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NCT00394251

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

Completed Phase 2 Results posted Last 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.

Timeline
1 August 2006
Primary endpoint
1 March 2007
1 February 2008

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment197
Start date1 August 2006
Primary completion1 March 2007
Estimated completion1 February 2008
Sites27 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

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 Study Secondary · 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).

GroupValue95% CI
AC --> ABI-007950.5± 199.86
AC --> Taxol660.8± 99.52
Mean Taxane Dose Intensity Per Week Secondary · approximately week 9-16

Cumulative taxane (ABI-007 or Taxol) dose divided by the number of weeks on taxane treatment.

GroupValue95% CI
AC --> ABI-007118.82± 24.983
AC --> Taxol82.60± 12.440
Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 3 Months Post Chemotherapy Primary · 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
GroupValue95% CI
ABI-007 Subset65
AC --> ABI-00774
Taxol Subset65
AC --> Taxol77
Neurology: Neuropathy: Sensory
GroupValue95% CI
ABI-007 Subset36
AC --> ABI-00750
Taxol Subset28
AC --> Taxol35
Constitutional Symptoms: Fatigue
GroupValue95% CI
ABI-007 Subset16
AC --> ABI-00746
Taxol Subset10
AC --> Taxol32
Dermatology/Skin: Hair Loss/Alopecia (Scalp+Body)
GroupValue95% CI
ABI-007 Subset2
AC --> ABI-00733
Taxol Subset1
AC --> Taxol17
Endocrine: Hot Flashes/Flushes
GroupValue95% CI
ABI-007 Subset12
AC --> ABI-00728
Taxol Subset5
AC --> Taxol22
Cardiac General: Hypertension
GroupValue95% CI
ABI-007 Subset4
AC --> ABI-00718
Taxol Subset7
AC --> Taxol25
Pain: Arthralgia
GroupValue95% CI
ABI-007 Subset7
AC --> ABI-00722
Taxol Subset8
AC --> Taxol19
Hemorrhage/Bleeding: Nasal
GroupValue95% CI
ABI-007 Subset11
AC --> ABI-00719
Taxol Subset10
AC --> Taxol18
Percent of Protocol Taxane Dose Secondary · approximately week 9-16

Percent of the protocol-defined taxane (ABI-007 or Taxol) dose that was actually taken by study participants.

GroupValue95% CI
AC --> ABI-00791.40± 19.218
AC --> Taxol94.40± 14.217
Summary of Participant Treatment Exposure, Dose Interruptions, Dose Reductions, and Dose Delays Secondary · 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)
GroupValue95% CI
AC --> ABI-00795
AC --> Taxol95
Received pegfilgrastim for 4 cycles during AC
GroupValue95% CI
AC --> ABI-00795
AC --> Taxol94
Completed 4 cycles of taxane
GroupValue95% CI
AC --> ABI-00782
AC --> Taxol84
Completed 18 cycles of bevacizumab
GroupValue95% CI
AC --> ABI-00761
AC --> Taxol61
One or more dose reduction: Adriamycin
GroupValue95% CI
AC --> ABI-00710
AC --> Taxol6
One or more dose reduction: Cytoxan
GroupValue95% CI
AC --> ABI-0079
AC --> Taxol5
One or more dose reduction: Taxane
GroupValue95% CI
AC --> ABI-00712
AC --> Taxol16
One or more dose interruption: Adriamycin
GroupValue95% CI
AC --> ABI-0071
AC --> Taxol0
Myelosuppression During Taxane Dosing Cycles Secondary · 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)
GroupValue95% CI
AC --> ABI-00758
AC --> Taxol43
Taxane-related, grades 1-4
GroupValue95% CI
AC --> ABI-00711
AC --> Taxol8
Taxane-related, grades 3-4
GroupValue95% CI
AC --> ABI-0076
AC --> Taxol5
Change From Baseline in Percent Left Ventricular Ejection Fraction (% LVEF) at the Final Evaluation Secondary · 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.

GroupValue95% 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
GroupValue95% CI
AC --> ABI-00769
AC --> Taxol70
Alkaline phosphatase, Grade 1
GroupValue95% CI
AC --> ABI-00726
AC --> Taxol29
Alkaline phosphatase, Grade 2
GroupValue95% CI
AC --> ABI-0071
AC --> Taxol0
ALT, Grade 0
GroupValue95% CI
AC --> ABI-00766
AC --> Taxol75
ALT, Grade 1
GroupValue95% CI
AC --> ABI-00724
AC --> Taxol23
ALT, Grade 2
GroupValue95% CI
AC --> ABI-0075
AC --> Taxol1
ALT, Grade 4
GroupValue95% CI
AC --> ABI-0071
AC --> Taxol0
AST, grade 0
GroupValue95% CI
AC --> ABI-00774
AC --> Taxol81
Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 6 Months Post Chemotherapy Primary · 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
GroupValue95% CI
ABI-007 Subset49
AC --> ABI-00762
Taxol Subset46
AC --> Taxol65
Neurology: Neuropathy: Sensory
GroupValue95% CI
ABI-007 Subset25
AC --> ABI-00742
Taxol Subset15
AC --> Taxol19
Constitutional Symptoms: Fatigue
GroupValue95% CI
ABI-007 Subset11
AC --> ABI-00732
Taxol Subset4
AC --> Taxol18
Endocrine: Hot Flashes/Flushes
GroupValue95% CI
ABI-007 Subset7
AC --> ABI-00723
Taxol Subset3
AC --> Taxol17
Cardiac General: Hypertension
GroupValue95% CI
ABI-007 Subset4
AC --> ABI-00712
Taxol Subset7
AC --> Taxol18
Pain: Arthralgia
GroupValue95% CI
ABI-007 Subset4
AC --> ABI-00717
Taxol Subset3
AC --> Taxol13
Pain: Myalgia
GroupValue95% CI
ABI-007 Subset8
AC --> ABI-00717
Taxol Subset4
AC --> Taxol8
Pain: Other - Extremity
GroupValue95% CI
ABI-007 Subset1
AC --> ABI-0076
Taxol Subset5
AC --> Taxol14

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)

ReactionSystemAC --> ABI-007AC --> Taxol
Febrile neutropeniaBlood and lymphatic system disorders
Cardiac failure congestiveCardiac disorders
Chest painGeneral disorders
PyrexiaGeneral disorders
SepsisInfections and infestations
PancytopeniaBlood and lymphatic system disorders
SyncopeNervous system disorders
Deep vein thrombosisVascular disorders
Appendicitis perforatedGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Cardiac failureCardiac disorders
CoagulopathyBlood and lymphatic system disorders
ColitisGastrointestinal disorders
DiverticulitisInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
HypotensionVascular disorders
IleusGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pericardial effusionCardiac disorders
Perirectal abscessInfections and infestations
PneumoniaInfections and infestations
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Wound infectionInfections and infestations
Other adverse events (105 terms — click to expand)

ReactionSystemAC --> ABI-007AC --> Taxol
FatigueGeneral disorders
NauseaGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
NeuropathyNervous system disorders
VomitingGastrointestinal disorders
Mucosal inflammationGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Hot flushVascular disorders
HypertensionVascular disorders
Neuropathy peripheralNervous system disorders
NeutropeniaBlood and lymphatic system disorders
RashSkin and subcutaneous tissue disorders
Nail disorderSkin and subcutaneous tissue disorders
StomatitisGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
AnorexiaMetabolism and nutrition disorders
PyrexiaGeneral disorders
Pharyngolaryngeal painRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
DysgeusiaNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Peripheral sensory neuropathyNervous system disorders
DizzinessNervous system disorders
Abdominal painGastrointestinal disorders
Urinary tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
AnxietyPsychiatric disorders
Oedema peripheralGeneral disorders
Bone painMusculoskeletal and connective tissue disorders
LeukopeniaBlood and lymphatic system disorders

Most-reported serious reactions: Febrile neutropenia, Cardiac failure congestive, Chest pain, Pyrexia, Sepsis, Pancytopenia, Syncope, Deep vein thrombosis.

Data from ClinicalTrials.gov NCT00394251 adverse events section.

Sponsor's own description

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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Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

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Trials by the same sponsor.

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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/NCT00394251.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing