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larotaxel

Phase 3

Breast Cancer | Small molecule | Oncology |Sanofi|Trials Updated: Jun 3, 2016

larotaxel development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Apr 2004

larotaxel target and mechanism

Molecular targetTUBB4B, TUBB1, TUBA3C, TUBA4A, TUBB3, TUBA1A
Target classStabiliser
ModalitySmall molecule

Also known as larotaxel (XRP9881), XRP9881

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials8
Total Enrollment1,772

FDA Designations

No designations recorded

larotaxel clinical trials

larotaxel · 8 trials · 8 indications

Phase 3 3Phase 2 4Phase 1 1
NCT00625664Larotaxel + Cisplatin Versus Gemcitabine + Cisplatin in First Line Treatment of Locally Advanced/Metastatic Urothelial Tract or Bladder CancerUrinary Bladder Neoplasms
COMPLETED337 Analytics
NCT00417209Larotaxel Compared To Continuous Administration of 5-FU in Advanced Pancreatic Cancer Patients Previously Treated With A Gemcitabine-Containing RegimenPancreatic Neoplasms
COMPLETED408 Analytics
NCT00081796Breast Cancer Trial of RPR109881 Versus Capecitabine in Male or Female Patients With Advanced Breast CancerBreast Cancer
COMPLETED438 Analytics
PHASE3COMPLETED
Larotaxel + Cisplatin Versus Gemcitabine + Cisplatin in First Line Treatment of Locally Advanced/Metastatic Urothelial Tract or Bladder Cancer
Urinary Bladder NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Larotaxel Compared To Continuous Administration of 5-FU in Advanced Pancreatic Cancer Patients Previously Treated With A Gemcitabine-Containing Regimen
Pancreatic NeoplasmsUnlock trial analytics
PHASE3COMPLETED
Breast Cancer Trial of RPR109881 Versus Capecitabine in Male or Female Patients With Advanced Breast Cancer
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall survival defined as the time interval from the date of randomization to the date of death due to any cause
study period
overall survival (OS) defined as the time interval from the date of randomization to the date of death due to any cause
study period
Time to tumor progression.
Pathological response will be assessed according to Chevallier criteria for patients who underwent surgery.
treatment period
Tumor response measured
every 2 cycles during treatment phase
Response rate (best overall response under treatment)
study period
Objective response rate as assessed by Response Evaluation Criteria in Solid Tumors
Safety, tolerability, and maximum tolerated dose (MTD) of XRP9881 when given in combination with capecitabine
study period

Secondary Endpoints

Radiological tumor assessments (CT/MRI)
at screening, every 8 weeks during treatment, at end of treatment, and in follow-up until documented disease progression
Adverse Events, laboratory assessments, vital signs, Physical Examinations, and ECOG Performance Status
at screening and every cycle
Progression free survival (PFS); Overall Response Rate (proportion of patients with confirmed RECIST-defined complete response (CR) or partial response (PR); clinical benefit based on the measurement of tumor related symptoms;
study period
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2ACTIVE_COMPARATOR -
Larotaxel (XRP9881)EXPERIMENTAL -
5-Fluorouracil or capecitabineACTIVE_COMPARATOREach Investigator must choose either IV 5-FU or oral capecitabine regimen before the first participant begins the study and has to consistently use the chosen regimen throughout the study for all participants treated at her/his site.
Arm A1EXPERIMENTALCohort 1: Her2-ve breast cancer
Arm B1ACTIVE_COMPARATORCohort 1: Her2-ve breast cancer
Arm A2EXPERIMENTALCohort 2: Her2+ve breast cancer
Arm B2ACTIVE_COMPARATORCohort 2: Her2+ve breast cancer
Larotaxel + TrastuzumabEXPERIMENTAL -
larotaxel + CapecitabineEXPERIMENTAL -

Interventions

NameTypeDescription
larotaxel (XRP9881)DRUGadministered on day 1 as a 1-hour infusion
gemcitabineDRUGadministered on day 1, 8 and 15 as a 30-minute infusion
cisplatinDRUG1 hour infusion administered on day 1, 30 minutes after the other treatment
5-FluorouracilDRUGadministered as IV infusion from Day 1 to Day 4
CapecitabineDRUGadministered orally from Day 1 to Day 14 q3w
larotaxel (RPR109881, XRP9881)DRUG -
docetaxelDRUGintravenous administration
trastuzumabDRUGintravenous administration
XRP9881DRUG -
larotaxelDRUGIV infusion on Day 1 of a 21-day cycle
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites160

Inclusion Criteria: * Patients with histology/cytology confirmed Transitional Cell Carcinoma (TCC) with locally advanced (T4b) or metastatic urothelial tract or bladder cancer * ECOG Performance Status 0 or 1 * No prior palliative chemotherapy Exclusion Criteria: * (Neo)Adjuvant chemotherapy if \...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCanadaChileFranceIndiaIsraelItalyMexicoNetherlandsPolandRussiaSouth AfricaSpainSwedenTurkey (Türkiye)ColombiaCzechiaFinlandGermanyHungaryNorwayPeruSlovakiaUnited KingdomAustriaNew ZealandPortugalRomaniaSloveniaSouth KoreaTaiwanTunisiaUruguaySwitzerlandDenmark
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Competitive Landscape -Breast Cancer 609 trials

Frequently asked questions about larotaxel

What is larotaxel used for?

Larotaxel is an investigational small molecule studied in oncology for advanced breast cancer, breast neoplasms, pancreatic neoplasms, and urinary bladder neoplasms. It has been evaluated in Phase 2 and Phase 3 clinical trials, including studies in metastatic breast cancer, advanced pancreatic cancer, and locally advanced or metastatic urothelial tract or bladder cancer.

What does larotaxel target?

Larotaxel targets tubulin proteins including TUBB4B, TUBB1, TUBA3C, TUBA4A, TUBB3, and TUBA1A. It acts as a tubulin stabiliser, a mechanism that interferes with microtubule dynamics and cell division. This target class is shared with other taxane-class chemotherapy agents used in solid tumors.

Who is developing larotaxel?

Larotaxel is developed by Sanofi, which trades under the ticker SNY. Sanofi sponsored the clinical trial program evaluating larotaxel across breast, pancreatic, and bladder cancer indications.

What phase is larotaxel in?

Larotaxel is in Phase 2 development overall, though individual trials have reached Phase 3. It is investigational and has not been approved by the FDA. Two completed trials enrolled 472 patients in total, and no trials are currently active.

What clinical trials is larotaxel in?

Larotaxel has been studied in completed trials including NCT00625664, a Phase 3 trial in urothelial tract or bladder cancer; NCT00485979, a Phase 2 trial in breast cancer; NCT00417209, a Phase 3 trial in advanced pancreatic cancer; and NCT00387907, a Phase 2 trial in HER2 positive metastatic breast cancer.

Is larotaxel the same as XRP9881?

Yes, larotaxel is also known as XRP9881 and RPR109881. These are alternative identifiers for the same investigational compound developed by Sanofi, so searches for XRP9881 or RPR109881 refer to larotaxel.