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The purpose of this study in patients with advanced breast cancer is to compare the incidence and severity of neuropathy adverse events for the two treatment groups (eribulin versus ixabepilone) using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE version 3.0) grading.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eribulin mesylate | Active Comparator |
| |
| Ixabepilone | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eribulin Mesylate | Drug | E7389 (eribulin mesylate) given at a dose of 1.4 mg/m^2 as a 2 to 5 minute intravenous (IV) bolus on Days 1 and 8 of a 21-day cycle. The Treatment Phase will include six cycles. Patients may enter the Extension Phase for additional cycles following the sixth cycle of treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Treatment-Emergent Neuropathy Adverse Events (AEs) | Neuropathy AEs were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 3.0 and coded according to the current version of the Medical Dictionary for Regulatory Activities (MedDRA). Neuropathy AEs included the broad list of preferred terms (PTs) defined in the Standard MedDRA Query for Neuropathy and the following additional PTs: neuropathy, hyperesthesia, painful response to normal stimuli, pallanesthesia, and allodynia. If the post-baseline maximum CTCAE grade of the combined term "neuropathy" was greater than the baseline maximum CTCAE grade of the combined term, then the event was considered as treatment emergent neuropathy adverse events per CTCAE grade. For a single participant, 1) a neuropathy AE occurring more than once during the study, whether defined with the same or different MedDRA PTs, was counted only once, 2) a neuropathy AE with different CTCAE grades had only the highest grade AE counted. | From administration of first dose up to approximately 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With an Incidence of Treatment-emergent Myalgia/Arthralgia | The incidence rate of TE myalgia/arthralgia was calculated as the percent of participants with TE myalgia/arthralgia. A participant who had an arthralgia or myalgia AE more than once over the course of the study was counted only once in the incidence calculation for myalgia/arthralgia AEs. A participant who had myalgia/arthralgia AEs with different CTCAE grades was counted with the highest CTCAE grade over the course of the evaluation period. If the post-baseline CTCAE grade of the combined term "Myalgia/Arthralgia" was greater than the baseline maximum CTCAE grade of the combined term, the participant had TE myalgia/arthralgia. The 2-sided 95% confidence interval (CI) for incidence rate of TE myalgia/arthralgia was calculated using the Clopper-Pearson method (i.e., the exact method) for each treatment group. |
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Inclusion criteria:
1. Female subjects with confirmed locally recurrent or metastatic carcinoma of the breast who have received prior taxane therapy and at least one prior cytotoxic chemotherapy regimen for advanced disease.
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northern AZ Hematology and Oncology Associates | Sedona | Arizona | 86336 | United States | ||
| Healing Hands Oncology and Medical Care |
127 participants were screened. Of these, 104 participants were enrolled and randomized into the study and 23 participants were screen failures (19 failed to meet entrance criteria, 3 failed due to other reason, and 1 failed due to consent withdrawal).
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| ID | Title | Description |
|---|---|---|
| FG000 | Eribulin Mesylate | Eribulin mesylate was given at a dose of 1.4 milligram per square meter (mg/m^2) as a 2 to 5 minute intravenous (IV) bolus on Days 1 and 8 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Ixabepilone | Drug | Ixabepilone given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle. The Treatment Phase will include six cycles. Patients may enter the Extension Phase for additional cycles following the sixth cycle of treatment. |
|
| From administration of first dose up to approximately 5 years |
| Change From Baseline in Vibration Perception Threshold (VPT) | The participant-reported questionnaire was used to compare the incidence and severity of neuropathy AEs. Sensory and motor scores were to be analyzed separately using a generalized linear model. Separate subgroup analyses were performed by each stratification variable. VPAT was measured using a Vibratron II device (Physitemp, Inc.) and a modified Two Alternative Forced Choice psychophysical algorithm. VPT was assessed on the ventral surface of the distal index finger (side opposite the nail), contralateral to the side of the mastectomy or primary disease and on the distal fleshy pad of both the right and left great toes (side opposite the nail). If the mastectomy was bilateral, the index finger on the side without axillary lymph node dissection was tested. Data ranged from 0 (invalid) to 20 vu. A lower VPT indicated a greater sensitivity. | Baseline, Treatment Phase: Cycles 2 to 6 (Day 1); Extension Phase: Cycle 9 Day 1, Cycle 12 Day 1, Cycle 15 Day 1 (Each Cycle length=21 days), End of Treatment, Post-treatment Follow-up, Worst Post-baseline result (Up to approximately 5 years) |
| Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Score for Item 1 (Sensory) | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. The participant was told that there was no right or wrong answer and their answer should reflect how they currently felt since last completing the PNQ. Sensory scores were analyzed separately. Letter scores (A= none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A (none)=0, B (mild)=1, C (moderate)=2, D (moderate to severe)=3 and E (severe)=4). Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. Neuropathy AEs that were sensory were evaluated with the PNQ Item 1 (sensory). Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | Baseline up to approximately 5 years |
| Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Score for Item 2 (Motor) | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. The participant was told that there was no right or wrong answer and their answer should reflect how they currently felt since last completing the PNQ. Motor scores were analyzed separately. Letter scores (A= none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A (none)=0, B (mild)=1, C (moderate)=2, D (moderate to severe)=3 and E (severe)=4). Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. Neuropathy AEs that were motor were evaluated with the PNQ Item 2 (motor). Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | Baseline up to approximately 5 years |
| Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Composite Score | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. Sensory scores, motor scores and composite scores were analyzed separately. For both item 1 and item 2, letter scores (A=none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A(none)=0, B(mild)=1, C(moderate)=2, D(moderate to severe)=3 and E (severe)=4. Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. PNQ composite score was defined as the worst of Item 1 and Item 2 score. If neither Item 1 or item 2 score was D or E, but if a box was checked in Item 3, PNQ composite score would be D. Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | Baseline up to approximately 5 years |
| Objective Response Rate (ORR) | ORR was defined as the percentage of participants with a confirmed complete response (CR) or confirmed partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 for target lesions assessed by magnetic resonance imaging and computed tomography and investigator assessment. Participants with unknown or missing responses were treated as non-responders. CR was defined as disappearance of all target lesions. PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. ORR=CR+PR, was presented with 2-sided 95% confidence interval (CI) by the method of Clopper-Pearson method for calculating the exact binomial intervals. | From date of treatment start until disease progression (PD) (Up to approximately 5 years) |
| Progression-Free Survival (PFS) | PFS was defined as the time from randomization until PD or death due to any cause as determined by the investigator. Disease progression per RECIST v1.0 was defined as at least a 20% relative increase and 5 millimeter absolute increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. The duration of PFS was calculated as the end date minus date of first drug plus 1. For participants who did not have an event (those lost to follow-up or who had not progressed at the date of data cut-off) PFS was censored. The median PFS and corresponding 95% CI was estimated for each treatment group using the Kaplan-Meier method. | From date of treatment start until the date of PD or death from any cause (Up to approximately 5 years) |
| Clinical Benefit Rate (CBR) | CBR was defined as the number of participants (CR + PR + stable disease (SD) greater than or equal to 6 months) divided by the number of participants in the analysis population. The 95% CI was generated for the clinical benefit rate for each treatment group, and it was based on the Clopper-Pearson method for calculating the exact binomial intervals. | From date of treatment start until PD or death from any cause, whichever occurred first (Up to approximately 5 years) |
| Duration of Response (DoR) | DoR was defined as the time from first documented CR or PR until PD or death from any cause. It was measured from the time that measurement criteria were met for CR or PR (whichever status was recorded first) until the first date that recurrent or PD was objectively documented. It was defined for participants with a confirmed CR or a confirmed PR. Participants without progressive disease or death were censored. Median duration and 95% CI of the median were estimated for each treatment group, using the Kaplan-Meier method. | From date of first CR or PR until the first documentation of PD or date of death (Up to approximately 5 years) |
| Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability of Eribulin and Ixabepilone | General safety was assessed by monitoring all TEAEs and SAEs. TEAEs were reported at a frequency of 0% or greater in the study population. | For each participant, from the first dose till 42 days after the last dose of study treatment (Up to approximately 5 years) |
| Hawthorne |
| California |
| 90250 |
| United States |
| University of Southern California | Los Angeles | California | 90033 | United States |
| Comprehensive Cancer Center | Palm Springs | California | 92262 | United States |
| Comprehensive Cancer Care Specialist of Boca | Boca Raton | Florida | 33428 | United States |
| Robert R. Carroll, MD, PA | Gainesville | Florida | 32605 | United States |
| Hematology Oncology Associates | Lake Worth | Florida | 33461 | United States |
| Medical Specialists of the Palm Beaches | Lake Worth | Florida | 33467 | United States |
| Ocala Oncology Center | Ocala | Florida | 34471 | United States |
| Hematology Oncology Associates of Treasure Coast | Port Saint Lucie | Florida | 34952 | United States |
| Oncology and Hematology Associates of West Broward | Tamarac | Florida | 33321 | United States |
| Hematology Oncology Associates of Illinois | Chicago | Illinois | 60611 | United States |
| Decatur Memorial Hospital | Decatur | Illinois | 62526 | United States |
| Central Indiana Cancer Centers | Indianapolis | Indiana | 46219 | United States |
| Heartland Oncology Hematology | Council Bluffs | Iowa | 51503 | United States |
| Hematology and Oncology Specialists | Marrero | Louisiana | 70072 | United States |
| Metairie Institute of Comprehensive Health | Metairie | Louisiana | 70006 | United States |
| Hematology and Oncology Specialists | New Orleans | Louisiana | 70115 | United States |
| Maryland Oncology Hematology, PA | Columbia | Maryland | 21044 | United States |
| Washington County Hospital | Hagerstown | Maryland | 21740 | United States |
| Josephine Ford Cancer Center | Brownstown | Michigan | 48183 | United States |
| Henry Ford Medical Center-Fairlane | Dearborn | Michigan | 48126 | United States |
| Henry Ford Health Systems | Detroit | Michigan | 48202 | United States |
| Henry Ford Medical Center Farmington | West Bloomfield | Michigan | 48322 | United States |
| Summit Medical Group | Berkeley Heights | New Jersey | 7922 | United States |
| Joan Knechel Cancer Center | Mount Arlington | New Jersey | 7856 | United States |
| Queens Cancer Center of Queens Hospital | Jamaica | New York | 11432 | United States |
| Saint Vincent's Comprehensive Cancer Center | New York | New York | 10011 | United States |
| Weil Cornell Breast Center | New York | New York | 10065 | United States |
| Montefiore Medical Center | The Bronx | New York | 10461 | United States |
| Charleston Hematology Oncology Associates PA | Charleston | North Carolina | 29403 | United States |
| Cancer Center of North Carolina | Raleigh | North Carolina | 27607 | United States |
| Northwest Cancer Specialists Rose Quarter | Portland | Oregon | 97227 | United States |
| Northwest Cancer Specialists Hoyt | Portland | Oregon | United States |
| Northwest Cancer Specialists | Tualatin | Oregon | 97062 | United States |
| Lone Star Oncology | Austin | Texas | 78759 | United States |
| South Texas Institute of Cancer | Corpus Christi | Texas | 78405 | United States |
| Northwest Cancer Center | Corpus Christi | Texas | 78410 | United States |
| Texas Oncology-Sammons Cancer Center | Dallas | Texas | 75246 | United States |
| Texas Cancer Center at Medical City | Dallas | Texas | United States |
| Texas Oncology, PA | Dallas | Texas | United States |
| Texas Oncology, PA Bedford | Houston | Texas | 76033 | United States |
| Texas Oncology, PA | Houston | Texas | 77024 | United States |
| North Texas Regional Cancer Center | Plano | Texas | United States |
| Tyler Cancer Center | Tyler | Texas | 75702 | United States |
| Northern Utah Associates | Ogden | Utah | 84403 | United States |
| Virginia Oncology Associates | Newport News | Virginia | 23606 | United States |
| Virginia Oncology Associates | Norfolk | Virginia | 23502 | United States |
| Northwest Cancer Specialist Vancouver | Vancouver | Washington | 98684 | United States |
| Northwest Cancer Care Specialists, P.C. | Vancouver | Washington | 98686 | United States |
| FG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
| Safety Analysis Set (SAS) |
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| COMPLETED |
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| NOT COMPLETED |
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SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Eribulin Mesylate | Eribulin mesylate was given at a dose of 1.4 mg/m^2 as a 2 to 5 minute IV bolus on Days 1 and 8 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
| BG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Sex/Gender, Customized | Count of Participants | Participants |
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Percentage of Participants With Treatment-Emergent Neuropathy Adverse Events (AEs) | Neuropathy AEs were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 3.0 and coded according to the current version of the Medical Dictionary for Regulatory Activities (MedDRA). Neuropathy AEs included the broad list of preferred terms (PTs) defined in the Standard MedDRA Query for Neuropathy and the following additional PTs: neuropathy, hyperesthesia, painful response to normal stimuli, pallanesthesia, and allodynia. If the post-baseline maximum CTCAE grade of the combined term "neuropathy" was greater than the baseline maximum CTCAE grade of the combined term, then the event was considered as treatment emergent neuropathy adverse events per CTCAE grade. For a single participant, 1) a neuropathy AE occurring more than once during the study, whether defined with the same or different MedDRA PTs, was counted only once, 2) a neuropathy AE with different CTCAE grades had only the highest grade AE counted. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. | Posted | Number | 95% Confidence Interval | Percentage of participants | From administration of first dose up to approximately 5 years |
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| Secondary | Percentage of Participants With an Incidence of Treatment-emergent Myalgia/Arthralgia | The incidence rate of TE myalgia/arthralgia was calculated as the percent of participants with TE myalgia/arthralgia. A participant who had an arthralgia or myalgia AE more than once over the course of the study was counted only once in the incidence calculation for myalgia/arthralgia AEs. A participant who had myalgia/arthralgia AEs with different CTCAE grades was counted with the highest CTCAE grade over the course of the evaluation period. If the post-baseline CTCAE grade of the combined term "Myalgia/Arthralgia" was greater than the baseline maximum CTCAE grade of the combined term, the participant had TE myalgia/arthralgia. The 2-sided 95% confidence interval (CI) for incidence rate of TE myalgia/arthralgia was calculated using the Clopper-Pearson method (i.e., the exact method) for each treatment group. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. | Posted | Number | 95% Confidence Interval | Percentage of participants | From administration of first dose up to approximately 5 years |
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| Secondary | Change From Baseline in Vibration Perception Threshold (VPT) | The participant-reported questionnaire was used to compare the incidence and severity of neuropathy AEs. Sensory and motor scores were to be analyzed separately using a generalized linear model. Separate subgroup analyses were performed by each stratification variable. VPAT was measured using a Vibratron II device (Physitemp, Inc.) and a modified Two Alternative Forced Choice psychophysical algorithm. VPT was assessed on the ventral surface of the distal index finger (side opposite the nail), contralateral to the side of the mastectomy or primary disease and on the distal fleshy pad of both the right and left great toes (side opposite the nail). If the mastectomy was bilateral, the index finger on the side without axillary lymph node dissection was tested. Data ranged from 0 (invalid) to 20 vu. A lower VPT indicated a greater sensitivity. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. Here "number analyzed" signifies participants who were evaluable for this outcome measure at given time points. | Posted | Mean | Standard Deviation | Vibration units (vu) | Baseline, Treatment Phase: Cycles 2 to 6 (Day 1); Extension Phase: Cycle 9 Day 1, Cycle 12 Day 1, Cycle 15 Day 1 (Each Cycle length=21 days), End of Treatment, Post-treatment Follow-up, Worst Post-baseline result (Up to approximately 5 years) |
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| Secondary | Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Score for Item 1 (Sensory) | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. The participant was told that there was no right or wrong answer and their answer should reflect how they currently felt since last completing the PNQ. Sensory scores were analyzed separately. Letter scores (A= none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A (none)=0, B (mild)=1, C (moderate)=2, D (moderate to severe)=3 and E (severe)=4). Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. Neuropathy AEs that were sensory were evaluated with the PNQ Item 1 (sensory). Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. | Posted | Count of Participants | Participants | Baseline up to approximately 5 years |
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| Secondary | Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Score for Item 2 (Motor) | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. The participant was told that there was no right or wrong answer and their answer should reflect how they currently felt since last completing the PNQ. Motor scores were analyzed separately. Letter scores (A= none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A (none)=0, B (mild)=1, C (moderate)=2, D (moderate to severe)=3 and E (severe)=4). Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. Neuropathy AEs that were motor were evaluated with the PNQ Item 2 (motor). Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. | Posted | Count of Participants | Participants | Baseline up to approximately 5 years |
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| Secondary | Number of Participants With Shift From Baseline to Worst Post-baseline Participant Neurotoxicity Questionnaire (PNQ) Composite Score | The PNQ consisted of 3 parts; Item 1 (sensory) measured numbness, pain, burning or tingling in hands or feet, Item 2 (motor) measured weakness in arms or legs, and Item 3 (activities) measured activities that interfered with daily life. Sensory scores, motor scores and composite scores were analyzed separately. For both item 1 and item 2, letter scores (A=none, B=mild, C=moderate, D=moderate to severe, and E=severe) for PNQ were converted to numeric scores A(none)=0, B(mild)=1, C(moderate)=2, D(moderate to severe)=3 and E (severe)=4. Total scores ranged from 0 (minimum severity) to 10 (maximum severity). Higher scores indicated greater severity. PNQ composite score was defined as the worst of Item 1 and Item 2 score. If neither Item 1 or item 2 score was D or E, but if a box was checked in Item 3, PNQ composite score would be D. Categories where no participant showed any shift from baseline to post-baseline for both the arms were not included in the presentation. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. Here "overall number of participants analyzed" signifies participants who were evaluable for this outcome measure. | Posted | Count of Participants | Participants | Baseline up to approximately 5 years |
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| Secondary | Objective Response Rate (ORR) | ORR was defined as the percentage of participants with a confirmed complete response (CR) or confirmed partial response (PR) based on Response Evaluation Criteria in Solid Tumors (RECIST) v.1.0 for target lesions assessed by magnetic resonance imaging and computed tomography and investigator assessment. Participants with unknown or missing responses were treated as non-responders. CR was defined as disappearance of all target lesions. PR was defined as at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter. ORR=CR+PR, was presented with 2-sided 95% confidence interval (CI) by the method of Clopper-Pearson method for calculating the exact binomial intervals. | Full analysis set (FAS) included all randomized participants. | Posted | Number | 95% Confidence Interval | Percentage of participants | From date of treatment start until disease progression (PD) (Up to approximately 5 years) |
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| Secondary | Progression-Free Survival (PFS) | PFS was defined as the time from randomization until PD or death due to any cause as determined by the investigator. Disease progression per RECIST v1.0 was defined as at least a 20% relative increase and 5 millimeter absolute increase in the sum of diameters of target lesions (taking as reference the smallest sum on study) recorded since the treatment started or the appearance of 1 or more new lesions. The duration of PFS was calculated as the end date minus date of first drug plus 1. For participants who did not have an event (those lost to follow-up or who had not progressed at the date of data cut-off) PFS was censored. The median PFS and corresponding 95% CI was estimated for each treatment group using the Kaplan-Meier method. | FAS analysis set included all randomized participants. | Posted | Median | 95% Confidence Interval | Days | From date of treatment start until the date of PD or death from any cause (Up to approximately 5 years) |
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| Secondary | Clinical Benefit Rate (CBR) | CBR was defined as the number of participants (CR + PR + stable disease (SD) greater than or equal to 6 months) divided by the number of participants in the analysis population. The 95% CI was generated for the clinical benefit rate for each treatment group, and it was based on the Clopper-Pearson method for calculating the exact binomial intervals. | FAS analysis set included all randomized participants. | Posted | Number | 95% Confidence Interval | Percentage of participants | From date of treatment start until PD or death from any cause, whichever occurred first (Up to approximately 5 years) |
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| Secondary | Duration of Response (DoR) | DoR was defined as the time from first documented CR or PR until PD or death from any cause. It was measured from the time that measurement criteria were met for CR or PR (whichever status was recorded first) until the first date that recurrent or PD was objectively documented. It was defined for participants with a confirmed CR or a confirmed PR. Participants without progressive disease or death were censored. Median duration and 95% CI of the median were estimated for each treatment group, using the Kaplan-Meier method. | FAS analysis set included all randomized participants. Number of participants analyzed who had CR or PR. | Posted | Median | 95% Confidence Interval | Days | From date of first CR or PR until the first documentation of PD or date of death (Up to approximately 5 years) |
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| Secondary | Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability of Eribulin and Ixabepilone | General safety was assessed by monitoring all TEAEs and SAEs. TEAEs were reported at a frequency of 0% or greater in the study population. | SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. | Posted | Number | Percentage of participants | For each participant, from the first dose till 42 days after the last dose of study treatment (Up to approximately 5 years) |
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For each participant, from the first dose till 42 days after the last dose of study treatment (Up to approximately 5 years)
Treatment-emergent adverse events were reported. All adverse events were graded using National Cancer Institute Common Terminology Criteria (NCI CTCAE) version 3.0. The SAS included all randomized participants who received at least one dose of study medication and who had at least one safety assessment following the first dose of study medication. Of 104 participants randomized into the study, 3 did not receive treatment, 1 in the E7389 Treatment Group and 2 in the Ixabepilone Treatment Group.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Eribulin Mesylate | Eribulin mesylate was given at a dose of 1.4 mg/m^2 as a 2 to 5 minute IV bolus on Days 1 and 8 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). | 2 | 51 | 19 | 51 | 51 | 51 |
| EG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). | 2 | 50 | 17 | 50 | 50 | 50 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Neutropenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pericarditis | Cardiac disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Visual impairment | Eye disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Mucosal inflammation | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Device related infection | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Lower limb fracture | Injury, poisoning and procedural complications | MedDRA 3.0 | Systematic Assessment |
| |
| Radiation pneumonitis | Injury, poisoning and procedural complications | MedDRA 3.0 | Systematic Assessment |
| |
| Haemoglobin decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hypovolaemia | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Myalgia / Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Metastases to central nervous system | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 3.0 | Systematic Assessment |
| |
| Malignant neoplasm progression | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 3.0 | Systematic Assessment |
| |
| Malignant pleural effusion | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 3.0 | Systematic Assessment |
| |
| Metastases to meninges | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 3.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Reversible posterior leukoencephalopathy syndrome | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Peripheral Neuropathy | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Neutropenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Lacrimation increased | Eye disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Stomatitis | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Abdominal pain lower | Gastrointestinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Fatigue / Asthenia | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Mucosal inflammation | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Chills | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pain | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 3.0 | Systematic Assessment |
| |
| Blood alkaline phosphatase increased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Aspartate aminotransferase increased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| White blood cell count decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Haemoglobin decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Alanine aminotransferase increased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 3.0 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Myalgia / Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Peripheral Neuropathy | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Neuropathy peripheral | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dysgeusia | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Peripheral motor neuropathy | Nervous system disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 3.0 | Systematic Assessment |
| |
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 3.0 | Systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Medical Information | Eisai Inc. | 888-274-2378 | +1 | esi_oncmedinfo@eisai.com |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C490954 | eribulin |
| C430592 | ixabepilone |
Not provided
Not provided
Not provided
| Male |
|
| OG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
|
| OG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
| OG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
| OG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
| OG001 | Ixabepilone | Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks). |
|
|
Ixabepilone was given at a starting dose of 32 or 40 mg/m^2 (as per approved labeling) as a 3-hour IV infusion on Day 1 of a 21-day cycle during the Treatment and Extension Phases. The Treatment Phase included six cycles. Following the sixth cycle of the Treatment Phase, participants who demonstrated clinical benefit could continue treatment during the Extension Phase for an indefinite number of cycles for as long as clinical benefit was sustained (up to 211 weeks).
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