Skip to content

A Study to Assess Capecitabine (Xeloda®) in Patients With Locally Advanced or Metastatic Breast Cancer

A Randomized, Open-label Study of the Effect of Different Dosing Regimens of Xeloda® in Combination With Taxotere® on Disease Progression in Patients With Locally Advanced and/or Metastatic Breast Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00077857
Enrollment
470
Registered
2004-02-16
Start date
2003-07-31
Completion date
2010-03-31
Last updated
2013-05-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Cancer

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

Hoffmann-La Roche
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Time to Progression of Disease or DeathEvent 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

MeasureTime frameDescription
Time to Overall ResponseUntil 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 ResponseUntil 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 SurvivalThroughout 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 EventsFirst study drug intake until last study drug intake plus 28 daysAn 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 FailureUntil 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

ArmCount
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
Total470

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event3032
Overall StudyDeath73
Overall StudyFailure to return55
Overall StudyInsufficient therapeutic response112128
Overall StudyOther1513
Overall StudyOther protocol violation01
Overall StudyRefused treatment2921
Overall StudyViolation of selection criteria at entry31

Baseline characteristics

Characteristic1250 mg/m^2 Capecitabine + Docetaxel825 mg/m^2 Capecitabine + DocetaxelTotal
Age Continuous50.9 years50.6 years50.75 years
Sex: Female, Male
Female
235 Participants235 Participants470 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
192 / 217223 / 248
serious
Total, serious adverse events
41 / 21753 / 248

Outcome results

Primary

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.

ArmMeasureValue (MEDIAN)
1250 mg/m^2 Capecitabine + DocetaxelTime to Progression of Disease or Death7.9 Months
825 mg/m^2 Capecitabine + DocetaxelTime to Progression of Disease or Death5.8 Months
Secondary

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.

ArmMeasureValue (MEDIAN)
1250 mg/m^2 Capecitabine + DocetaxelDuration of Overall Response6.9 Months
825 mg/m^2 Capecitabine + DocetaxelDuration of Overall Response6.9 Months
Secondary

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.

ArmMeasureGroupValue (NUMBER)
1250 mg/m^2 Capecitabine + DocetaxelNumber of Participants With Adverse Events and Serious Adverse EventsAdverse Events206 Participants
1250 mg/m^2 Capecitabine + DocetaxelNumber of Participants With Adverse Events and Serious Adverse EventsSerious Adverse Events41 Participants
825 mg/m^2 Capecitabine + DocetaxelNumber of Participants With Adverse Events and Serious Adverse EventsAdverse Events234 Participants
825 mg/m^2 Capecitabine + DocetaxelNumber of Participants With Adverse Events and Serious Adverse EventsSerious Adverse Events53 Participants
Secondary

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.

ArmMeasureValue (MEDIAN)
1250 mg/m^2 Capecitabine + DocetaxelOverall Survival16.4 Months
825 mg/m^2 Capecitabine + DocetaxelOverall Survival15.1 Months
Secondary

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.

ArmMeasureValue (NUMBER)
1250 mg/m^2 Capecitabine + DocetaxelPercentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR)45.1 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelPercentage of Participants With Best Overall Response Being Complete Response (CR) or Partial Response (PR)37.4 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 13-1820 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 25-303 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 7-1248 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 31-363 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 19-247 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 43-480 Percentage of participants
1250 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 1-625 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 43-481 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 1-630 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 7-1230 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 13-1817 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 19-247 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 25-301 Percentage of participants
825 mg/m^2 Capecitabine + DocetaxelTime to Overall ResponseWeek 31-362 Percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
1250 mg/m^2 Capecitabine + DocetaxelTime to Treatment Failure5.1 Months
825 mg/m^2 Capecitabine + DocetaxelTime to Treatment Failure4.6 Months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026