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A Study to Evaluate Safety and Tolerability in Patients With Metastatic Breast Cancer Receiving Treatment With Caelyx (Study P04878)(COMPLETED)

Observational Program of Caelyx in MBC - Prevention and Treatment of PPE and Infusion Reactions

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT00736333
Enrollment
167
Registered
2008-08-15
Start date
2006-11-30
Completion date
2010-06-30
Last updated
2014-11-05

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

Conditions

Breast Neoplasm

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

DRUGPegylated Liposomal Doxorubicin

Pegylated Liposomal Doxorubicin (Caelyx) 50 mg/m\^2, given for up to 6 cycles

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

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

MeasureTime frameDescription
Number of Participants With Infusion Reactions (IR)Day 1 up to Week 24Infusion 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 IRDay 1, immediately prior to receiving first dose of pegylated liposomal doxorubicinPremedications 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 IRCycles 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 weeksPPE 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 PPEDay 1 up to 24 weeksPre-medications given included oral dexamethasone, vitamin B6, and other not clearly defined medications.

Secondary

MeasureTime frameDescription
Number of Participants With Complete Response (CR) or Partial Response (PR)Day 1 up to 24 weeksCR and PR were documented according to the clinical standards of each site.

Participant flow

Participants by arm

ArmCount
Pegylated Liposomal Doxorubicin
Pegylated liposomal doxorubicin 50 mg/m\^2 given every 4 weeks for up to 6 cycles
160
Total160

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyData Missing2
Overall StudyDeath7
Overall StudyDid Not Receive Drug or Not Documented7
Overall StudyOther4
Overall StudyToxicity6
Overall StudyTumor Progression75
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicPegylated Liposomal Doxorubicin
Age, Continuous62 years
STANDARD_DEVIATION 12
Sex: Female, Male
Female
159 Participants
Sex: Female, Male
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
9 / 160
serious
Total, serious adverse events
5 / 160

Outcome results

Primary

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)

ArmMeasureValue (NUMBER)
Pegylated Liposomal DoxorubicinNumber of Occurrences of Palmar-plantar Erythrodysesthesia (PPE)91 Occurrences
Primary

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)

ArmMeasureValue (NUMBER)
Pegylated Liposomal DoxorubicinNumber of Participants With Infusion Reactions (IR)7 Participants
Primary

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)

ArmMeasureValue (NUMBER)
Pegylated Liposomal DoxorubicinNumber of Participants With Pre-existing Allergic Conditions Who Experienced an IR0 Participants
Primary

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)

ArmMeasureGroupValue (NUMBER)
Pegylated Liposomal DoxorubicinNumber of Times Premedications Were Given for Prevention of PPEOral dexamethasone66 Number of times premedication was given
Pegylated Liposomal DoxorubicinNumber of Times Premedications Were Given for Prevention of PPEVitamin B670 Number of times premedication was given
Pegylated Liposomal DoxorubicinNumber of Times Premedications Were Given for Prevention of PPEOther49 Number of times premedication was given
Primary

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)

ArmMeasureGroupValue (NUMBER)
Pegylated Liposomal DoxorubicinPercent of Participants Taking Premedication for Prevention of IRCorticosteroids96.3 Percent of participants
Pegylated Liposomal DoxorubicinPercent of Participants Taking Premedication for Prevention of IRSerotonin-3 receptor antagonists (anti-emetics)97.5 Percent of participants
Pegylated Liposomal DoxorubicinPercent of Participants Taking Premedication for Prevention of IRHistamine-1 receptor blockers15.6 Percent of participants
Pegylated Liposomal DoxorubicinPercent of Participants Taking Premedication for Prevention of IRHistamine-2 receptor blockers36.3 Percent of participants
Secondary

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)

ArmMeasureGroupValue (NUMBER)
Pegylated Liposomal DoxorubicinNumber of Participants With Complete Response (CR) or Partial Response (PR)CR2 Participants
Pegylated Liposomal DoxorubicinNumber of Participants With Complete Response (CR) or Partial Response (PR)PR29 Participants

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