Trial Outcomes & Findings for Phase II Study With Abraxane, Bevacizumab and Carboplatin in Triple Negative Metastatic Breast Cancer (NCT NCT00479674)

NCT ID: NCT00479674

Last Updated: 2015-02-18

Results Overview

Best clinical response is based on RECIST criteria, the proportion in each response category along with the exact binomial confidence intervals are estimated. Toxicity summaries are also provided.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

41 participants

Primary outcome timeframe

5 years

Results posted on

2015-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
Abraxane, Carboplatin, Bevacizumab
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Overall Study
STARTED
41
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
41

Reasons for withdrawal

Reasons for withdrawal
Measure
Abraxane, Carboplatin, Bevacizumab
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Overall Study
Adverse Event
18
Overall Study
Withdrawal by Subject
6
Overall Study
Physician Decision
14
Overall Study
none provided
3

Baseline Characteristics

Phase II Study With Abraxane, Bevacizumab and Carboplatin in Triple Negative Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abraxane, Carboplatin, Bevacizumab
n=41 Participants
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Age, Continuous
50 years
STANDARD_DEVIATION 11 • n=99 Participants
Sex: Female, Male
Female
41 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=99 Participants
Race (NIH/OMB)
White
25 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
Region of Enrollment
United States
41 participants
n=99 Participants

PRIMARY outcome

Timeframe: 5 years

Population: 2 subjects withdrew and were not assessed for response

Best clinical response is based on RECIST criteria, the proportion in each response category along with the exact binomial confidence intervals are estimated. Toxicity summaries are also provided.

Outcome measures

Outcome measures
Measure
Abraxane, Carboplatin, Bevacizumab
n=39 Participants
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Best Clinical Response Expressed as Percentage of Participants Treated With Combination Regimen of Weekly Abraxane® and Carboplatin Plus Biweekly Bevacizumab to Treat Women With Stage IV or Inoperable Stage III "Triple Negative" Metastatic Breast Cancer.
Complete Response
18 percentage of participants
Interval 8.0 to 34.0
Best Clinical Response Expressed as Percentage of Participants Treated With Combination Regimen of Weekly Abraxane® and Carboplatin Plus Biweekly Bevacizumab to Treat Women With Stage IV or Inoperable Stage III "Triple Negative" Metastatic Breast Cancer.
Partial Response
69 percentage of participants
Interval 52.0 to 83.0
Best Clinical Response Expressed as Percentage of Participants Treated With Combination Regimen of Weekly Abraxane® and Carboplatin Plus Biweekly Bevacizumab to Treat Women With Stage IV or Inoperable Stage III "Triple Negative" Metastatic Breast Cancer.
Stable Disease
8 percentage of participants
Interval 2.0 to 21.0
Best Clinical Response Expressed as Percentage of Participants Treated With Combination Regimen of Weekly Abraxane® and Carboplatin Plus Biweekly Bevacizumab to Treat Women With Stage IV or Inoperable Stage III "Triple Negative" Metastatic Breast Cancer.
Progressive Disease
5 percentage of participants
Interval 1.0 to 17.0

SECONDARY outcome

Timeframe: 5 years

Population: One subject lost to follow up and not included in analysis.

PFS was defined as time from trial enrollment to disease progression or death, whichever occurred first.

Outcome measures

Outcome measures
Measure
Abraxane, Carboplatin, Bevacizumab
n=40 Participants
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Median Proportion Progression-free as Estimated by Kaplan-Meier Methods
15 months
Interval 10.0 to 25.0

SECONDARY outcome

Timeframe: 18 months

Population: Analysis of samples was not performed, as there was inadequate funding to support the testing and analysis of the samples.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 18 months

Population: Samples were collected, but analysis was not performed as there was inadequate funding to support the testing and analysis of samples.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 18 months

Population: Study plan stipulated that tissue samples would not be assessed for quantitatively if no difference in SPARC expression was observed between tumor and non-tumor cells was observed qualitatively.

Outcome measures

Outcome data not reported

Adverse Events

Abraxane, Carboplatin, Bevacizumab

Serious events: 22 serious events
Other events: 41 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Abraxane, Carboplatin, Bevacizumab
n=41 participants at risk
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Blood and lymphatic system disorders
Anemia
2.4%
1/41
Gastrointestinal disorders
Dyspepsia
2.4%
1/41
Gastrointestinal disorders
Mucositis oral
2.4%
1/41
Gastrointestinal disorders
Nausea
7.3%
3/41
Gastrointestinal disorders
Vomiting
2.4%
1/41
General disorders
Pain
7.3%
3/41
Immune system disorders
Allergic reaction
2.4%
1/41
Infections and infestations
Infections and infestations - Other, specify:
2.4%
1/41
Injury, poisoning and procedural complications
Vascular access complication
7.3%
3/41
Investigations
Alanine aminotransferase increased
2.4%
1/41
Investigations
Aspartate aminotransferase increased
2.4%
1/41
Investigations
Neutrophil count decreased
7.3%
3/41
Investigations
Platelet count decreased
9.8%
4/41
Metabolism and nutrition disorders
Dehydration
2.4%
1/41
Metabolism and nutrition disorders
Hypokalemia
2.4%
1/41
Nervous system disorders
Headache
4.9%
2/41
Nervous system disorders
Nervous system disorders - Other, specify: Leptomeningeal Carcinomatosis
2.4%
1/41
Nervous system disorders
Peripheral motor neuropathy
2.4%
1/41
Nervous system disorders
Peripheral sensory neuropathy
4.9%
2/41
Psychiatric disorders
Insomnia
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Atelectasis
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify: epistaxis
2.4%
1/41
Skin and subcutaneous tissue disorders
Pruritus
2.4%
1/41
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify: scalp discoloration
2.4%
1/41
Vascular disorders
Hypertension
2.4%
1/41
Vascular disorders
Thromboembolic event
2.4%
1/41

Other adverse events

Other adverse events
Measure
Abraxane, Carboplatin, Bevacizumab
n=41 participants at risk
Abraxane 100 mg/m2 IV over 30 min days 1,8,15.; Carboplatin AUC=2 IV over 15 min days 1,8,15., Bevacizumab 10 mg/kg IV days 1,15 Abraxane: 100 mg/m2 IV over 30 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.. Bevacizumab: 10 mg/kg IV days 1,15 Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria,intolerable toxicity, or death. Carboplatin: area under curve (AUC)=2 IV over 15 min days 1,8,15. Cycles Repeated Every 28 days until documented evidence of disease progression by RECIST criteria, intolerable toxicity, or death.
Blood and lymphatic system disorders
Anemia
48.8%
20/41
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify: Anemia
2.4%
1/41
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify: upper extremity lymphedema
2.4%
1/41
Blood and lymphatic system disorders
Febrile neutropenia
2.4%
1/41
Blood and lymphatic system disorders
Hemolysis
2.4%
1/41
Blood and lymphatic system disorders
Lymph node pain
4.9%
2/41
Cardiac disorders
Cardiac disorders - Other, specify: Palpitations
2.4%
1/41
Cardiac disorders
Palpitations
4.9%
2/41
Ear and labyrinth disorders
Ear and labyrinth disorders - Other, specify: Ringing in ears
7.3%
3/41
Ear and labyrinth disorders
Tinnitus
14.6%
6/41
Endocrine disorders
Hypothyroidism
2.4%
1/41
Eye disorders
Blurred vision
14.6%
6/41
Eye disorders
Conjunctivitis
2.4%
1/41
Eye disorders
Extraocular muscle paresis
4.9%
2/41
Eye disorders
Eye disorders - Other, specify: vision changes
7.3%
3/41
Eye disorders
Flashing lights
2.4%
1/41
Eye disorders
Watering eyes
4.9%
2/41
Gastrointestinal disorders
Abdominal pain
19.5%
8/41
Gastrointestinal disorders
Anal fistula
2.4%
1/41
Gastrointestinal disorders
Anal hemorrhage
2.4%
1/41
Gastrointestinal disorders
Anal mucositis
4.9%
2/41
Gastrointestinal disorders
Colitis
2.4%
1/41
Gastrointestinal disorders
Constipation
61.0%
25/41
Gastrointestinal disorders
Diarrhea
36.6%
15/41
Gastrointestinal disorders
Dry mouth
7.3%
3/41
Gastrointestinal disorders
Dyspepsia
19.5%
8/41
Gastrointestinal disorders
Dysphagia
4.9%
2/41
Gastrointestinal disorders
Esophageal pain
2.4%
1/41
Gastrointestinal disorders
Esophagitis
2.4%
1/41
Gastrointestinal disorders
Gastritis
4.9%
2/41
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify: dyspepsia
2.4%
1/41
Gastrointestinal disorders
Hemorrhoids
9.8%
4/41
Gastrointestinal disorders
Mucositis oral
48.8%
20/41
Gastrointestinal disorders
Nausea
63.4%
26/41
Gastrointestinal disorders
Oral pain
2.4%
1/41
Gastrointestinal disorders
Rectal fistula
2.4%
1/41
Gastrointestinal disorders
Rectal hemorrhage
2.4%
1/41
Gastrointestinal disorders
Rectal pain
2.4%
1/41
Gastrointestinal disorders
Vomiting
24.4%
10/41
General disorders
Chills
4.9%
2/41
General disorders
Edema face
2.4%
1/41
General disorders
Edema limbs
19.5%
8/41
General disorders
Edema trunk
2.4%
1/41
General disorders
Facial pain
2.4%
1/41
General disorders
Fatigue
82.9%
34/41
General disorders
Fever
4.9%
2/41
General disorders
General disorders and administration site conditions - Other, specify: mouth sores
17.1%
7/41
General disorders
Non-cardiac chest pain
9.8%
4/41
General disorders
Pain
39.0%
16/41
Immune system disorders
Allergic reaction
7.3%
3/41
Immune system disorders
Cytokine release syndrome
2.4%
1/41
Infections and infestations
Anorectal infection
2.4%
1/41
Infections and infestations
Bladder infection
2.4%
1/41
Infections and infestations
Infections and infestations - Other, specify:
2.4%
1/41
Infections and infestations
Infections and infestations - Other, specify: URI/Sinusitis/laryngitis
4.9%
2/41
Infections and infestations
Sinusitis
7.3%
3/41
Infections and infestations
Tooth infection
4.9%
2/41
Infections and infestations
Upper respiratory infection
2.4%
1/41
Infections and infestations
Urinary tract infection
9.8%
4/41
Injury, poisoning and procedural complications
Bruising
2.4%
1/41
Injury, poisoning and procedural complications
Tracheal hemorrhage
7.3%
3/41
Injury, poisoning and procedural complications
Wound dehiscence
2.4%
1/41
Investigations
Alanine aminotransferase increased
12.2%
5/41
Investigations
Alkaline phosphatase increased
14.6%
6/41
Investigations
Aspartate aminotransferase increased
9.8%
4/41
Investigations
Blood bilirubin increased
4.9%
2/41
Investigations
Creatinine increased
2.4%
1/41
Investigations
INR increased
2.4%
1/41
Investigations
Investigations - Other, specify: hypokalemia
2.4%
1/41
Investigations
Neutrophil count decreased
75.6%
31/41
Investigations
Platelet count decreased
43.9%
18/41
Investigations
Weight gain
4.9%
2/41
Investigations
Weight loss
9.8%
4/41
Investigations
White blood cell decreased
19.5%
8/41
Metabolism and nutrition disorders
Anorexia
41.5%
17/41
Metabolism and nutrition disorders
Dehydration
4.9%
2/41
Metabolism and nutrition disorders
Hyperglycemia
9.8%
4/41
Metabolism and nutrition disorders
Hypoalbuminemia
12.2%
5/41
Metabolism and nutrition disorders
Hypocalcemia
14.6%
6/41
Metabolism and nutrition disorders
Hypoglycemia
2.4%
1/41
Metabolism and nutrition disorders
Hypokalemia
14.6%
6/41
Metabolism and nutrition disorders
Hypomagnesemia
2.4%
1/41
Metabolism and nutrition disorders
Hyponatremia
12.2%
5/41
Musculoskeletal and connective tissue disorders
Arthralgia
22.0%
9/41
Musculoskeletal and connective tissue disorders
Back pain
24.4%
10/41
Musculoskeletal and connective tissue disorders
Bone pain
19.5%
8/41
Musculoskeletal and connective tissue disorders
Chest wall pain
14.6%
6/41
Musculoskeletal and connective tissue disorders
Fibrosis deep connective tissue
4.9%
2/41
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
7.3%
3/41
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify: Cramping in Left Calf
7.3%
3/41
Musculoskeletal and connective tissue disorders
Myalgia
9.8%
4/41
Musculoskeletal and connective tissue disorders
Neck pain
4.9%
2/41
Musculoskeletal and connective tissue disorders
Pain in extremity
22.0%
9/41
Nervous system disorders
Ataxia
4.9%
2/41
Nervous system disorders
Dizziness
14.6%
6/41
Nervous system disorders
Dysgeusia
29.3%
12/41
Nervous system disorders
Extrapyramidal disorder
4.9%
2/41
Nervous system disorders
Glossopharyngeal nerve disorder
2.4%
1/41
Nervous system disorders
Headache
39.0%
16/41
Nervous system disorders
Memory impairment
4.9%
2/41
Nervous system disorders
Nervous system disorders - Other, specify: Leptomeningeal Carcinomatosis
4.9%
2/41
Nervous system disorders
Olfactory nerve disorder
2.4%
1/41
Nervous system disorders
Peripheral motor neuropathy
12.2%
5/41
Nervous system disorders
Peripheral sensory neuropathy
56.1%
23/41
Nervous system disorders
Sinus pain
4.9%
2/41
Nervous system disorders
Tremor
4.9%
2/41
Psychiatric disorders
Anxiety
26.8%
11/41
Psychiatric disorders
Depression
26.8%
11/41
Psychiatric disorders
Insomnia
39.0%
16/41
Psychiatric disorders
Personality change
2.4%
1/41
Renal and urinary disorders
Proteinuria
4.9%
2/41
Renal and urinary disorders
Urinary frequency
4.9%
2/41
Renal and urinary disorders
Urinary incontinence
2.4%
1/41
Renal and urinary disorders
Urinary tract pain
2.4%
1/41
Renal and urinary disorders
Urine discoloration
4.9%
2/41
Reproductive system and breast disorders
Breast pain
12.2%
5/41
Reproductive system and breast disorders
Ovulation pain
2.4%
1/41
Reproductive system and breast disorders
Vaginal dryness
4.9%
2/41
Reproductive system and breast disorders
Vaginal hemorrhage
2.4%
1/41
Reproductive system and breast disorders
Vaginal pain
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
22.0%
9/41
Respiratory, thoracic and mediastinal disorders
Bronchospasm
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Cough
39.0%
16/41
Respiratory, thoracic and mediastinal disorders
Dyspnea
34.1%
14/41
Respiratory, thoracic and mediastinal disorders
Epistaxis
26.8%
11/41
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
9.8%
4/41
Respiratory, thoracic and mediastinal disorders
Pulmonary hypertension
2.4%
1/41
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify: epistaxis
14.6%
6/41
Respiratory, thoracic and mediastinal disorders
Sinus disorder
24.4%
10/41
Respiratory, thoracic and mediastinal disorders
Voice alteration
24.4%
10/41
Skin and subcutaneous tissue disorders
Alopecia
48.8%
20/41
Skin and subcutaneous tissue disorders
Dry skin
19.5%
8/41
Skin and subcutaneous tissue disorders
Hyperhidrosis
4.9%
2/41
Skin and subcutaneous tissue disorders
Nail loss
19.5%
8/41
Skin and subcutaneous tissue disorders
Pain of skin
2.4%
1/41
Skin and subcutaneous tissue disorders
Pruritus
9.8%
4/41
Skin and subcutaneous tissue disorders
Rash acneiform
7.3%
3/41
Skin and subcutaneous tissue disorders
Rash maculo-papular
24.4%
10/41
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify: scalp discoloration
26.8%
11/41
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
12.2%
5/41
Skin and subcutaneous tissue disorders
Skin hypopigmentation
2.4%
1/41
Skin and subcutaneous tissue disorders
Skin ulceration
7.3%
3/41
Vascular disorders
Flushing
9.8%
4/41
Vascular disorders
Hot flashes
34.1%
14/41
Vascular disorders
Hypertension
12.2%
5/41
Vascular disorders
Lymphedema
4.9%
2/41
Vascular disorders
Vascular disorders - Other, specify: Nose bleed
12.2%
5/41

Additional Information

Dr. Kimberly Blackwell

Duke University Medical Center

Phone: 919-668-1748

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place