Breast Cancer
Conditions
Keywords
Breast Cancer, Cancer of Breast, Cancer of the breast, Breast Neoplasms
Brief summary
This study will compare the cancer response to both treatments for locally advanced or metastatic breast cancer
Interventions
1500 mg/m2, IV day 1 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity
90 mg/m2, IV, day 1, day 8 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity
10 mg/kg, IV, day 1 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity
Sponsors
Study design
Eligibility
Inclusion criteria
* Females diagnosed with breast cancer and the cancer has spread to distant areas of the breast or organs. * Must be able to measure the disease by specific medical parameters * May have received breast cancer treatment in the early stage of the disease * May be restricted in physically strenuous activity but able to carry out light work. * Must have adequate organ function as seen in blood test results. Exclusion Criteria: * Cancer that has spread to the brain. * Unstable heart problems * Unstable high blood pressure. * Breast cancer treatment after the disease has considered to spread to other areas or organs. * Unable to agree with the requirements of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) | baseline & every 2 cycles (approximately 8 weeks) of treatment to measured progressive disease (PD) & post-therapy until PD or other therapy initiated (up to 35 months) | Response defined per Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR)=disappearance of all target lesions; Partial Response (PR)=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. ORR was defined as the proportion of participants who achieved a best response of either CR or PR. ORR=number of participants with CR or PR/number of participants qualified for tumor response analysis (per-protocol population). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival | baseline to death from any cause (up to 35 months) | Overall survival was measured from date of randomization to date of death from any cause. For participants not known to have died as of data-inclusion cut-off date, overall survival duration was censored at date of last study visit prior to the data cut-off date. |
| Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | FACT-B measures the following domains of health-related quality of life (HR-QL): physical well-being (PWB), social/family well-being (SFWB), emotional well-being (EWB), functional well-being (FWB), & additional concerns of breast cancer (BCS). Total FACT-B scores range from 0-144, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for FACT-B is 7-8 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The PWB subscale of FACT-B measures physical well-being. Total PWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The SFWB subscale of FACT-B measures social/family well-being. Total SFWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Progression-free Survival (PFS) | baseline to measured progressive disease or death up to 35 months (tumor assessments were performed every 2 cycles during study therapy; every 2 months during post-therapy until disease progression or new anticancer treatment initiated) | PFS was measured from date of randomization to first date of disease progression or death from any cause. For participants not known to have died or had disease progression as of data-inclusion cut-off date, PFS duration was censored at date of last study visit prior to data-inclusion cut-off date. |
| Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The FWB subscale of FACT-B measures functional well-being. Total FWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The BCS subscale of FACT-B measures additional concerns of breast cancer . Total BCS scores range from 0 to 36, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for BCS is 2-3 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The TOI-B represents the total of the subscales PWB,FWB, and BCS. Total TOI-B scores range from 0 to 92, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for TOI is 5-6 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
| Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy | Baseline through 30 days post therapy follow-up (up to 35 months) | The EWB subscale of FACT-B measures emotional well-being. Total EWB scores range from 0 to 24, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up. |
Countries
Puerto Rico, United States
Participant flow
Pre-assignment details
219 patients were screened; 28 patients were screen failures and were not assigned treatment.
Participants by arm
| Arm | Count |
|---|---|
| Paclitaxel Plus Bevacizumab (PB) paclitaxel 90 milligrams per meter squared (mg/m2) administered intravenously (IV) on days 1, 8, 15 every 28 days followed by bevacizumab 10 milligrams per kilogram (mg/kg) administered IV on days 1 and 15 every 28 days | 94 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) paclitaxel 90 milligrams per meter squared (mg/m2) administered intravenously (IV) on days 1, 8, 15 every 28 days followed by gemcitabine 1500 mg/m2 IV on days 1 and 15 every 28 days followed by bevacizumab 10 milligrams per kilogram (mg/kg) administered IV on days 1 and 15 every 28 days | 93 |
| Total | 187 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 21 | 19 |
| Overall Study | Death due to Adverse Event(s) | 1 | 0 |
| Overall Study | Death due to Study Disease | 1 | 3 |
| Overall Study | Other | 3 | 4 |
| Overall Study | Physician Decision | 9 | 13 |
| Overall Study | Protocol Entry Criterion Not Met | 1 | 0 |
| Overall Study | Protocol Violation | 0 | 1 |
| Overall Study | Sponsor Decision | 2 | 1 |
| Overall Study | Withdrawal by Subject | 12 | 16 |
Baseline characteristics
| Characteristic | Paclitaxel Plus Bevacizumab (PB) | Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Total |
|---|---|---|---|
| Age Continuous | 57.5 years STANDARD_DEVIATION 10.68 | 56.8 years STANDARD_DEVIATION 9.56 | 57.2 years STANDARD_DEVIATION 10.12 |
| Basis for Pathological Diagnosis Cytological | 10 participants | 8 participants | 18 participants |
| Basis for Pathological Diagnosis Histopathological | 84 participants | 84 participants | 168 participants |
| Basis for Pathological Diagnosis Missing | 0 participants | 1 participants | 1 participants |
| Body Surface Area (BSA) at Day 1 of Visit 1 | 1.8 square meters (m2) STANDARD_DEVIATION 0.18 | 1.8 square meters (m2) STANDARD_DEVIATION 0.21 | 1.8 square meters (m2) STANDARD_DEVIATION 0.2 |
| Breakdown According to Eastern Cooperative Oncology Group (ECOG) Performance Status Ambulatory, Restricted Strenuous Activity- 1 | 37 participants | 31 participants | 68 participants |
| Breakdown According to Eastern Cooperative Oncology Group (ECOG) Performance Status Fully Active- 0 | 57 participants | 60 participants | 117 participants |
| Breakdown According to Eastern Cooperative Oncology Group (ECOG) Performance Status Missing | 0 participants | 2 participants | 2 participants |
| Breakdown by Estrogen Receptor (ER) Status Negative | 33 participants | 25 participants | 58 participants |
| Breakdown by Estrogen Receptor (ER) Status Positive | 60 participants | 67 participants | 127 participants |
| Breakdown by Estrogen Receptor (ER) Status Unknown | 1 participants | 1 participants | 2 participants |
| Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status Missing | 0 participants | 1 participants | 1 participants |
| Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status Negative | 87 participants | 86 participants | 173 participants |
| Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status Not done | 3 participants | 4 participants | 7 participants |
| Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status Positive | 4 participants | 2 participants | 6 participants |
| Breakdown by Progesterone Receptor (PR) Status Negative | 50 participants | 35 participants | 85 participants |
| Breakdown by Progesterone Receptor (PR) Status Not done | 1 participants | 0 participants | 1 participants |
| Breakdown by Progesterone Receptor (PR) Status Positive | 42 participants | 57 participants | 99 participants |
| Breakdown by Progesterone Receptor (PR) Status Unknown | 1 participants | 1 participants | 2 participants |
| Breakdown of Disease-free Interval Greater than 24 months | 6 participants | 2 participants | 8 participants |
| Breakdown of Disease-free Interval Less than or equal to 24 months | 5 participants | 10 participants | 15 participants |
| Breakdown of Disease-free Interval Not applicable | 83 participants | 81 participants | 164 participants |
| Diagnosis by pathology Adenocystic breast carcinoma | 0 participants | 0 participants | 0 participants |
| Diagnosis by pathology Breast carcinoma | 6 participants | 3 participants | 9 participants |
| Diagnosis by pathology Ductal breast carcinoma | 76 participants | 79 participants | 155 participants |
| Diagnosis by pathology Lobal breast carcinoma | 9 participants | 6 participants | 15 participants |
| Diagnosis by pathology Medullary breast carcinoma | 0 participants | 0 participants | 0 participants |
| Diagnosis by pathology Other | 3 participants | 5 participants | 8 participants |
| Diagnosis by pathology Papillar breast carcinoma | 0 participants | 0 participants | 0 participants |
| Diagnosis by pathology Tubal breast carcinoma | 0 participants | 0 participants | 0 participants |
| Menopausal Status Not done | 1 participants | 1 participants | 2 participants |
| Menopausal Status Peri-menopausal | 2 participants | 3 participants | 5 participants |
| Menopausal Status Post-menopausal | 73 participants | 70 participants | 143 participants |
| Menopausal Status Pre-menopausal | 18 participants | 18 participants | 36 participants |
| Menopausal Status Unknown | 0 participants | 1 participants | 1 participants |
| Presence of Visceral Metastases Missing | 1 participants | 3 participants | 4 participants |
| Presence of Visceral Metastases No | 25 participants | 24 participants | 49 participants |
| Presence of Visceral Metastases Yes | 68 participants | 66 participants | 134 participants |
| Prior Biological Treatment for This Cancer | 0 participants | 2 participants | 2 participants |
| Prior Cancer Surgery | 79 participants | 82 participants | 161 participants |
| Prior Chemotherapy for This Cancer | 55 participants | 57 participants | 112 participants |
| Prior Exposure to Taxanes No | 61 participants | 61 participants | 122 participants |
| Prior Exposure to Taxanes Yes | 33 participants | 32 participants | 65 participants |
| Prior Hormonal Treatment for This Cancer | 51 participants | 53 participants | 104 participants |
| Prior Immunological Treatment for This Cancer | 2 participants | 0 participants | 2 participants |
| Prior Radiotherapy | 50 participants | 55 participants | 105 participants |
| Race/Ethnicity, Customized African | 5 participants | 11 participants | 16 participants |
| Race/Ethnicity, Customized Caucasian | 80 participants | 77 participants | 157 participants |
| Race/Ethnicity, Customized East Asian | 2 participants | 1 participants | 3 participants |
| Race/Ethnicity, Customized Hispanic | 7 participants | 4 participants | 11 participants |
| Region of Enrollment United States | 94 participants | 93 participants | 187 participants |
| Sex: Female, Male Female | 94 Participants | 93 Participants | 187 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 | 93 / 94 | 93 / 93 |
| serious Total, serious adverse events | 27 / 94 | 36 / 93 |
Outcome results
Overall Response Rate (ORR)
Response defined per Response Evaluation Criteria In Solid Tumors (RECIST) criteria: Complete Response (CR)=disappearance of all target lesions; Partial Response (PR)=30% decrease in sum of longest diameter of target lesions; Progressive Disease=20% increase in sum of longest diameter of target lesions; Stable Disease=small changes that do not meet above criteria. ORR was defined as the proportion of participants who achieved a best response of either CR or PR. ORR=number of participants with CR or PR/number of participants qualified for tumor response analysis (per-protocol population).
Time frame: baseline & every 2 cycles (approximately 8 weeks) of treatment to measured progressive disease (PD) & post-therapy until PD or other therapy initiated (up to 35 months)
Population: Per-protocol population included intent-to-treat participants who met the following criteria: histological or cytological breast cancer diagnosis; baseline presence of measurable disease per RECIST; at least 1 dose of study drug; no current systemic anti-tumor therapy except protocol-specified therapy. One PB+G participant did not qualify.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Overall Response Rate (ORR) | 0.489 proportion of responders |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Overall Response Rate (ORR) | 0.587 proportion of responders |
Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy
The BCS subscale of FACT-B measures additional concerns of breast cancer . Total BCS scores range from 0 to 36, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for BCS is 2-3 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy | -0.1 units on a scale | Standard Deviation 5.02 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy | -1.9 units on a scale | Standard Deviation 4.03 |
Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy
The EWB subscale of FACT-B measures emotional well-being. Total EWB scores range from 0 to 24, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy | 1.8 units on a scale | Standard Deviation 3.17 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy | -0.2 units on a scale | Standard Deviation 3.88 |
Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy
The FWB subscale of FACT-B measures functional well-being. Total FWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy | -0.3 units on a scale | Standard Deviation 5.38 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy | -3.8 units on a scale | Standard Deviation 4.71 |
Overall Survival
Overall survival was measured from date of randomization to date of death from any cause. For participants not known to have died as of data-inclusion cut-off date, overall survival duration was censored at date of last study visit prior to the data cut-off date.
Time frame: baseline to death from any cause (up to 35 months)
Population: Intent-To-Treat (ITT) population=all randomized participants, eligible \& ineligible. Number of participants with events: PB=35; PB+G=34. Censored participants: PB=59;PB+G=59.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Overall Survival | 25.0 months |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Overall Survival | 24.3 months |
Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy
The PWB subscale of FACT-B measures physical well-being. Total PWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy | -1.9 units on a scale | Standard Deviation 5.9 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy | -4.0 units on a scale | Standard Deviation 6 |
Progression-free Survival (PFS)
PFS was measured from date of randomization to first date of disease progression or death from any cause. For participants not known to have died or had disease progression as of data-inclusion cut-off date, PFS duration was censored at date of last study visit prior to data-inclusion cut-off date.
Time frame: baseline to measured progressive disease or death up to 35 months (tumor assessments were performed every 2 cycles during study therapy; every 2 months during post-therapy until disease progression or new anticancer treatment initiated)
Population: ITT population=all randomized participants, eligible \& ineligible. Participants with events: PB=74; PB+G=72. Censored participants: PB=20 PB+G=21.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Progression-free Survival (PFS) | 8.8 months |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Progression-free Survival (PFS) | 11.3 months |
Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy
The SFWB subscale of FACT-B measures social/family well-being. Total SFWB scores range from 0 to 28, with higher scores representing better HR-QOL. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy | 0.0 units on a scale | Standard Deviation 3.43 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy | -1.9 units on a scale | Standard Deviation 3.61 |
Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy
FACT-B measures the following domains of health-related quality of life (HR-QL): physical well-being (PWB), social/family well-being (SFWB), emotional well-being (EWB), functional well-being (FWB), & additional concerns of breast cancer (BCS). Total FACT-B scores range from 0-144, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for FACT-B is 7-8 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy | -1.0 units on a scale | Standard Deviation 15.1 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Total Functional Assessment of Cancer Therapy -Breast (FACT-B): Change From Baseline to End of Therapy | -10.8 units on a scale | Standard Deviation 16.87 |
Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy
The TOI-B represents the total of the subscales PWB,FWB, and BCS. Total TOI-B scores range from 0 to 92, with higher scores representing better HR-QOL. Minimally important differences estimates obtained for TOI is 5-6 points. FACT-B was assessed at baseline (prior to start of Cycle 1 \[Day 1\]), then prior to start of each subsequent cycle (approximately every 4 weeks) during therapy, through 30-day post therapy follow-up.
Time frame: Baseline through 30 days post therapy follow-up (up to 35 months)
Population: Last Observation Carried Forward (LOCF) for all ITT patients with valid baseline and at least one valid post-baseline assessment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Paclitaxel Plus Bevacizumab (PB) | Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy | -2.5 units on a scale | Standard Deviation 12.53 |
| Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G) | Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy | -9.1 units on a scale | Standard Deviation 12.68 |