Breast Cancer
Conditions
Brief summary
This 2 arm study compared the efficacy and safety of label dose of capecitabine (Xeloda®) to that of a lower dose of Xeloda® plus docetaxel (Taxotere®) in patients with locally advanced or metastatic breast cancer after failure of chemotherapy with an anthracycline. Patients were randomized to receive either 1250 mg/m\^2 or 825 mg/m\^2 orally twice a day (po bid) on days 1-14 of each 3 week cycle, in combination with Taxotere® 75 mg/m2 intravenous (iv) on day 1 of each 3 week cycle. The anticipated time on study treatment was until disease progression and the target sample size was 440 individuals.
Interventions
825 mg/m\^2 or 1250 mg/m2 orally twice a day on days 1 to 14 of each 3 week cycle.
75 mg/m\^2 intravenous on day 1 of each 3 week cycle
Sponsors
Study design
Eligibility
Inclusion criteria
* women \>=18 years of age; * \>=1 target lesion; * locally advanced or metastatic breast cancer; * demonstrated resistance to anthracycline; * \>=2 regimens of chemotherapy for advanced/metastatic disease.
Exclusion criteria
* previous treatment with Xeloda, continuous 5-fluorouracil infusion, or other oral fluoropyrimidines; * previous treatment with paclitaxel or docetaxel for advanced/metastatic disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Progression of Disease or Death | Event driven (after 350 events). Median observation time was approximately 16 months. | Progression Free Survival was defined as the time from the date of randomization to the day of documented disease progression or death due to any cause. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to Overall Response | Until PD or end of primary study treatment (up to 16 cycles) plus 28 days. | For patients with Best Overall Response being Complete Response (CR) or Partial Response (PR), time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR were met. The percentage of participants with overall response within the given time ranges in each of the categories: Weeks 1-6, 7-12, 13-18, 19-24, 25-30, 31-36, and 43-48 are reported. |
| Duration of Overall Response | Until PD or death. Median duration of response was approximately 7 months. | Duration of overall response was measured from the time that measurement criteria were first met for Complete Response or Partial Response until the first date that progressive disease or death was documented. |
| Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR) | Until Progressive Disease (PD) or end of primary study treatment (up to 16 cycles) plus 28 days. | According to Response Evaluation Criteria in Solid Tumors (RECIST) criteria: CR is defined as the disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the nadir sum LD. |
| Overall Survival | Throughout the study. Median observation time was approximately 16 months. | Overall Survival was measured as the time from the date of randomization to the date of death. |
| Number of Participants With Adverse Events and Serious Adverse Events | First study drug intake until last study drug intake plus 28 days | An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events. A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is Life-Threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. Additional information about Adverse Events can be found in the Adverse Event Section. |
| Time to Treatment Failure | Until premature withdrawal or end of primary study treatment (up to 16 cycles). | The time to treatment failure was the time from the date of randomization to the first occurrence of any of the following events: * adverse events * insufficient therapeutic response (disease progression) * death * failure to return * refusing treatment/being unwilling to cooperate * withdrawing consent. |
Countries
Bosnia and Herzegovina, China, Czechia, India, Poland, Russia, South Africa, Thailand, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel 1250 mg/m\^2 capecitabine (Xeloda®) orally twice a day on days 1 to 14 of each 3 week cycle, in combination with docetaxel (Taxotere®) 75 mg/m\^2 intravenous on day 1 of each 3 week cycle. | 235 |
| 825 mg/m^2 Capecitabine + Docetaxel 825 mg/m\^2 capecitabine orally twice a day on days 1 to 14 of each 3 week cycle, in combination with docetaxel 75 mg/m\^2 intravenous on day 1 of each 3 week cycle. | 235 |
| Total | 470 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 30 | 32 |
| Overall Study | Death | 7 | 3 |
| Overall Study | Failure to return | 5 | 5 |
| Overall Study | Insufficient therapeutic response | 112 | 128 |
| Overall Study | Other | 15 | 13 |
| Overall Study | Other protocol violation | 0 | 1 |
| Overall Study | Refused treatment | 29 | 21 |
| Overall Study | Violation of selection criteria at entry | 3 | 1 |
Baseline characteristics
| Characteristic | 1250 mg/m^2 Capecitabine + Docetaxel | 825 mg/m^2 Capecitabine + Docetaxel | Total |
|---|---|---|---|
| Age Continuous | 50.9 years | 50.6 years | 50.75 years |
| Sex: Female, Male Female | 235 Participants | 235 Participants | 470 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 192 / 217 | 223 / 248 |
| serious Total, serious adverse events | 41 / 217 | 53 / 248 |
Outcome results
Time to Progression of Disease or Death
Progression Free Survival was defined as the time from the date of randomization to the day of documented disease progression or death due to any cause.
Time frame: Event driven (after 350 events). Median observation time was approximately 16 months.
Population: Per protocol population included all participants who received at least one dose of study and who did not have any major protocol deviations.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Progression of Disease or Death | 7.9 Months |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Progression of Disease or Death | 5.8 Months |
Duration of Overall Response
Duration of overall response was measured from the time that measurement criteria were first met for Complete Response or Partial Response until the first date that progressive disease or death was documented.
Time frame: Until PD or death. Median duration of response was approximately 7 months.
Population: Intent to treat population included all randomized participants.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Duration of Overall Response | 6.9 Months |
| 825 mg/m^2 Capecitabine + Docetaxel | Duration of Overall Response | 6.9 Months |
Number of Participants With Adverse Events and Serious Adverse Events
An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events. A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is Life-Threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant. Additional information about Adverse Events can be found in the Adverse Event Section.
Time frame: First study drug intake until last study drug intake plus 28 days
Population: Safety Population included all randomized participants who received study drug. Note: 14 patients randomized to 1250 mg/m\^2 actual received an initial dose that ranged from 480 to 984 mg/m\^2 so are included in the 825 mg/m\^2 arm for safety.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Number of Participants With Adverse Events and Serious Adverse Events | Adverse Events | 206 Participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Number of Participants With Adverse Events and Serious Adverse Events | Serious Adverse Events | 41 Participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Number of Participants With Adverse Events and Serious Adverse Events | Adverse Events | 234 Participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Number of Participants With Adverse Events and Serious Adverse Events | Serious Adverse Events | 53 Participants |
Overall Survival
Overall Survival was measured as the time from the date of randomization to the date of death.
Time frame: Throughout the study. Median observation time was approximately 16 months.
Population: Intent to treat population included all randomized participants.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Overall Survival | 16.4 Months |
| 825 mg/m^2 Capecitabine + Docetaxel | Overall Survival | 15.1 Months |
Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR)
According to Response Evaluation Criteria in Solid Tumors (RECIST) criteria: CR is defined as the disappearance of all target lesions and PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the nadir sum LD.
Time frame: Until Progressive Disease (PD) or end of primary study treatment (up to 16 cycles) plus 28 days.
Population: Intent to treat population included all randomized participants.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR) | 45.1 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Percentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR) | 37.4 Percentage of participants |
Time to Overall Response
For patients with Best Overall Response being Complete Response (CR) or Partial Response (PR), time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR were met. The percentage of participants with overall response within the given time ranges in each of the categories: Weeks 1-6, 7-12, 13-18, 19-24, 25-30, 31-36, and 43-48 are reported.
Time frame: Until PD or end of primary study treatment (up to 16 cycles) plus 28 days.
Population: Intent to treat population included all randomized participants.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 13-18 | 20 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 25-30 | 3 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 7-12 | 48 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 31-36 | 3 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 19-24 | 7 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 43-48 | 0 Percentage of participants |
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 1-6 | 25 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 43-48 | 1 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 1-6 | 30 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 7-12 | 30 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 13-18 | 17 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 19-24 | 7 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 25-30 | 1 Percentage of participants |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Overall Response | Week 31-36 | 2 Percentage of participants |
Time to Treatment Failure
The time to treatment failure was the time from the date of randomization to the first occurrence of any of the following events: * adverse events * insufficient therapeutic response (disease progression) * death * failure to return * refusing treatment/being unwilling to cooperate * withdrawing consent.
Time frame: Until premature withdrawal or end of primary study treatment (up to 16 cycles).
Population: Safety Population included all randomized participants who received study drug. Note: 14 patients randomized to 1250 mg/m\^2 actual received an initial dose that ranged from 480 to 984 mg/m\^2 so are included in the 825 mg/m\^2 arm for safety.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| 1250 mg/m^2 Capecitabine + Docetaxel | Time to Treatment Failure | 5.1 Months |
| 825 mg/m^2 Capecitabine + Docetaxel | Time to Treatment Failure | 4.6 Months |