CClinicalTrials.gg
CompletedNCT00391092Updated Aug 28, 2015Results posted

A Study of Avastin (Bevacizumab) in Combination With Herceptin (Trastuzumab)/Docetaxel in Patients With HER2 Positive Metastatic Breast Cancer.

A Phase 3 interventional study of bevacizumab [Avastin] and Docetaxel in Breast Cancer, sponsored by Hoffmann-La Roche. Completed at 90 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-28.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
424
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This 2 arm study will compare the efficacy and safety of Avastin plus Herceptin/docetaxel, versus Herceptin/docetaxel alone, in patients with HER2 positive locally recurrent or metastatic breast cancer who have not received prior chemotherapy for their metastatic disease. Patients will be randomized 1:1 to receive either Avastin (15mg/kg iv q3weeks) + Herceptin (8mg/kg iv loading dose and 6mg/kg iv q3weeks maintenance) + docetaxel (100mg/m2 iv q3weeks) or Herceptin + docetaxel alone. The anticipated time on study treatment is until disease progression, and the target sample size is 100-500 individuals.

02

Conditions studied

  • Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 424 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • adult patients, >=18 years of age;
  • HER2 positive breast cancer with locally recurrent or metastatic lesions;
  • eligible for chemotherapy;
  • baseline LVEF >=50%.

Exclusion criteria

Exclusion Criteria:

  • previous chemotherapy for metastatic or locally recurrent breast cancer;
  • previous radiotherapy for metastatic breast cancer (except for metastatic bone pain relief);
  • other primary tumor within last 5 years, with the exception of basal or squamous skin cancer, or in situ cancer of the cervix;
  • clinically significant cardiovascular disease;
  • chronic daily treatment with aspirin (>325mg/day) or clopidogrel (>75mg/day).
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
424 participants (actual)

Study arms

  • Experimental
    1

    Drug: bevacizumab [Avastin] · Drug: Docetaxel · Drug: Herceptin

  • Active comparator
    2

    Drug: Docetaxel · Drug: Herceptin

Interventions

  • Drugbevacizumab [Avastin]

    15mg/kg iv every 3 weeks

  • DrugDocetaxel

    100mg/m2 iv every 3 weeks

  • DrugHerceptin

    8mg/kg iv loading dose, followed by 6mg/kg iv every 3 weeks

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS)

    PFS was defined as the time from randomization to time of first documented disease progression (unequivocal progression of existing non-target lesions) or death, whichever occurred first as assessed by Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST v1.0). Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started. Primary PFS variable was defined based on the investigators' assessments and the statistical conclusions on the primary efficacy endpoint were based on investigator assessed PFS. PFS was estimated using Kaplan-Meier methods.

    Time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

Secondary outcomes

  1. Overall Survival (OS)

    OS was defined as the time from randomization to the date of death, regardless of the cause of death. OS was estimated using Kaplan-Meier methods.

    Time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  2. Percentage of Participants With a Best Overall Response (OR) of Confirmed Complete Response (CR) or Partial Response (PR) in Participants With Measurable Disease at Baseline

    Best OR was assessed using RECIST v1.0 criteria. Participants were classified as responders if their best OR was either confirmed CR (disappearance of all target lesions) or confirmed PR (at least a 30% decrease in the sum of the longest diameter \[LD\] of target lesions, taking as reference the baseline sum LD). Participants without any post-baseline assessments were regarded as non-responders. The 95% CI for the one sample binomial using Pearson-Clopper method.

    Time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  3. Duration of Response (DR)

    DR was defined as the time when response (CR or PR per RECIST v1.0) was first documented to the date of disease progression per RECIST v1.0 (unequivocal progression of existing non-target lesions) or death. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

    Time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  4. Time to Treatment Failure (TTF)

    TTF was defined as the time between randomization and date of disease progression (per RECIST v1.0; unequivocal progression of existing non-target lesions), death, or withdrawal of treatment due to adverse events, withdrawal of informed consent, insufficient therapeutic response, refusal of treatment/failure to co-operate, or failure to return, whichever occurred first. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

    Time frame: Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)

  5. Functional Assessment of Cancer Therapy - Generic (FACT-G) and Functional Assessment of Cancer Therapy - Breast (FACT-B) Subscale Scores

    FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

    Time frame: Baseline, Cycles 3, 5, 11, and post progressive disease (PD; 14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])

  6. Change From Baseline for FACT-G and FACT-B

    FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

    Time frame: Baseline, Cycles 3, 5, 11, and post PD (14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])

07

Results

Posted Aug 14, 2015

Participant flow

Participant flow — Overall Study
MilestoneTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Started208216
Received treatment206215
Completed00
Not completed208216
Withdrew: Death7881
Withdrew: Lost to follow-up1318
Withdrew: Alive on treatment2933
Withdrew: Alive in follow-up8884

Outcome measures

PrimaryProgression Free Survival (PFS)

PFS was defined as the time from randomization to time of first documented disease progression (unequivocal progression of existing non-target lesions) or death, whichever occurred first as assessed by Response Evaluation Criteria in Solid Tumors version 1.0 (RECIST v1.0). Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started. Primary PFS variable was defined based on the investigators' assessments and the statistical conclusions on the primary efficacy endpoint were based on investigator assessed PFS. PFS was estimated using Kaplan-Meier methods.

Time frame:
Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)
Reported as:
Median · months
Progression Free Survival (PFS)
monthsTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Progression Free Survival (PFS)13.7 (11.4 to 16.3)16.5 (14.1 to 19.1)
Statistical analysis
  • Trastuzumab + Docetaxel vs Trastuzumab + Bevacizumab + Docetaxel · Log Rank (unstratified) · p = 0.0775 · Hazard ratio (hr): 0.82 · 95% CI 0.65 to 1.02
SecondaryOverall Survival (OS)

OS was defined as the time from randomization to the date of death, regardless of the cause of death. OS was estimated using Kaplan-Meier methods.

Time frame:
Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)
Reported as:
Median · months
Overall Survival (OS)
monthsTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Overall Survival (OS)38.3 (34.3 to NA)38.5 (32.1 to NA)
Statistical analysis
  • Trastuzumab + Docetaxel vs Trastuzumab + Bevacizumab + Docetaxel · Log Rank · p = 0.9543 · Hazard ratio (hr): 1.01 · 95% CI 0.74 to 1.38
SecondaryPercentage of Participants With a Best Overall Response (OR) of Confirmed Complete Response (CR) or Partial Response (PR) in Participants With Measurable Disease at Baseline

Best OR was assessed using RECIST v1.0 criteria. Participants were classified as responders if their best OR was either confirmed CR (disappearance of all target lesions) or confirmed PR (at least a 30% decrease in the sum of the longest diameter \[LD\] of target lesions, taking as reference the baseline sum LD). Participants without any post-baseline assessments were regarded as non-responders. The 95% CI for the one sample binomial using Pearson-Clopper method.

Time frame:
Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)
Reported as:
Number · percentage of participants
Percentage of Participants With a Best Overall Response (OR) of Confirmed Complete Response (CR) or Partial Response (PR) in Participants With Measurable Disease at Baseline
percentage of participantsTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Percentage of Participants With a Best Overall Response (OR) of Confirmed Complete Response (CR) or Partial Response (PR) in Participants With Measurable Disease at Baseline69.9 (62.5 to 76.6)74.3 (67.4 to 80.5)
Statistical analysis
  • Trastuzumab + Docetaxel vs Trastuzumab + Bevacizumab + Docetaxel · Chi-squared · p = 0.3492 · Difference in response rates: 4.43 · 95% CI -5.2 to 14.095% CI for the difference in response rates using Hauck-Anderson method.
SecondaryDuration of Response (DR)

DR was defined as the time when response (CR or PR per RECIST v1.0) was first documented to the date of disease progression per RECIST v1.0 (unequivocal progression of existing non-target lesions) or death. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

Time frame:
Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)
Reported as:
Median · months
Duration of Response (DR)
monthsTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Duration of Response (DR)11.4 (9.1 to 13.2)14.6 (12.0 to 17.1)
Statistical analysis
  • Trastuzumab + Docetaxel vs Trastuzumab + Bevacizumab + Docetaxel · Hazard ratio (hr): 0.74 · 95% CI 0.56 to 0.98
SecondaryTime to Treatment Failure (TTF)

TTF was defined as the time between randomization and date of disease progression (per RECIST v1.0; unequivocal progression of existing non-target lesions), death, or withdrawal of treatment due to adverse events, withdrawal of informed consent, insufficient therapeutic response, refusal of treatment/failure to co-operate, or failure to return, whichever occurred first. Progressive disease is defined using RECIST v1.0 as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started.

Time frame:
Every 9 weeks up to Week 36, thereafter every 12 weeks until disease progression (up to the clinical cutoff of 30 June 2011, up to 4.75 years)
Reported as:
Median · months
Time to Treatment Failure (TTF)
monthsTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Time to Treatment Failure (TTF)7.7 (6.3 to 8.6)9.8 (7.9 to 10.9)
Statistical analysis
  • Trastuzumab + Docetaxel vs Trastuzumab + Bevacizumab + Docetaxel · Log Rank · p = 0.5392 · Hazard ratio (hr): 0.94 · 95% CI 0.76 to 1.15
SecondaryFunctional Assessment of Cancer Therapy - Generic (FACT-G) and Functional Assessment of Cancer Therapy - Breast (FACT-B) Subscale Scores

FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

Time frame:
Baseline, Cycles 3, 5, 11, and post progressive disease (PD; 14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])
Reported as:
Mean · units on a scale
Functional Assessment of Cancer Therapy - Generic (FACT-G) and Functional Assessment of Cancer Therapy - Breast (FACT-B) Subscale Scores
units on a scaleTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Physical Well-Being: Baseline (n=173,189)21.20 ± 5.7421.47 ± 5.07
Social Well-Being: Baseline (n=173,189)20.59 ± 5.7520.88 ± 5.77
Emotional Well-Being: Baseline (n=173,189)14.95 ± 4.9515.54 ± 4.44
Functional Well-Being: Baseline (n=173,189)16.34 ± 5.8316.36 ± 5.57
Total FACT-G Score: Baseline (n=173,189)73.30 ± 16.6074.49 ± 14.50
Breast Specific: Baseline (n=173,189)21.67 ± 6.4322.84 ± 5.85
Total FACT-B Score: Baseline (n=173,189)94.97 ± 20.5097.46 ± 17.71
Trial Outcome Index: Baseline (n=173,189)59.54 ± 14.0360.85 ± 12.61
Physical Well-Being: Cycle 3 (n=145,173)20.19 ± 4.8919.96 ± 5.05
Social Well-Being: Cycle 3 (n=145,173)20.64 ± 5.3221.19 ± 5.44
Emotional Well-Being: Cycle 3 (n=145,173)16.47 ± 4.1916.70 ± 4.36
Functional Well-Being: Cycle 3 (n=145, 173)15.43 ± 5.3316.20 ± 5.22
Total FACT-G Score: Cycle 3 (n=145,173)72.94 ± 14.8174.05 ± 14.35
Breast Specific: Cycle 3 (n=145,173)22.29 ± 5.7823.17 ± 5.34
Total FACT-B Score: Cycle 3 (n=145,173)95.26 ± 18.5297.23 ± 17.81
Trial Outcome Index: Cycle 3 (n=145,173)58.04 ± 12.8059.33 ± 12.49
Physical Well-Being: Cycle 5 (n=139, 166)19.51 ± 4.8319.67 ± 4.56
Social Well-Being: Cycle 5 (n=139, 166)19.36 ± 5.2620.68 ± 4.92
Emotional Well-Being: Cycle 5 (n=139, 166)16.05 ± 4.4417.07 ± 4.30
Functional Well-Being: Cycle 5 (n=139, 166)14.81 ± 5.4515.78 ± 4.77
Total FACT-G Score: Cycle 5 (n=139, 166)69.78 ± 15.0473.21 ± 12.49
Breast Specific: Cycle 5 (n=139, 166)21.65 ± 5.8323.15 ± 4.90
Total FACT-B Score: Cycle 5 (n=139, 166)91.43 ± 18.8196.36 ± 15.63
Trial Outcome Index: Cycle 5 (n=139, 166)55.99 ± 13.0958.59 ± 11.01
Physical Well-Being: Cycle 11 (n=100, 133)21.71 ± 4.5421.56 ± 4.53
Social Well-Being: Cycle 11 (n=100, 133)19.71 ± 5.7420.78 ± 4.92
Emotional Well-Being: Cycle 11 (n=100, 133)15.96 ± 4.5017.46 ± 3.70
Functional Well-Being: Cycle 11 (n=100, 133)16.25 ± 5.1616.98 ± 4.92
Total FACT-G Score: Cycle 11 (n=100, 133)73.26 ± 15.2476.55 ± 13.56
Breast Specific: Cycle 11 (n=100, 133)21.29 ± 5.5523.80 ± 4.92
Total FACT-B Score: Cycle 11 (n=100, 133)94.57 ± 18.58100.43 ± 16.97
Trial Outcome Index: Cycle 11 (n=100, 133)59.19 ± 12.0062.34 ± 11.79
Physical Well-Being: Post PD (n=33, 39)19.94 ± 4.9920.35 ± 5.37
Social Well-Being: Post PD (n=33, 39)19.02 ± 5.6119.68 ± 4.77
Emotional Well-Being: Post PD (n=33, 39)14.76 ± 4.8314.77 ± 4.64
Functional Well-Being: Post PD (n=33, 39)14.13 ± 5.5715.08 ± 5.16
Total FACT-G Score: Post PD (n=33, 39)67.84 ± 14.2170.04 ± 15.08
Breast Specific: Post PD (n=33, 39)22.90 ± 4.4822.87 ± 5.14
Total FACT-B Score: Post PD (n=33, 39)90.74 ± 16.5992.92 ± 18.47
Trial Outcome Index: Post PD (n=33, 39)56.97 ± 11.1658.47 ± 12.43
SecondaryChange From Baseline for FACT-G and FACT-B

FACT-G is core questionnaire of Functional Assessment of Chronic Illness Therapy (FACIT) measurement system to evaluate quality of life (QoL) in cancer population. FACT-G consisted of 27 questions grouped in 4 domains of general Health-Related QoL (HRQoL): Physical Well-being (PWB), Social/Family Well-Being (SWB), Emotional Well-Being (EWB) and Functional Well-Being (FWB); each ranged from 0 (not at all) to 4 (very much). FACT-G ranged between 0-108. Since questions could be reversed coded, as appropriate, before calculating FACT-G, 0 and 108 could be considered worst and best health states. FACT -B is used for assessment of HRQoL in participants with breast cancer. It consists of 36 items, summarized to 5 subscales: 7 items for each physical, functional, social/family; all 3 ranged from 0-28, emotional (6 items) ranged from 0-24, and breast cancer subscale (9 items) ranged from 0-36. All single-item measures ranges from 0-144. High scale score represents a better QoL.

Time frame:
Baseline, Cycles 3, 5, 11, and post PD (14 to 28 days after disease progression [up to the clinical cutoff of 30 June 2011, up to 4.75 years])
Reported as:
Mean · units on a scale
Change From Baseline for FACT-G and FACT-B
units on a scaleTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Physical Well-Being: Cycle 3 (n=145,173)-1.01 ± 7.54-1.51 ± 7.16
Social Well-Being: Cycle 3 (n=145,173)0.05 ± 7.830.32 ± 7.93
Emotional Well-Being: Cycle 3 (n=145,173)1.52 ± 6.491.16 ± 6.22
Functional Well-Being: Cycle 3 (n=145, 173)-0.91 ± 7.90-0.16 ± 7.63
Total FACT-G Score: Cycle 3 (n=145,173)-0.36 ± 22.25-0.44 ± 20.40
Breast Specific: Cycle 3 (n=145,173)0.61 ± 8.650.34 ± 7.92
Total FACT-B Score: Cycle 3 (n=145,173)0.29 ± 27.63-0.24 ± 25.12
Trial Outcome Index: Cycle 3 (n=145,173)-1.50 ± 18.99-1.52 ± 17.75
Physical Well-Being: Cycle 5 (n=139, 166)-1.69 ± 7.50-1.80 ± 6.82
Social Well-Being: Cycle 5 (n=139, 166)-1.23 ± 7.79-0.20 ± 7.58
Emotional Well-Being: Cycle 5 (n=139, 166)1.09 ± 6.651.53 ± 6.18
Functional Well-Being: Cycle 5 (n=139, 166)-1.53 ± 7.98-0.58 ± 7.33
Total FACT-G Score: Cycle 5 (n=139, 166)-3.53 ± 22.40-1.28 ± 19.14
Breast Specific: Cycle 5 (n=139, 166)-0.03 ± 8.680.31 ± 7.63
Total FACT-B Score: Cycle 5 (n=139, 166)-3.55 ± 27.82-1.10 ± 23.62
Trial Outcome Index: Cycle 5 (n=139, 166)-3.55 ± 19.19-2.26 ± 16.74
Physical Well-Being: Cycle 11 (n=100, 133)0.51 ± 7.320.09 ± 6.80
Social Well-Being: Cycle 11 (n=100, 133)-0.89 ± 8.13-0.10 ± 7.58
Emotional Well-Being: Cycle 11 (n=100, 133)1.00 ± 6.691.92 ± 5.78
Functional Well-Being: Cycle 11 (n=100, 133)-0.09 ± 7.790.62 ± 7.43
Total FACT-G Score: Cycle 11 (n=100, 133)-0.05 ± 22.542.06 ± 19.85
Breast Specific: Cycle 11 (n=100, 133)-0.38 ± 8.490.96 ± 7.64
Total FACT-B Score: Cycle 11 (n=100, 133)-0.41 ± 27.672.97 ± 24.53
Trial Outcome Index: Cycle 11 (n=100, 133)-0.35 ± 18.461.49 ± 17.26
Physical Well-Being: Post PD (n=33, 39)-1.25 ± 7.61-1.12 ± 7.39
Social Well-Being: Post PD (n=33, 39)-1.58 ± 8.03-1.19 ± 7.48
Emotional Well-Being: Post PD (n=33, 39)-0.20 ± 6.92-0.78 ± 6.42
Functional Well-Being: Post PD (n=33, 39)-2.22 ± 8.06-1.28 ± 7.59
Total FACT-G Score: Post PD (n=33, 39)-5.46 ± 21.85-4.44 ± 20.92
Breast Specific: Post PD (n=33, 39)1.22 ± 7.840.03 ± 7.79
Total FACT-B Score: Post PD (n=33, 39)-4.23 ± 26.37-4.55 ± 25.59
Trial Outcome Index: Post PD (n=33, 39)-2.57 ± 17.92-2.38 ± 17.70

Adverse events

Collected over From time of first drug intake up to 28 days after last dose study treatment (up to 4.75 years).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Trastuzumab + Docetaxel—63/206 (30.6%)198/206 (96.1%)
Trastuzumab + Bevacizumab + Docetaxel—72/215 (33.5%)202/215 (94%)
Most frequent serious events
Showing 10 of 94
Most frequent serious events
EventTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
Febrile neutropeniaBlood and lymphatic system disorders14/20618/215
NeutropeniaBlood and lymphatic system disorders9/2066/215
Neutropenic sepsisInfections and infestations3/2066/215
DiarrhoeaGastrointestinal disorders4/2066/215
Neutropenic infectionInfections and infestations2/2064/215
Anal abscessInfections and infestations0/2064/215
ErysipelasInfections and infestations3/2060/215
VomitingGastrointestinal disorders0/2063/215
DyspnoeaRespiratory, thoracic and mediastinal disorders1/2063/215
PneumoniaInfections and infestations2/2061/215
Most frequent other events
Showing 10 of 77
Most frequent other events
EventTrastuzumab + DocetaxelTrastuzumab + Bevacizumab + Docetaxel
AlopeciaSkin and subcutaneous tissue disorders141/206135/215
EpistaxisRespiratory, thoracic and mediastinal disorders35/206109/215
DiarrhoeaGastrointestinal disorders85/206107/215
StomatitisGastrointestinal disorders61/20695/215
NauseaGastrointestinal disorders76/20682/215
AstheniaGeneral disorders76/20675/215
HypertensionVascular disorders27/20679/215
Oedema peripheralGeneral disorders72/20637/215
Lacrimation increasedEye disorders59/20675/215
FatigueGeneral disorders48/20669/215

Baseline characteristics

Intent-to-treat (ITT) population: All randomized participants, regardless of whether they actually received study treatment or not.

Age, Continuous
Age, Continuous(years)Trastuzumab + DocetaxelTrastuzumab + Bevacizumab + DocetaxelTotal
Mean54.0 ± 11.7153.5 ± 10.9053.7 ± 11.29
Sex: Female, Male
Sex: Female, Male(Participants)Trastuzumab + DocetaxelTrastuzumab + Bevacizumab + DocetaxelTotal
Female208216424
Male000
08

Study locations

90 sites
  • Buenos Aires, 1417, Argentina
  • Cordoba, 5004, Argentina
  • La Plata, B1902CMK, Argentina
  • Mar del Plata, 7600, Argentina
  • Mendoza, 5500, Argentina
  • Salta, 4400, Argentina
  • San Martin, 1650, Argentina
  • Santa Fe, 03000, Argentina
  • Santa Fe, 2000, Argentina
  • Lismore, New South Wales 2480, Australia
  • Newcastle, New South Wales 2298, Australia
  • Port Macquarie, New South Wales 2444, Australia
  • Wahroonga, New South Wales 2076, Australia
  • Wollongong, New South Wales 2500, Australia
  • Auchenflower, Queensland 4066, Australia
  • Nambour, Queensland 4560, Australia
  • Fitzroy, Victoria 3065, Australia
  • Geelong, Victoria 3220, Australia
  • Perth, Western Australia 6000, Australia
  • Graz, 8036, Austria
  • Salzburg, 5020, Austria
  • Vöcklabruck, 4840, Austria
  • Wien, 1090, Austria
  • Banja Luka, 78000, Bosnia and Herzegovina
  • Sarajevo, 71000, Bosnia and Herzegovina
  • Tuzla, 75000, Bosnia and Herzegovina
  • Goiania, GO 74605-070, Brazil
  • Porto Alegre, RS 90610-000, Brazil
  • Florianopolis, SC 88034-000, Brazil
  • Barretos, SP 14784-400, Brazil
  • Sao Paulo, SP 01509-010, Brazil
  • Calgary, Alberta T2N 4N2, Canada
  • Vancouver, British Columbia V5Z 4E6, Canada
  • Halifax, Nova Scotia B3H 1V7, Canada
  • Hamilton, Ontario L8V 5C2, Canada
  • Sudbury, Ontario P3E 5J1, Canada
  • Toronto, Ontario M4N 3M5, Canada
  • Montreal, Quebec H2W 1S6, Canada
  • Montreal, Quebec H3A 1A1, Canada
  • Montreal, Quebec H3T 1E2, Canada
  • Saskatoon, Saskatchewan S7N 4H4, Canada
  • Quebec, G1S 4L8, Canada
  • Praha 2, 128 08, Czech Republic
  • Praha 5, 150 06, Czech Republic
  • Avignon, 84918, France
  • Besancon, 25030, France
  • Bordeaux, 33076, France
  • Caen, 14076, France
  • Clermont Ferrand, 63011, France
  • Dijon, 21079, France
  • Lille, 59020, France
  • Montpellier, 34298, France
  • Villejuif, 94805, France
  • Parma, Emilia-Romagna 43100, Italy
  • Udine, Friuli-Venezia Giulia 33100, Italy
  • Milano, Lombardia 20133, Italy
  • Pavia, Lombardia 27100, Italy
  • Acapulco, 39850, Mexico
  • Guadalajara, 45100, Mexico
  • Merida, 97500, Mexico
  • Monterrey, 66260, Mexico
  • Torreon, 27000, Mexico
  • Bucharest, 050098, Romania
  • Bucuresti, 022328, Romania
  • Cluj Napoca, 400015, Romania
  • Cluj-Napoca, 400015, Romania
  • Iasi, 700106, Romania
  • Kazan, 420029, Russian Federation
  • Moscow, 115478, Russian Federation
  • Obninsk, 249036, Russian Federation
  • Ryazan, 390011, Russian Federation
  • Saint-Petersburg, 197758, Russian Federation
  • UFA, 450054, Russian Federation
  • Sabadell, Barcelona, Barcelona 08208, Spain
  • Barcelona, 08003, Spain
  • Cordoba, 14004, Spain
  • Madrid, 28046, Spain
  • Zaragoza, 50009, Spain
  • Izmir, 35100, Turkey
  • Sıhhiye, ANKARA, 06100, Turkey
  • Exeter, EX2 5DW, United Kingdom
  • London, SE1 7EH, United Kingdom
  • Manchester, M20 4BX, United Kingdom
  • Nottingham, NG5 1PB, United Kingdom
  • Preston, PR2 9HT, United Kingdom
  • Rhyl, LL18 5UJ, United Kingdom
  • Stoke-on-Trent, ST4 6QG, United Kingdom
  • Weston Super Mare, BS23 4TQ, United Kingdom
  • Montevideo, 11200, Uruguay
  • Montevideo, 11600, Uruguay
09

References and documents

Publications

  • Gianni L, Romieu GH, Lichinitser M, Serrano SV, Mansutti M, Pivot X, Mariani P, Andre F, Chan A, Lipatov O, Chan S, Wardley A, Greil R, Moore N, Prot S, Pallaud C, Semiglazov V. AVEREL: a randomized phase III Trial evaluating bevacizumab in combination with docetaxel and trastuzumab as first-line therapy for HER2-positive locally recurrent/metastatic breast cancer. J Clin Oncol. 2013 May 10;31(14):1719-25. doi: 10.1200/JCO.2012.44.7912. Epub 2013 Apr 8. PubMed 23569311 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00391092
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Oct 23, 2006
Start date
Sep 2006
Primary completion
Aug 2014
Completion
Aug 2014
Results posted
Aug 14, 2015
Last update
Aug 28, 2015

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

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