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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00463788
Registration number
NCT00463788
Ethics application status
Date submitted
19/04/2007
Date registered
20/04/2007
Date last updated
13/02/2014
Titles & IDs
Public title
Cetuximab and Cisplatin in the Treatment of "Triple Negative" (Estrogen Receptor [ER] Negative, Progesterone Receptor [PgR] Negative, and Human Epidermal Growth Factor Receptor 2 [HER2] Negative) Metastatic Breast Cancer
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Scientific title
Randomized Phase II Trial With Cetuximab and Cisplatin in the Treatment of ER-negative, PgR-negative, HER2-negative Metastatic Breast Carcinoma ("Basal Like")
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Secondary ID [1]
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EMR 200027-051
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Universal Trial Number (UTN)
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Trial acronym
BALI-1
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Neoplasm
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - cetuximab, cisplatin
Treatment: Drugs - cisplatin
Experimental: cisplatin and cetuximab -
Active comparator: cisplatin -
Treatment: Drugs: cetuximab, cisplatin
Subjects will receive an initial dose of cetuximab 400 milligram per square meter (mg/m\^2) followed by weekly doses of 250 mg/m\^2. All doses will be given by intravenous (IV) infusion.
Subjects will receive cisplatin (75 mg/m\^2 IV on Day 1) every 3 weeks, with a maximum of 6 cycles.
Administration of the Investigational Medicinal Product (IMP) will be stopped upon the first occurrence of disease progression, unacceptable toxicity or withdrawal of consent.
Treatment: Drugs: cisplatin
Subjects will receive cisplatin (75 mg/m\^2 IV on Day 1) every 3 weeks, with a maximum of 6 cycles.
Subjects have the option of receiving cetuximab plus cisplatin at progression within the first 6 cycles, or cetuximab alone at progression after the 6 cycles.
Administration of the IMP will be stopped upon the first occurrence of disease progression (except in cisplatin arm where switch to cetuximab plus cisplatin, or cetuximab alone is possible), unacceptable toxicity or withdrawal of consent.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Best Overall Response (BOR)
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Assessment method [1]
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Percentage of participants with best overall (objective) response based assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST).
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Timepoint [1]
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Evaluations were performed every 6 weeks until progression reported between day of first participant randomized, 20 June 2007, until cut-off date, 31 July 2009
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Secondary outcome [1]
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Progression-Free Survival (PFS) Time
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Assessment method [1]
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The PFS was defined as the duration from randomization until radiological progression according to investigator (based on RECIST) or death due to any cause. Only deaths within 85 days of last tumor assessment were considered. Participants without event were censored on the date of last tumor assessment.
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Timepoint [1]
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Time from randomization to disease progression, death or last tumour assessment, reported between day of first participant randomized, 20 June 2007, until cut-off date, 31 July 2009
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Secondary outcome [2]
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Overall Survival (OS) Time
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Assessment method [2]
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The OS time was defined as the time from randomization to death. Participants without event were censored at the last date known to be alive or at the clinical cut-off date, whatever was earlier.
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Timepoint [2]
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Time from randomization to death or last day known to be alive, reported between day of first participant randomized, 20 June 2007, until cut-off date, 05 April 2010
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Secondary outcome [3]
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Time to Response (TTR)
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Assessment method [3]
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The TTR was determined for participants whose confirmed BOR (based on RECIST) was either a CR or a PR . It was defined as the time from the first dose study treatment until the date of the first assessment of confirmed CR or PR.
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Timepoint [3]
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Time from the first dose of study treatment (cetuximab or cisplatin) to first assessment of CR or PR, reported between day of first participant randomized, 20 June 2007, until cut-off date, 31 July 2009
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Secondary outcome [4]
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Safety- Number of Participants Experiencing Any Adverse Event (AE)
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Assessment method [4]
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Number of participants experiencing any AE. AEs: Any untoward medical occurrence in the form of signs, clinically significant abnormalities in laboratory findings, diseases, symptoms, or worsening of complications.
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Timepoint [4]
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Time from first dose up to 30 days after last dose of study treatment, reported between day of first dose of study treatment, 20 June 2007, until cut-off date 05 April 2010
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Eligibility
Key inclusion criteria
* Histologically confirmed diagnosis of metastatic breast cancer (Stage IV)
* Estrogen Receptor [ER] negative, PgR negative and HER2 less than 3+ expression by immunohistochemistry (IHC)
* No more than 1 prior chemotherapy received for treating this metastatic breast cancer
* No more than 1 prior anthracycline and/or taxane regimen (either adjuvant or metastatic setting)
* Other protocol-defined inclusion criteria may apply
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior platinum agent
* Prior mitomycin
* Known history of brain metastases
* Other protocol-defined exclusion criteria may apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/02/2011
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Sample size
Target
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Accrual to date
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Final
181
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Research Site - Campbelltown
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Research Site - Liverpool
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Research Site - Malvern
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Research Site - Perth
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Recruitment postcode(s) [1]
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- Campbelltown
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Recruitment postcode(s) [2]
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- Liverpool
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Recruitment postcode(s) [3]
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- Wollongong
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Recruitment postcode(s) [4]
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- Malvern
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Recruitment postcode(s) [5]
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- Perth
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
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Bludesch-Gais
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Austria
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Salzburg
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Austria
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Wien
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Belgium
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Brussels
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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Liège
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Belgium
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Namur
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Belgium
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Wilrijk
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Germany
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Frankfurt am Main
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Germany
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Heidelberg
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Germany
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Kiel
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Germany
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Köln
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Germany
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München
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Germany
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Rostock
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Ireland
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Dublin
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Israel
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Beer Sheba
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Kefar Sava
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Israel
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Petah Tikva
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Rehovot
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Israel
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Tel Hashomer
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Italy
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Genova
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Italy
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Modena
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Wellington
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Coimbra
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Madrid
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Murcia
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Valencia
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Zaragoza
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London
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Merck KGaA, Darmstadt, Germany
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to determine whether overall response to cetuximab combined with cisplatin is better than overall response to cisplatin alone together with showing that the overall response for cetuximab and cisplatin was above a pre-specified threshold of 0.2 in the treatment of "triple negative" metastatic breast cancer. The secondary objective of this study is to compare the differences between the two treatment groups using the following criteria : Progression-Free Survival (PFS) Time, Overall Survival (OS), Time to Response (TTR) and Safety.
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Trial website
https://clinicaltrials.gov/study/NCT00463788
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Trial related presentations / publications
Shamseddine AI, Farhat FS. Platinum-based compounds for the treatment of metastatic breast cancer. Chemotherapy. 2011;57(6):468-87. doi: 10.1159/000334093. Epub 2012 Jan 10.
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Public notes
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Contacts
Principal investigator
Name
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José Baselga, Prof.
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Address
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General Hospital, Boston, Massachusetts, USA
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00463788
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