Trial Outcomes & Findings for Adjuvant Doxorubicin/Cyclophosphamide and Paclitaxel Plus Sorafenib Breast Cancer (NCT NCT00544167)

NCT ID: NCT00544167

Last Updated: 2013-04-01

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

18 Months

Results posted on

2013-04-01

Participant Flow

Participant milestones

Participant milestones
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
All patients received doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2 (AC) both administered intravenously day 1 every 3 weeks for four cycles, followed by paclitaxel 175 mg/m2 intravenously day 1 every 3 weeks for four cycles or 80 mg/m2 for twelve weeks (physician discretion), combined with sorafenib 400 mg orally twice daily. Sorafenib was held during radiation therapy where indicated and resumed once completed. Sorafenib was continued for a total of 12 months and in combination with adjuvant hormonal therapy where indicated.
Overall Study
STARTED
45
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
All patients received doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2 (AC) both administered intravenously day 1 every 3 weeks for four cycles, followed by paclitaxel 175 mg/m2 intravenously day 1 every 3 weeks for four cycles or 80 mg/m2 for twelve weeks (physician discretion), combined with sorafenib 400 mg orally twice daily. Sorafenib was held during radiation therapy where indicated and resumed once completed. Sorafenib was continued for a total of 12 months and in combination with adjuvant hormonal therapy where indicated.
Overall Study
Adverse Event
21
Overall Study
Physician Decision
8

Baseline Characteristics

Adjuvant Doxorubicin/Cyclophosphamide and Paclitaxel Plus Sorafenib Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
n=45 Participants
Doxorubicin 60mg/m2 IV, Cyclophosphamide 600mg/m2 IV every 3 weeks for a total of 12 weeks followed by 12 weeks of paclitaxel (either 175mg/m2 IV every three weeks or 80mg/m2 IV weekly) and sorafenib 400mg twice daily by mouth (up to a maximum of 1 year).
Age Continuous
54 years
n=99 Participants
Sex: Female, Male
Female
45 Participants
n=99 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
Region of Enrollment
United States
45 participants
n=99 Participants

PRIMARY outcome

Timeframe: 18 Months

Outcome measures

Outcome measures
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
n=45 Participants
The Safety and Tolerability of Protocol Treatment, Defined as the Percentage of Patients Experiencing Severe or Life-threatening Side Effects Per CTCAE Version 3.0.
40 percentage of patients

Adverse Events

Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib

Serious events: 7 serious events
Other events: 45 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
n=45 participants at risk
All patients received doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2 (AC) both administered intravenously day 1 every 3 weeks for four cycles, followed by paclitaxel 175 mg/m2 intravenously day 1 every 3 weeks for four cycles or 80 mg/m2 for twelve weeks (physician discretion), combined with sorafenib 400 mg orally twice daily. Sorafenib was held during radiation therapy where indicated and resumed once completed. Sorafenib was continued for a total of 12 months and in combination with adjuvant hormonal therapy where indicated.
Cardiac disorders
Cardiac ischemia/infarction
2.2%
1/45 • Number of events 1
Hepatobiliary disorders
Pancreatitis
2.2%
1/45 • Number of events 1
Infections and infestations
Infection - pneumonia
2.2%
1/45 • Number of events 1
Reproductive system and breast disorders
Abcess of Bartholin's cyst
2.2%
1/45 • Number of events 1
Gastrointestinal disorders
Hemmorhage - GI
2.2%
1/45 • Number of events 1
Infections and infestations
Infection - Streptococcus
2.2%
1/45 • Number of events 1
Blood and lymphatic system disorders
Febrile neutropenia
2.2%
1/45 • Number of events 1
Cardiac disorders
Ventricular arrhythmia - left ventricular systolic dysfunction
2.2%
1/45 • Number of events 1

Other adverse events

Other adverse events
Measure
Doxorubicin/Cyclophosphamide Then Paclitaxel/Sorafenib
n=45 participants at risk
All patients received doxorubicin 60 mg/m2 and cyclophosphamide 600 mg/m2 (AC) both administered intravenously day 1 every 3 weeks for four cycles, followed by paclitaxel 175 mg/m2 intravenously day 1 every 3 weeks for four cycles or 80 mg/m2 for twelve weeks (physician discretion), combined with sorafenib 400 mg orally twice daily. Sorafenib was held during radiation therapy where indicated and resumed once completed. Sorafenib was continued for a total of 12 months and in combination with adjuvant hormonal therapy where indicated.
Gastrointestinal disorders
Pain - Abdomen
22.2%
10/45 • Number of events 16
Skin and subcutaneous tissue disorders
Alopecia
68.9%
31/45 • Number of events 158
Gastrointestinal disorders
Anorexia
24.4%
11/45 • Number of events 39
Psychiatric disorders
Mood Alteration - Anxiety
17.8%
8/45 • Number of events 26
Musculoskeletal and connective tissue disorders
Pain - Joint
42.2%
19/45 • Number of events 47
Cardiac disorders
Superventricular arrhythmia - Atrial Fibrillation
15.6%
7/45 • Number of events 12
Eye disorders
Blurred Vision
11.1%
5/45 • Number of events 14
Respiratory, thoracic and mediastinal disorders
Nasal/Paranasal Reactions
6.7%
3/45 • Number of events 3
Gastrointestinal disorders
Constipation
31.1%
14/45 • Number of events 40
Respiratory, thoracic and mediastinal disorders
Cough
22.2%
10/45 • Number of events 19
Psychiatric disorders
Mood Alteration - Depression
11.1%
5/45 • Number of events 18
Gastrointestinal disorders
Diarrhea
37.8%
17/45 • Number of events 55
Nervous system disorders
Dizziness
13.3%
6/45 • Number of events 6
Gastrointestinal disorders
Dry Mouth
6.7%
3/45 • Number of events 8
Gastrointestinal disorders
Taste Alteration
24.4%
11/45 • Number of events 58
Gastrointestinal disorders
Heartburn
8.9%
4/45 • Number of events 10
Gastrointestinal disorders
Dysphagia
6.7%
3/45 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Dyspnea
22.2%
10/45 • Number of events 23
Blood and lymphatic system disorders
Edema
8.9%
4/45 • Number of events 13
Respiratory, thoracic and mediastinal disorders
Hemorrhage Pulmonary - Nose
13.3%
6/45 • Number of events 12
Gastrointestinal disorders
Esophagitis
6.7%
3/45 • Number of events 11
General disorders
Fatigue
88.9%
40/45 • Number of events 228
General disorders
Fever
24.4%
11/45 • Number of events 15
Skin and subcutaneous tissue disorders
Hand-Foot
28.9%
13/45 • Number of events 54
Blood and lymphatic system disorders
Hemoglobin
93.3%
42/45 • Number of events 169
Endocrine disorders
Hot Flashes
17.8%
8/45 • Number of events 13
Endocrine disorders
Hyperglycemia
11.1%
5/45 • Number of events 27
Cardiac disorders
Hypertension
20.0%
9/45 • Number of events 22
Endocrine disorders
Hypokalemia
8.9%
4/45 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Infection - URI
8.9%
4/45 • Number of events 4
Infections and infestations
Infection
15.6%
7/45 • Number of events 10
General disorders
Insomnia
15.6%
7/45 • Number of events 10
Cardiac disorders
Left Ventricular Systolic Dysfunction
8.9%
4/45 • Number of events 5
Eye disorders
Watery Eye
8.9%
4/45 • Number of events 28
Blood and lymphatic system disorders
Leukocytes
82.2%
37/45 • Number of events 161
Gastrointestinal disorders
Mouth Sore
8.9%
4/45 • Number of events 9
Gastrointestinal disorders
Muscositis - Oral Cavity
44.4%
20/45 • Number of events 55
Musculoskeletal and connective tissue disorders
Pain - Muscle
48.9%
22/45 • Number of events 47
Skin and subcutaneous tissue disorders
Nail Changes
8.9%
4/45 • Number of events 15
Gastrointestinal disorders
Nausea
88.9%
40/45 • Number of events 125
Nervous system disorders
Neuropathy - Peripheral
8.9%
4/45 • Number of events 23
Nervous system disorders
Neuropathy - Sensory
62.2%
28/45 • Number of events 89
Blood and lymphatic system disorders
Neutrophils
75.6%
34/45 • Number of events 111
Musculoskeletal and connective tissue disorders
Pain - Bone
22.2%
10/45 • Number of events 16
Ear and labyrinth disorders
Pain - Ear
6.7%
3/45 • Number of events 3
General disorders
Pain - Headache
20.0%
9/45 • Number of events 12
Infections and infestations
Infection - Pharynx
6.7%
3/45 • Number of events 4
Blood and lymphatic system disorders
Platelets
37.8%
17/45 • Number of events 37
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.9%
4/45 • Number of events 17
Skin and subcutaneous tissue disorders
Pruritis
20.0%
9/45 • Number of events 16
Skin and subcutaneous tissue disorders
Rash
57.8%
26/45 • Number of events 88
Respiratory, thoracic and mediastinal disorders
Rhinitis
15.6%
7/45 • Number of events 14
Skin and subcutaneous tissue disorders
Dry Skin
8.9%
4/45 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Pain - Throat
13.3%
6/45 • Number of events 11
Cardiac disorders
Tachycardia
17.8%
8/45 • Number of events 16
Gastrointestinal disorders
Vomiting
46.7%
21/45 • Number of events 53
General disorders
Weakness
6.7%
3/45 • Number of events 12
General disorders
Weight Loss
8.9%
4/45 • Number of events 9

Additional Information

John Hainsworth, MD

Sarah Cannon Research Institute

Phone: 877-691-7274

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor can review/embargo results communications prior to public release for a period that is \>60 days but ≤180 days from date submitted to sponsor, who may require changes to the communication in order to remove specifically identified confidential information (other than study data) and/or delay the proposed publication to enable the sponsor to seek patent protection for inventions. The PI may not publish its results until 18 mos. after the trial has been completed at all sites.
  • Publication restrictions are in place

Restriction type: OTHER