| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Patients with metastatic breast cancer previously treated with anthracyclines |
|
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To evaluate simultaneously the response rate of the combination of oral vinorelbine with capecitabine, a sequential regimen of oral vinorelbine and capecitabine, and the combination of docetaxel and capecitabine for first line treatment of patients with metastatic breast cancer, after prior anthracycline containing (neo)- adjuvant regimen |
|
| E.2.2 | Secondary objectives of the trial |
- to evaluate the duration of response, the progression-free survival, time-to-treatment failure and overall survival - to evaluate the safety profile in the 3 study arms - to assess the quality of life |
|
| E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
| E.3 | Principal inclusion criteria |
- Females with histologically or cytologically confirmed adenocarcinoma of the breast and documented metastatic disease - HER-2 negative disease on the primary tumour or on metastatic site - At least one measurable lesion according to RECIST - Prior (neo)-adjuvant chemotherapy (anthracycline-based, unless contraindicated) with at least 12 months of disease-free interval. In case of prior taxane chemotherapy in the (neo) adjuvant setting at least twelve months of disease free interval will be required - No prior chemotherapy for metastatic disease - Patients may have received prior radiotherapy but not to the sites used to assess response. A minimum 4-week interval must have elapsed unless the area involved was < 20 % of bone marrow volume in which case the patient may start treatment earlier - Patients may have had previous hormonal therapy as adjuvant treatment and/or treatment of metastatic disease provided that the patient has progressive disease at study entry. Hormonal therapy must be discontinued prior to study entry - Women of childbearing potential must be using a medically accepted method of contraception (i.e. oral contraceptives, intrauterine devices) during the treatment and must have a negative serum or urine pregnancy test within 72 hours prior to the start of study treatment - Age not less than 18 and not more than 75 years - Life expectancy of at least 3 months - Karnofsky performance status of 70 or greater - Adequate haematological, hepatic and renal functions |
|
| E.4 | Principal exclusion criteria |
- Female is not eligible to enter the study if : - pregnant or lactating- - with positive pregnancy test at inclusion - Female of childbearing potential who is unwilling or unable to use a medically accepted method to avoid pregnancy treatment - HER-2 positive disease on the primary tumour or on metastatic site - Prior vinorelbine containing regimen in the (neo)-adjuvant setting - Patient with life-threatening conditions (i.e. symptomatic lung lymphangitis, rapidly progressive visceral lesions) - History of another malignancy except appropriately-treated basal cell carcinoma of the skin or carcinoma in situ of the cervix during the last 5 years - Malabsorption syndrome or disease affecting significantly gastrointestinal tract function - Concomitant/uncontrolled medical disorder (cardiovascular, hepatic or other systemic disease) - Patients with brain or leptomeningeal metastases - Prior severe and unexpected reaction to fluoropyrimidine therapy (which can be explained by DPD deficiency) or known hypersensitivity to 5-fluorouracil, or capecitabine - Patients with prior history of severe hypersensitivity to drugs formulated with polysorbate 80 - Patients with prior history of high-dose chemotherapy followed by bone marrow or peripheral stem cell support - Concomitant treatment with sorivudine or its clinically related analogues such as brivudine - Concurrent treatment with any other anti-cancer therapy - Patients with pre-existing motor or sensory peripheral neuropathy grade not less than 2 according to NCI criteria - Male patients. |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
- Assessment of all lesions every 2 cycles according to RECIST - Assessment of the tumour response rate, duration of responses progression free survival, time to treatment failure and overall survival
|
|
| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | Information not present in EudraCT |
| E.6.2 | Prophylaxis | Information not present in EudraCT |
| E.6.3 | Therapy | Information not present in EudraCT |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Information not present in EudraCT |
| E.6.7 | Pharmacodynamic | Information not present in EudraCT |
| E.6.8 | Bioequivalence | Information not present in EudraCT |
| E.6.9 | Dose response | Information not present in EudraCT |
| E.6.10 | Pharmacogenetic | Information not present in EudraCT |
| E.6.11 | Pharmacogenomic | Information not present in EudraCT |
| E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
| E.6.13 | Others | Information not present in EudraCT |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | Yes |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | Yes |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.5 | The trial involves multiple Member States | Yes |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
|
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| The date of the end of study will be the date of progression of the last evaluable patient according to RECIST, taking into account all included patients. In order to collect all information to determine the response rate and progress free-survival. |
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 4 |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |
| E.8.9.2 | In all countries concerned by the trial years | 4 |