Phase III Study of Vinflunine Plus Capecitabine Versus Capecitabine Alone in Patients With Advanced Breast Cancer
- Conditions
- Malignant Neoplasm of Breast
- Interventions
- Registration Number
- NCT01953003
- Lead Sponsor
- Pierre Fabre Medicament
- Brief Summary
Options for the treatment of patients who have progressed after an anthracycline and a taxane are limited. Capecitabine currently has a role in this setting, yet as many as 80% of patients do not respond to this treatment and those who respond eventually develop clinical resistance.
The antitumour activity of vinflunine has been demonstrated in patients with breast cancer after exposure to anthracycline and to taxane.
Vinflunine plus capecitabine has been shown to be a feasible combination for patients previously treated with an anthracycline and a taxane. Each drug in combination can be administered at efficacious doses.
This population has few therapeutic options with established clinical benefit. The development of a new regimen and potential new standard of care for this group is important.
* Primary objective:
• to compare in patients with advanced breast cancer pretreated with anthracycline and taxane the efficacy of the combination of vinflunine and capecitabine with capecitabine alone, in terms of progression-free survival.
* Secondary objectives:
* to evaluate the response rate, the time to response and the duration of response in both arms
* to compare the disease control rate between arms
* to evaluate the duration of disease control in both arms
* to evaluate the overall survival in both arms
* to evaluate safety
Methodology This multicentre, open-label, randomised, Phase III study will enrol a total of 334 patients with advanced breast cancer who have previously been treated with an anthracycline and a taxane. Patients will be randomised in a 1:1 ratio to receive VFL plus capecitabine (Arm A) or capecitabine alone (Arm B).
- Detailed Description
RECIST 1.1 will be used for tumor assessment CTC - CAE version 3.0 will be used for safety assessment
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 112
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arm A : iv vinflunine plus Capecitabine vinflunine Vinflunine dose 280 mg/m² on day 1 of each cycle every 3 weeks, Capecitabine 825 mg/m² twice daily orally for 14 consecutive days beginning on day 1 of each cycle followed by 1 week of rest. Arm A : iv vinflunine plus Capecitabine Capecitabine Vinflunine dose 280 mg/m² on day 1 of each cycle every 3 weeks, Capecitabine 825 mg/m² twice daily orally for 14 consecutive days beginning on day 1 of each cycle followed by 1 week of rest. capecitabineArm B : capecitabine Capecitabine 1250 mg/m² twice daily orally for 14 consecutive days beginning on day 1 of each cycle followed by 1 week of rest
- Primary Outcome Measures
Name Time Method Progression Free Survival (PFS) progression date will be assessed evey 6 weeks starting from the randomization date until first documented progression or date of death from any cause whichever came first assessed up to 3 years The primary endpoint for the trial is progression-free survival calculated from the date of randomisation until the date of progression or the date of death whatever the cause of death. Patient who does not progressed will be censored at the date of last tumour assessment or the date of last contact of a follow-up showing no progression.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
Gleneagles Hospital
🇸🇬Singapore, Singapore
NUH
🇸🇬Singapore, Singapore