Know Cancer

or
forgot password

International Multicenter Randomized Double Blind Phase III Clinical Trial Comparing Safety and Efficacy of BCD-022 (CJSC BIOCAD, Russia) Used With Paclitaxel to Herceptin® (F. Hoffmann-La Roche Ltd, Switzerland) Used With Paclitaxel in the First-line Treatment of HER2-positive Metastatic Breast Cancer Patients


Phase 3
18 Years
70 Years
Open (Enrolling)
Female
HER2-positive Metastatic Breast Cancer

Thank you

Trial Information

International Multicenter Randomized Double Blind Phase III Clinical Trial Comparing Safety and Efficacy of BCD-022 (CJSC BIOCAD, Russia) Used With Paclitaxel to Herceptin® (F. Hoffmann-La Roche Ltd, Switzerland) Used With Paclitaxel in the First-line Treatment of HER2-positive Metastatic Breast Cancer Patients


Inclusion Criteria:



- Written informed consent and ability to follow the Protocol procedures;

- Age from 18 years to 70 years inclusive;

- Female gender;

- Histologically confirmed breast cancer (BC);

- Metastatic BC (stage IV according to TNM classification version 6);

- Grade 3+ HER2 overexpression confirmed by immunohistochemical (IHC) staining or grade
2+ HER2 overexpression accompanied by HER2 gene amplification confirmed by
fluorescent hybridization in situ (FISH) ;

- Documented results of oestrogen and progesterone receptors expression analysis;

- Eastern Cooperative Oncology Group (ECOG) status 0, 1 or 2, not increasing within 2
weeks prior to randomization;

- Life expectancy - 20 weeks or more from the moment of randomization;

- Presence of at least 1 tumour with a size not less than 1 cm (revealed with computed
tomography (CT) slice thickness not more than 5 mm). Patients having bone metastasis
as the only measurable tumour are not eligible for the trial;

- Patients of childbearing potential must implement reliable contraceptive measures
during the study treatment, starting 4 weeks prior to inclusion into the trial and
until 6 months after the last administration of the study drug.

Exclusion Criteria:

- Previous anticancer therapy for metastatic BC, including cytotoxic chemotherapy,
signal transduction inhibitors (e.g. lapatinib), biological drugs (e.g. trastuzumab,
bevacizumab), experimental (not approved for BC therapy) anticancer drugs. Any
previous hormonal therapy is allowed;

- Disease progression within 12 months after adjuvant and/or neoadjuvant anti BC
therapy (including anti-HER2 drugs). Patients are eligible if the disease progression
occurred within 12 months after adjuvant hormonal therapy;

- Surgery, radiation therapy, use of any experimental medications within 14 weeks prior
to randomization;

- Hypersensitivity to paclitaxel and all medications containing polyoxyethylated castor
oil, hypersensitivity to dexamethasone, diphenhydramine, ranitidine/cimetidine,
recombinant murine proteins, contrast agents or excipients of study medications;

- BC metastases in central nervous system, progressing or clinically manifested (e.g.
cerebral oedema, spinal cord injury), with exception of non-progressing metastases
not requiring treatment with glucocorticosteroids and/or anticonvulsants within 4
weeks prior to randomization;

- Cardiovascular system pathology (congestive heart failure (CHF) stage III-IV
according to New York Heart Association (NYHA) classification, unstable angina
pectoris, unstable angina pectoris, myocardial infarction) within 12 months prior to
randomization;

- Uncontrolled hypertension comprising all cases of arterial hypertension when no
decrease in blood pressure could be achieved despite treatment with a combination of
3 antihypertensive drugs including one diuretic and non-medicamental correction
methods (low salt diet, physical exercise);

- Left ventricular ejection fraction <50% according to electrocardiography;

- Neutrophils ≤1500/mm3;

- Platelets ≤100 000/mm3;

- Hemoglobin ≤90 g/L;

- Creatinine level ≥ 1.5 × upper limit of normal (ULN);

- Bilirubin level ≥ 1.5 × ULN;

- Asparagine transferase (AST) and alanine transferase (ALT) levels ≥ 2.5 × ULN (5 ×
ULN for patients with liver metastases);

- Alkaline phosphatase level ≥ 5 × ULN;

- Pregnancy or lactation;

- Any other concomitant cancer including contralateral breast cancer revealed within 5
years prior to screening, except curatively treated intraductal carcinoma in situ,
curatively treated cervical carcinoma in situ or curatively treated basal cell or
squamous cell carcinoma;

- Conditions limiting patient's adherence to protocol requirements (dementia,
neurologic or psychiatric disorders, drug addiction, alcoholism and others);

- Stage II-IV neuropathy according to Common Terminology Criteria for Adverse Events
(CTCAE) v.4.0;

- Concomitant participation in other clinical trials, previous participation in other
clinical trials within 30 days before entering into the trial, previous participation
in the same trial;

- Acute or active chronic infections;

- Hepatitis C virus, hepatitis B virus, HIV or syphilis infections;

- Obstacles in intravenous administration of study drugs

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Overall response rate

Outcome Description:

primary outcome measure for efficacy evaluation

Outcome Time Frame:

Day 127

Safety Issue:

No

Authority:

Russia: Ministry of Health of the Russian Federation

Study ID:

BCD-022-02

NCT ID:

NCT01764022

Start Date:

October 2012

Completion Date:

November 2014

Related Keywords:

  • HER2-positive Metastatic Breast Cancer
  • breast cancer
  • trastuzumab
  • Breast Neoplasms

Name

Location