censored at the date of randomization.
12 secondary outcomes
Kaplan-Meier Estimate of Progression-Free Survival (PFS): ITT Population
Time frame: Up to 38 months.
Clinical Benefit Rate (CBR): ITT Population
Time frame: Up to 38 months.
Duration of Response (DOR): Efficacy Evaluable Population
Time frame: Up to 38 months.
Incidence of Dose Reductions: Safety Population
Time frame: Up to 38 months.
Quality of Life Questionnaire-Core 30 (QLQ-C30) Individual Scale, Overall Score: ITT Population
Time frame: Up to 39 months
QLQ-C30 Individual Scale, Change Over Time: ITT Population
Time frame: From Baseline to Week 8, Week 16, Week 24, Week 32, Week 40, Week 48, Week 56.
Quality of Life Questionnaire-breast Cancer-specific Module (BR23) Score Value: ITT Population
Time frame: Baseline
BR23 Score Change Over Time: ITT Population
Time frame: Up to 38 months.
Population Mean ± Standard Deviation (SD) Area Under the Concentration-Time Curve (AUC) for NKTR-102 and Metabolites After Multiple Administration of 145 mg/m^2 NKTR-102 [25]
Time frame: Up to 38 months.
Population Mean ± SD Maximum Plasma Concentration (Cmax) for NKTR-102 and Metabolites After Multiple Administration of 145 mg/m^2 NKTR-102 [26]
Time frame: Up to 38 months.
Population Mean ± SD Elimination Half-life (t½) for NKTR-102 After Multiple Administration of 145 mg/m^2 NKTR-102 [27]
Time frame: Up to 38 months.
Objective Response Rate (ORR): Efficacy Evaluable Population
Time frame: Up to 38 months.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jun 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30957581Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.
- Derived from this study: PubMed 28612225Cortes J, Rugo HS, Awada A, Twelves C, Perez EA, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, O'Shaughnessy J. Prolonged survival in patients with breast cancer and a history of brain metastases: results of a preplanned subgroup analysis from the randomized phase III BEACON trial. Breast Cancer Res Treat. 2017 Sep;165(2):329-341. doi: 10.1007/s10549-017-4304-7. Epub 2017 Jun 13.
- Derived from this study: PubMed 28360015Twelves C, Cortes J, O'Shaughnessy J, Awada A, Perez EA, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, Rugo HS. Health-related quality of life in patients with locally recurrent or metastatic breast cancer treated with etirinotecan pegol versus treatment of physician's choice: Results from the randomised phase III BEACON trial. Eur J Cancer. 2017 May;76:205-215. doi: 10.1016/j.ejca.2017.02.011. Epub 2017 Mar 27.
- Derived from this study: PubMed 26482278Perez EA, Awada A, O'Shaughnessy J, Rugo HS, Twelves C, Im SA, Gomez-Pardo P, Schwartzberg LS, Dieras V, Yardley DA, Potter DA, Mailliez A, Moreno-Aspitia A, Ahn JS, Zhao C, Hoch U, Tagliaferri M, Hannah AL, Cortes J. Etirinotecan pegol (NKTR-102) versus treatment of physician's choice in women with advanced breast cancer previously treated with an anthracycline, a taxane, and capecitabine (BEACON): a randomised, open-label, multicentre, phase 3 trial. Lancet Oncol. 2015 Nov;16(15):1556-1568. doi: 10.1016/S1470-2045(15)00332-0. Epub 2015 Oct 22.
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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.
Alison Hannah, MD study director
Nektar Therapeutics
153 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing NKTR-102 and Treatment of Physician's Choice (TPC) in people with Locally Recurrent Breast Cancer and Metastatic Breast Cancer, run by Nektar Therapeutics at 153 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 6 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 1 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 153 sites in United States, France, Belgium, South Korea, Germany 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 1 Jun 2021). 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?
Kaplan-Meier Estimate of Overall Survival: Intention to Treat (ITT) Population (time frame: 36 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 NCT01492101, which also lists 4 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 1 Jun 2021.