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A Study of Bevacizumab Added to Trastuzumab Plus Docetaxel in the Neoadjuvant Setting in Participants With Early Stage HER2-Positive Breast Cancer
A Study of Bevacizumab Added to Trastuzumab Plus Docetaxel in the Neoadjuvant Setting in Participants With Early Stage HER2-Positive Breast Cancer

NCT01142778

CompletedPhase 2

Sponsor: Hoffmann-La Roche

Conditions: Breast Cancer

Interventions: Bevacizumab, Docetaxel, Trastuzumab, Surgery, Radiotherapy

Countries: France

This randomized study will assess the effect of adding bevacizumab to trastuzumab plus docetaxel in neoadjuvant therapy in participants with early stage human epidermal growth factor receptor 2 (HER2)-positive breast cancer. After 2 cycles of trastuzumab and docetaxel once every 3 weeks, participants with a response (change in standard uptake value \[SUV\]) of less than (\<) 70 percent (%) on Positron Emission Tomography (PET) will be randomized in a 2:1 ratio to receive Cycles 3 to 6 of trastuzumab (6 milligrams per kilogram \[mg/kg\]) and docetaxel (100 milligrams per square meter \[mg/m\^2\]) with or without bevacizumab (15 mg/kg). Participants with a response of greater than or equal to (\>/=) 70% will receive trastuzumab plus docetaxel in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery (as per investigator's discretion) after Cycle 7 and between 4 and 6 weeks after the treatment perfusion of Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy (starting from 4-8 weeks after surgery during 4-6 weeks, according to site's standard practice) with or without hormonal therapy (mandatory if positive hormone receptors). Participants will be followed for up to 5 years from start of neoadjuvant treatment.

Eligibility overview

Sex: FEMALE

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Participants with early stage HER2-positive breast cancer
* Scheduled to receive neoadjuvant therapy with the objective of conservative surgery
* Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2

Exclusion Criteria:

* Participants with partial or total lobular carcinoma
* Participants with inflammatory breast cancer
* Previous treatment with chemotherapy, radiation therapy or hormonal therapy for breast cancer
* Previous history of cancer (other than curatively treated basal and squamous cell carcinoma of the skin and/or in situ carcinoma of the cervix) relapsing within the 5 years before study entry or in situ contralateral breast carcinoma
Locations (28)
  • Arras, France
  • Beauvais, France
  • Bordeaux, France
  • Brest, France
  • Clermont-Ferrand, France
  • Clermont-Ferrand, France
  • Dijon, France
  • Grenoble, France
  • La Roche-sur-Yon, France
  • Limoges, France
  • Lyon, France
  • Metz, France
  • Montluçon, France
  • Montpellier, France
  • Nancy, France
  • Nice, France
  • Paris, France
  • Paris, France
  • Paris, France
  • Périgueux, France
  • Reims, France
  • Rennes, France
  • Saint-Jean, France
  • Saint-Priest-en-Jarez, France
  • Strasbourg, France
  • Toulouse, France
  • Tours, France
  • Vandœuvre-lès-Nancy, France