18 and older, female only, with Breast Neoplasms or Neoplasm Metastasis. 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.
The Percentage of Participants Confirmed Complete Response (CR) or Partial Response (PR) Based on Response Evaluation Criteria In Solid Tumors (RECIST v1.0)Primary· Up to 43 months
Using the RECIST response criteria version 1.0, the percent of participants achieving either a complete response (CR) defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or partial response (PR) defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions based on confirmed responses from the investigator assessment of best overall response during study treatment.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
41
260 mg/m^2 ABI-007 Every 2 Weeks
43
130 mg/m^2 ABI-007 Weekly
47
Percentage of Participants With Stable Disease for ≥ 16 Weeks, or Complete or Partial Overall Response (i.e., Total Response) Based on Response Evaluation Criteria In Solid Tumors (RECIST v1.0)Secondary· Up to 43 months (until progressed)
Using Response Evaluation Criteria in Solid Tumors (RECIST v1.0), the percentage of participants achieving either
* A complete response (CR) defined as the disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation or
* A partial response (PR) defined as at least a 30% decrease in the sum of the longest diameters of target lesions and no progression in non-target lesions or
* Stable disease (SD) defined as neither sufficient shrinkage to qualify for PR or sufficient increase to qualify for progressive disease.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
65
260 mg/m^2 ABI-007 Every 2 Weeks
52
130 mg/m^2 ABI-007 Weekly
58
Participant Counts of the Most Severe Grade for Absolute Neutrophil (ANC) as Graded by the National Cancer Institute Common Terminology Criteria for Adverse Experience (NCI CTCAE v3)Primary· up to 54 months
Myelosuppression is a decrease in the ability of the bone marrow to produce blood cells. The lowest measured (nadir) ANC counts were graded using NCI CTCAE version 3:
Grade 0 = within normal limits; Grade 1 = \< lower limit of normal - 75.0\*10\^9L; Grade 2 = \<1.5 - 1.0\*10\^9L; Grade 3 = \<1.0 - 0.5\*10\^9L; Grade 4 = \<0.5\*10\^9L
Grade 0
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
51
± 1.569
260 mg/m^2 ABI-007 Every 2 Weeks
34
± 3.216
130 mg/m^2 ABI-007 Weekly
17
± .750
Grade 1
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
5
260 mg/m^2 ABI-007 Every 2 Weeks
5
130 mg/m^2 ABI-007 Weekly
17
Grade 2
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
2
260 mg/m^2 ABI-007 Every 2 Weeks
6
130 mg/m^2 ABI-007 Weekly
17
Grade 3
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
3
260 mg/m^2 ABI-007 Every 2 Weeks
4
130 mg/m^2 ABI-007 Weekly
17
Grade 4
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
2
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
2
Kaplan Meier Estimate for Time to Disease Progression (TTP)Secondary· Up to 43 months (until progressed)
Time to progression was defined as the time from the first dose of study drug to the start of progression. Participants that did not have progression were censored at the last known time the patient was evaluated for progression. Participants that initiate other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated.
Progressive disease was defined as at least a 20% increase in the sum of the longest diameters of target lesions; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
8.0
7.0 – 10.3
260 mg/m^2 ABI-007 Every 2 Weeks
6.3
5.3 – 8.0
130 mg/m^2 ABI-007 Weekly
9.0
7.2 – 11.1
Kaplan Meier Estimate for Duration of ResponseSecondary· Up to 43 months (until progressed)
Duration of response was defined as the time from response to the time of disease progression for participants who achieve an objective confirmed complete (CR) or partial overall response (PR). Disease progression is based on the assessments by the investigator. Participants who did not have disease progression following a confirmed complete or partial target response were censored at the last known time that the participant was evaluated for response
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
10.3
8.0 – 12.3
260 mg/m^2 ABI-007 Every 2 Weeks
8.0
5.5 – 13.4
130 mg/m^2 ABI-007 Weekly
9.9
7.7 – 15.7
Kaplan Meier Estimate for Participant SurvivalSecondary· Up to 56 months
Participant survival was summarized using Kaplan-Meier estimate of the time of first dose of study drug to the last known time that the participant was alive. Participants that were alive at the end of follow-up would be censored at the last known time that the patient was alive.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
21.3
19.5 – 26.6
260 mg/m^2 ABI-007 Every 2 Weeks
19.0
15.0 – 28.1
130 mg/m^2 ABI-007 Weekly
23.7
18.2 – 31.0
Participant Counts of the Most Severe Grade for White Blood Cells (WBC) as Graded by the National Cancer Institute Common Terminology Criteria for Adverse Experience (NCI CTCAE v3)Primary· up to 54 months
Myelosuppression is a decrease in the ability of the bone marrow to produce blood cells. The lowest measured (nadir) WBC counts were graded using NCI CTCAE version 3:
Grade 0 = within normal limits; Grade 1 = \< lower limit of normal -3.0\*10\^9/L; Grade 2 = \<3.0 - 2.0\*10\^9/L; Grade 3 = \<2.0 - 1.0\*10\^9/L; Grade 4 = \<1.0\*10\^9/L
Grade 0
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
47
260 mg/m^2 ABI-007 Every 2 Weeks
30
130 mg/m^2 ABI-007 Weekly
11
Grade 1
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
9
260 mg/m^2 ABI-007 Every 2 Weeks
14
130 mg/m^2 ABI-007 Weekly
21
Grade 2
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
6
260 mg/m^2 ABI-007 Every 2 Weeks
5
130 mg/m^2 ABI-007 Weekly
26
Grade 3
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
2
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
11
Grade 4
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
0
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
1
Participant Counts of the Most Severe Grade for Platelet Counts as Graded by the National Cancer Institute Common Terminology Criteria for Adverse Experience (NCI CTCAE v3)Primary· up to 54 months
Myelosuppression is a decrease in the ability of the bone marrow to produce blood cells. The lowest measured (nadir) platelet counts were graded using NCI CTCAE version 3:
Grade 0 = within normal limits; Grade 1 = \< lower limit of normal - 75.0\*10\^9/L; Grade 2 = \<75.0 - 50.0\*10\^9/L; Grade 3 = \<50.0 - 25.0\*10\^9/L; Grade 4 = \<25.0\*10\^9/L
Grade 0
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
60
260 mg/m^2 ABI-007 Every 2 Weeks
39
130 mg/m^2 ABI-007 Weekly
64
Grade 1
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
2
260 mg/m^2 ABI-007 Every 2 Weeks
10
130 mg/m^2 ABI-007 Weekly
4
Grade 2
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
1
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
1
Grade 3
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
0
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
0
Grade 4
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
0
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
0
Participant Counts of the Most Severe Grade for Hemoglobin Levels as Graded by the National Cancer Institute Common Terminology Criteria for Adverse Experience (NCI CTCAE v3)Primary· up to 54 months
Myelosuppression is a decrease in the ability of the bone marrow to produce blood cells. The lowest measured (nadir) hemoglobin levels were graded using NCI CTCAE version 3:
Grade 0 = within normal limits; Grade 1 = \< lower limit of normal - 100g/L; Grade 2 = \<100 - 80g/L; Grade 3 = \<80 - 65g/L; Grade 4 = \<65g/L
Grade 0
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
41
260 mg/m^2 ABI-007 Every 2 Weeks
25
130 mg/m^2 ABI-007 Weekly
13
Grade 1
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
17
260 mg/m^2 ABI-007 Every 2 Weeks
18
130 mg/m^2 ABI-007 Weekly
33
Grade 2
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
6
260 mg/m^2 ABI-007 Every 2 Weeks
6
130 mg/m^2 ABI-007 Weekly
19
Grade 3
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
0
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
4
Grade 4
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
0
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
1
The Number of Participants With at Least One Dose Reduction for ABI-007Primary· Up to 53 months
Participants with at least one dose reduction for ABI-007. ABI-007 (Abraxane) dose could be reduced according to protocol guidelines if the participant was experiencing toxicities. Participants were allowed two ABI-007 (Abraxane) dose reductions during the course of the trial. This outcome is considered to be both a safety and an efficacy outcome.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
36
260 mg/m^2 ABI-007 Every 2 Weeks
32
130 mg/m^2 ABI-007 Weekly
53
The Number of Participants With at Least One Dose Delay for ABI-007Primary· Up to 53 months
Participants with at least one dose delay for ABI-007. Treatment delays of no longer than 2 weeks allowed participants to recovery from acute toxicity. If treatment was delayed beyond 2 weeks, continuing treatment on protocol was at the physician's discretion, based upon the best interests of the participant. This outcome is considered to be both a safety and an efficacy outcome.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
40
260 mg/m^2 ABI-007 Every 2 Weeks
27
130 mg/m^2 ABI-007 Weekly
68
The Number of Participants With a Dose Interruption of ABI-007Primary· Up to 53 months
Number of participants who interrupted (omitted) a dose at some point in the treatment period. This outcome is considered to be both a safety and an efficacy outcome.
Group
Value
95% CI
260 mg/m^2 ABI-007 Every 3 Weeks
2
260 mg/m^2 ABI-007 Every 2 Weeks
0
130 mg/m^2 ABI-007 Weekly
0
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to 54 months.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This is a multi-center, open-label, randomized Phase II study in previously untreated patients with metastatic breast cancer to evaluate the antitumor activity and safety of weekly dose-dense ABI-007 (Abraxane) compared to 2-weekly regimen vs the standard 3-weekly infusion. All patients will also receive concurrent bevacizumab.
Publications & conference data
No peer-reviewed publications indexed yet for this trial.
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Sponsor: as reported to ClinicalTrials.gov by Celgene
Last refreshed: 22 November 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00281528.