Bevacizumab plus chemotherapy improves response rates and prolongs PFS when used as first- and second-line therapy for advanced breast cancer. However, bevacizumab has not improved OS in the individual studies currently reported. In Europe, EMA has maintained its indication associated with weekly paclitaxel in first line metastatic breast cancer and more recently with capecitabine based on RIBBON 1 trial's results. The identification of patient subsets that receive the most clinical benefit would enable more specific treatment administration of bevacizumab and allow patients unlikely to benefit the opportunity to seek other treatment modalities. Unfortunately, despite efforts to identify patient subsets with a differential benefit from bevacizumab, no validated biomarkers have been defined. The Avastin cohort is a unique opportunity to investigate various biological and imaging parameters which could be related to clinical benefit of the combination of bevacizumab and weekly paclitaxel in first line metastatic breast cancer in a homogeneously treated population in French cancer centers. This trial will gather the expertise of several translational research platforms of different cancer centers from the UNICANCER consortium.
Study Type
OBSERVATIONAL
Enrollment
510
Treatments received by patients in this study are prescribed in the context of standard care
Treatments received by patients in this study are prescribed in the context of standard care
Institut Bergonie
Bordeaux, France
Centre Francois Baclesse
Caen, France
Centre Jean Perrin
Clermont-Ferrand, France
Centre Georges Francois Leclerc
Dijon, France
CHU Grenoble
Grenoble, France
Centre Leon Berard
Lyon, France
Hôpital Européen
Marseille, France
Institut Paoli Calmettes
Marseille, France
Centre Val d'Aurelle
Montpellier, France
Centre Catherine de Sienne
Nantes, France
...and 9 more locations
Measure of the initial rates and changes in CEC / CLC (Biological study) and measure of the visceral fat (imaging study) as predictors of progression-free survival (PFS) and response to bevacizumab and paclitaxel
Time frame: 2 years
Identification of new biomarkers as predictive factors of progression free survival (PFS), overall survival (OS) and of response to bevacizumab and paclitaxel.
These biomarkers will be selected from biological studies, proteomics and pharmacogenetics.
Time frame: 2 years
Quality of Life assessment
Time frame: 2 years
The Biomarkers selected from our biological, proteomic and pharmacogenetic studies will be correlated to the safety.
Time frame: 2 years
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