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Nanoparticle Paclitaxel

Phase 3FDA approved 2005

Coronary Restenosis | Small molecule | Cardiovascular |Bristol-Myers Squibb Company|Trials Updated: Apr 21, 2020

Nanoparticle Paclitaxel development status

FDA approval Jan 7, 2005 as Abraxane
Approval holderBristol-myers
ApplicationNDA021660
Highest phase Phase 3 (NCT00046527)
Phase scored for BMYPhase 1
Registered trials 22 across 4 sponsors since Oct 2002

Label indication Paclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound) is a microtubule inhibitor indicated for the treatment of: • Metastatic breast cancer, after failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy. Prior therapy should have included an anthracycline unless clinically contraindicated. FDA label

Nanoparticle Paclitaxel target and mechanism

ModalitySmall molecule

Also known as ABI-007, Abraxane®, Coroxane™

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials11
Total Enrollment2,014

FDA Designations

No designations recorded

Nanoparticle Paclitaxel clinical trials

Nanoparticle Paclitaxel · 11 trials · 11 indications

Phase 3 2Phase 2 6Phase 1 3
NCT00864253A Trial of ABI-007 Versus Dacarbazine in Previously Untreated Patients With Metastatic Malignant MelanomaMalignant Melanoma
COMPLETED529 Analytics
NCT00046527Study of ABI-007 and Taxol in Patients With Metastatic Breast CancerBreast Neoplasms
COMPLETED460 Analytics
PHASE3COMPLETED
A Trial of ABI-007 Versus Dacarbazine in Previously Untreated Patients With Metastatic Malignant Melanoma
Malignant MelanomaUnlock trial analytics
PHASE3COMPLETED
Study of ABI-007 and Taxol in Patients With Metastatic Breast Cancer
Breast NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) Based on a Blinded Radiology Assessment of Response Using Response Evaluation Criteria in Solid Tumors (RECIST) Guidelines
Response assessment completed every 8 weeks until disease progression for up to 106 weeks; data cut off 30 June 2012

PFS was defined as the time from the randomization date to the start of disease progression or patient death, whichever occurred first. Participants who did not have disease progression or had not died were censored at the last known time that the patient was progression free. In the event of palliative radiotherapy or surgery, they were censored at the last assessment where they were documented to be progression-free prior to the date of radiotherapy or surgery. In follow up, participants who began new anticancer therapy prior to documented progression were censored at the last assessment where they were documented as progression free. Those with two or more missing response assessments prior to a visit with documented disease progression (or death) were censored at the last visit where they were documented to be progression free. RECIST defines progressive disease as a ≥ 20% increase taking as reference the smallest sum of the longest diameters recorded since the treatment began.

Progression Free Survival (PFS) Rate as Measured at Week 8
At week 8 assessment period; up to 56 days

PFS rate was measured by Investigator Assessment according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 from the start of study treatment to disease progression or death from any cause, whichever occurred first.

Participants With At Least One Treatment-Emergent Adverse Event (TEAE)
up to 25 months

Count of study participants who had at least one treatment-emergent adverse event (TEAE) defined as any adverse event that began or worsened in grade after the start of study drug through 30 days after the last dose of study drug.

Kaplan-Meier Estimates for Progression-free Survival
up to 39 months

Progression-free survival is defined as the time from first dose of study drug to the start of disease progression or patient death, whichever occurs first. Patients who do not have disease progression or have not died at the end of follow-up were censored at the last known time the patient was progression free. Patients that initiate other anticancer therapy prior to progression were censored at the time when new anticancer therapy was initiated. Response Evaluation Criteria in Solid Tumors (RECIST) defines progressive disease (PD) as a \>= 20% increase taking as reference the smallest sum of the longest diameters recorded since the treatment started; or the appearance of one or more new lesions; or the unequivocal progression of a non-target lesion.

Percentage of Participants Showing an Overall Response As Assessed by the Independent Radiology Reader and by the Investigator
Day 1 up to 95 weeks

Percentage of participants who achieve an objective confirmed complete or partial overall response based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.0. A complete response (CR) is the disappearance of all known disease and no new sites or disease related symptoms. A partial response (PR) is \>= 30% decrease in the sum of the longest diameters of target lesion. PR was also recorded when all measurable disease has completely disappeared, but a non-measurable component (ie, ascites) is still present but not progressing. Overall response (ORR) = CR+PR.

Safety Outcomes: incidence of treatment emergent adverse events.
Treatment duration
Efficacy Outcomes: percentage of patients who achieve an objective confirmed complete or partial overall antitumor response
Treatment duration
Determine anti-tumor activity of ABI-007 in patients with metastatic melanoma.
Phase I: Number of Participants With Dose-limiting Toxicities
Up to 1 week following percutaneous coronary intervention.

Toxicities were evaluated based on the U.S. National Cancer Institute (NCI) Common Terminology Criteria (CTC) for Adverse Events version 3.0. Any drug-related toxicities considered CTC Grade 3 or 4 were considered dose limiting. The maximum tolerated dose was defined as the lesser of 45 mg/m\^2 or the dose at which any drug related toxicities were observed.

Number of Participants With Procedural Complications
From Day 0 - Day 1 (from study drug administration until 24 hours post-procedure).

Procedural complications include the following: 1. Haemodynamic monitoring: changes in heart rate, arterial blood pressure or electrocardiogram changes; 2. Arrhythmia: premature ventricular complexes, brady or tachyarrhythmia; 3. Allergic reactions: rash, flushing, pyrexia, urticaria, angio-oedema; 4. Angiographic complications: coronary artery spasm, dissection, thrombosis, TIMI (Thrombolysis In Myocardial Infarction) flow, no reflow; 5. Clinical changes: chest pain.

Number of Participants With Treatment Emergent Adverse Events (AEs)
Up to 6 months.

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. An SAE is any event that: * is fatal or life threatening * results in persistent or significant disability or or incapacity; * requires or prolongs existing hospitalization; * is a congenital anomaly/birth defect in the offspring of a patient who received medication; * conditions not included above that may jeopardize the patient or require intervention to prevent one of the outcomes listed above.

Number of Participants With Major Adverse Cardiac Events (MACE) at 1 Month
From the day of Percutaneous Coronary Intervention to 1 Month.

Major Adverse Cardiac Events (MACE) includes cardiac death, Coronary Artery Bypass Surgery, Myocardial Infarction, Target Vessel Revascularization (TVR) or Target Lesion Revascularization (TLR) and stent/vessel thrombotic occlusion.

Number of Participants With Major Adverse Cardiac Events (MACE) at 6 Months
From the day of Percutaneous Coronary Intervention to Month 6.

Major Adverse Cardiac Events (MACE) includes cardiac death, Coronary Artery Bypass Surgery, Myocardial Infarction, Target Vessel Revascularization (TVR) or Target Lesion Revascularization (TLR) and stent/vessel thrombotic occlusion.

Secondary Endpoints

Participant Survival
Up to 38 months; Up to data cut off of 30 June 2012
Summary of Treatment-emergent Adverse Events (AEs)
Maximum exposure to study drug was 106 weeks; up to data cut off of 30 June 2012
Number of Participants Experiencing Dose Reductions, or Dose Interruptions, or Dose Delays of Study Drug
Maximum study drug exposure 106 weeks; data cut off 30 June 2012
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ABI-007EXPERIMENTALTreatment Arm A (ABI-007): Patients who receive ABI-007 will be dosed intravenously over approximately 30 minutes without steroid pre-medication and without G-CSF prophylaxis (unless modified as described below). ABI-007 150 mg/m2 will be administered on Days 1, 8, and 15 every 4 weeks.
DacarbazineACTIVE_COMPARATORTreatment Arm B (dacarbazine): Patients who receive dacarbazine will be dosed intravenously at 1000 mg/m2 on Day 1 with steroid and antiemetic pre-medication. Treatment will be repeated every 21 days.
Abraxane (nab®paclitaxel)EXPERIMENTALAbraxane (nab®paclitaxel) 125 milligrams per meter squared on days 1, 8 and 15 of a 28 day cycle
ABI-007 plus BevacizumabEXPERIMENTALABI-007 is administered on days 1, 8 and 15 at 125 mg/m\^2 and bevacizumab is administered on day 1 and 15 at 10 mg/kg of each 28 day cycle. Treatment continues until disease progression or intolerable toxicity. If a patient develops intolerable toxicity to only one of the drugs, the other drug may be continued as single agent therapy in the absence of progression, as long as the treating physician feels this is in the best interests of the patient.
ABI-007 300 mg/m^2 q3wEXPERIMENTALABI-007 300 mg/m\^2 administered once every third week (q3w).
ABI-007 100 mg/m^2 weeklyEXPERIMENTALABI-007 100 mg/m\^2 once weekly for 3 weeks followed by 1 week of rest
ABI-007 150 mg/m^2 weeklyEXPERIMENTALABI-007 150 mg/m\^2 once weekly for 3 weeks followed by 1 week of rest
Docetaxel 100 mg/m^2, q3wACTIVE_COMPARATORDocetaxel (Taxotere) 100 mg/m\^2 administered once every third week (q3w).
ABI-007 and CarboplatinEXPERIMENTALABI-007 and Carboplatin in patients with Advanced Non-Small Cell Lung Cancer.
10 mg/m^2 nanoparticle paclitaxelEXPERIMENTALParticipants received a single dose of 10 mg/m\^2 nanoparticle paclitaxel administered via intracoronary catheter immediately following percutaneous transluminal coronary angioplasty/stenting (de novo lesion) or balloon angioplasty (in-stent restenosis lesions).
22 mg/m^2 nanoparticle paclitaxelEXPERIMENTALParticipants received a single dose of 22 mg/m\^2 nanoparticle paclitaxel administered via intracoronary catheter immediately following percutaneous transluminal coronary angioplasty/stenting (de novo lesions) or balloon angioplasty (in-stent restenosis lesions).
35 mg/m^2 nanoparticle paclitaxelEXPERIMENTALParticipants received a single dose of 35 mg/m\^2 nanoparticle paclitaxel administered via intracoronary catheter immediately following percutaneous transluminal coronary angioplasty/stenting (de novo lesions) or balloon angioplasty (in-stent restenosis lesions).
45 mg/m^2 nanoparticle paclitaxelEXPERIMENTALParticipants received a single dose of 45 mg/m\^2 nanoparticle paclitaxel administered via intracoronary catheter immediately following percutaneous transluminal coronary angioplasty/stenting (de novo lesions) or balloon angioplasty (in-stent restenosis lesions).

Interventions

NameTypeDescription
ABI-007DRUGPatients who receive ABI-007 will be dosed intravenously over approximately 30 minutes without steroid pre-medication and without G-CSF prophylaxis (unless modified as described below). ABI-007 150 mg/m2 will be administered on Days 1, 8, and 15 every 4 weeks.
DacarbazineDRUGPatients who receive dacarbazine will be dosed intravenously at 1000 mg/m2 on Day 1 with steroid and antiemetic pre-medication. Treatment will be repeated every 21 days.
BevacizumabDRUGBevacizumab administered once every 2 weeks (10 mg/kg) by IV infusion after ABI-007 has been given. The first dose is one Day 1, cycle 1.
DocetaxelDRUGDocetaxel dosed q3w at 100 mg/m\^2
ABI-007 (Abraxane) and CarboplatinDRUGABI-007 plus Carboplatin will be administered intravenously over 30 minutes in cycles of 3 weeks
Nanoparticle PaclitaxelDRUGNanoparticle albumin-bound paclitaxel, administered via intracoronary catheter.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites112

Inclusion Criteria: * Histologically or cytologically confirmed cutaneous malignant melanoma with evidence of metastasis (Stage IV). * No prior cytotoxic chemotherapy for metastatic malignant melanoma is permitted. Prior treatment with kinase inhibitors or cytokines is permitted. * No prior adjuvan...

Countries:United StatesAustraliaCanadaFranceGermanyItalyNetherlandsSpainUnited KingdomUkraineRussia
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Frequently asked questions about Nanoparticle Paclitaxel

What is Nanoparticle Paclitaxel used for?

Nanoparticle Paclitaxel is an investigational small molecule being studied for the prevention of coronary restenosis, a condition where a previously treated coronary artery narrows again. It is being developed by Bristol-Myers Squibb Company (BMY) and is currently in Phase 1 clinical development.

Who makes Nanoparticle Paclitaxel?

Nanoparticle Paclitaxel is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker symbol BMY. The drug is an investigational small molecule intended for the prevention of coronary restenosis.

What phase is Nanoparticle Paclitaxel in?

Nanoparticle Paclitaxel is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. One Phase 1 clinical trial for the prevention of coronary restenosis has been completed.

What clinical trials is Nanoparticle Paclitaxel in?

Nanoparticle Paclitaxel has one completed clinical trial, NCT00124943, titled 'Use of Nanoparticle Paclitaxel (ABI-007) for the Prevention of In-Stent Restenosis.' This Phase 1 study enrolled 112 participants with coronary restenosis and was a randomized, controlled trial.

Is Nanoparticle Paclitaxel the same as ABI-007?

Yes, Nanoparticle Paclitaxel is also known as ABI-007. The completed clinical trial NCT00124943 refers to the drug as ABI-007 in its title, confirming that these names refer to the same investigational agent being studied for coronary restenosis.