Abstract | BACKGROUND: PATIENTS AND METHODS: In this phase II, multicenter trial, patients with first-line TNMBC received nab-paclitaxel (100 mg/m(2)) and carboplatin (area under the curve = 2) on days 1, 8, 15, and bevacizumab (10 mg/kg) on days 1 and 15 of a 28-day cycle. The primary end point was safety and tolerability and secondary end points included PFS, ORR, and CBR. PFS was calculated using the Kaplan-Meier method. RESULTS: Between July 16, 2007, and October 3, 2011, 34 patients were enrolled at 4 centers. Median age was 50.0 (range, 30-76) years and 77% (n = 26) of patients received previous adjuvant therapy. Median PFS was 9.2 months (95% confidence interval [CI], 7.8-25.1 months). The CBR was 94% (95% CI, 80%-99%), and ORR was 85% (95% CI, 69%-95%) for the combination. The regimen was well tolerated with the most common grade 3/4 adverse events being neutropenia (n = 18; 53%) and thrombocytopenia (n = 6; 18%), with other serous events including 1 grade 3 and 1 grade 4 thrombotic event and 1 febrile neutropenia. CONCLUSION: The combination of nab-paclitaxel, bevacizumab, and carboplatin as first-line treatment for TNMBC was efficacious and well tolerated. The PFS, CBR, and ORR, and tolerability of the regimen, compares favorably with other standard first-line therapies.
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Authors | Erika Hamilton, Gretchen Kimmick, Judith Hopkins, P Kelly Marcom, Gloria Rocha, Renee Welch, Gloria Broadwater, Kimberly Blackwell |
Journal | Clinical breast cancer
(Clin Breast Cancer)
Vol. 13
Issue 6
Pg. 416-20
(Dec 2013)
ISSN: 1938-0666 [Electronic] United States |
PMID | 24099649
(Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Chemical References |
- 130-nm albumin-bound paclitaxel
- Albumins
- Antibodies, Monoclonal, Humanized
- Bevacizumab
- Carboplatin
- Paclitaxel
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Topics |
- Adult
- Aged
- Albumins
(administration & dosage)
- Antibodies, Monoclonal, Humanized
(administration & dosage)
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Bevacizumab
- Carboplatin
(administration & dosage)
- Female
- Follow-Up Studies
- Humans
- Middle Aged
- Neoplasm Metastasis
- Neoplasm Staging
- Paclitaxel
(administration & dosage)
- Prognosis
- Triple Negative Breast Neoplasms
(drug therapy, pathology)
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