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. 2015 Dec 29;15:1019. doi: 10.1186/s12885-015-2027-x

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