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This single-arm study was designed to evaluate the efficacy and safety of oral Xeloda plus intravenous Avastin as first-line treatment in women with metastatic breast cancer. Patients received Xeloda 1000 mg/m² orally (PO) twice daily (BID) on Days 1-15, and Avastin 15 mg intravenously (IV) on Day 1 of each 3-week cycle. The anticipated time on study treatment was until disease progression or unacceptable toxicity. The target sample size was <100 individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Capecitabine | Drug | 1000 mg/m² PO BID on Days 1-15 of each 3-week cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | Overall survival was defined as the time from date of first treatment dose (Day 1) to date of death, across the study phases regardless of the cause of death | approximately 505 days (Median Time to Death) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Adverse Events | The secondary outcome measure was to evaluate the safety profile, including a summary of adverse events (AEs) assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0. Intensity of AEs were graded according to NCI CTCAE version 3.0 on a 5-point scale: Grade 1=Mild Discomfort, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life Threatening/Disabling and Grade 5=Death. An SAE was defined as any experience that suggested a significant hazard,contraindication, side effect, or precaution. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham | Alabama | 35022 | United States | |||
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| ID | Title | Description |
|---|---|---|
| FG000 | Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Bevacizumab | Drug | 15 mg IV on Day 1 of each 3-week cycle |
|
|
| Throughout study |
| Premature Withdrawal From Study Due to Adverse Events | The secondary outcome measure was to evaluate the safety profile, including a summary of premature withdrawals due to adverse events occurring in more than 1 patient in either study group, by system organ class. | Throughout study |
| Number of Participants With Marked Laboratory Abnormalities | The secondary outcome measure was to evaluate the safety profile, including a summary of marked laboratory abnormalities in >= 5% of patients. n=number of participants with the laboratory measure,Number=number of participants with the abnormality. Laboratory values were flagged as Low(L) or High(H) if they were below the lower limit or above the upper limit of Roche standard reference range, respectively. Marked laboratory abnormalities (flagged as HH and LL) were defined as those values that were outside the Roche marked reference range and showed a clinically relevant change from baseline. | until progressive disease or for up to 3 years |
| Birmingham |
| Alabama |
| 35205 |
| United States |
| Birmingham | Alabama | 35209 | United States |
| Birmingham | Alabama | 35211 | United States |
| Birmingham | Alabama | 35213 | United States |
| Birmingham | Alabama | 35235 | United States |
| Burbank | California | 91505 | United States |
| Glendale | California | 91204 | United States |
| Glendale | California | 91206 | United States |
| Los Angeles | California | 90057 | United States |
| San Diego | California | 92121 | United States |
| Farmington | Connecticut | 06030 | United States |
| Bonita Springs | Florida | 34135 | United States |
| Boynton Beach | Florida | 33435 | United States |
| Bradenton | Florida | 34209 | United States |
| Cape Coral | Florida | 33990 | United States |
| Fort Myers | Florida | 33901 | United States |
| Fort Myers | Florida | 33908 | United States |
| Naples | Florida | 34102 | United States |
| Naples | Florida | 34119 | United States |
| Port Charlotte | Florida | 33980 | United States |
| Sarasota | Florida | 34232 | United States |
| Sarasota | Florida | 34236 | United States |
| Venice | Florida | 34292 | United States |
| Atlanta | Georgia | 30341 | United States |
| Augusta | Georgia | 30901 | United States |
| Tucker | Georgia | 30084 | United States |
| Chicago | Illinois | 60611 | United States |
| Indianapolis | Indiana | 46202 | United States |
| Indianapolis | Indiana | 46219 | United States |
| Waterloo | Iowa | 50702 | United States |
| Scarborough | Maine | 04074 | United States |
| Prince Frederick | Maryland | 20678 | United States |
| Lansing | Michigan | 48909 | United States |
| Kansas City | Missouri | 64064 | United States |
| Kansas City | Missouri | 64111 | United States |
| Kansas City | Missouri | 64131 | United States |
| Kansas City | Missouri | 64154 | United States |
| Kansas City | Missouri | 66112 | United States |
| Kansas City | Missouri | 66210 | United States |
| Lincoln | Nebraska | 68510 | United States |
| Omaha | Nebraska | 68114 | United States |
| Las Vegas | Nevada | 89106 | United States |
| Brick | New Jersey | 08724 | United States |
| Neptune City | New Jersey | 07754 | United States |
| Red Bank | New Jersey | 07701 | United States |
| Rochester | New York | 14642 | United States |
| Hickory | North Carolina | 28602 | United States |
| Canton | Ohio | 44718 | United States |
| Oklahoma City | Oklahoma | 73112 | United States |
| Beaufort | South Carolina | 29902 | United States |
| Charleston | South Carolina | 29406 | United States |
| Florence | South Carolina | 29506 | United States |
| Hilton Head Island | South Carolina | 29926 | United States |
| Sumter | South Carolina | 29150 | United States |
| Abingdon | Virginia | 24211 | United States |
| Milwaukee | Wisconsin | 53215 | United States |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Overall Survival | Overall survival was defined as the time from date of first treatment dose (Day 1) to date of death, across the study phases regardless of the cause of death | 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up. | Posted | Median | 95% Confidence Interval | Days | approximately 505 days (Median Time to Death) |
|
|
| |||||||||||||||||||||||||
| Secondary | Number of Subjects With Adverse Events | The secondary outcome measure was to evaluate the safety profile, including a summary of adverse events (AEs) assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0. Intensity of AEs were graded according to NCI CTCAE version 3.0 on a 5-point scale: Grade 1=Mild Discomfort, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life Threatening/Disabling and Grade 5=Death. An SAE was defined as any experience that suggested a significant hazard,contraindication, side effect, or precaution. | 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up. | Posted | Number | Participants | Throughout study |
| ||||||||||||||||||||||||||||
| Secondary | Premature Withdrawal From Study Due to Adverse Events | The secondary outcome measure was to evaluate the safety profile, including a summary of premature withdrawals due to adverse events occurring in more than 1 patient in either study group, by system organ class. | 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up. | Posted | Number | Participants | Throughout study |
| ||||||||||||||||||||||||||||
| Secondary | Number of Participants With Marked Laboratory Abnormalities | The secondary outcome measure was to evaluate the safety profile, including a summary of marked laboratory abnormalities in >= 5% of patients. n=number of participants with the laboratory measure,Number=number of participants with the abnormality. Laboratory values were flagged as Low(L) or High(H) if they were below the lower limit or above the upper limit of Roche standard reference range, respectively. Marked laboratory abnormalities (flagged as HH and LL) were defined as those values that were outside the Roche marked reference range and showed a clinically relevant change from baseline. | 109 patients (pts) received study drug in the First Study Treatment Phase. 54 pts withdrew prematurely, and 54 pts proceeded to the Second Study Treatment Phase. All 54 pts who proceeded to the Second Study Treatment Phase withdrew during that phase. 1 pt continued treatment in the First Study Treatment Phase and completed 3 years of follow-up. | Posted | Number | Participants | until progressive disease or for up to 3 years |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Capecitabine+Bevacizumab (Bev); Paclitaxel or Vinorelbine +Bev | First Study Treatment Phase: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. Second Study Treatment Phase: Paclitaxel 80 mg/m² 60-minute IV infusion (with appropriate premedication), Days 1, 8 and 15 of each 4-week cycle (28 days). Substitution of paclitaxel with docetaxel was not allowed. Vinorelbine 25 mg/m² IV infusion over 10-20 minutes, Days 1, 8, and 15 of each 4-week cycle. Bevacizumab 10 mg/kg IV infusion, Days 1 and 15 of each 4-week cycle. | 39 | 109 | 103 | 109 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pain | General disorders |
| |||
| Chest Pain | General disorders |
| |||
| Mucosal Inflammation | General disorders |
| |||
| Fatigue | General disorders |
| |||
| Influenza Like Illness | General disorders |
| |||
| Nausea | Gastrointestinal disorders |
| |||
| Vomiting | Gastrointestinal disorders |
| |||
| Abdominal Pain | Gastrointestinal disorders |
| |||
| Caecitis | Gastrointestinal disorders |
| |||
| Diarrhoea | Gastrointestinal disorders |
| |||
| Enterovesical Fistula | Gastrointestinal disorders |
| |||
| Gastric Ulcer | Gastrointestinal disorders |
| |||
| Pancreatitis | Gastrointestinal disorders |
| |||
| Bacterial Sepsis | Infections and infestations |
| |||
| Cellulitis | Infections and infestations |
| |||
| Infection | Infections and infestations |
| |||
| Perirectal Abscess | Infections and infestations |
| |||
| Pneumonia | Infections and infestations |
| |||
| Sepsis | Infections and infestations |
| |||
| Urinary Tract Infection | Infections and infestations |
| |||
| Urosepsis | Infections and infestations |
| |||
| Dehydration | Metabolism and nutrition disorders |
| |||
| Decreased Appetite | Metabolism and nutrition disorders |
| |||
| Hypocalcaemia | Metabolism and nutrition disorders |
| |||
| Pulmonary Embolism | Respiratory, thoracic and mediastinal disorders |
| |||
| Dyspnoea | Respiratory, thoracic and mediastinal disorders |
| |||
| Hypoxia | Respiratory, thoracic and mediastinal disorders |
| |||
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders |
| |||
| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders |
| |||
| Muscular Weakness | Musculoskeletal and connective tissue disorders |
| |||
| Musculoskeletal Chest Pain | Musculoskeletal and connective tissue disorders |
| |||
| Neck Pain | Musculoskeletal and connective tissue disorders |
| |||
| Pathological Fracture | Musculoskeletal and connective tissue disorders |
| |||
| Fall | Injury, poisoning and procedural complications |
| |||
| Hip Fracture | Injury, poisoning and procedural complications |
| |||
| Scapula Fracture | Injury, poisoning and procedural complications |
| |||
| Cerebral Haemorrhage | Nervous system disorders |
| |||
| Headache | Nervous system disorders |
| |||
| Lethargy | Nervous system disorders |
| |||
| Blood Sodium Decreased | Investigations |
| |||
| Haemoglobin Decreased | Investigations |
| |||
| Urine Output Decreased | Investigations |
| |||
| Haemorrhage | Vascular disorders |
| |||
| Phlebitis | Vascular disorders |
| |||
| Febrile Neutropenia | Blood and lymphatic system disorders |
| |||
| Left Ventricular Failure | Cardiac disorders |
| |||
| Metastases to Meninges | Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
| |||
| Renal Failure | Renal and urinary disorders |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders |
| |||
| Nausea | Gastrointestinal disorders |
| |||
| Constipation | Gastrointestinal disorders |
| |||
| Vomiting | Gastrointestinal disorders |
| |||
| Dyspepsia | Gastrointestinal disorders |
| |||
| Stomatitis | Gastrointestinal disorders |
| |||
| Abdominal Pain | Gastrointestinal disorders |
| |||
| Abdominal Pain Upper | Gastrointestinal disorders |
| |||
| Abdominal Distension | Gastrointestinal disorders |
| |||
| Oral Pain | Gastrointestinal disorders |
| |||
| Palmar-Plantar Erythrodysaesthesia Syndrome | Skin and subcutaneous tissue disorders |
| |||
| Alopecia | Skin and subcutaneous tissue disorders |
| |||
| Rash | Skin and subcutaneous tissue disorders |
| |||
| Nail Disorder | Skin and subcutaneous tissue disorders |
| |||
| Pruritus | Skin and subcutaneous tissue disorders |
| |||
| Erythema | Skin and subcutaneous tissue disorders |
| |||
| Dry Skin | Skin and subcutaneous tissue disorders |
| |||
| Skin Reaction | Skin and subcutaneous tissue disorders |
| |||
| Fatigue | General disorders |
| |||
| Mucosal Inflammation | General disorders |
| |||
| Pyrexia | General disorders |
| |||
| Pain | General disorders |
| |||
| Asthenia | General disorders |
| |||
| Oedema Peripheral | General disorders |
| |||
| Chills | General disorders |
| |||
| Arthralgia | Musculoskeletal and connective tissue disorders |
| |||
| Pain in Extremity | Musculoskeletal and connective tissue disorders |
| |||
| Back Pain | Musculoskeletal and connective tissue disorders |
| |||
| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders |
| |||
| Bone Pain | Musculoskeletal and connective tissue disorders |
| |||
| Neck Pain | Musculoskeletal and connective tissue disorders |
| |||
| Musculoskeletal Chest Pain | Musculoskeletal and connective tissue disorders |
| |||
| Myalgia | Musculoskeletal and connective tissue disorders |
| |||
| Cough | Respiratory, thoracic and mediastinal disorders |
| |||
| Dyspnoea | Respiratory, thoracic and mediastinal disorders |
| |||
| Epistaxis | Respiratory, thoracic and mediastinal disorders |
| |||
| Oropharyngeal Pain | Respiratory, thoracic and mediastinal disorders |
| |||
| Dysphonia | Respiratory, thoracic and mediastinal disorders |
| |||
| Headache | Nervous system disorders |
| |||
| Dysgeusia | Nervous system disorders |
| |||
| Neuropathy Peripheral | Nervous system disorders |
| |||
| Dizziness | Nervous system disorders |
| |||
| Peripheral Sensory Neuropathy | Nervous system disorders |
| |||
| Anorexia | Metabolism and nutrition disorders |
| |||
| Dehydration | Metabolism and nutrition disorders |
| |||
| Hyperglycaemia | Metabolism and nutrition disorders |
| |||
| Hypokalaemia | Metabolism and nutrition disorders |
| |||
| Insomnia | Psychiatric disorders |
| |||
| Depression | Psychiatric disorders |
| |||
| Anxiety | Psychiatric disorders |
| |||
| Neutropenia | Blood and lymphatic system disorders |
| |||
| Anaemia | Blood and lymphatic system disorders |
| |||
| Sinusitis | Infections and infestations |
| |||
| Upper Respiratory Tract Infection | Infections and infestations |
| |||
| Urinary Tract Infection | Infections and infestations |
| |||
| Hypertension | Vascular disorders |
| |||
| Hot Flush | Vascular disorders |
| |||
| Weight Decreased | Investigations |
| |||
| Aspartate Aminotransferase Increased | Investigations |
| |||
| Alanine Aminotransferase Increased | Investigations |
| |||
| Neutrophil Count Decreased | Investigations |
| |||
| Proteinuria | Renal and urinary disorders |
| |||
| Lacrimation Increased | Eye disorders |
|
The primary endpoint TTP was changed to overall survival (OS) due to issues regarding tumor assessment data based on RECIST and poor response from investigators to related queries that developed after the planned interim analysis.
The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Communications | Hoffmann-LaRoche | 800-821-8590 |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000069287 | Capecitabine |
| D000068258 | Bevacizumab |
| ID | Term |
|---|---|
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
Not provided
Not provided
| OG001 |
| First Study Treatment Phase Only |
Capecitabine+Bevacizumab: Capecitabine 1000 mg/m² oral (PO) twice-daily, Days 1-15 of each 3-week cycle (28 doses per cycle); bevacizumab 15 mg/kg intravenous (IV) infusion, Day 1 of each 3-week cycle. |
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