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To verify the non-inferiority of NK105, a paclitaxel-incorporating micellar nanoparticle, to paclitaxel in terms of the progression-free survival in patients with metastatic or recurrent breast cancer.
This study is a randomized, open-label, multi-national phase III study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NK105 | Experimental |
| |
| Paclitaxel | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NK105 | Drug | IV, Weekly |
| |
| Paclitaxel |
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival | PFS is defined as the period from the day of randomization until the first observation of lesion progression or death from any cause. Disease progression is defined as PD according to RECIST Ver. 1.1. Assessment period was from the day of randomisation until the first observation of lesion progression or death | Baseline, every 6 weeks of study treatment period, and end of study, |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | OS is defined as the period from the day of randomization until the day of death from any cause. Assessment period was from the day of randomisation until the first observation of lesion progression or death | Baseline, every 6 weeks of study treatment period, and end of study. |
| Overall Response Rate |
Not provided
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Call +81-3-6731-5200 Mon - Fri 9 AM - 5 PM (Japan Time) | Nippon Kayaku Co., Ltd. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Japan Sites | Tokyo, Etc. | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30745582 | Derived | Fujiwara Y, Mukai H, Saeki T, Ro J, Lin YC, Nagai SE, Lee KS, Watanabe J, Ohtani S, Kim SB, Kuroi K, Tsugawa K, Tokuda Y, Iwata H, Park YH, Yang Y, Nambu Y. A multi-national, randomised, open-label, parallel, phase III non-inferiority study comparing NK105 and paclitaxel in metastatic or recurrent breast cancer patients. Br J Cancer. 2019 Mar;120(5):475-480. doi: 10.1038/s41416-019-0391-z. Epub 2019 Feb 12. |
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This study was conducted from September 2012 to January 2016 in three asian countries (Japan, Korea, Taiwan).
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| ID | Title | Description |
|---|---|---|
| FG000 | NK105 | received NK105 (65 mg/m^2) on days 1, 8 and 15 of a 28-day cycle |
| FG001 | Paclitaxel | received Paclitaxel (80 mg/m^2) on days 1, 8 and 15 of a 28-day cycle |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All randomized patients who received study drug at least once
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| ID | Title | Description |
|---|---|---|
| BG000 | NK105 | received NK105 (65 mg/m^2) on days 1, 8 and 15 of a 28-day cycle |
| BG001 | Paclitaxel | received Paclitaxel (80 mg/m^2) on days 1, 8 and 15 of a 28-day 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 |
| 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 | Progression Free Survival | PFS is defined as the period from the day of randomization until the first observation of lesion progression or death from any cause. Disease progression is defined as PD according to RECIST Ver. 1.1. Assessment period was from the day of randomisation until the first observation of lesion progression or death | All randomized patients who received study drug at least once and who had no major violations of the eligiblity criteria | Posted | Median | 95% Confidence Interval | months | Baseline, every 6 weeks of study treatment period, and end of study, |
|
The duration of treatment, mean duration was 294.7 days.
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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 | NK105 | received NK105 (65 mg/m^2) on days 1, 8 and 15 of a 28-day cycle | 3 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Leukocytosis | Blood and lymphatic system disorders | MedDRA Ver.19.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA Ver.19.0 | Systematic Assessment |
No limitation
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pharmaceuticals Group | Nippon Kayaku Co., Ltd. | +81-3-6731-5200 |
Not provided
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
Not provided
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| ID | Term |
|---|---|
| C500671 | NK105 |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
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| Drug |
IV, Weekly |
|
ORR is the proportion of patients who are assessed as complete response or partial response as the best overall response among evaluable patients, according to RECIST Ver.1.1. Assessment period was from the day of randomisation until the first observation of lesion progression or death |
| Baseline, every 6 weeks of study treatment period, and end of study. |
| Physician Decision |
|
| Protocol Violation |
|
| Withdrawal by Subject |
|
| Progression Disease |
|
| Clinical Progression |
|
| > 28 days since last dose of study drug |
|
| Other |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
received Paclitaxel (80 mg/m^2) on days 1, 8 and 15 of a 28-day cycle
|
|
|
| Secondary | Overall Survival | OS is defined as the period from the day of randomization until the day of death from any cause. Assessment period was from the day of randomisation until the first observation of lesion progression or death | History of chemotherapy for metastatic or recurrent breast cancer (yes/no), History of treatment using a taxane anticancer drug (yes/no), ER status [ER (+) or ER (-)], and Disease free interval (<12 months or ≥12 months) were covariates for adjustment. | Posted | Median | 95% Confidence Interval | months | Baseline, every 6 weeks of study treatment period, and end of study. |
|
|
|
|
| Secondary | Overall Response Rate | ORR is the proportion of patients who are assessed as complete response or partial response as the best overall response among evaluable patients, according to RECIST Ver.1.1. Assessment period was from the day of randomisation until the first observation of lesion progression or death | All randomized patients who received study drug at least once and who had no major violations of the eligiblity criteria | Posted | Median | 95% Confidence Interval | percentage of participants | Baseline, every 6 weeks of study treatment period, and end of study. |
|
|
|
|
| 214 |
| 34 |
| 214 |
| 210 |
| 214 |
| EG001 | Paclitaxel | received Paclitaxel (80 mg/m^2) on days 1, 8 and 15 of a 28-day cycle | 4 | 213 | 27 | 213 | 211 | 211 |
| Atrial fibrillation | Cardiac disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cardiac failure congestive | Cardiac disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pericardial effusion | Cardiac disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cataract | Eye disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Macular fibrosis | Eye disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Enterocolitis | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Ileus | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Oesophageal motility disorder | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Oesophageal varices haemorrhage | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Asthenia | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Chills | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Death | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| General physical health deterioration | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Infusion site extravasation | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Sudden death | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cholestasis | Hepatobiliary disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Gallbladder perforation | Hepatobiliary disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hepatic cirrhosis | Hepatobiliary disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Anaphylactic reaction | Immune system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Appendicitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cellulitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Device related infection | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Mediastinitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pseudomembranous colitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pyelonephritis acute | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Sepsis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Femur fracture | Injury, poisoning and procedural complications | MedDRA Ver.19.0 | Systematic Assessment |
|
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA Ver.19.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Bone pain | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Acoustic neuroma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Ver.19.0 | Systematic Assessment |
|
| Tumour associated fever | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA Ver.19.0 | Systematic Assessment |
|
| Depressed level of consciousness | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hypoxic-ischaemic encephalopathy | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Subarachnoid haemorrhage | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Device dislocation | Product Issues | MedDRA Ver.19.0 | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Schizophrenia | Psychiatric disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hydronephrosis | Renal and urinary disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Urinary retention | Renal and urinary disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Vaginal haemorrhage | Reproductive system and breast disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Interstitial lung disease | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pneumonitis | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Deep vein thrombosis | Vascular disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Malaise | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Oedema | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Lymphocyte count decreased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Weight decreased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Weight increased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA Ver.19.0 | Systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Peripheral sensory neuropathy | Nervous system disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Nail discolouration | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Rash maculo-papular | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Skin hyperpigmentation | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Onychomadesis | Skin and subcutaneous tissue disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
| Hot flush | Vascular disorders | MedDRA Ver.19.0 | Systematic Assessment |
|
There is no day limit but it needs sponsor's consent in a document.
| D017437 |
| Skin and Connective Tissue Diseases |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |