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NCT00281528

Weekly vs. Every 2 Week vs. Every 3 Week Administration of ABI-007 (Abraxane)/Bevacizumab Combination in Metastatic Breast Cancer

Terminated Phase 2 Results posted Last updated 22 November 2019
What this trial tests

Phase 2 trial testing ABI-007 (Abraxane) in Breast Neoplasms in 208 participants. Terminated before completion.

Timeline
1 February 2006
Primary endpoint
1 July 2010
1 March 2011

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment208
Start date1 February 2006
Primary completion1 July 2010
Estimated completion1 March 2011
Sites40 locations across Puerto Rico, United States

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks41
260 mg/m^2 ABI-007 Every 2 Weeks43
130 mg/m^2 ABI-007 Weekly47
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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks65
260 mg/m^2 ABI-007 Every 2 Weeks52
130 mg/m^2 ABI-007 Weekly58
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
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks51± 1.569
260 mg/m^2 ABI-007 Every 2 Weeks34± 3.216
130 mg/m^2 ABI-007 Weekly17± .750
Grade 1
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks5
260 mg/m^2 ABI-007 Every 2 Weeks5
130 mg/m^2 ABI-007 Weekly17
Grade 2
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks2
260 mg/m^2 ABI-007 Every 2 Weeks6
130 mg/m^2 ABI-007 Weekly17
Grade 3
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks3
260 mg/m^2 ABI-007 Every 2 Weeks4
130 mg/m^2 ABI-007 Weekly17
Grade 4
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks2
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly2
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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks8.07.0 – 10.3
260 mg/m^2 ABI-007 Every 2 Weeks6.35.3 – 8.0
130 mg/m^2 ABI-007 Weekly9.07.2 – 11.1
Kaplan Meier Estimate for Duration of Response Secondary · 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

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks10.38.0 – 12.3
260 mg/m^2 ABI-007 Every 2 Weeks8.05.5 – 13.4
130 mg/m^2 ABI-007 Weekly9.97.7 – 15.7
Kaplan Meier Estimate for Participant Survival Secondary · 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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks21.319.5 – 26.6
260 mg/m^2 ABI-007 Every 2 Weeks19.015.0 – 28.1
130 mg/m^2 ABI-007 Weekly23.718.2 – 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
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks47
260 mg/m^2 ABI-007 Every 2 Weeks30
130 mg/m^2 ABI-007 Weekly11
Grade 1
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks9
260 mg/m^2 ABI-007 Every 2 Weeks14
130 mg/m^2 ABI-007 Weekly21
Grade 2
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks6
260 mg/m^2 ABI-007 Every 2 Weeks5
130 mg/m^2 ABI-007 Weekly26
Grade 3
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks2
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly11
Grade 4
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks0
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly1
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
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks60
260 mg/m^2 ABI-007 Every 2 Weeks39
130 mg/m^2 ABI-007 Weekly64
Grade 1
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks2
260 mg/m^2 ABI-007 Every 2 Weeks10
130 mg/m^2 ABI-007 Weekly4
Grade 2
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks1
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly1
Grade 3
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks0
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly0
Grade 4
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks0
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly0
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
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks41
260 mg/m^2 ABI-007 Every 2 Weeks25
130 mg/m^2 ABI-007 Weekly13
Grade 1
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks17
260 mg/m^2 ABI-007 Every 2 Weeks18
130 mg/m^2 ABI-007 Weekly33
Grade 2
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks6
260 mg/m^2 ABI-007 Every 2 Weeks6
130 mg/m^2 ABI-007 Weekly19
Grade 3
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks0
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly4
Grade 4
GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks0
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly1
The Number of Participants With at Least One Dose Reduction for ABI-007 Primary · 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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks36
260 mg/m^2 ABI-007 Every 2 Weeks32
130 mg/m^2 ABI-007 Weekly53
The Number of Participants With at Least One Dose Delay for ABI-007 Primary · 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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks40
260 mg/m^2 ABI-007 Every 2 Weeks27
130 mg/m^2 ABI-007 Weekly68
The Number of Participants With a Dose Interruption of ABI-007 Primary · 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.

GroupValue95% CI
260 mg/m^2 ABI-007 Every 3 Weeks2
260 mg/m^2 ABI-007 Every 2 Weeks0
130 mg/m^2 ABI-007 Weekly0

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.

260 mg/m^2 ABI-007 Every 3 Weeks
Serious: 22/75 (29%)
Deaths:
260 mg/m^2 ABI-007 Every 2 Weeks
Serious: 16/54 (30%)
Deaths:
130 mg/m^2 ABI-007 Weekly
Serious: 32/79 (41%)
Deaths:

Serious adverse events (71 terms)

ReactionSystem260 mg/m^2 ABI-007 Every 3…260 mg/m^2 ABI-007 Every 2…130 mg/m^2 ABI-007 Weekly
DehydrationMetabolism and nutrition disorders
VomitingGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Mucosal inflammationGeneral disorders
PyrexiaGeneral disorders
DiverticulitisInfections and infestations
NeuropathyNervous system disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
ArrhythmiaCardiac disorders
Atrial fibrillationCardiac disorders
Supraventricular tachycardiaCardiac disorders
ColitisGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Gastric ulcerGastrointestinal disorders
IleusGastrointestinal disorders
NauseaGastrointestinal disorders
OesophagitisGastrointestinal disorders
AstheniaGeneral disorders
Catheter site painGeneral disorders
Chest painGeneral disorders
FatigueGeneral disorders
Other adverse events (99 terms — click to expand)

ReactionSystem260 mg/m^2 ABI-007 Every 3…260 mg/m^2 ABI-007 Every 2…130 mg/m^2 ABI-007 Weekly
FatigueGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
Peripheral sensory neuropathyNervous system disorders
NeuropathyNervous system disorders
NeutropeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
DysgeusiaNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
AnorexiaMetabolism and nutrition disorders
Nail disorderSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
Bone painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
Mucosal inflammationGeneral disorders
DizzinessNervous system disorders
Neuropathy peripheralNervous system disorders
Lacrimation increasedEye disorders
Pain in extremityMusculoskeletal and connective tissue disorders
StomatitisGastrointestinal disorders
Urinary tract infectionInfections and infestations
DysphoniaRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
Dry skinSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
Vision blurredEye disorders
Abdominal painGastrointestinal disorders
DyspepsiaGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Oedema peripheralGeneral disorders

Most-reported serious reactions: Dehydration, Vomiting, Diarrhoea, Anaemia, Cardiac failure congestive, Mucosal inflammation, Pyrexia, Diverticulitis.

Data from ClinicalTrials.gov NCT00281528 adverse events section.

Sponsor's own description

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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Currently open trials in the same condition.

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Data sources for this page

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.

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