E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Breast cancer with bone metastases previously treated by a hormone therapy. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 13.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10027475 |
E.1.2 | Term | Metastatic breast cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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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 determine the Progression-Free Survival (PFS) of oral vinorelbine as a single agent in patients with hormone receptor positive breast cancer with bone metastases previously treated by a hormone therapy. |
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E.2.2 | Secondary objectives of the trial |
- To assess the safety profile of treatment
- To evaluate other efficacy parameters:
Clinical Benefit Rate (CR + PR + SD >or= 24 weeks)
Duration of disease control
Time to treatment failure
Overall survival |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Women with:
- Age > or =18 years;
- Histologically confirmed adenocarcinoma of the breast;
- Documented bone involvement +/- other non visceral metastatic disease previously untreated by chemotherapy;
- Hormone receptor positive disease determined by >or=10% positive stained cells for oestrogen and/or progesterone receptor by immunohistochemistry on the primary tumor or on metastatic site;
- HER2 negative (assessed by 0-1+ IHC or 2+ IHC with FISH-) or unknown status (exclusively in case of impossibility of testing HER2 status) on the primary tumor or on metastatic site;
- Women of childbearing potential must be using a medically accepted method of contraception to avoid pregnancy during the 2 months preceding the start of study treatment, throughout the study period and for up to 3 months after the last dose of study treatment in such a manner that the risk of pregnancy is minimised;
- Women of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the start of study treatment;
- Patients who have received adjuvant or neoadjuvant chemotherapy are allowed if relapsing more than 6 months after the end of chemotherapy;
- Patients should have received at least one hormone therapy for breast cancer in any given previous stage of the disease;
- Patients must be under treatment by a bisphosphonate since at least one month before entering the study;
- Patients may have received prior radiotherapy but a minimum of a 4 weeks interval must have elapsed;
- Karnofsky Performance Status > or = 70%;
- Life expectancy > or =16 weeks;
- Adequate bone marrow, hepatic and renal functions as evidenced by the following:
Haemoglobin > or = 10 g/dL;
Absolute Neutrophil Count > or =1.5 x 109/L;
Platelet Count > or = 100 x 109/L;
Total Bilirubin < ULN (ULN: Upper Limit of Normal);
SGOT/SGPT < or = 2.5 x ULN,
Alkaline phosphatase < 5 ULN
Creatinine Clearance > 50 mL/min; calculated using the Cockroft and Gault formula.
- Absence of psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; these conditions should be assessed with the patient before registration in the trial;
- The patient must have access to social insurance if applicable according to the local regulations.
- The patient must give written (personally signed and dated) informed consent before completing any study-related procedure.
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E.4 | Principal exclusion criteria |
- Female is not eligible to enter the study if:
pregnant or lactating
with positive pregnancy test at inclusion
- Patients with visceral metastatic involvement (that include at least one of the following: liver, lung, pleura, heart, peritoneum, CNS, spleen and suprarenal glands);
- Patients with symptoms suggesting CNS involvement or leptomeningeal metastases;
- Concomitant hormonal therapy for metastatic breast cancer;
- Malabsorption syndrome or disease significantly affecting gastro-intestinal function or major resection of the stomach or proximal small bowel that could affect absorption of oral vinorelbine (Navelbineâ Oral);
- Prior treatment with chemotherapy in the metastatic setting;
- Patients previously treated with vinorelbine in the early-stage setting;
- Patients with dysphagia, or inability to swallow the tablets;
- Other serious illness or medical conditions:
Cardiac disease;
Unstable diabetes;
Uncontrolled hypercalcemia;
Clinically significant active infections;
Previous organ allograft
- Current peripheral neuropathy > or = grade 2 according to NCI criteria;
- Participation in another clinical trial with any investigational drug within 30 days prior to registration and/or during the study,
- History of another malignancy within the past five years except basal cell carcinoma of the skin or carcinoma in situ of the cervix.
- With known hypersensitivity to vinca alkaloids
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E.5 End points |
E.5.1 | Primary end point(s) |
The main endpoint of this study is to determine the Progression-Free Survival (PFS) of oral vinorelbine as a single agent in patients with hormone receptor positive breast cancer with bone metastases previously treated by a hormone therapy. |
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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 | No |
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) | No |
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.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Information not present in EudraCT |
E.8.5.1 | Number of sites anticipated in the EEA | 17 |
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 |
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E.8.7 | Trial has a data monitoring committee | No |
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
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The end of the study period is defined as the time from 30 days after the last disease progression observed. Survival information will be collected approximately every 3 months until death. |
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 3 |