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Eribulin in Combination With Capecitabine for Adjuvant Treatment in Estrogen Receptor-Positive Early Stage Breast Cancer

This study has been completed.
Information provided by (Responsible Party):
Eisai Inc. Identifier:
First received: September 19, 2011
Last updated: May 11, 2016
Last verified: May 2016
This is a Phase 2, multicenter, single-arm, feasibility study evaluating eribulin in combination with capecitabine as an adjuvant chemotherapy regimen in approximately 65 subjects with early-stage (I-II), human epidermal growth factor receptor 2 (HER2)- normal, estrogen receptor (ER)-positive breast cancer.

Condition Intervention Phase
Estrogen Receptor Positive Tumor
Breast Cancer
Drug: eribulin mesylate
Drug: capecitabine
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II, Multicenter, Single-Arm, Feasibility Study of Eribulin in Combination With Capecitabine for Adjuvant Treatment in Estrogen Receptor-Positive Early Stage Breast Cancer

Resource links provided by NLM:

Further study details as provided by Eisai Inc.:

Primary Outcome Measures:
  • Percentage of Participants Who Achieved the Target Relative Dose Intensity (RDI) of 85% [ Time Frame: 21-Day Cycle 1 through 21-Day Cycle 4 ] [ Designated as safety issue: No ]
    Relative Dose Intensity (RDI) is defined as the amount of drug administered over a specific time and is expressed as the fraction of that recommended for standard of care. The RDI for each participant was calculated as follows: (1) based on each participant's body surface area (BSA), a total planned dose for both eribulin (Dep) and capecitabine (Dcp) calculated for a full 4-cycle regimen; (2) actual total dose of eribulin (Dea) and capecitabine (Dca) for the full 4-cycle regimen as collected on the case report form; (3) overall RDI = (Dea/Dep + Dca/Dcp)/2. For each individual participant, the regimen was considered feasible if that participant was able to achieve an RDI of at least 85% of the 4 cycles of eribulin plus capecitabine treatment. Missing doses due to any reason was counted as zero in the RDI calculation.

Secondary Outcome Measures:
  • Use of Cold Cap for Alopecia [ Time Frame: On the day of study drug infusion treatments during Cycles 1 through 4 ] [ Designated as safety issue: No ]
    Alopecia (hair loss) is a potential side effect of some chemotherapy agents. Chemotherapeutic drugs are toxic and could potentially harm the hair follicles (wear hair grows from) resulting in the hair falling out. It can occur in small patches on various parts of the body or all over the body and is usually temporary when related to cancer treatment. Cold cap therapy is one form of therapy for alopecia involving hair loss from the scalp. Wearing a cap or head covering with cold packs before, during, or after chemotherapy may help prevent hair loss as the cold narrows the blood vessels in the skin on your head which may lead to less of the drug reaching the hair follicles. Alopecia was one of the most common adverse events (AEs) related to eribulin only.

  • Number of Patients With Adverse Events of 4 Cycles of Eribulin Plus Capecitabine in the Adjuvant Setting [ Time Frame: 12 weeks ] [ Designated as safety issue: Yes ]

    Safety will be assessed by the monitoring and recording all AEs and serious adverse events (SAEs), regular monitoring of hematology and clinical chemistry, vital signs, electrocardiograms (ECGs), Eastern Cooperative Oncology Group (ECOG) performance status, regular physician assessments, concomitant medications, medical histories, and physical examinations.

    Not posted. Treatment-emergent adverse events (TEAEs) and SAEs will be reported with the AEs and SAEs.

Enrollment: 77
Study Start Date: August 2011
Study Completion Date: July 2014
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Eribulin + Capecitabine Drug: eribulin mesylate
Cohort I & II: eribulin mesylate (E7389) 1.4 mg/m2 intravenously over 2 - 5 minutes on Day 1 and Day 8 for 4 cycles
Other Names:
  • BOLD
  • Halaven
  • E7389
Drug: capecitabine
Cohort 1: capecitabine 900 mg/m2 orally twice daily on Days 1 - 14 of a 21-day cycle for 4 cycles Cohort II: fixed dose of 1500 mg oral capecitabine twice daily, 7 days on then 7 days off for 4 cycles
Other Name: Xeloda


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Male subjects aged greater than or equal to 18 years and female subjects who must be postmenopausal (at least 12 months consecutive amenorrheic or have had a bilateral oophorectomy or, if they have had a hysterectomy but with ovaries intact, then females must be age 55 or older and with postmenopausal follicle-stimulating hormone [FSH] levels).
  2. Subject is a candidate for chemotherapy in the adjuvant setting.

    • Adjuvant therapy must begin within 84 days of the final surgical procedure for breast cancer.
  3. Histologically confirmed Stage I to II invasive breast cancer. Subjects may have more than one synchronous primary breast tumor.
  4. Receptor Status:

    • HER2-normal as determined by a negative fluorescence in situ hybridization (FISH) result or 0 to 1+ by immunohistochemistry (IHC) staining result
    • ER-positive, node-negative or ER-positive Grade 1 or 2 node-positive breast cancer
  5. ECOG performance status of 0 or 1
  6. Adequate renal function as evidenced by serum creatinine less than or equal to 1.5 mg/dL or calculated creatinine clearance greater than or equal to 50 mL/min per the Cockcroft and Gault formula
  7. Adequate bone marrow function as evidenced by ANC greater than or equal to 1.5 x 10^9/L, hemoglobin greater than or equal to 10.0 g/dL, and platelet count greater than or equal to 100 x 10^9/L
  8. Adequate liver function as evidenced by bilirubin less than or equal to 1.5 times the upper limits of normal (ULN) and alkaline phosphatase, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) less than or equal to 3 x ULN
  9. Male subjects must have had a successful vasectomy (confirmed azoospermia), or their female partners must not be of childbearing potential, or male subjects must agree to use and have their female partners use a highly effective method of contraception (e.g., total abstinence, an intrauterine device, a double-barrier method [such as condom plus diaphragm with spermicide] throughout the entire study period and for 30 days after study drug discontinuation..
  10. Voluntary agreement to provide written informed consent and willingness and ability to comply with all aspects of the protocol

Exclusion Criteria:

  1. Stage III and IV invasive breast cancer
  2. Prior chemotherapy, radiation therapy, immunotherapy or biotherapy for current breast cancer
  3. Nonmalignant systemic disease (cardiovascular, renal, hepatic, etc) that would preclude any of the study therapy drugs
  4. Subjects with a concurrently active second malignancy other than adequately treated nonmelanoma skin cancers or in situ cervical cancer
  5. Subjects with pre-existing neuropathy greater than Grade 2
  6. Subjects with known positive human immunodeficiency virus (HIV) status
  7. Females of childbearing potential. Females will be considered to be of childbearing potential unless they are postmenopausal (at least 12 months consecutive amenorrheic or have had a bilateral oophorectomy or, if they have had a hysterectomy but with ovaries intact, then females must be age 55 or older and with postmenopausal FSH levels).
  8. Subjects with current gastrointestinal disease or other condition resulting in an inability to take or absorb oral medications
  9. Subjects with known allergy or hypersensitivity to eribulin mesylate or its excipients, or to fluoropyrimidine therapy (with or without documented dihydropyrimidine dehydrogenase [DPD] deficiency)
  10. A clinically significant electrocardiogram (ECG) abnormality, including a marked baseline prolongation of QT/QTc interval (time between the start of the Q wave and the end of the T wave/QT interval corrected for heart rate) (e.g., repeated demonstration of a QTc interval greater than 500 ms)
  11. Any medical or other condition which, in the opinion of the investigator, would preclude participation in a clinical trial
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01439282

United States, Arizona
Arizona Oncology Associates, PC - HOPE
Tucson, Arizona, United States, 85704
Arizona Oncology Associates, PC - CASA
Tucson, Arizona, United States, 85715
United States, Florida
Cancer Centers of Florida
Orlando, Florida, United States, 32806
United States, Georgia
Northwest Georgia Oncology Centers, P.C.
Marietta, Georgia, United States, 30060
United States, New York
New York Oncology Hematology, P.C.
Albany, New York, United States, 12206
Sciode Medical Associates, PLLC, d.b.a. Eastchester Center
Bronx, New York, United States, 10469
United States, South Carolina
Cancer Centers of the Carolinas
Greenville, South Carolina, United States, 29605
United States, Texas
Texas Oncology-Austin Central
Austin, Texas, United States, 78731
Texas Oncology-Medical City Dallas
Dallas, Texas, United States, 75230
Texas Oncology-Dallas Presbyterian Hospital
Dallas, Texas, United States, 75231
Texas Oncology-Methodist Charlton Cancer Center
Dallas, Texas, United States, 75237
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, United States, 75246
Texas Oncology- Denton South
Denton, Texas, United States, 76210
Texas Oncology-Fort Worth 12th Ave.
Fort Worth, Texas, United States, 76104
Texas Oncology-Memorial City
Houston, Texas, United States, 77024
Texas Oncology-Lewisville
Lewisville, Texas, United States, 75067
Texas Oncology-Paris
Paris, Texas, United States, 75460
Cancer Care Centers of South Texas
San Antonio, Texas, United States, 78217
Texas Oncology-Tyler
Tyler, Texas, United States, 75702
United States, Virginia
Virginia Oncology Associates
Norfolk, Virginia, United States, 23502
United States, Washington
Evergreen Hematology and Oncology
Spokane, Washington, United States, 99218
Northwest Cancer Specialists, P.C.
Vancouver, Washington, United States, 98684
Yakima Valley Memorial Hospital/North Star Lodge
Yakima, Washington, United States, 98902
Sponsors and Collaborators
Eisai Inc.
Study Director: Sam Misir Eisai Inc.
  More Information

Responsible Party: Eisai Inc. Identifier: NCT01439282     History of Changes
Other Study ID Numbers: E7389-A001-212 
Study First Received: September 19, 2011
Results First Received: May 11, 2016
Last Updated: May 11, 2016
Health Authority: United States: Food and Drug Administration

Keywords provided by Eisai Inc.:
Estrogen Receptor-Positive Early Stage Breast Cancer

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs processed this record on October 25, 2016