Study of Dose-dense Adriamycin Plus Cytoxan (AC) Followed by Either ABI-007 (Abraxane) or Taxol With Bevacizumab as Adjuvant Therapy for Patients With Breast Cancer
CompletedPhase 2Results postedLast updated 25 November 2019
What this trial tests
Phase 2 trial testing Adriamycin and Cytoxan (AC) in Breast Cancer in 197 participants. Completed in 1 February 2008.
Adults 18 to 70, 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.
The Cumulative Dose of Taxane Delivered During StudySecondary· approximately week 9-16
The cumulative dose of taxane (Taxol or ABI-007) taken during the study (cycles 4-8 which is approximately weeks 9-16).
Group
Value
95% CI
AC --> ABI-007
950.5
± 199.86
AC --> Taxol
660.8
± 99.52
Mean Taxane Dose Intensity Per WeekSecondary· approximately week 9-16
Cumulative taxane (ABI-007 or Taxol) dose divided by the number of weeks on taxane treatment.
Group
Value
95% CI
AC --> ABI-007
118.82
± 24.983
AC --> Taxol
82.60
± 12.440
Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 3 Months Post ChemotherapyPrimary· Month 7
Toxicities are summarized using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) terms. Participants with treatment-emergent toxicities with a frequency of \>=20% in any treatment arm, and participants with at least one toxicity are reported.
Taxane subsets (ABI-007 subset and Taxol subset treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of taxane treatment (cycle 5, week 9) through 30 days after the last dose of taxane (week 20) and were ongoing 3 months
At least 1 AE at 3 Months
Group
Value
95% CI
ABI-007 Subset
65
AC --> ABI-007
74
Taxol Subset
65
AC --> Taxol
77
Neurology: Neuropathy: Sensory
Group
Value
95% CI
ABI-007 Subset
36
AC --> ABI-007
50
Taxol Subset
28
AC --> Taxol
35
Constitutional Symptoms: Fatigue
Group
Value
95% CI
ABI-007 Subset
16
AC --> ABI-007
46
Taxol Subset
10
AC --> Taxol
32
Dermatology/Skin: Hair Loss/Alopecia (Scalp+Body)
Group
Value
95% CI
ABI-007 Subset
2
AC --> ABI-007
33
Taxol Subset
1
AC --> Taxol
17
Endocrine: Hot Flashes/Flushes
Group
Value
95% CI
ABI-007 Subset
12
AC --> ABI-007
28
Taxol Subset
5
AC --> Taxol
22
Cardiac General: Hypertension
Group
Value
95% CI
ABI-007 Subset
4
AC --> ABI-007
18
Taxol Subset
7
AC --> Taxol
25
Pain: Arthralgia
Group
Value
95% CI
ABI-007 Subset
7
AC --> ABI-007
22
Taxol Subset
8
AC --> Taxol
19
Hemorrhage/Bleeding: Nasal
Group
Value
95% CI
ABI-007 Subset
11
AC --> ABI-007
19
Taxol Subset
10
AC --> Taxol
18
Percent of Protocol Taxane DoseSecondary· approximately week 9-16
Percent of the protocol-defined taxane (ABI-007 or Taxol) dose that was actually taken by study participants.
Group
Value
95% CI
AC --> ABI-007
91.40
± 19.218
AC --> Taxol
94.40
± 14.217
Summary of Participant Treatment Exposure, Dose Interruptions, Dose Reductions, and Dose DelaysSecondary· up to Week 46
Counts of participants who
* completed the protocol-defined treatment cycles,
* had a dose interruption
* had a dose reduction
* had a dose delay. A dose delay refers to the delay of all interventions in the cycle.
Dose modifications are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities.
Use of pegfilgrastim is included in the summary.
Completed 4 cycles of Adriamycin/Cytoxan (AC)
Group
Value
95% CI
AC --> ABI-007
95
AC --> Taxol
95
Received pegfilgrastim for 4 cycles during AC
Group
Value
95% CI
AC --> ABI-007
95
AC --> Taxol
94
Completed 4 cycles of taxane
Group
Value
95% CI
AC --> ABI-007
82
AC --> Taxol
84
Completed 18 cycles of bevacizumab
Group
Value
95% CI
AC --> ABI-007
61
AC --> Taxol
61
One or more dose reduction: Adriamycin
Group
Value
95% CI
AC --> ABI-007
10
AC --> Taxol
6
One or more dose reduction: Cytoxan
Group
Value
95% CI
AC --> ABI-007
9
AC --> Taxol
5
One or more dose reduction: Taxane
Group
Value
95% CI
AC --> ABI-007
12
AC --> Taxol
16
One or more dose interruption: Adriamycin
Group
Value
95% CI
AC --> ABI-007
1
AC --> Taxol
0
Myelosuppression During Taxane Dosing CyclesSecondary· Weeks 9-16
Myelosuppression represented by neutropenia (low absolute neutrophil counts (ANC)) with severity grades according to Common Terminology Criteria for Adverse Events v3.0 (CTCAE).
* Grade 1 = \<lower limit of normal (LLN)-1.5\*10\^9/L
* Grade 2 = \<1.5 - 1.0\*10\^9/L
* Grade 3 = \<1.0 - 0.5\*10\^9/L
* Grade 4 = \<0.5\*10\^9/L
Values are reported across all severity grades without assessment of relationship to taxane treatment, and also by relation to taxane treatment as reported by investigators.
ANC (grades 1-4)
Group
Value
95% CI
AC --> ABI-007
58
AC --> Taxol
43
Taxane-related, grades 1-4
Group
Value
95% CI
AC --> ABI-007
11
AC --> Taxol
8
Taxane-related, grades 3-4
Group
Value
95% CI
AC --> ABI-007
6
AC --> Taxol
5
Change From Baseline in Percent Left Ventricular Ejection Fraction (% LVEF) at the Final EvaluationSecondary· up to week 46
Decreased left ventricular ejection fraction (LVEF) is an indication of cardiotoxicity. Change from baseline measurements to the final evaluation are summarized.
Group
Value
95% CI
AC --> ABI-007
-1.0
-30 – 16
AC --> Taxol
-1.0
-699 – 16
Summary of Participants' Most Severe Grade for Liver and Renal Function Laboratory Adverse Experiences During Study (All Treatment Cycles)Secondary· Week 1 up to week 50
Summary of the most severe grades using the National Cancer Institute's Common Terminology Criteria for Adverse Events v3.0 (CTCAE) for the following liver and renal function tests.
Grade 0 = within normal range for all measurements.
Alkaline phosphatase, alanine aminotransferase (ALT), aspartate aminotransferase (AST):
* Grade 1 = \> upper limit of normal (ULN) - 2.5\*ULN
* Grade 2= \>2.5-5.0\*ULN
* Grade 3= \>5.0-20.0\*ULN
* Grade 4= \>20.0\*ULN
Bilirubin:
* Grade 1= \>ULN - 1.5\*ULN
* Grade 3= \>3.0 - 10.0\*ULN
Creatinine:
\- Grade 1= \>ULN - 1.5\*ULN
Alkaline phosphatase, Grade 0
Group
Value
95% CI
AC --> ABI-007
69
AC --> Taxol
70
Alkaline phosphatase, Grade 1
Group
Value
95% CI
AC --> ABI-007
26
AC --> Taxol
29
Alkaline phosphatase, Grade 2
Group
Value
95% CI
AC --> ABI-007
1
AC --> Taxol
0
ALT, Grade 0
Group
Value
95% CI
AC --> ABI-007
66
AC --> Taxol
75
ALT, Grade 1
Group
Value
95% CI
AC --> ABI-007
24
AC --> Taxol
23
ALT, Grade 2
Group
Value
95% CI
AC --> ABI-007
5
AC --> Taxol
1
ALT, Grade 4
Group
Value
95% CI
AC --> ABI-007
1
AC --> Taxol
0
AST, grade 0
Group
Value
95% CI
AC --> ABI-007
74
AC --> Taxol
81
Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 6 Months Post ChemotherapyPrimary· Month 10
Toxicities are summarized using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) terms. Participants with treatment-emergent toxicities with a frequency of \>=20% in any treatment arm, and participants with at least one toxicity are reported.
Taxane subsets (ABI-007 subset and Taxol subset treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of taxane treatment (cycle 5, week 9) through 30 days after the last dose of taxane (week 20) and were ongoing 6 months
At least 1 AE at 6 Months
Group
Value
95% CI
ABI-007 Subset
49
AC --> ABI-007
62
Taxol Subset
46
AC --> Taxol
65
Neurology: Neuropathy: Sensory
Group
Value
95% CI
ABI-007 Subset
25
AC --> ABI-007
42
Taxol Subset
15
AC --> Taxol
19
Constitutional Symptoms: Fatigue
Group
Value
95% CI
ABI-007 Subset
11
AC --> ABI-007
32
Taxol Subset
4
AC --> Taxol
18
Endocrine: Hot Flashes/Flushes
Group
Value
95% CI
ABI-007 Subset
7
AC --> ABI-007
23
Taxol Subset
3
AC --> Taxol
17
Cardiac General: Hypertension
Group
Value
95% CI
ABI-007 Subset
4
AC --> ABI-007
12
Taxol Subset
7
AC --> Taxol
18
Pain: Arthralgia
Group
Value
95% CI
ABI-007 Subset
4
AC --> ABI-007
17
Taxol Subset
3
AC --> Taxol
13
Pain: Myalgia
Group
Value
95% CI
ABI-007 Subset
8
AC --> ABI-007
17
Taxol Subset
4
AC --> Taxol
8
Pain: Other - Extremity
Group
Value
95% CI
ABI-007 Subset
1
AC --> ABI-007
6
Taxol Subset
5
AC --> Taxol
14
Adverse events — posted to ClinicalTrials.gov
Time frame: Day 1 - up to week 50 (weeks 1-46 treatment, plus 30 days after last study dose).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
AC --> ABI-007
Serious: 30/98 (31%)
Deaths: —
AC --> Taxol
Serious: 21/99 (21%)
Deaths: —
Serious adverse events (49 terms)
Reaction
System
AC --> ABI-007
AC --> Taxol
Febrile neutropenia
Blood and lymphatic system disorders
—
—
Cardiac failure congestive
Cardiac disorders
—
—
Chest pain
General disorders
—
—
Pyrexia
General disorders
—
—
Sepsis
Infections and infestations
—
—
Pancytopenia
Blood and lymphatic system disorders
—
—
Syncope
Nervous system disorders
—
—
Deep vein thrombosis
Vascular disorders
—
—
Appendicitis perforated
Gastrointestinal disorders
—
—
Arthralgia
Musculoskeletal and connective tissue disorders
—
—
Cardiac failure
Cardiac disorders
—
—
Coagulopathy
Blood and lymphatic system disorders
—
—
Colitis
Gastrointestinal disorders
—
—
Diverticulitis
Infections and infestations
—
—
Dyspnoea
Respiratory, thoracic and mediastinal disorders
—
—
Hypertension
Vascular disorders
—
—
Hypotension
Vascular disorders
—
—
Ileus
Gastrointestinal disorders
—
—
Myalgia
Musculoskeletal and connective tissue disorders
—
—
Pericardial effusion
Cardiac disorders
—
—
Perirectal abscess
Infections and infestations
—
—
Pneumonia
Infections and infestations
—
—
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
—
—
Sinusitis
Infections and infestations
—
—
Wound infection
Infections and infestations
—
—
Other adverse events (105 terms — click to expand)
The primary objective of this study was to compare the safety of dose-dense ABI-007 (Abraxane) 260 mg/m\^2 or Taxol 175 mg/m\^2 given every 2 weeks following dose-dense Adriamycin plus Cytoxan (AC) chemotherapy. Bevacizumab was administered at 10 mg/kg every 2 weeks throughout chemotherapy, and then at 15 mg/kg every 3 weeks following chemotherapy.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Sponsor: as reported to ClinicalTrials.gov by Celgene
Last refreshed: 25 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/NCT00394251.