Dose EScalation Induction of EvERolimus
NCT02387099 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 156
Last updated 2022-02-23
Summary
The BOLERO-2 study demonstrated a benefit for patients who received everolimus in addition to exemestane in patients who progressed during/after a non-steroidal aromatase inhibitor;
Routine use of everolimus shows an high rate of intolerability due to mucositis/stomatitis especially during the first 12 weeks of treatment leading cause for treatment discontinuation not related to tumor progression;
GeparQuinto study (setting III: non-responders): everolimus was given as salvage treatment in combination with paclitaxel for patients without response to 4 cycles epirubicin/cyclophosphamide with/without bevacizumab.
A dose-escalation schema was successfully used to improve tolerability of everolimus together with the cytotoxic Agent.
Everolimus plus exemestane has improved the prognosis of metastatic breast cancer significantly. Desiree-study aims to improve the tolerability, which is necessary in order to achieve an adequate dose intensity for the patients in Routine care.
Conditions
- Breast Cancer
- Hormone Receptor Positive Tumor
Interventions
- DRUG
-
3 weeks Dose Induction of Everolimus
Comparing a conventional dosing approach starting with 10 mg at first dose versus a dose-escalating schema over 21 days in patients receiving everolimus in combination with exemestane for treatment of metastatic breast cancer. All patients will be treated within the approved indication of everolimus in combination with exemestane. Patients will be randomized in a 1:1 ratio
- DRUG
-
3 weeks Conventional Everolimus Dosing
Comparing a conventional dosing approach starting with 10 mg at first dose versus a dose-escalating schema over 21 days in patients receiving everolimus in combination with exemestane for treatment of metastatic breast cancer. All patients will be treated within the approved indication of everolimus in combination with exemestane. Patients will be randomized in a 1:1 ratio
- DRUG
-
Open Label Phase with conventional 10mg Everolimus Dosing week 4-24
All patients will receive open label Everolimus with Exemestane for 21 weeks according to label
- DRUG
-
Standard Care after 24 weeks
It is up to the discretion of the investigator to continue with Everolimus+Exemestane beyond 24 weeks
Sponsors & Collaborators
- collaborator INDUSTRY
-
GBG Forschungs GmbH
lead OTHER
Principal Investigators
-
Sibylle Loibl, Prof., MD · ASCO, ESGO, ESMO, DKG, DGGG, AGO, DGS, BIG, BCIRG, St. Gallen Faculty Member, SABCS Faculty member
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-05-31
- Primary Completion
- 2021-05-31
- Completion
- 2021-07-31
Countries
- Germany
Study Locations
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