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Phase III Study of Bevacizumab Plus Docetaxel Compared With Placebo Plus Docetaxel for the First-Line Treatment of Human Epidermal Growth Factor Receptor 2-Negative Metastatic Breast Cancer

Identifieur interne : 007640 ( Main/Exploration ); précédent : 007639; suivant : 007641

Phase III Study of Bevacizumab Plus Docetaxel Compared With Placebo Plus Docetaxel for the First-Line Treatment of Human Epidermal Growth Factor Receptor 2-Negative Metastatic Breast Cancer

Auteurs : David W. Miles [Royaume-Uni, Australie, Belgique, Espagne, France, Pologne, Corée du Sud, Canada, Italie, Allemagne, Suisse] ; Arlene Chan ; Luc Y. Dirix ; Javier Cortes ; Xavier Pivot ; Piotr Tomczak ; Thierry Delozier ; JOO HYUK SOHN ; Louise Provencher ; Fabio Puglisi ; Nadia Harbeck ; Guenther G. Steger ; Andreas Schneeweiss ; Andrew M. Wardley ; Andreas Chlistalla ; Gilles Romieu

Source :

RBID : Pascal:10-0341551

Descripteurs français

English descriptors

Abstract

Purpose The efficacy and safety of combining bevacizumab (7.5 and 15 mg/kg) with docetaxel as first-line therapy for human epidermal growth factor receptor 2 (HER2) -negative, locally recurrent or metastatic breast cancer (MBC) was investigated in a three-arm, placebo-controlled, phase III trial. Patients and Methods Patients (N = 736) were randomly assigned to docetaxel 100 mg/m2 plus either placebo or bevacizumab 7.5 or 15 mg/kg every 3 weeks. The primary end point was progression-free survival (PFS); secondary end points included best overall response, duration of response, time to treatment failure, overall survival, and safety. Results Combination of bevacizumab 15 mg/kg, but not 7.5 mg/kg, with docetaxel showed superior median PFS (mPFS) to placebo plus docetaxel in unstratified analysis (placebo mPFS, 8.2 months; 7.5 mg/kg mPFS, 9.0 months [hazard ratio (HR), 0.86; P = .12]; 15 mg/kg mPFS, 10.1 months [HR, 0.77; P = .006]) and stratified analysis (placebo mPFS, 8.1 months; 7.5 mg/kg mPFS, 9.0 months [HR, 0.80; P = .045]; 15 mg/kg mPFS, 10.0 months [HR, 0.67; P < .001]). Response rates in patients with measurable disease at baseline also increased with bevacizumab 15 mg/kg (46% [placebo] ν 55% [7.5 mg/kg; P = .07] and 64% [15 mg/kg; P < .001]). Combination with bevacizumab had limited impact on the known toxicity profile of docetaxel. Conclusion Combination of bevacizumab with docetaxel did not significantly impact on the safety profile of docetaxel. Bevacizumab 15 mg/kg every 3 weeks significantly increased PFS when combined with docetaxel as first-line therapy for MBC compared with docetaxel plus placebo.


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<name sortKey="Chan, Arlene" sort="Chan, Arlene" uniqKey="Chan A" first="Arlene" last="Chan">Arlene Chan</name>
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<name sortKey="Cortes, Javier" sort="Cortes, Javier" uniqKey="Cortes J" first="Javier" last="Cortes">Javier Cortes</name>
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<name sortKey="Joo Hyuk Sohn" sort="Joo Hyuk Sohn" uniqKey="Joo Hyuk Sohn" last="Joo Hyuk Sohn">JOO HYUK SOHN</name>
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<title level="j" type="main">Journal of clinical oncology</title>
<title level="j" type="abbreviated">J. clin. oncol.</title>
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<title level="j" type="main">Journal of clinical oncology</title>
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<term>Advanced stage</term>
<term>Antiangiogenic agent</term>
<term>Antineoplastic agent</term>
<term>Bevacizumab</term>
<term>Breast cancer</term>
<term>Cancerology</term>
<term>Comparative study</term>
<term>Docetaxel</term>
<term>First line treatment</term>
<term>Human Epidermal growth factor Receptor 2</term>
<term>Metastasis</term>
<term>Phase III trial</term>
<term>Placebo</term>
<term>Vascular endothelium growth factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Essai clinique phase III</term>
<term>Etude comparative</term>
<term>Placebo</term>
<term>Bévacizumab</term>
<term>Stade avancé</term>
<term>Cancer du sein</term>
<term>Traitement de première intention</term>
<term>Cancérologie</term>
<term>Docétaxel</term>
<term>Métastase</term>
<term>Facteur croissance endothélium vasculaire</term>
<term>Anticancéreux</term>
<term>Antiangiogénique</term>
<term>Récepteur HER2</term>
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<front>
<div type="abstract" xml:lang="en">Purpose The efficacy and safety of combining bevacizumab (7.5 and 15 mg/kg) with docetaxel as first-line therapy for human epidermal growth factor receptor 2 (HER2) -negative, locally recurrent or metastatic breast cancer (MBC) was investigated in a three-arm, placebo-controlled, phase III trial. Patients and Methods Patients (N = 736) were randomly assigned to docetaxel 100 mg/m
<sup>2</sup>
plus either placebo or bevacizumab 7.5 or 15 mg/kg every 3 weeks. The primary end point was progression-free survival (PFS); secondary end points included best overall response, duration of response, time to treatment failure, overall survival, and safety. Results Combination of bevacizumab 15 mg/kg, but not 7.5 mg/kg, with docetaxel showed superior median PFS (mPFS) to placebo plus docetaxel in unstratified analysis (placebo mPFS, 8.2 months; 7.5 mg/kg mPFS, 9.0 months [hazard ratio (HR), 0.86; P = .12]; 15 mg/kg mPFS, 10.1 months [HR, 0.77; P = .006]) and stratified analysis (placebo mPFS, 8.1 months; 7.5 mg/kg mPFS, 9.0 months [HR, 0.80; P = .045]; 15 mg/kg mPFS, 10.0 months [HR, 0.67; P < .001]). Response rates in patients with measurable disease at baseline also increased with bevacizumab 15 mg/kg (46% [placebo] ν 55% [7.5 mg/kg; P
<sub>=</sub>
.07] and 64% [15 mg/kg; P < .001]). Combination with bevacizumab had limited impact on the known toxicity profile of docetaxel. Conclusion Combination of bevacizumab with docetaxel did not significantly impact on the safety profile of docetaxel. Bevacizumab 15 mg/kg every 3 weeks significantly increased PFS when combined with docetaxel as first-line therapy for MBC compared with docetaxel plus placebo.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Canada</li>
<li>Corée du Sud</li>
<li>Espagne</li>
<li>France</li>
<li>Italie</li>
<li>Pologne</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
</country>
<region>
<li>Angleterre</li>
<li>Bade-Wurtemberg</li>
<li>Basse-Normandie</li>
<li>Bavière</li>
<li>Catalogne</li>
<li>District de Haute-Bavière</li>
<li>District de Karlsruhe</li>
<li>Grand Manchester</li>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Région Normandie</li>
<li>Région capitale de Séoul</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Caen</li>
<li>Heidelberg</li>
<li>Manchester</li>
<li>Montpellier</li>
<li>Munich</li>
<li>Séoul</li>
</settlement>
<orgName>
<li>Université Louis-et-Maximilien de Munich</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Chan, Arlene" sort="Chan, Arlene" uniqKey="Chan A" first="Arlene" last="Chan">Arlene Chan</name>
<name sortKey="Chlistalla, Andreas" sort="Chlistalla, Andreas" uniqKey="Chlistalla A" first="Andreas" last="Chlistalla">Andreas Chlistalla</name>
<name sortKey="Cortes, Javier" sort="Cortes, Javier" uniqKey="Cortes J" first="Javier" last="Cortes">Javier Cortes</name>
<name sortKey="Delozier, Thierry" sort="Delozier, Thierry" uniqKey="Delozier T" first="Thierry" last="Delozier">Thierry Delozier</name>
<name sortKey="Dirix, Luc Y" sort="Dirix, Luc Y" uniqKey="Dirix L" first="Luc Y." last="Dirix">Luc Y. Dirix</name>
<name sortKey="Harbeck, Nadia" sort="Harbeck, Nadia" uniqKey="Harbeck N" first="Nadia" last="Harbeck">Nadia Harbeck</name>
<name sortKey="Joo Hyuk Sohn" sort="Joo Hyuk Sohn" uniqKey="Joo Hyuk Sohn" last="Joo Hyuk Sohn">JOO HYUK SOHN</name>
<name sortKey="Pivot, Xavier" sort="Pivot, Xavier" uniqKey="Pivot X" first="Xavier" last="Pivot">Xavier Pivot</name>
<name sortKey="Provencher, Louise" sort="Provencher, Louise" uniqKey="Provencher L" first="Louise" last="Provencher">Louise Provencher</name>
<name sortKey="Puglisi, Fabio" sort="Puglisi, Fabio" uniqKey="Puglisi F" first="Fabio" last="Puglisi">Fabio Puglisi</name>
<name sortKey="Romieu, Gilles" sort="Romieu, Gilles" uniqKey="Romieu G" first="Gilles" last="Romieu">Gilles Romieu</name>
<name sortKey="Schneeweiss, Andreas" sort="Schneeweiss, Andreas" uniqKey="Schneeweiss A" first="Andreas" last="Schneeweiss">Andreas Schneeweiss</name>
<name sortKey="Steger, Guenther G" sort="Steger, Guenther G" uniqKey="Steger G" first="Guenther G." last="Steger">Guenther G. Steger</name>
<name sortKey="Tomczak, Piotr" sort="Tomczak, Piotr" uniqKey="Tomczak P" first="Piotr" last="Tomczak">Piotr Tomczak</name>
<name sortKey="Wardley, Andrew M" sort="Wardley, Andrew M" uniqKey="Wardley A" first="Andrew M." last="Wardley">Andrew M. Wardley</name>
</noCountry>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</region>
</country>
<country name="France">
<region name="Région Normandie">
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</region>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</country>
<country name="Pologne">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
</country>
<country name="Corée du Sud">
<region name="Région capitale de Séoul">
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</region>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
</country>
<country name="Italie">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
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</country>
<country name="Allemagne">
<region name="Bavière">
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</region>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</country>
<country name="Suisse">
<noRegion>
<name sortKey="Miles, David W" sort="Miles, David W" uniqKey="Miles D" first="David W." last="Miles">David W. Miles</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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