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NCT01328249

Dose Dense Doxorubucin and Cyclophosphamide Followed by Eribulin Mesylate for the Adjuvant Treatment of Early Stage Breast Cancer

Completed Phase 2 Results posted Last updated 20 August 2019
What this trial tests

Phase 2 trial testing eribulin mesylate in HER2-normal in 81 participants. Completed in 19 October 2017.

Timeline
3 March 2011
Primary endpoint
27 October 2014
19 October 2017

Quick facts

Lead sponsorEisai Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment81
Start date3 March 2011
Primary completion27 October 2014
Estimated completion19 October 2017
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Eisai Inc. — full company profile →

Who can join

Adults 18 to 100, any sex, with HER2-normal. 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 With Feasibility Primary · From date of first dose, up to 3 years after the last dose of study treatment, or up to approximately 4 years 2 months

The regimen was considered feasible if the participant was able to complete the eribulin portion without dose delay or reduction. Dose delay was defined as a delay due to eribulin-related adverse event (AE) for more than 2 days for subsequent doses (cycles after the initiation of full dose of eribulin, except holidays, scheduling difficulties and nonclinical logistical issues). If a participant had more than 1 dose omission, delay or reduction due to eribulin-related AE, these events were collectively counted as one entity in the same participant. Participants were followed for approximately 3

GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed70.458.5 – 80.4
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim60.041.7 – 76.4
Number of Participants With Non-serious Adverse Events and Serious Adverse Events (SAEs) Secondary · From date of first dose up to 30 days after the last dose of study treatment, or up to approximately 4 years 2 months

Safety assessments consisted of monitoring and recording all AEs and SAEs, clinical laboratory results, vital signs, physical examinations, Eastern Cooperative Oncology Group (ECOG) performance status, electrocardiograms (ECGs), and left-ventricular ejection fracture (LVEF) by multigated acquisition scan (MUGA) or echocardiogram. An AE was considered a treatment emergent adverse event (TEAE) if the AE onset date was on or after the first dose of study drug and up to 30 days after receiving the last dose of study drug. Treatment-related TEAEs included TEAEs that were considered by the Investiga

All TEAEs
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed55
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim26
AC-related TEAEs
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed55
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim26
Eribulin-related TEAEs
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed54
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim23
Grade ≥3 TEAEs
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed31
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim18
SAEs
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed6
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim4
Alopecia
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed40
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim19
Neutropenia (SMQ)
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed20
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim11
Peripheral neuropathy (SMQ)
GroupValue95% CI
Cohort 1: Eribulin Mesylate With Filgrastim as Needed40
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim15

Adverse events — posted to ClinicalTrials.gov

Time frame: From date of first dose up to 30 days after the last dose of study treatment, or up to approximately 4 years 2 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: Eribulin Mesylate With Filgrastim as Needed
Serious: 6/55 (11%)
Deaths: 3/55
Cohort 2: Eribulin Mesylate With Prophylactic Filgrastim
Serious: 4/26 (15%)
Deaths: 0/26

Serious adverse events (14 terms)

ReactionSystemCohort 1: Eribulin Mesylat…Cohort 2: Eribulin Mesylat…
Febrile neutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
OesophagitisGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
DehydrationMetabolism and nutrition disorders
Mucosal inflammationGeneral disorders
Breast abscessInfections and infestations
Catheter site cellulitisInfections and infestations
Genital herpesInfections and infestations
Lung infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
Weight decreasedInvestigations
SyncopeNervous system disorders
Other adverse events (77 terms — click to expand)

ReactionSystemCohort 1: Eribulin Mesylat…Cohort 2: Eribulin Mesylat…
FatigueGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Neuropathy peripheralNervous system disorders
Mucosal inflammationGeneral disorders
Hot flushVascular disorders
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DyspepsiaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
LeukopeniaBlood and lymphatic system disorders
HeadacheNervous system disorders
Decreased appetiteMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Lacrimation increasedEye disorders
Dry skinSkin and subcutaneous tissue disorders
StomatitisGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
PyrexiaGeneral disorders
Bone painMusculoskeletal and connective tissue disorders
Dry eyeEye disorders
Vulvovaginal drynessReproductive system and breast disorders
Menstruation irregularReproductive system and breast disorders
Joint stiffnessMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
ChillsGeneral disorders
Cognitive disorderNervous system disorders
Breast painReproductive system and breast disorders
PalpitationsCardiac disorders
Weight decreasedInvestigations
AnxietyPsychiatric disorders
HypertensionVascular disorders
Oedema peripheralGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Febrile neutropenia, Nausea, Oesophagitis, Vomiting, Pyrexia, Dehydration, Mucosal inflammation, Breast abscess.

Data from ClinicalTrials.gov NCT01328249 adverse events section.

Sponsor's own description

The purpose of this study is to assess the feasibility of dose-dense doxorubicin and cyclophosphamide followed by eribulin mesylate for adjuvant treatment of early stage breast cancer.

Publications & conference data

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

  1. Eribulin mesylate in the treatment of metastatic breast cancer.
    Jain S, Cigler T. · · 2012 · cited 27× · PMID 22291464 · DOI 10.2147/btt.s19811
  2. Meaningful prevention of breast cancer metastasis: candidate therapeutics, preclinical validation, and clinical trial concerns.
    Zimmer AS, Steeg PS. · · 2015 · cited 13× · PMID 25412774 · DOI 10.1007/s00109-014-1226-2
  3. Eribulin (Halaven): a new, effective treatment for women with heavily pretreated metastatic breast cancer.
    Menis J, Twelves C. · · 2011 · cited 11× · PMID 24367180 · DOI 10.2147/bctt.s21741
  4. Evolving approaches to metastatic breast cancer patients pre-treated with anthracycline and taxane.
    Saji S. · · 2013 · cited 11× · PMID 23658121 · DOI 10.1007/s40259-013-0038-1
  5. Patient Management with Eribulin in Metastatic Breast Cancer: A Clinical Practice Guide.
    Ro J, Cheng FT, Sriuranpong V, Villalon A, et al · · 2016 · cited 10× · PMID 27066091 · DOI 10.4048/jbc.2016.19.1.8

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