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    Clinical Trial Results:
    Multicenter study of a single arm to evaluate the safety of eribulin in 3rd line chemotherapy for patients with HER2-negative metastatic or locally advanced previously treated with anthracyclines and taxanes: Onsite Study"

    Summary
    EudraCT number
    2013-001416-30
    Trial protocol
    ES  
    Global end of trial date
    31 Jan 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    10 Dec 2017
    First version publication date
    10 Dec 2017
    Other versions
    Summary report(s)
    CSR ONSITE
    Summary of results and conclussions

    Trial information

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    Trial identification
    Sponsor protocol code
    ONCOSUR-2012-02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    ONCOSUR 2012-02: OnSITE Study
    Sponsors
    Sponsor organisation name
    Fundación ONCOSUR
    Sponsor organisation address
    Gran Via del Marqués del Túria, 65, Valencia, Spain, 46005
    Public contact
    Dr. D. Luis Manuel Manso Sánchez lmanso.hdoc@salud.madrid.org, Fundación ONCOSUR, 0034 913908003, lmanso.hdoc@salud.madrid.org
    Scientific contact
    Dr. D. Luis Manuel Manso Sánchez , Fundación ONCOSUR, 0034 913908003, lmanso.hdoc@salud.madrid.org
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    25 Jan 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    31 Jan 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    31 Jan 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the safety of eribulin as single agent in third-line therapy in patients with locally advanced or metastatic HER2-negative breast cancer previously treated with taxanes and anthracyclines in terms of adverse reactions.
    Protection of trial subjects
    This clinical trial was approved by an Ethics Committee
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Jul 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 66
    Worldwide total number of subjects
    66
    EEA total number of subjects
    66
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    48
    From 65 to 84 years
    16
    85 years and over
    2

    Subject disposition

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    Recruitment
    Recruitment details
    The first patient was included on 17/Dic/2013. End of patient enrollment was December 2014, but it was increased to March of 2015.

    Pre-assignment
    Screening details
    The total number of patients enrolled was 66, 7 out of which were screening failures. 59 patients received monotherapy with eribulin (1.23 mg/m2 in IV bolus) on Day 1 and Day 8 of each 21-day cycle. Treatment was administered until disease progression.

    Pre-assignment period milestones
    Number of subjects started
    66
    Number of subjects completed
    59

    Pre-assignment subject non-completion reasons
    Reason: Number of subjects
    Protocol deviation: 7
    Period 1
    Period 1 title
    Treatment and follow up (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    Treatment Arm
    Arm description
    All patients enrolled in the study received the same treatment, there was only a treatment arm.
    Arm type
    Experimental

    Investigational medicinal product name
    Halaven
    Investigational medicinal product code
    nd
    Other name
    eribulin mesilate, eribulin
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous use
    Dosage and administration details
    All patients enrolled in the study received the same treatment, there were no different treatment groups. The study dose of eribulin as a ready-to-take solution is 1.23 mg/m2 (equivalent to 1.4 mg/m2 of eribulin mesylate), which is administered intravenously over 2 to 5 minutes on Days 1 and 8 of each 21-day cycle.

    Number of subjects in period 1 [1]
    Treatment Arm
    Started
    59
    Completed
    51
    Not completed
    8
         Physician decision
    1
         Consent withdrawn by subject
    5
         Trial was closed out
    1
         Lack of efficacy
    1
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: 66 patients were recruited but only 59 met eligibility criteria

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment and follow up
    Reporting group description
    Patients meeting selection criteria which have received at least a dose of the study drug.

    Reporting group values
    Treatment and follow up Total
    Number of subjects
    59 59
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    41 41
        From 65-84 years
    16 16
        85 years and over
    2 2
    Age continuous
    Age at treatment start
    Units: years
        arithmetic mean (standard deviation)
    57.71 ± 12.81 -
    Gender categorical
    Units: Subjects
        Female
    59 59
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Treatment Arm
    Reporting group description
    All patients enrolled in the study received the same treatment, there was only a treatment arm.

    Primary: Treatment duration

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    End point title
    Treatment duration [1]
    End point description
    End point type
    Primary
    End point timeframe
    From first to last dose of treatment
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study and the application requires at least two arms for statistical analysis.
    End point values
    Treatment Arm
    Number of subjects analysed
    59
    Units: months
        number (not applicable)
    59
    No statistical analyses for this end point

    Primary: Number of patients treated

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    End point title
    Number of patients treated [2]
    End point description
    End point type
    Primary
    End point timeframe
    From start to end of trial
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study and the application requires at least two arms for statistical analysis. Moreover, this endpoint was aimed at counting the number of patients receiving the study treatment. No other statistical analyses were specified regarding this endpoint.
    End point values
    Treatment Arm
    Number of subjects analysed
    59
    Units: Count
        Patients treated
    59
        Patients not treated
    0
    No statistical analyses for this end point

    Primary: Number of patients who complied with the regimen

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    End point title
    Number of patients who complied with the regimen [3]
    End point description
    Dose delays and adjustments were allowed during the study. This endpoint focuses on patients without dose delay or adjustment.
    End point type
    Primary
    End point timeframe
    From start to end of trial
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study and the application requires at least two arms for statistical analysis.
    End point values
    Treatment Arm
    Number of subjects analysed
    59
    Units: Count
        Regime compliance
    28
        Regime non-compliance
    31
    No statistical analyses for this end point

    Primary: Drug dose strength

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    End point title
    Drug dose strength [4]
    End point description
    Total actual dose / Total target dose where total target dose hase been defined as full dose*total number of administered cycles*2 Full dose was 1.23 mg/m2
    End point type
    Primary
    End point timeframe
    From first to last dose of treatment
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study and the application requires at least two arms for statistical analysis.
    End point values
    Treatment Arm
    Number of subjects analysed
    59
    Units: mg/m2
        number (not applicable)
    59
    No statistical analyses for this end point

    Primary: Starting dose

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    End point title
    Starting dose [5]
    End point description
    Starting dose should be 1.23 mg/m2 for every patient. But other doses may be 0.97 mg/m2 or 0.62 mg/m2
    End point type
    Primary
    End point timeframe
    Time of first dose of treatment
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This is a single arm study and the application requires at least two arms for statistical analysis.
    End point values
    Treatment Arm
    Number of subjects analysed
    59
    Units: Count
        1.23 mg/m2
    59
        0.97 mg/m2
    0
        0.62 mg/m2
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Since the signature of the patient information sheet and informed consent until the end of study and follow-up period.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18.1
    Reporting groups
    Reporting group title
    Safety set
    Reporting group description
    Eligible patients which received at least a treatment dose.

    Serious adverse events
    Safety set
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 59 (28.81%)
         number of deaths (all causes)
    15
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Hip fracture
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Spinal cord compression
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Hemiparesis
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Ischaemic stroke
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences causally related to treatment / all
    2 / 2
         deaths causally related to treatment / all
    0 / 1
    Febrile neutropenia
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 1
    Pancytopenia
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 1
    Pain
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Respiratory failure
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Cough
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Rash maculo-papular
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Safety set
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    57 / 59 (96.61%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    4
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    32 / 59 (54.24%)
         occurrences all number
    58
    Pyrexia
         subjects affected / exposed
    6 / 59 (10.17%)
         occurrences all number
    20
    Mucosal inflammation
         subjects affected / exposed
    10 / 59 (16.95%)
         occurrences all number
    13
    Chest pain
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    6
    Oedema peripheral
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    4
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    15
    Catarrh
         subjects affected / exposed
    6 / 59 (10.17%)
         occurrences all number
    8
    Pleural effusion
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    4
    Cough
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    4
    Psychiatric disorders
    Depression
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    4
    Investigations
    Blood lactate dehydrogenase increased
         subjects affected / exposed
    8 / 59 (13.56%)
         occurrences all number
    9
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    5 / 59 (8.47%)
         occurrences all number
    7
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences all number
    5
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 59 (1.69%)
         occurrences all number
    5
    Nervous system disorders
    Neuropathy peripheral
         subjects affected / exposed
    15 / 59 (25.42%)
         occurrences all number
    23
    Headache
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    12
    Paraesthesia
         subjects affected / exposed
    8 / 59 (13.56%)
         occurrences all number
    11
    Dysgeusia
         subjects affected / exposed
    6 / 59 (10.17%)
         occurrences all number
    7
    Polyneuropathy
         subjects affected / exposed
    4 / 59 (6.78%)
         occurrences all number
    6
    Neurotoxicity
         subjects affected / exposed
    5 / 59 (8.47%)
         occurrences all number
    5
    Dizziness
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences all number
    3
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    13 / 59 (22.03%)
         occurrences all number
    20
    Leukopenia
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    16
    Anaemia
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    13
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences all number
    3
    Eye disorders
    Lacrimation increased
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    20 / 59 (33.90%)
         occurrences all number
    24
    Diarrhoea
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    14
    Nausea
         subjects affected / exposed
    12 / 59 (20.34%)
         occurrences all number
    14
    Vomiting
         subjects affected / exposed
    8 / 59 (13.56%)
         occurrences all number
    10
    Abdominal pain
         subjects affected / exposed
    5 / 59 (8.47%)
         occurrences all number
    5
    Dyspepsia
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    4
    Abdominal pain upper
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Hepatobiliary disorders
    Hypertransaminasaemia
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    24 / 59 (40.68%)
         occurrences all number
    27
    Onycholysis
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    6
    Musculoskeletal and connective tissue disorders
    Back pain
         subjects affected / exposed
    9 / 59 (15.25%)
         occurrences all number
    10
    Arthralgia
         subjects affected / exposed
    8 / 59 (13.56%)
         occurrences all number
    10
    Bone pain
         subjects affected / exposed
    6 / 59 (10.17%)
         occurrences all number
    6
    Pain in extremity
         subjects affected / exposed
    6 / 59 (10.17%)
         occurrences all number
    6
    Musculoskeletal chest pain
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    5
    Neck pain
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Myalgia
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Muscular weakness
         subjects affected / exposed
    2 / 59 (3.39%)
         occurrences all number
    3
    Infections and infestations
    Respiratory tract infection
         subjects affected / exposed
    5 / 59 (8.47%)
         occurrences all number
    5
    Influenza
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    5
    Urinary tract infection
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    12 / 59 (20.34%)
         occurrences all number
    15
    Hyperglycaemia
         subjects affected / exposed
    5 / 59 (8.47%)
         occurrences all number
    6
    Hypercholesterolaemia
         subjects affected / exposed
    3 / 59 (5.08%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    28 Feb 2014
    Clarify inclusion and exclusion criteria
    02 Mar 2015
    New data to be recorded during the follow-up visit.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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