Recent Updates
Recently added Catalysts

Adriamycin and Cytoxan

Phase 2

Breast Cancer | Small molecule | Oncology |Bristol-Myers Squibb Company|Trials Updated: Nov 25, 2019

Adriamycin and Cytoxan target and mechanism

ModalitySmall molecule

Also known as Adriamycin

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment238

FDA Designations

No designations recorded

Adriamycin and Cytoxan clinical trials

Adriamycin and Cytoxan · 2 trials · 1 indication

Phase 2 2
NCT00136539Neoadjuvant Therapy With Herceptin and Taxol for Breast CancerBreast Cancer
COMPLETED41 Analytics
NCT00394251Study of Dose-dense Adriamycin Plus Cytoxan (AC) Followed by Either ABI-007 (Abraxane) or Taxol With Bevacizumab as Adjuvant Therapy for Patients With Breast CancerBreast Cancer
COMPLETED197 Analytics
PHASE2COMPLETED
Neoadjuvant Therapy With Herceptin and Taxol for Breast Cancer
Breast CancerUnlock trial analytics
PHASE2COMPLETED
Study of Dose-dense Adriamycin Plus Cytoxan (AC) Followed by Either ABI-007 (Abraxane) or Taxol With Bevacizumab as Adjuvant Therapy for Patients With Breast Cancer
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

To determine the response of HER2-positive breast cancer to treatment with Herceptin and Taxol prior to surgery
Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 3 Months Post Chemotherapy
Month 7

Toxicities are summarized using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) terms. Participants with treatment-emergent toxicities with a frequency of \>=20% in any treatment arm, and participants with at least one toxicity are reported. Taxane subsets (ABI-007 subset and Taxol subset treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of taxane treatment (cycle 5, week 9) through 30 days after the last dose of taxane (week 20) and were ongoing 3 months after chemotherapy (month 7). Entire regiments (AC --\> ABI-007 and AC --\> Taxol treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of chemotherapy (cycle 1, week 1) through 30 days after the last dose of chemotherapy (week 20) and were ongoing 3 months after chemotherapy (month 7).

Participants With Treatment-Emergent Toxicities With a Frequency >=20% at 6 Months Post Chemotherapy
Month 10

Toxicities are summarized using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) terms. Participants with treatment-emergent toxicities with a frequency of \>=20% in any treatment arm, and participants with at least one toxicity are reported. Taxane subsets (ABI-007 subset and Taxol subset treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of taxane treatment (cycle 5, week 9) through 30 days after the last dose of taxane (week 20) and were ongoing 6 months after chemotherapy (month 10). Entire regiments (AC --\> ABI-007 and AC --\> Taxol treatment arms) summarize participants with treatment-emergent toxicities defined as any AEs that begin or worsen in severity grade after the start of chemotherapy (cycle 1, week 1) through 30 days after the last dose of chemotherapy (week 20) and were ongoing 6 months after chemotherapy (month 10).

Secondary Endpoints

To examine the safety of Herceptin and Taxol therapy followed by surgery and chemotherapy
3 years
The Cumulative Dose of Taxane Delivered During Study
approximately week 9-16
Mean Taxane Dose Intensity Per Week
approximately week 9-16
Unlock Study Endpoints

Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AC --> ABI-007EXPERIMENTALAdriamycin and Cytoxan plus Bevacizumab for four cycles (weeks 1-8); 260 mg/m\^2 ABI-007 (Abraxane) plus Bevacizumab for four cycles (weeks 9-16); Bevacizumab (weeks 17-46).
AC --> TaxolEXPERIMENTALAdriamycin and Cytoxan plus Bevacizumab for four cycles (weeks 1-8); 175 mg/m\^2 Taxol plus Bevacizumab for four cycles (weeks 9-16); Bevacizumab (weeks 17-46).

Interventions

NameTypeDescription
HerceptinDRUGGiven intravenously once weekly for 12 weeks prior to surgery.
TaxolDRUGGiven intravenously every 3 weeks (weeks 1, 4, 7, and 10) before surgery.
AdriamycinDRUGGiven every three weeks for 12 weeks after surgery.
CytoxanDRUGGiven every three weeks for 12 weeks after surgery.
Adriamycin and Cytoxan (AC)DRUGAdriamycin (doxorubicin) and Cytoxan (cyclophosphamide) make up the chemotherapy regimen known as AC. Adriamycin 60 mg/m\^2 intravenous, plus Cytoxan 600 mg/m\^2 intravenous on Day 1 of each of four 2-week cycles (weeks 1-8).
ABI-007DRUG260 mg/m\^2 IV on day 1 of each of four 2-week cycle, representing treatment cycles 5-8 (weeks 9-16)
BevacizumabDRUG10 mg/kg on day 1 of each of eight 2-week cycles (weeks 9-16), then 15 mg/kg on day 1 of each of ten three-week cycles (weeks 17-46).
pegfilgrastimDRUG6 mg subcutaneous (SC) on day 2 for each of the first four 2-week cycles (weeks 1-8). Pegfilgrastim 6 mg SC was administered on day 2 of cycles 6-8 (weeks 11-16) during taxane treatment only if necessary.
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Patients must have Stage II or III histologically diagnosed breast cancer * Primary invasive breast cancers that overexpress the HER2/neu oncogene * Age older than 18 years * Eastern Cooperative Oncology Group (ECOG) performance status of \< 1 * White blood cell (WBC) \> 4000/...

Countries:United States
Unlock Eligibility Criteria

Competitive Landscape -Breast Cancer 609 trials

Frequently asked questions about Adriamycin and Cytoxan

What is Adriamycin and Cytoxan used for?

Adriamycin and Cytoxan, commonly called AC, is a combination chemotherapy regimen studied for breast cancer. It has been evaluated as adjuvant therapy after surgery and in the neoadjuvant setting before surgery. Both clinical trials listed for this regimen enrolled patients with breast cancer in the United States.

Who makes Adriamycin and Cytoxan?

Adriamycin and Cytoxan is associated with Bristol-Myers Squibb Company, which trades under the ticker BMY. The regimen combines two small molecule chemotherapeutic agents, and Bristol-Myers Squibb is identified as the developer of the Adriamycin and Cytoxan combination.

What phase is Adriamycin and Cytoxan in?

Adriamycin and Cytoxan is in Phase 2 clinical development for breast cancer. It is an investigational regimen rather than an approved product for the studied uses. Two Phase 2 trials have been recorded, one completed and one completed, with no active trials currently listed.

What clinical trials is Adriamycin and Cytoxan in?

Two Phase 2 breast cancer trials are registered for Adriamycin and Cytoxan. NCT00394251 studied dose-dense AC followed by either ABI-007 (Abraxane) or Taxol with bevacizumab as adjuvant therapy, enrolling 197 patients. NCT00136539 evaluated neoadjuvant therapy with Herceptin and Taxol for breast cancer, enrolling 41 patients. Both trials were conducted in the United States and are completed.

Is Adriamycin and Cytoxan the same as AC?

Yes, Adriamycin and Cytoxan is commonly abbreviated as AC, and Adriamycin is also used as a shorthand name for the regimen. The AC abbreviation reflects the two components, Adriamycin and Cytoxan, given together as a combination chemotherapy regimen in breast cancer studies.

How many patients have been enrolled in Adriamycin and Cytoxan trials?

Across the two registered Phase 2 trials, 238 patients have been enrolled in studies of Adriamycin and Cytoxan for breast cancer. NCT00394251 enrolled 197 patients and NCT00136539 enrolled 41 patients. Both studies were controlled and enrolled adults aged 18 years and older.