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Everolimus in Combination With Trastuzumab and Paclitaxel in the Treatment of HER2 Positive Locally Advanced or Metastatic Breast Cancer (BOLERO-1)
This study is currently recruiting participants.
Verified April 2011 by Novartis

First Received on April 2, 2009.   Last Updated on April 18, 2011   History of Changes
Sponsor: Novartis Pharmaceuticals
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00876395
  Purpose

The purpose of this Phase III study is to confirm the value of adding everolimus to weekly paclitaxel and trastuzumab as treatment of HER2-overexpressing metastatic breast cancer.


Condition Intervention Phase
Breast Cancer
Drug: Everolimus
Drug: Placebo
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized Phase III, Double-Blind, Placebo-Controlled Multicenter Trial of Everolimus in Combination With Trastuzumab and Paclitaxel, as First Line Therapy in Women With HER2 Positive Locally Advanced or Metastatic Breast Cancer

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Measure: progression-free survival (PFS), defined as the time from the date of randomization to the date of first documented tumor progression or death from any cause, whichever occurs first. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Overall survival (OS), the key secondary endpoint in this study, is defined as the time from date of randomization to the date of death due to any cause. [ Time Frame: Every 6 months after End of Treatment + 28 days (every 8 weeks before) ] [ Designated as safety issue: No ]
  • Overall response rate (ORR) defined as the proportion of patients whose best overall response is either complete response (CR) or partial response (PR) according to RECIST; [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
  • Incidence of adverse events, serious adverse events, shift from baseline in vital signs and laboratory results (hematology, blood chemistry) will be reported. [ Time Frame: Continuous and every 8 weeks ] [ Designated as safety issue: Yes ]
  • Clinical benefit rate (CBR) defined as the proportion of patients whose best overall response is either complete response (CR), a partial response (PR) or stable disease (SD) lasting for at least 24 weeks, according to RECIST. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
  • Time to overall response (CR or PR) defined as the time between date of randomization until first documented response (CR or PR), according to RECIST. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
  • Overall Response(OR)applies only to patients whose best OR was CR or PR. Start date = date of first documented response (CR or PR) and end date = date of event defined as the first documented progression or death due to underlying cause. [ Time Frame: Every 8 weeks ] [ Designated as safety issue: No ]
  • Blood levels at steady states for everolimus/placebo (Cmin and C2h) at Cycle 2/Day 1, Cycle 2/Day 15 & Cycle 2/Day 22, paclitaxel (Cmin and Cmax) at Cycle 2/Day 15 & trastuzumab (Cmin and Cmax) at Cycle 4/Day 1. [ Time Frame: 4 timepoints specificed above ] [ Designated as safety issue: No ]

Estimated Enrollment: 717
Study Start Date: September 2009
Estimated Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Everolimus 10 mg daily
Everolimus 10 mg daily in combination with paclitaxel 80mg/m2 weekly on days 1, 8, 15 and trastuzumab 2mg/kg weekly on days 1, 8, 15, 22
Drug: Everolimus
Other Name: RAD001
Placebo Comparator: Placebo of everolimus daily
Placebo of everolimus daily in combination with paclitaxel 80mg/m2 weekly on days 1, 8, 15 and trastuzumab 2mg/kg weekly on days 1, 8, 15, 22
Drug: Placebo

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Adult Women (≥ 18 years old).
  • Histologically or cytologically confirmed invasive breast carcinoma with local recurrence or radiological evidence of metastatic disease.
  • Must have at least one lesion that can be accurately measured or bone lesions in the absence of measurable disease.
  • HER2+ patients by local laboratory testing (IHC 3+ staining or in situ hybridization positive).
  • Prior trastuzumab and/or chemotherapy (taxanes included) as neo-adjuvant or adjuvant treatment is allowed but should be discontinued > 12 months prior to randomization.
  • Prior treatment for breast cancer with endocrine therapy (adjuvant or metastatic settings) is allowed but should be discontinued at randomization. Patients treated with bisphosphonates at entry or who start bisphosphonates during study may continue this therapy during protocol treatment.
  • Documentation of negative pregnancy test.

Exclusion Criteria:

  • Prior mTOR inhibitors for the treatment of cancer.
  • Other anticancer therapy for locally advanced or metastatic breast cancer except for prior hormonal therapy.
  • Patients with only non-measurable lesions other than bone metastasis (e.g. pleural effusion, ascites, etc).
  • Radiotherapy to ≥ 25% of the bone marrow within 4 weeks prior to randomization
  • History of central nervous system metastasis.
  • Impairment of gastrointestinal (GI) function or GI disease or active ulceration of the upper gastrointestinal tract.
  • Serious peripheral neuropathy.
  • Cardiac disease or dysfunction.
  • Uncontrolled hypertension.
  • HIV.
  • Pregnant, Other protocol-defined inclusion/exclusion criteria may apply
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00876395

Contacts
Contact: Novartis Pharmaceuticlas 800 340 6843

  Show 118 Study Locations
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Additional Information:
No publications provided

Responsible Party: External Affairs, Novartis Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00876395     History of Changes
Other Study ID Numbers: CRAD001J2301, EUDRACT Number: 2008-006556-21
Study First Received: April 2, 2009
Last Updated: April 18, 2011
Health Authority: Argentina: Ministry of Health;   Australia: Therapeutic Goods Administration;   Belgium: Pharmaceutical Inspectorate;   Brazil: National Health Surveillance Agency ANVISA;   Canada: Health Canada;   China: State Food and Drug Administration;   Columbia: Ministry of Health;   Czech Republic: State Institute for Drug Control;   Egypt: Ministry of Health, Drug Policy and Planning Center;   France: Afssaps - French Health Products Safety Agency;   Greece: National Organization for Medicines;   Hong Kong: Department of Health;   Ireland: Medicines Board;   Italy: local CA of the hospital of the Principle Investigator coordinator (legal Officer/director of the hospital of the PI);   Japan: Pharmaceuticals and Medical Devices Agency;   Lebanon: Ministry of Health;   Mexico: Ministry of Health;   Peru: Ministry of Health;   Russia:;   South Africa: Department of Health;   South Korea: Korea Food and Drug Administration (KFDA);   Switzerland: Agency for Therapeutic Products;   Taiwan: Department of Health;   Turkey: Ministry of Health;   United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Venezuela: Ministry of Health and Social Development

Keywords provided by Novartis:
Breast Cancer
HER2+
mTOR
everolimus
RAD001
first line
metastatic
locally advanced

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Everolimus
Sirolimus
Trastuzumab
Paclitaxel
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Antibiotics, Antineoplastic
Antineoplastic Agents
Therapeutic Uses
Antifungal Agents
Anti-Infective Agents
Anti-Bacterial Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on February 09, 2012