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NCT00093145

Study of Albumin-bound Paclitaxel (Abraxane) in Combination With Carboplatin and Herceptin in Patients With Advanced Breast Cancer

Completed Phase 2 Results posted Last updated 25 November 2019
What this trial tests

Phase 2 trial testing Albumin-bound paclitaxel in Breast Cancer in 32 participants. Completed in 1 October 2008.

Timeline
1 June 2004
Primary endpoint
1 October 2008
1 October 2008

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment32
Start date1 June 2004
Primary completion1 October 2008
Estimated completion1 October 2008
Sites14 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

18 and older, female only, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Who Achieved an Objective Confirmed Complete or Partial Overall Response Primary · Objective response was evaluated every 2 cycles, up to a maximum of 39 cycles (approximately 39 months)

Percentage of participants who achieved an objective confirmed complete or partial overall response based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0. A complete response (CR) is the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation. A partial response (PR) is at least a 30% decrease in the sum of the longest diameters of target lesions, taking as a reference the baseline sum of the longest diameters confirmed at least 4 weeks after initial documentation. PR is also recorded when all m

GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin62.545.7 – 79.3
Percentage of Participants With a Total Response Secondary · Evaluated every 2 cycles, up to a maximum of 39 cycles.

Total response was defined as the percentage of participants with stable disease (SD) for ≥ 16 weeks or complete or partial overall response. Stable disease was defined as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. Progressive disease is at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion.

GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin81.367.7 – 94.8
Time to Disease Progression Secondary · Assessed every 2 cycles, up to a maximum of 39 cycles.

Time to disease progression was measured from the date of first dose of study drug to the start of disease progression. Patients who did not have disease progression at the end of follow-up were censored at the last known time that the patient was evaluated for progression. Progression is at least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion. Time to disease progression wa

GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin16.67.5 – 26.5
Duration of Response Secondary · Assessed every 2 cycles, up to a maximum of 39 cycles.

Duration of response was evaluated by measuring progression-free survival for participants with a complete response or partial response. Progression-free survival was defined as the time from the first dose of study drug to the start of progression or patient death (whichever occurred first). Participants who did not have progression or were still alive were censored at the last known time the patient was progression free. Patients that initiated other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated. Progression is at least a 20% incr

GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin17.815.9 – 37.0
Overall Patient Survival Secondary · From Day 1 until approximately 44 months.

Overall survival was defined as the time from the day of randomization to patient death (due to any cause), as assessed by post study follow-up on a monthly basis for 3 months and every 3 months. Participants still alive were censored at the last known time that the patient was alive. Patient survival was estimated using Kaplan-Meier methods.

GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + HerceptinNANA – NA
Number of Participants With Adverse Events (AEs) Secondary · Day 1 up to 39 cycles

A Treatment-emergent AE was any AE that began or worsened after the start of study drug through 30 days after the last dose of study drug or end of study whichever is later. A treatment related toxicity was one considered by the investigator to be possibly, probably or definitely related to study drug. AEs were graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events v3.0 (CTCAE) on the following scale: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening, Grade 5 = death. A serious adverse event (SAE) is any untoward me

Number with any treatment emergent AE
GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin32
Number with any treatment-related AE
GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin31
Number with any Grade 3/4 TEAE
GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin20
Number with any serious AE
GroupValue95% CI
Albumin-bound Paclitaxel, Carboplatin + Herceptin5

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 up to 39 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Albumin-bound Paclitaxel, Carboplatin + Herceptin
Serious: 5/32 (16%)
Deaths:

Serious adverse events (5 terms)

ReactionSystemAlbumin-bound Paclitaxel, …
HypersensitivityImmune system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Supraventricular tachycardiaCardiac disorders
Catheter site infectionInfections and infestations
Confusional statePsychiatric disorders
Other adverse events (78 terms — click to expand)

ReactionSystemAlbumin-bound Paclitaxel, …
FatigueGeneral disorders
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
InsomniaPsychiatric disorders
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnxietyPsychiatric disorders
RashSkin and subcutaneous tissue disorders
StomatitisGastrointestinal disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
PainGeneral disorders
RigorsGeneral disorders
NeuropathyNervous system disorders
Back painMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
Alanine aminotransferase increasedInvestigations
Mucosal inflammationGeneral disorders
LeukopeniaBlood and lymphatic system disorders
DysgeusiaNervous system disorders
White blood cell count decreasedInvestigations
Upper respiratory tract infectionInfections and infestations
Oedema peripheralGeneral disorders
Bone painMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
AnorexiaMetabolism and nutrition disorders
Decreased appetiteMetabolism and nutrition disorders
Drug hypersensitivityImmune system disorders
HypertensionVascular disorders

Most-reported serious reactions: Hypersensitivity, Febrile neutropenia, Supraventricular tachycardia, Catheter site infection, Confusional state.

Data from ClinicalTrials.gov NCT00093145 adverse events section.

Sponsor's own description

This trial will treat patients with advanced breast cancer with a new anti-cancer medicine used in combination with two existing anti-cancer medications: Albumin-bound paclitaxel (ABI-007), Carboplatin and Herceptin. Participants will be given the combination therapy on a weekly basis and may continue on therapy as long as their condition improves and drug toxicity is tolerated.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Progressing nanotechnology to improve targeted cancer treatment: overcoming hurdles in its clinical implementation.
    Chehelgerdi M, Chehelgerdi M, Allela OQB, Pecho RDC, et al · · 2023 · cited 496× · PMID 37814270 · DOI 10.1186/s12943-023-01865-0
  2. Nanoparticles in Clinical Translation for Cancer Therapy.
    Mundekkad D, Cho WC. · · 2022 · cited 146× · PMID 35163607 · DOI 10.3390/ijms23031685
  3. Cancer nanomedicine: a review of nano-therapeutics and challenges ahead.
    Nirmala MJ, Kizhuveetil U, Johnson A, G B, et al · · 2023 · cited 86× · PMID 36926304 · DOI 10.1039/d2ra07863e
  4. Nanoparticle-based biomolecules in cancer diagnosis, therapy, drug delivery and prognosis.
    Sv S, Augustine D, Hosmani J, Pagnoni F, et al · · 2024 · cited 8× · PMID 39917652 · DOI 10.3389/fdmed.2024.1482166
  5. Nanotechnology Meets Immunotherapy: Crosstalks Against Cancer.
    Javanmehr N, Ashtyani AM, Ghafelehbashi R, Mousavi F, et al · · 2026 · PMID 42095302 · DOI 10.1002/iid3.70437

Verify or expand the search:

Other trials of Albumin-bound paclitaxel

Trials testing the same drug.

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

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