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A Trial of Paclitaxel and Bevacizumab vs. Gemcitabine, Paclitaxel, and Bevacizumab in Advanced Breast Cancer

A Randomized Phase II Trial of Paclitaxel and Bevacizumab Versus Gemcitabine, Paclitaxel, and Bevacizumab as First Line Treatment for Locally Advanced or Metastatic Breast Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00320541
Enrollment
187
Registered
2006-05-03
Start date
2006-05-31
Completion date
2012-08-31
Last updated
2013-07-22

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

Conditions

Breast Cancer

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

DRUGgemcitabine

1500 mg/m2, IV day 1 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity

DRUGpaclitaxel

90 mg/m2, IV, day 1, day 8 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity

DRUGbevacizumab

10 mg/kg, IV, day 1 and day 15 every 28 days until complete response, disease progression or unacceptable toxicity

Sponsors

Genentech, Inc.
CollaboratorINDUSTRY
Eli Lilly and Company
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

* 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

MeasureTime frameDescription
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

MeasureTime frameDescription
Overall Survivalbaseline 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 TherapyBaseline 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 TherapyBaseline 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 TherapyBaseline 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 TherapyBaseline 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 TherapyBaseline 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 TherapyBaseline 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 TherapyBaseline 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

ArmCount
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
Total187

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event2119
Overall StudyDeath due to Adverse Event(s)10
Overall StudyDeath due to Study Disease13
Overall StudyOther34
Overall StudyPhysician Decision913
Overall StudyProtocol Entry Criterion Not Met10
Overall StudyProtocol Violation01
Overall StudySponsor Decision21
Overall StudyWithdrawal by Subject1216

Baseline characteristics

CharacteristicPaclitaxel Plus Bevacizumab (PB)Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G)Total
Age Continuous57.5 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 participants8 participants18 participants
Basis for Pathological Diagnosis
Histopathological
84 participants84 participants168 participants
Basis for Pathological Diagnosis
Missing
0 participants1 participants1 participants
Body Surface Area (BSA) at Day 1 of Visit 11.8 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 participants31 participants68 participants
Breakdown According to Eastern Cooperative Oncology Group (ECOG) Performance Status
Fully Active- 0
57 participants60 participants117 participants
Breakdown According to Eastern Cooperative Oncology Group (ECOG) Performance Status
Missing
0 participants2 participants2 participants
Breakdown by Estrogen Receptor (ER) Status
Negative
33 participants25 participants58 participants
Breakdown by Estrogen Receptor (ER) Status
Positive
60 participants67 participants127 participants
Breakdown by Estrogen Receptor (ER) Status
Unknown
1 participants1 participants2 participants
Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status
Missing
0 participants1 participants1 participants
Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status
Negative
87 participants86 participants173 participants
Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status
Not done
3 participants4 participants7 participants
Breakdown by Human Epidermal Growth Factor (HER-2 NEU) Status
Positive
4 participants2 participants6 participants
Breakdown by Progesterone Receptor (PR) Status
Negative
50 participants35 participants85 participants
Breakdown by Progesterone Receptor (PR) Status
Not done
1 participants0 participants1 participants
Breakdown by Progesterone Receptor (PR) Status
Positive
42 participants57 participants99 participants
Breakdown by Progesterone Receptor (PR) Status
Unknown
1 participants1 participants2 participants
Breakdown of Disease-free Interval
Greater than 24 months
6 participants2 participants8 participants
Breakdown of Disease-free Interval
Less than or equal to 24 months
5 participants10 participants15 participants
Breakdown of Disease-free Interval
Not applicable
83 participants81 participants164 participants
Diagnosis by pathology
Adenocystic breast carcinoma
0 participants0 participants0 participants
Diagnosis by pathology
Breast carcinoma
6 participants3 participants9 participants
Diagnosis by pathology
Ductal breast carcinoma
76 participants79 participants155 participants
Diagnosis by pathology
Lobal breast carcinoma
9 participants6 participants15 participants
Diagnosis by pathology
Medullary breast carcinoma
0 participants0 participants0 participants
Diagnosis by pathology
Other
3 participants5 participants8 participants
Diagnosis by pathology
Papillar breast carcinoma
0 participants0 participants0 participants
Diagnosis by pathology
Tubal breast carcinoma
0 participants0 participants0 participants
Menopausal Status
Not done
1 participants1 participants2 participants
Menopausal Status
Peri-menopausal
2 participants3 participants5 participants
Menopausal Status
Post-menopausal
73 participants70 participants143 participants
Menopausal Status
Pre-menopausal
18 participants18 participants36 participants
Menopausal Status
Unknown
0 participants1 participants1 participants
Presence of Visceral Metastases
Missing
1 participants3 participants4 participants
Presence of Visceral Metastases
No
25 participants24 participants49 participants
Presence of Visceral Metastases
Yes
68 participants66 participants134 participants
Prior Biological Treatment for This Cancer0 participants2 participants2 participants
Prior Cancer Surgery79 participants82 participants161 participants
Prior Chemotherapy for This Cancer55 participants57 participants112 participants
Prior Exposure to Taxanes
No
61 participants61 participants122 participants
Prior Exposure to Taxanes
Yes
33 participants32 participants65 participants
Prior Hormonal Treatment for This Cancer51 participants53 participants104 participants
Prior Immunological Treatment for This Cancer2 participants0 participants2 participants
Prior Radiotherapy50 participants55 participants105 participants
Race/Ethnicity, Customized
African
5 participants11 participants16 participants
Race/Ethnicity, Customized
Caucasian
80 participants77 participants157 participants
Race/Ethnicity, Customized
East Asian
2 participants1 participants3 participants
Race/Ethnicity, Customized
Hispanic
7 participants4 participants11 participants
Region of Enrollment
United States
94 participants93 participants187 participants
Sex: Female, Male
Female
94 Participants93 Participants187 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
93 / 9493 / 93
serious
Total, serious adverse events
27 / 9436 / 93

Outcome results

Primary

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.

ArmMeasureValue (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
Comparison: Assuming the response rate for the PB arm is 34% and the addition of gemcitabine will improve it to 54%, then a sample size of 170 evaluable participants (85 per arm) will give an 80% statistical power to detect the difference, using a 1-sided test at the significance level of 0.05. Confidence levels are exact binomial 95% Confidence Intervals.p-value: 0.117Fisher Exact
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Breast Cancer Subscale (BCS): Change From Baseline to End of Therapy-0.1 units on a scaleStandard 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 scaleStandard Deviation 4.03
p-value: 0.067ANCOVA
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Emotional Well Being (EWB) Subscale: Change From Baseline to End of Therapy1.8 units on a scaleStandard 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 scaleStandard Deviation 3.88
p-value: 0.002ANCOVA
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Functional Well Being (FWB) Subscale: Change From Baseline to End of Therapy-0.3 units on a scaleStandard 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 scaleStandard Deviation 4.71
p-value: 0.004ANCOVA
Secondary

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.

ArmMeasureValue (MEDIAN)
Paclitaxel Plus Bevacizumab (PB)Overall Survival25.0 months
Paclitaxel Plus Bevacizumab Plus Gemcitabine (PB+G)Overall Survival24.3 months
p-value: 0.475Log Rank
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Physical Well Being (PWB) Subscale: Change From Baseline to End of Therapy-1.9 units on a scaleStandard 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 scaleStandard Deviation 6
p-value: 0.119ANCOVA
Secondary

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.

ArmMeasureValue (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
p-value: 0.247Log Rank
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Social/Family Well Being (SFWB) Subscale: Change From Baseline to End of Therapy0.0 units on a scaleStandard 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 scaleStandard Deviation 3.61
p-value: 0.023ANCOVA
Secondary

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

ArmMeasureValue (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 scaleStandard 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 scaleStandard Deviation 16.87
p-value: 0.01ANCOVA
Secondary

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

ArmMeasureValue (MEAN)Dispersion
Paclitaxel Plus Bevacizumab (PB)Trial Outcome Index-Breast (TOI-B): Change From Baseline to End of Therapy-2.5 units on a scaleStandard 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 scaleStandard Deviation 12.68
p-value: 0.036ANCOVA

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