Breast Neoplasm
Conditions
Brief summary
This is a study to evaluate the safety and tolerability of Caelyx used for the treatment of metastatic breast cancer (MBC), focusing on infusion reaction and palmar-plantar erythrodysesthesia (PPE).
Detailed description
Patients selected by investigator according to clinical routine
Interventions
Pegylated Liposomal Doxorubicin (Caelyx) 50 mg/m\^2, given for up to 6 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with metastatic breast cancer
Exclusion criteria
* History of hypersensitivity to Caelyx or its components * Women who are pregnant or breast-feeding * Patients with severe myelosuppression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Infusion Reactions (IR) | Day 1 up to Week 24 | Infusion reaction was defined as an allergic reaction or anaphylactoid reaction characterized by shortness of breath, hypotension, back pain, chest pain, chills, flush, sweating, fever, nausea, dizziness, rash, pruritis, or tachycardia. |
| Percent of Participants Taking Premedication for Prevention of IR | Day 1, immediately prior to receiving first dose of pegylated liposomal doxorubicin | Premedications for prevention of IR included corticosteroids, serotonin-3 receptor antagonists (anti-emetics), histamine-1 receptor blockers, and histamine-2 receptor blockers. |
| Number of Participants With Pre-existing Allergic Conditions Who Experienced an IR | Cycles 1 & 3 (Week 4 & Week 12) | Allergic conditions included food allergies, drug allergies, allergic rhinitis, histamine allergy, neurodermatitis, and chronic idiopathic urticaria. |
| Number of Occurrences of Palmar-plantar Erythrodysesthesia (PPE) | Up to 24 weeks | PPE was defined as a dermatological adverse event characterized by swelling, pain, edema, erythema, desquamation, that may have ultimately resulted in fissuring and ulceration, involving fingers, toes, palms, plantar aspects of the feet, and other pressure-sensitive areas of the skin. |
| Number of Times Premedications Were Given for Prevention of PPE | Day 1 up to 24 weeks | Pre-medications given included oral dexamethasone, vitamin B6, and other not clearly defined medications. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Complete Response (CR) or Partial Response (PR) | Day 1 up to 24 weeks | CR and PR were documented according to the clinical standards of each site. |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Pegylated Liposomal Doxorubicin Pegylated liposomal doxorubicin 50 mg/m\^2 given every 4 weeks for up to 6 cycles | 160 |
| Total | 160 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Data Missing | 2 |
| Overall Study | Death | 7 |
| Overall Study | Did Not Receive Drug or Not Documented | 7 |
| Overall Study | Other | 4 |
| Overall Study | Toxicity | 6 |
| Overall Study | Tumor Progression | 75 |
| Overall Study | Withdrawal by Subject | 10 |
Baseline characteristics
| Characteristic | Pegylated Liposomal Doxorubicin |
|---|---|
| Age, Continuous | 62 years STANDARD_DEVIATION 12 |
| Sex: Female, Male Female | 159 Participants |
| Sex: Female, Male Male | 1 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 9 / 160 |
| serious Total, serious adverse events | 5 / 160 |
Outcome results
Number of Occurrences of Palmar-plantar Erythrodysesthesia (PPE)
PPE was defined as a dermatological adverse event characterized by swelling, pain, edema, erythema, desquamation, that may have ultimately resulted in fissuring and ulceration, involving fingers, toes, palms, plantar aspects of the feet, and other pressure-sensitive areas of the skin.
Time frame: Up to 24 weeks
Population: Safety population (those who received at least one dose of study medication)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pegylated Liposomal Doxorubicin | Number of Occurrences of Palmar-plantar Erythrodysesthesia (PPE) | 91 Occurrences |
Number of Participants With Infusion Reactions (IR)
Infusion reaction was defined as an allergic reaction or anaphylactoid reaction characterized by shortness of breath, hypotension, back pain, chest pain, chills, flush, sweating, fever, nausea, dizziness, rash, pruritis, or tachycardia.
Time frame: Day 1 up to Week 24
Population: Safety population (those who received at least one dose of study medication)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pegylated Liposomal Doxorubicin | Number of Participants With Infusion Reactions (IR) | 7 Participants |
Number of Participants With Pre-existing Allergic Conditions Who Experienced an IR
Allergic conditions included food allergies, drug allergies, allergic rhinitis, histamine allergy, neurodermatitis, and chronic idiopathic urticaria.
Time frame: Cycles 1 & 3 (Week 4 & Week 12)
Population: Safety population (those who received at least one dose of study medication)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Pegylated Liposomal Doxorubicin | Number of Participants With Pre-existing Allergic Conditions Who Experienced an IR | 0 Participants |
Number of Times Premedications Were Given for Prevention of PPE
Pre-medications given included oral dexamethasone, vitamin B6, and other not clearly defined medications.
Time frame: Day 1 up to 24 weeks
Population: Safety population (those who received at least one dose of study medication)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pegylated Liposomal Doxorubicin | Number of Times Premedications Were Given for Prevention of PPE | Oral dexamethasone | 66 Number of times premedication was given |
| Pegylated Liposomal Doxorubicin | Number of Times Premedications Were Given for Prevention of PPE | Vitamin B6 | 70 Number of times premedication was given |
| Pegylated Liposomal Doxorubicin | Number of Times Premedications Were Given for Prevention of PPE | Other | 49 Number of times premedication was given |
Percent of Participants Taking Premedication for Prevention of IR
Premedications for prevention of IR included corticosteroids, serotonin-3 receptor antagonists (anti-emetics), histamine-1 receptor blockers, and histamine-2 receptor blockers.
Time frame: Day 1, immediately prior to receiving first dose of pegylated liposomal doxorubicin
Population: Safety population (those who received at least one dose of study medication)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pegylated Liposomal Doxorubicin | Percent of Participants Taking Premedication for Prevention of IR | Corticosteroids | 96.3 Percent of participants |
| Pegylated Liposomal Doxorubicin | Percent of Participants Taking Premedication for Prevention of IR | Serotonin-3 receptor antagonists (anti-emetics) | 97.5 Percent of participants |
| Pegylated Liposomal Doxorubicin | Percent of Participants Taking Premedication for Prevention of IR | Histamine-1 receptor blockers | 15.6 Percent of participants |
| Pegylated Liposomal Doxorubicin | Percent of Participants Taking Premedication for Prevention of IR | Histamine-2 receptor blockers | 36.3 Percent of participants |
Number of Participants With Complete Response (CR) or Partial Response (PR)
CR and PR were documented according to the clinical standards of each site.
Time frame: Day 1 up to 24 weeks
Population: Intent-to-treat (those who received at least one dose of study medication)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Pegylated Liposomal Doxorubicin | Number of Participants With Complete Response (CR) or Partial Response (PR) | CR | 2 Participants |
| Pegylated Liposomal Doxorubicin | Number of Participants With Complete Response (CR) or Partial Response (PR) | PR | 29 Participants |