A Randomized Double-Blind, Placebo-Controlled Study of Everolimus in Combination With Exemestane in the Treatment of Postmenopausal Women With Estrogen Receptor Positive Locally Advanced or Metastatic Breast Cancer Who Are Refractory to Letrozole or Anastrozole
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 724
- 试验地点
- 64
- 主要终点
- Progression-free Survival (PFS) Based on Local Radiology Review of Tumor Assessments.
研究概览
简要总结
There are no treatments specifically approved after recurrence or progression on a non steroidal aromatase inhibitors (NSAI). In light of the need for new treatment options for postmenopausal women after failure of prior NSAI therapy, the purpose of this Phase III study is to compare efficacy and safety of a treatment with exemestane + everolimus to exemestane + placebo in postmenopausal women with estrogen receptor positive locally advanced or metastatic breast cancer refractory to NSAI.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Adult women (≥ 18 years of age) with metastatic or locally advanced breast cancer not amenable to curative treatment by surgery or radiotherapy.
- •Histological or cytological confirmation of estrogen-receptor positive (ER+) breast cancer
- •Postmenopausal women.
- •Disease refractory to non steroidal aromatase inhibitors (NSAI),
- •Radiological or clinical evidence of recurrence or progression on or after the last systemic therapy prior to randomization.
- •Patients must have at least one lesion that can be accurately measured or bone lesions in the absence of measurable disease as defined above.
排除标准
- •HER2-overexpressing patients
- •Patients with only non-measurable lesions other than bone metastasis (e.g. pleural effusion, ascites etc.).
- •Patients who received more than one chemotherapy line for Advanced Breast Cancer.
- •Previous treatment with exemestane or mTOR inhibitors.
- •Known hypersensitivity to mTOR inhibitors, e.g. sirolimus (rapamycin).
- •Radiotherapy within four weeks prior to randomization
- •Currently receiving hormone replacement therapy,
- •Other protocol-defined inclusion/exclusion criteria may apply
研究组 & 干预措施
Everolimus + Exemestane
Everolimus 10 mg daily in combination with exemestane 25 mg daily
干预措施: Everolimus (Drug)
Everolimus + Exemestane
Everolimus 10 mg daily in combination with exemestane 25 mg daily
干预措施: Exemestane (Drug)
Placebo + Exemestane
Placebo of everolimus in combination with exemestane 25 mg daily
干预措施: Exemestane (Drug)
Placebo + Exemestane
Placebo of everolimus in combination with exemestane 25 mg daily
干预措施: Everolimus Placebo (Drug)
结局指标
主要结局
Progression-free Survival (PFS) Based on Local Radiology Review of Tumor Assessments.
时间窗: date of randomization to the date of first documented tumor progression or death from any cause, whichever occurs first, reported between day of first patient randomized up to about 19 months
Progression-free survival, the primary endpoint in this study, is defined as the time from the date of randomization to the date of first documented radiological progression or death due to any cause. Disease progression was based on the tumor assessment by the local radiologist or investigator using RECIST 1.0 criteria. If a patient did not progress or known to have died at the date of the analysis cut-off or start of another antineoplastic therapy, the PFS date was censored to the date of last adequate tumor assessment prior to cut-off date or start of antineoplastic therapy. For patients with lytic or mixed (lytic+sclerotic) bone lesions, the following is considered progression: appearance of ≥1 new lytic lesions in bone; the appearance of ≥ new lesions outside of bone and unequivocal progression of existing bone lesions.
次要结局
- Overall Survival (OS) by Number of Deaths(up to 53 months)
- Overall Survival (OS) by Median(up to 53 months)
- Overall Response Rate (ORR)(up to 21 months)
- Clinical Benefit Rate (CBR)(up to 21 months)
- Proportion of Patients With no Deterioration of Eastern Cooperative Oncology Group Performance Status (ECOG PS) Using Kaplan-Meier(2, 4, 6, 9 months)
- Patient-reported Outcomes (PROs): Time to Deterioration of PRO Scores Using Kaplan Meier - EORTC QLQ-C30(Up to 21 months)
- Proportion of Patients With Having no Overall Response Based on Investigator Assessment(2, 4, 6, 9 months)
- Duration of Response (Among Participants With Best Overall Response of CR or PR) Estimated Per Kaplan-Meier(21 months)
- Everolimus Concentrations at Week 4(pre-dose, 2 hours post-dose)
- Exemestane Concentrations at Week 4(predose, 2 hours post-dose)
- Estradiol Plasma Concentrations(Baseline, Week 4)
