First Line Therapy for Patients With Metastatic Breast Cancer

This study has been terminated.
(Sponsor decision to stop collecting survival information.)
Sponsor:
Information provided by (Responsible Party):
Celgene Corporation
ClinicalTrials.gov Identifier:
NCT00456846
First received: April 3, 2007
Last updated: June 19, 2014
Last verified: June 2014
Results First Received: June 19, 2014  
Study Type: Interventional
Study Design: Allocation: Non-Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Single Group Assignment;   Masking: Open Label;   Primary Purpose: Treatment
Condition: Metastatic Breast Cancer
Intervention: Drug: Nab-paclitaxel

  Participant Flow
  Hide Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest. Therapy continued until disease progression or unacceptable toxicity.
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest. Therapy continued until disease progression or unacceptable toxicity.

Participant Flow:   Overall Study
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
STARTED     47     76  
COMPLETED     31 [1]   48 [1]
NOT COMPLETED     16     28  
Adverse Event                 2                 15  
Physician Decision                 11                 6  
Protocol Deviation                 2                 0  
Participant Discretion                 1                 5  
Unspecified                 0                 2  
[1] Treatment considered completed upon disease progression



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Total Total of all reporting groups

Baseline Measures
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)     Total  
Number of Participants  
[units: participants]
  47     76     123  
Age  
[units: years]
Mean ± Standard Deviation
  55.3  ± 9.78     58.3  ± 10.88     57.2  ± 10.54  
Gender  
[units: participants]
     
Female     47     76     123  
Male     0     0     0  
Race/Ethnicity, Customized  
[units: participants]
     
Asian     0     5     5  
Black, of African Heritage     2     3     5  
Native Hawaiian or Other Pacific Islander     1     0     1  
White, Non-Hispanic/Non Latino     41     60     101  
White, Hispanic or Latino     0     5     5  
Other-Unspecified     3     3     6  
Menopausal Status  
[units: participants]
     
Premenopausal     12     12     24  
Postmenopausal     35     64     99  
Stage at Primary Diagnosis [1]
[units: participants]
     
Stage I     4     12     16  
Stage IIa     7     12     19  
Stage IIb     14     13     27  
Stage IIIa     11     8     19  
Stage IIIb     6     4     10  
Stage IIIc     5     5     10  
Stage IV     0     19     19  
Unknown     0     3     3  
Eastern Cooperative Oncology Group (ECOG) Performance Status [2]
[units: participants]
     
0 (fully active)     21     38     59  
1 (restrictive but ambulatory)     22     30     52  
2 (ambulatory but unable to work)     4     8     12  
3 (limited self-care) + 4 (completely disabled)     0     0     0  
Physician Assessment of Peripheral Neuropathy] [2] [3]
[units: participants]
     
Grade 0     37     69     106  
Grade 1     10     7     17  
[1]

Invasive breast cancer stages:

Stage I-cancer cells are breaking through to or invading normal surrounding breast tissue.

Stage IIa-breast tumor about 2cm and involvement of ancillary lymph nodes. Stage IIb-a larger tumor than earlier phases. Stage IIIa-axillary lymph nodes clumping together. Stage IIIb-spread further to the skin, breast bone or chest wall. Stage IIIc-expanded involvement of lymph nodes. Stage IV-cancer that has spread beyond the breast and nearby lymph nodes to other organs of the body.

[2] Eastern Cooperative Oncology Group (ECOG) Performance Status is used to assess the progress of disease in a patient, how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
[3] The physician assessed sensory neuropathy using the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) of "Neurology -- Neuropathy - Sensory". The scale is 0 = normal, 1 = asymptomatic; loss of deep tendon reflexes or paresthesia (including tingling) but not interfering with function, 2 = sensory alteration or paresthesia (including tingling), interfering with activities of daily living (ADL); 3 = Sensory alteration or parasthesia interfering with ADLs; 4 = disabling



  Outcome Measures
  Hide All Outcome Measures

1.  Primary:   Percentage of Participants With Objective Confirmed Complete or Partial Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 Based on Investigator and Independent Reviewers   [ Time Frame: Every 8 weeks from study start until disease progression; Up to 61 months ]

Measure Type Primary
Measure Title Percentage of Participants With Objective Confirmed Complete or Partial Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 Based on Investigator and Independent Reviewers
Measure Description

Overall response rate (ORR) is complete response (CR) + partial response (PR). Complete response (CR): The disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation. All sites must be assessed, including non-measurable sites, such as effusions, or markers. Disappearance of all non-target lesions. The normalization of tumor marker level confirmed at least 4 weeks after initial documentation.

Partial response (PR): At least a 30% decrease in the sum of the longest diameters of target lesions, taking as a reference the baseline sum of the longest diameters confirmed at least 4 weeks after initial documentation. PR is also recorded when all measurable disease has completely disappeared, but a non-measurable component (i.e., ascites) is still present but not progressing. As well as persistence of one or more non-target lesion(s) and/or the maintenance of tumor marker level above the normal limits

Time Frame Every 8 weeks from study start until disease progression; Up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants who received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Percentage of Participants With Objective Confirmed Complete or Partial Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 Based on Investigator and Independent Reviewers  
[units: percentage of participants]
Number ( 95% Confidence Interval )
   
Investigator Assessment     30  
  ( 16.7 to 42.9 )  
  28  
  ( 17.6 to 37.7 )  
Independent Reviewer Assessment     32  
  ( 18.6 to 45.2 )  
  32  
  ( 21.1 to 42.0 )  

No statistical analysis provided for Percentage of Participants With Objective Confirmed Complete or Partial Overall Response According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 Based on Investigator and Independent Reviewers



2.  Secondary:   Percentage of Participants With Disease Control   [ Time Frame: Every 8 weeks from study start until disease progression; Up to 61 months ]

Measure Type Secondary
Measure Title Percentage of Participants With Disease Control
Measure Description

Disease control was defined as stable disease (SD) for ≥ 16 weeks or complete response (CR) or partial response (PR). Response was evaluated by the Investigator and by an independent reviewer using Response Evaluation Criteria in Solid Tumors (RECIST) guidelines version 1.0.

See Outcome #1 for definitions of CR and PR. RECIST defines SD for target lesions as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, no occurrence of progression disease for non-target lesions, and no new lesions.

Time Frame Every 8 weeks from study start until disease progression; Up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants who received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Percentage of Participants With Disease Control  
[units: percentage of participants]
Number ( 95% Confidence Interval )
   
Investigator Assessment     51  
  ( 36.8 to 65.4 )  
  57  
  ( 45.4 to 67.7 )  
Independent Reviewer Assessment     55  
  ( 41.1 to 69.5 )  
  57  
  ( 45.4 to 67.7 )  

No statistical analysis provided for Percentage of Participants With Disease Control



3.  Secondary:   Progression-free Survival (PFS)   [ Time Frame: Study start until disease progression, death, or up to data cut off of 31 May 2013; up to 61 months ]

Measure Type Secondary
Measure Title Progression-free Survival (PFS)
Measure Description PFS was defined as the time from the first dose of study drug to the start of progression or patient death (any cause), whichever occurred first. Participants who did not have progression or did not die were censored at the last known time the participant was progression free. Participants who initiated other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated.
Time Frame Study start until disease progression, death, or up to data cut off of 31 May 2013; up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants who received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Progression-free Survival (PFS)  
[units: months]
Median ( 95% Confidence Interval )
   
Investigator Assessment     6.0  
  ( 3.5 to 8.8 )  
  6.7  
  ( 5.3 to 7.3 )  
Independent Reviewer Assessment     5.3  
  ( 3.3 to 7.3 )  
  5.3  
  ( 3.5 to 6.6 )  

No statistical analysis provided for Progression-free Survival (PFS)



4.  Secondary:   Duration of Response Based on Independent Reviewer Assessment   [ Time Frame: Initial response until disease progression; or until data cut off 31 May 2013; up to 61 months ]

Measure Type Secondary
Measure Title Duration of Response Based on Independent Reviewer Assessment
Measure Description

Duration of response was defined as progression-free survival in responders, i.e. as the time between the start of a complete response (CR) or partial response (PR) and the start of progressive disease (PD) or patient death from any cause, whichever occurred first. Participants who did not have progression or had not died were censored at the last known time the participant was progression free. Participants who had initiated other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated.

CR and PR were defined in outcome #1. Progressive disease was defined as at least a 20% increase in the sum of the longest diameters of target lesions; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion. Response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST).

Time Frame Initial response until disease progression; or until data cut off 31 May 2013; up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population with a confirmed complete response or partial response.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  15     24  
Duration of Response Based on Independent Reviewer Assessment  
[units: months]
Median ( 95% Confidence Interval )
  10.9  
  ( 7.3 to 18.9 )  
  9.2  
  ( 7.4 to 14.2 )  

No statistical analysis provided for Duration of Response Based on Independent Reviewer Assessment



5.  Secondary:   Duration of Response Based on Investigator Assessment   [ Time Frame: Initial response until disease progression; or until data cut off 31 May 2013; up to 61 months ]

Measure Type Secondary
Measure Title Duration of Response Based on Investigator Assessment
Measure Description

Duration of response was defined as progression-free survival in responders, i.e. as the time between the start of a complete response (CR) or partial response (PR) and the start of progressive disease (PD) or patient death from any cause, whichever occurred first. Participants who did not have progression or had not died were censored at the last known time the participant was progression free. Participants who had initiated other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated.

Complete response (CR) and partial response (PR) were defined in outcome #1. Progressive disease was defined as at least a 20% increase in the sum of the longest diameters of target lesions; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion. Response was evaluated using Response Evaluation Criteria in Solid Tumors (RECIST).

Time Frame Initial response until disease progression; or until data cut off 31 May 2013; up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants that received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  14     21  
Duration of Response Based on Investigator Assessment  
[units: months]
Median ( 95% Confidence Interval )
  10.5  
  ( 8.8 to 25.4 )  
  10.8  
  ( 8.7 to 22.4 )  

No statistical analysis provided for Duration of Response Based on Investigator Assessment



6.  Secondary:   Patient Survival   [ Time Frame: Study start until death, or until data cut-off 31 May 2013; up to 61 months ]

Measure Type Secondary
Measure Title Patient Survival
Measure Description Participant survival was the time from the first dose of study drug to participant death from any cause. Participants who did not die were censored at the last known time the participant was alive.
Time Frame Study start until death, or until data cut-off 31 May 2013; up to 61 months  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants that received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Patient Survival  
[units: months]
Median ( 95% Confidence Interval )
  20.9  
  ( 14.3 to 28.0 )  
  20.0  
  ( 13.8 to 28.6 )  

No statistical analysis provided for Patient Survival



7.  Secondary:   Number of Participants Experiencing Dose Reductions, Interruptions, or Dose Delays of Study Drug   [ Time Frame: Day 1 of study drug to Day 940; data cut off 31 May 2013 ]

Measure Type Secondary
Measure Title Number of Participants Experiencing Dose Reductions, Interruptions, or Dose Delays of Study Drug
Measure Description The number of participants with dose reductions, dose interruptions and dose delays that occurred during the treatment period. Dose reductions, interruptions and delays are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities.
Time Frame Day 1 of study drug to Day 940; data cut off 31 May 2013  
Safety Issue Yes  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants who received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Number of Participants Experiencing Dose Reductions, Interruptions, or Dose Delays of Study Drug  
[units: participants]
   
Patients with at Least One Dose Reduction     11     19  
Patients with at Least One Dose Interruption     3     2  
Patients with at Least One Dose Delay/Not Given     20     39  

No statistical analysis provided for Number of Participants Experiencing Dose Reductions, Interruptions, or Dose Delays of Study Drug



8.  Secondary:   Number of Participants With Treatment-Emergent Adverse Events   [ Time Frame: Day 1 to Day 940 ]

Measure Type Secondary
Measure Title Number of Participants With Treatment-Emergent Adverse Events
Measure Description Count of study participants who had at least one treatment-emergent adverse event (TEAE) defined as any adverse event that began or worsened in grade after the start of study drug through 30 days after the last dose of study drug. The National Cancer Institute (NCI)'s Common Terminology Criteria for AEs (CTCAE) was used to grade AE severity: severity grade 3= severe and undesirable AE. Severity grade 4= life-threatening or disabling AE. Severity grade 5 = death.
Time Frame Day 1 to Day 940  
Safety Issue Yes  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Treated Population: The Treated population consisted of all enrolled participants who received at least one dose of study drug.

Reporting Groups
  Description
Abraxane (Prior Taxane Therapy) Participants who had received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest
Abraxane (No Prior Taxane Therapy) Participants who had not received a taxane as part of their adjuvant therapy received Abraxane (ABI-007) at 100 mg/m^2 given intravenously (IV) over 30 minutes weekly for 3 weeks followed by 1 week rest

Measured Values
    Abraxane (Prior Taxane Therapy)     Abraxane (No Prior Taxane Therapy)  
Number of Participants Analyzed  
[units: participants]
  47     76  
Number of Participants With Treatment-Emergent Adverse Events  
[units: participants]
   
≥1 Adverse Event (AE)     46     75  
≥1 Treatment related Adverse Event     41     74  
≥ 1 Serious Adverse Event     5     14  
Treatment related Serious Adverse Event     2     7  
≥1 One Grade 3/4 Adverse Event     25     36  
≥1 One Grade 3 or Higher Adverse Event     25     36  
≥1 AE leading to treatment discontinuation     2     16  
≥1 AE leading to death     0     2  
≥1 AE leading to dose reduction of study drug     11     18  
≥1 AE leading to dose interruption of study drug     2     0  
≥1 AE leading to dose delay of study drug     15     29  

No statistical analysis provided for Number of Participants With Treatment-Emergent Adverse Events




  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
  Hide Limitations and Caveats

Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Results Point of Contact:  
Name/Title: Anne McClain
Organization: Celgene Corporation
phone: 888-260-1599
e-mail: clinicaltrialdisclosure@celgene.com


No publications provided


Responsible Party: Celgene Corporation
ClinicalTrials.gov Identifier: NCT00456846     History of Changes
Other Study ID Numbers: CA042
Study First Received: April 3, 2007
Results First Received: June 19, 2014
Last Updated: June 19, 2014
Health Authority: United States: Food and Drug Administration
Canada: Health Canada