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Spots Global Cancer Trial Database for Fulvestrant and EVerolimus Plus EXemestane in Metastatic Breast Cancer

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Trial Identification

Brief Title: Fulvestrant and EVerolimus Plus EXemestane in Metastatic Breast Cancer

Official Title: Fulvestrant Followed by Everolimus Plus Exemestane vs Examestane and Everolimus Followed by Fulvestrant in Postmenopausal Women With HR+ and HER2- Locally Advanced (LABC) or Metastatic Breast Cancer (MBC) Previously Treated With NSAI

Study ID: NCT02404051

Study Description

Brief Summary: This is a multi-center, randomized, open-label, parallel group study designed to evaluate efficacy and safety of fulvestrant followed, at progression, by examestane and everolimus versus examestane and everolimus followed, at progression, by fulvestrant in postmenopausal women with HR+ and HER2- LABC or MBC whose disease has progressed to NSAI in the adjuvant or metastatic setting.

Detailed Description: In this study everolimus will be administered in combination with exemestane, which is an irreversible steroidal aromatase inactivator that has demonstrated efficacy in the treatment of postmenopausal patients with ABC. Exemestane is indicated for adjuvant treatment of postmenopausal women with HR+ EBC who have received two to three years of tamoxifen and are switched to exemestane for completion of a total of five consecutive years of adjuvant hormonal therapy. It is also indicated for the treatment of ABC in postmenopausal women whose disease has progressed following tamoxifen therapy (in the USA) or following antiestrogen therapy (in Europe). In 2011, the BOLERO-2 trial reported (5; 33) a significant benefit for HR+ HER2- postmenopausal pretreated women in the ABC setting by combining everolimus with exemestane. In this randomized, double-blind, placebo-controlled trial a statistically significant improvement in PFS by adding everolimus to exemestane versus exemestane alone was reported. Adding everolimus determined a 2.4-fold prolongation in PFS from 3.2 up to 7.4 months and so lowered the risk of cancer progression by 56% for these women. These findings were confirmed by an independent assessment (4.1 vs. 11.0 months, risk reduction: 64%). The QoL data shows positive trend in the everolimus plus exemestane treatment arm.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: FEMALE

Healthy Volunteers: No

Locations

ASL19 - Ospedale Cardinal Massaia, Asti, , Italy

Azienda Ospedaliera Policlinico di Bari, Bari, , Italy

Istituto Tumori Giovanni Paolo II, Bari, , Italy

Azienda Ospedaliera "G. Rummo", Benevento, , Italy

Ospedale Fatebenefratelli 'Sacro Cuore di Gesù' di Benevento, Benevento, , Italy

A.O. Ospedale Papa Giovanni XXIII, Bergamo, , Italy

Presidio Ospedaliero Antonio Perrino, Brindisi, , Italy

Azienda Ospedaliera - A. Businco - A.S.L. N. 8, Cagliari, , Italy

Fondazione del Piemonte per l' Oncologia - Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.), Candiolo, , Italy

ASL di Taranto - Polo Occidentale, Castellaneta, , Italy

A.O.R.N.A.S. Garibaldi Nesima di Catania, Catania, , Italy

Fondazione per la Ricerca e la Cura dei Tumori T. Campanella - Campus S. Venuta, Catanzaro, , Italy

Azienda Ospedaliera S. Croce e Carle, Cuneo, , Italy

Ospedale Infermi di Rimini, Faenza, , Italy

Azienda Ospedaliera Universitaria Careggi, Firenze, , Italy

Azienda Ospedaliero - Universitaria Ospedali Riuniti di Foggia, Foggia, , Italy

I.R.C.C.S. A.O.U San Martino - IST, Genova, , Italy

Ospedale Civile di guastalla, Guastalla, , Italy

Ospedale Civile San Salvatore - Università degli Studi L'Aquila, L'Aquila, , Italy

Presidio Ospedaliero "Renzetti", Lanciano, , Italy

Ospedale Vito Fazzi, Lecce, , Italy

Ospedale di Macerata, Macerata, , Italy

AO Papardo, Messina, , Italy

AORN . Ospedali dei colli Monaldi-Cotugno, Napoli, , Italy

Azienda Ospedaliera 'A. Cardarelli' (AORN), Napoli, , Italy

Azienda Ospedaliera Universitaria Federico II, Napoli, , Italy

Istituto Nazionale per lo studio dei Tumori - Fondazione 'Pascale', Napoli, , Italy

A.O.U. 'Maggiore della Carità', Novara, , Italy

A.O.U.P. 'Paolo Giaccone', Palermo, , Italy

Azienda Ospedaliera S. Chiara, Pisa, , Italy

Ospedale F. Lotti, Pontedera, , Italy

Ospedale di Ravenna, Ravenna, , Italy

Campus Biomedico di Roma, Roma, , Italy

Istituto Regina Elena per lo studio e la cura dei tumori - Oncologia A, Roma, , Italy

Istituto Regina Elena per lo studio e la cura dei tumori - Oncologia B, Roma, , Italy

Azienda Ospedaliera 'San Giovanni di Dio e Ruggi D'Aragona', Salerno, , Italy

IRCCS - Istituto di Ricovero e Cura a Carattere Scientifico 'Casa Sollievo della Sofferenza', San Giovanni rotondo, , Italy

Azienda Ospedaliera Universitaria di Sassari, Sassari, , Italy

Azienda Ospedaliero Universitaria ´S. Maria della Misericordia´ di Udine, Udine, , Italy

"Ospedale Borgo Roma Verona Sezione di Oncologia Medica", Verona, , Italy

Ospedale Sacro Cuore Don Calabria di Negrar, Verona, , Italy

Contact Details

Name: Sabino De Placido, MD

Affiliation: Dipartimento di Medicina Clinica e Chirurgia Oncologia Università degli Studi di Napoli "Federico II"

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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