NCT00820547

Brief Summary

RATIONALE: Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving bevacizumab and combination chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving bevacizumab and radiation therapy after surgery may kill any tumor cells that remain after surgery. PURPOSE: This phase II trial is studying giving bevacizumab together with chemotherapy before surgery and bevacizumab and radiation therapy after surgery to see how well it works in treating patients with inflammatory breast cancer.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_2 breast-cancer

Timeline
Completed

Started Jan 2009

Longer than P75 for phase_2 breast-cancer

Geographic Reach
1 country

28 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2009

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

January 9, 2009

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 12, 2009

Completed
6.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2015

Completed
4.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2019

Completed
Last Updated

October 22, 2019

Status Verified

October 1, 2019

Enrollment Period

6.2 years

First QC Date

January 9, 2009

Last Update Submit

October 18, 2019

Conditions

Keywords

inflammatory breast cancerstage IIIA breast cancerstage IIIB breast cancerstage IIIC breast cancermale breast cancerHER2-negative breast cancer

Outcome Measures

Primary Outcomes (1)

  • Complete histologic response rate

    Post surgery

Secondary Outcomes (6)

  • Progression-free survival

    3 and 5 years

  • Overall survival

    3 and 5 years

  • Toxicity as assessed by CTCAE v3.0

    3 and 5 years

  • Predictive factors of response to bevacizumab

    3 and 5 years

  • Circulating peripheral cells (circulating endothelial and tumor cells): correlation of initial rate and association with histological response after surgery

    Post-surgery

  • +1 more secondary outcomes

Study Arms (1)

(FEC / Docetaxel) + Bevacizumab

EXPERIMENTAL

Neoadjuvant treatment: 4 cycles FEC + Bevacizumab followed by 4 cycles Docetaxel + Bevacizumab Adjuvant: Bevacizumab for 1 year

Biological: bevacizumabDrug: cyclophosphamideDrug: docetaxelDrug: epirubicin hydrochlorideDrug: fluorouracil

Interventions

bevacizumabBIOLOGICAL

During neoadjuvant phase: 15 mg/kg, d1 q3w, 8 cycles During adjuvant phase:15 mg/kg, d1 q3w, 10 cycles

(FEC / Docetaxel) + Bevacizumab

Neoadjuvant: 500 mg/m2 d1 q3w, 4 cycles

(FEC / Docetaxel) + Bevacizumab

Neoadjuvant: 100 mg/m2 q3w, 4 cycles

(FEC / Docetaxel) + Bevacizumab

Neoadjuvant: 100 mg/m2, d1 q3w, 4 cycles

(FEC / Docetaxel) + Bevacizumab

Neoadjuvant: 500 mg/m2, d1 q3w, 4 cycles

(FEC / Docetaxel) + Bevacizumab

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Histologically confirmed inflammatory breast cancer, meeting 1 of the following staging criteria: * T4d, any N (AJCC stage IIIB or IIIC) * Gustave-Roussy Institute (IGR) classification Poussee evolutirie (PEV; measures tumor growth over time) 2 * PEV 2: tumor with underlying breast tissue, especially skin, that is affected by subacute inflammation and edema involving \< ½ of breast surface * IGR classification PEV 3 * PEV 3: acute or subacute inflammation and edema involving \> ½ of breast surface * Biopsy-confirmed presence of tumor embolism in surface lymph nodes * HER2-negative (HER2 0 or 1+, or HER2 2+ by IHC if FISH-negative allowed) * No metastatic disease * No non-inflammatory breast cancer with edema, ulceration, or satellite skin nodules * No bilateral breast cancer * Hormone receptor status known PATIENT CHARACTERISTICS: * Any menopausal status allowed * WHO performance status 0-2 * Life expectancy ≥3 months * LVEF normal by ECHO * ANC \>1.5 x 10\^9/L * Platelet count \>100 x 10\^9/L * INR ≤1.5 (except for patients on prophylactic anticoagulants) * aPTT ≤1.5 times upper limit of normal (ULN) * Total bilirubin normal * SGOT and SGPT ≤1.25 times ULN * Alkaline phosphatase ≤2.5 times ULN * Creatinine clearance ≥60 mL/min * Proteinuria \<2+ or 24-hour urine protein ≤1 g * No unhealed wound, stomach ulcer, or bone fracture * No history of thrombotic or hemorrhagic disorders * No significant cardiovascular disease including the following: * Cerebrovascular accident within the past 6 months * Unstable angina * Cardiac failure * Myocardial infarction * Arrhythmia requiring treatment * No uncontrolled hypertension (i.e., systolic BP \>150 mm Hg and/or diastolic BP \>100 mm Hg) * No other active infection or serious illness that would preclude patient from receiving study treatment * No hypersensitivity to any active products or excipients of study drugs * Not pregnant or nursing * Fertile patients must use effective contraception during and for 6 months after completion of study treatment * No social or psychologic reasons that would prevent study compliance or follow-up * No patients who are incarcerated or on probation PRIOR CONCURRENT THERAPY: * No prior chemotherapy, radiotherapy, or hormonal therapy for this disease * More than 4 weeks since prior surgery (diagnostic biopsy or installation of implant allowed) * More than 10 days since prior chronic non-inflammatory steroids (e.g., acetylsalicylic acid \>325 mg/day) or platelet anticoagulation treatment (e.g., dipyridamole, ticlopidine, clodiprogel, cilostazol) * More than 10 days since prior oral or parenteral anticoagulant or thrombolytic drugs (preventative thrombolytic drugs allowed) * No concurrent participation in another experimental clinical trial

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (28)

Centre Paul Papin

Angers, 49036, France

Location

Institut Sainte Catherine

Avignon, 84000, France

Location

Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz

Besançon, 25030, France

Location

Institut Bergonie

Bordeaux, 33076, France

Location

Polyclinique Bordeaux Nord Aquitaine

Bordeaux, 33300, France

Location

Centre Regional Francois Baclesse

Caen, 14076, France

Location

Centre Jean Perrin

Clermont-Ferrand, 63011, France

Location

Centre de Lutte Contre le Cancer Georges-Francois Leclerc

Dijon, 21079, France

Location

CMC Les Ormeaux

Le Havre, 76600, France

Location

Centre Oscar Lambret

Lille, 59020, France

Location

Centre Leon Berard

Lyon, 69373, France

Location

Marseille Institute of Cancer - Institut J. Paoli and I. Calmettes

Marseille, 13273, France

Location

Centre Hospitalier General Andre Boulloche

Montbéliard, 25209, France

Location

Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle

Montpellier, 34298, France

Location

Centre Catherine de Sienne

Nantes, 02, France

Location

Centre Antoine Lacassagne

Nice, 06189, France

Location

Institut Curie Hopital

Paris, 75248, France

Location

Institut Jean Godinot

Reims, 51056, France

Location

Centre Eugene Marquis

Rennes, 35042, France

Location

Centre Henri Becquerel

Rouen, 76038, France

Location

Clinique Armoricaine De Radiologie

Saint-Brieuc, F-22015, France

Location

Centre Rene Huguenin

Saint-Cloud, 92211, France

Location

CRLCC Nantes - Atlantique

Saint-Herblain, 44805, France

Location

Centre Paul Strauss

Strasbourg, 67065, France

Location

Hopitaux Universitaire de Strasbourg

Strasbourg, 67091, France

Location

Institut Claudius Regaud

Toulouse, 31052, France

Location

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, 54511, France

Location

Institut Gustave Roussy

Villejuif, F-94805, France

Location

Related Publications (1)

  • Bertucci F, Fekih M, Autret A, Petit T, Dalenc F, Levy C, Romieu G, Bonneterre J, Ferrero JM, Kerbrat P, Soulie P, Mouret-Reynier MA, Bachelot T, Lerebours F, Eymard JC, Deblock M, Lortholary A, Hardy-Bessard AC, Barthelemy P, Bonnefoi H, Charafe-Jauffret E, Bidard FC, Viens P, Lemonnier J, Pierga JY. Bevacizumab plus neoadjuvant chemotherapy in patients with HER2-negative inflammatory breast cancer (BEVERLY-1): a multicentre, single-arm, phase 2 study. Lancet Oncol. 2016 May;17(5):600-11. doi: 10.1016/S1470-2045(16)00011-5. Epub 2016 Mar 28.

Related Links

MeSH Terms

Conditions

Breast NeoplasmsInflammatory Breast NeoplasmsBreast Neoplasms, Male

Interventions

BevacizumabCyclophosphamideDocetaxelEpirubicinFluorouracil

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulinsPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicDiterpenesTerpenesDoxorubicinDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesUracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Patrice Viens, MD

    Institut Paoli-Calmettes

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 9, 2009

First Posted

January 12, 2009

Study Start

January 1, 2009

Primary Completion

April 1, 2015

Study Completion

September 1, 2019

Last Updated

October 22, 2019

Record last verified: 2019-10

Data Sharing

IPD Sharing
Will share

Unicancer will share de-identified individual data that underlie the results reported under the following conditions: the data shared will be limit to that required for independent mandated verification of the published results, the applicant will need authorization from Unicancer for personal access, and data will only be transferred after signing of a data access agreement. A decision concerning the sharing of other study documents, including protocol and statistical analysis plan will be examined upon request.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
Unicancer will consider access to study data upon written detailed request sent to Unicancer, from 6 months until 5 years after publication of summary data.

Locations