Table 1.
Select clinical trials of nab-P in metastatic breast cancer
Trial | Phase | Patient population | Regimen | Efficacy | Selecta Grade ≥ 3 AEs, % | ||
---|---|---|---|---|---|---|---|
PFS, mo | OS, mo | Neutropenia | Neuropathy | ||||
Monotherapy | |||||||
Ibrahim et al. 2005 [11] | 2 | First line (n = 15) | nab-P 300 mg/m2 q3w | TTP 6.1 | 14.6 | 51 | 11b |
Second line or later (n = 48) | |||||||
Gradishar et al. 2009 [12] & 2012 [13] | 2 | First line | nab-P 300 mg/m2 q3w (n = 76) | 11.0 | 27.7 | 43 | 21b |
nab-P 100 mg/m2 qw 3/4 (n = 76) | 12.8 | 22.2 | 25 | 9b | |||
nab-P 150 mg/m2 qw 3/4 (n = 74) | 12.9 | 33.8 | 45 | 22b | |||
Gradishar et al. 2005 [10] | 3 | First line(n = 97) | nab-P 260 mg/m2 q3w | TTP 5.3 | 15.0 | 30 | 10b |
Second line or later (n = 132) | |||||||
Combination therapy with cytotoxic agents | |||||||
Roy et al. 2009 [14] | 2 | First line (N = 50) | nab-P 125 mg/m2 + gemcitabine 1000 mg/m2 qw 2/3 | 7.9 | Median not reached; 6-mo OS 92 % | 54 | 8b |
Schwartzberg et al. 2012 [15] | 2 | First line (N = 50) | nab-P 125 mg/m2 qw 2/3 + oral capecitabine 825 mg/m2 twice daily on days 1 and 15 of a 21-day cycle | 10.6 | 19.9 | 10 | 2b |
HER2 negative | |||||||
Combination therapy with targeted agents | |||||||
Seidman et al. 2013 [16] | 2 | First line, HER2 negative | nab-P 130 mg/m2 qw + bev 10 mg/kg q2w (n = 79) | 8.8 | 23.7 | 33 | 46 |
nab-P 260 mg/m2 q2w + bev 10 mg/kg q2w (n = 54) | 5.8 | 19.0 | 6 | 56 | |||
nab-P 260 mg/m2 q3w + bev 15 mg/kg q3w (n = 75) | 7.7 | 21.3 | 16 | 33 | |||
Rugo et al. 2015 [17] | 3 | First line, predominantly HER2 negative | nab-P 150 mg/m2 qw 3/4 + bev 10 mg/kg q2w (n = 271) | 9.3 | 23.5 | 51 | 27 |
Mirtsching et al. 2011 [18] | 2 | First line (N = 72) | nab-P 125 mg/m2 qw 3/4 + trastuzumab 4 mg/kg bolus then 2 mg/kg qw (HER2 positive only) | 14.5 | 29.0 | 11b | 8b |
HER2 positive (n = 22) | |||||||
Yardley et al. 2013 [19] | 2 | First/second line (N = 60) | nab-P 125 mg/m2 qw 3/4 + oral lapatinib 1250 mg daily | 9.1 | Median not reached | 22b | 3b |
AE adverse event, bev bevacizumab, HER2 human epidermal growth factor receptor, nab-P nab-paclitaxel, OS overall survival, PFS progression-free survival, TTP time to tumor progression, qw every week, q2w every 2 weeks, q3w every 3 weeks, qw 2/3 weekly for the first 2 of 3 weeks; qw 3/4 weekly for the first 3 of 4 weeks
aNeutropenia and neuropathy are common grade ≥ 3 toxicities associated with nab-P treatment
bNo grade 4 events