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Biweekly Avastin and Docetaxel as the First Line Treatment for Patients With Metastatic Breast Cancer (AINO)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00979641
Recruitment Status : Terminated (Participants are no longer being examined. The results are published 2016 Anticancer Research 36: 6431-6438)
First Posted : September 18, 2009
Last Update Posted : March 28, 2019
Oulu University Hospital
Turku University Hospital
Information provided by (Responsible Party):
Pirkko-Liisa Kellokumpu-Lehtinen, Tampere University Hospital

Brief Summary:
The purpose of this study is to evaluate the efficacy and safety of the combination of biweekly docetaxel and bevacizumab in the first line treatment of metastatic breast cancer by using Response Evaluation Criteria In Solid Tumors (RECIST criteria) and NCI Common Terminology Criteria for Adverse Events (NCI CTC-AE) version 3. In addition several biochemical makers are tested as possible predictive factors.

Condition or disease Intervention/treatment Phase
Neoplasms Drug: Docetaxel Phase 2

Detailed Description:
Patients with histologically or cytologically proven measurable or nonmeasurable metastatic breast cancer are treated with a combination of biweekly docetaxel and bevacizumab as the first line treatment in multicenter phase II trial. The outcome measures would be PFS, Response rate (RECIST), duration of response, safety (NCI CTC-AE version 3) and survival. In addition several biochemical makers are tested as possible predictive factors. Treatment would be continued until PD, patient's refusal or treatment discontinuation due to side-effects or patients death. In responding patients bevacizumab would be continued either alone or in hormone receptor positive patients combined with hormone treatment until progression.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 65 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Single Arm Study of the Combination of Biweekly Avastin and Docetaxel as the First Line Treatment for Patients With Metastatic Breast Cancer
Actual Study Start Date : January 2009
Actual Primary Completion Date : December 2014
Actual Study Completion Date : December 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer

Arm Intervention/treatment
Experimental: chemoterapy
docetaxel/paclitaxel + bevacizumab
Drug: Docetaxel
Other Name: bevacizumab

Primary Outcome Measures :
  1. progression free survival [ Time Frame: 1-3 months ]
    increase of cancer burden

Secondary Outcome Measures :
  1. efficacy, changes in metastacic lesions [ Time Frame: every 2 months ]
    response rate

  2. overall survival [ Time Frame: 2- 3 months ]

  3. time to response [ Time Frame: 2 months ]
    decrease of cancer burden

  4. duration of response [ Time Frame: 2 months ]

  5. progression free survival from first relapse [ Time Frame: 2 months ]
    second increase of cancer burden

  6. safety, occurence of side-effects [ Time Frame: 1 month ]
    side effects according to NCICTC-AE version 3.0

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • written informed concent
  • age > or equal 18 years
  • able to comply with the protocol
  • histologically or cytologically confirmed, Her-2 negative, adenocarcinoma of the breast with measurable or nonmeasurable metastatic disease, chemotherapy indicated
  • ECOG 0-2, life expectancy of over or qual to 12 wks
  • prior neo/adjuvant chemotherapy allowed
  • prior adjuvant taxane therapy is allowed, DFS> or equal 6 months
  • previous hormonal therapy allowed
  • prior RT is allowed as adjuvant setting or to relief of metastatic bone pain, no more than 30% of marrow-bearing bone irradiated
  • Adequate haematological function
  • adequate liver function total bilirubin <1.5 x upper limit of normal and AST,ALT <2.5 x ULN in patients without liver metastases; <5 x ULN in patients with liver metastases
  • adequate renal function serum creatinine <or equal 1,5x ULN or calculated creatinine clearance > or equal 50mL/min and urine dipstick for proteinuria <2+. Patients discovered to have or equal proteinuria or dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate < or equal 1 g of protein in 24 hours
  • INR<or equal 1.5 and PTT< or equal 1.5 x ULN within 7 days prior to enrolment. Anticoagulation treatment not allowed
  • if female, should not be pregnant or breast-feeding. Women with an intact uterus must have a negative serum pregnancy test within 28 days prior to inclusion into the study

Exclusion Criteria:

  • previous chemotherapy for mBC
  • radiation therapy for the treatment of metastatic disease within 28 days
  • evidence of CNS metastases. If symptomatic, the patient should be scanned within 28 days to enrolment to rule out CNS metastases
  • pre-existing peripheral neuropathy NCI CTC-AE grade > 2 at enrolment
  • major surgery, significant traumatic injury within 28 days prior to enrolment or anticipation of the need for major surgery during study treatment
  • Minor surgery, including insertion off an indwelling catheter, within 24 hours prior to the first line bevacizumab infusion
  • Current or recent(within 10 daÿs of first dose of bevacizumab) use of aspirin (>325mg/day)
  • current or recent (within 10 days of first dose of bevacizumab) use of oral or parenteral anticoagulants or thrombolytic agents.
  • history of evidence of inherited bleeding diathesis or coagulopathy with the risk of bleeding
  • uncontrolled hypertension (systolic >150mmHg and/or diastolic>100mmHg)
  • Clinically significant cardiovascular disease for example CVA, myocardial infarction, unstable angina, congestive heart failure NYHA Class > or equal II, serious cardiac arrhythmia requiring medication during the study, which might interfere with regularity of the study treatment, or not controlled by medication
  • non- healing wound, active peptic ulcer or bone fracture
  • history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess within 6 months of enrolment
  • past of current history (within the last 5 years) of other malignancies except curatively treated basal and squamous cell carcinoma of the skin or in-situ carcinoma of the cervix
  • treatment with any other investigational agent, or participation in another clinical drug trial within 28 days prior to enrolment
  • evidence of any other disease, neurological, psychiatric or metabolic dysfunction, physical examination finding or laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or puts the patient at high risk for treatment-related complications
  • history of thrombotic disorders within last six months

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00979641

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Tampere Unviersity Hospital
Tampere, Finland
Sponsors and Collaborators
Tampere University Hospital
Oulu University Hospital
Turku University Hospital
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Principal Investigator: Pirkko-Liisa I Kellokumpu-Lehtinen, MD Tampere University Hospital

Study Data/Documents: Clinical Study Report  This link exits the site

Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Pirkko-Liisa Kellokumpu-Lehtinen, professor of oncology and radiotherapy, Tampere University Hospital Identifier: NCT00979641     History of Changes
Other Study ID Numbers: EudraCT 2008-003527-24
First Posted: September 18, 2009    Key Record Dates
Last Update Posted: March 28, 2019
Last Verified: March 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Pirkko-Liisa Kellokumpu-Lehtinen, Tampere University Hospital:
breast cancer
Phase II
first line chemotherapy
metastatic breast cancer patients
Additional relevant MeSH terms:
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Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Antineoplastic Agents, Immunological
Antineoplastic Agents
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action