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Chemotherapy in Treating Women With Metastatic Breast Cancer



Chemotherapy in Treating Women With Metastatic Breast Cancer

For Condition: stage 4 breast cancer,recurrent breast cancer
Status: Completed
Sponsor(s): Daiichi Pharmaceuticals ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of DX-8951f in treating women who have metastatic breast cancer that has not responded to previous therapy.
Details: OBJECTIVES: I. Determine the antitumor activity of DX-8951f in women with metastatic adenocarcinoma of the breast who have failed prior therapy with an anthracycline and a taxane. II. Evaluate the quantitative and qualitative toxicities of this drug in these patients. III. Evaluate the pharmacokinetics of this drug in these patients. PROTOCOL OUTLINE: Patients receive DX-8951f IV over 30 minutes daily for 5 days. Courses repeat every 21 days. Treatment continues in the absence of unacceptable toxicity or disease progression. Patients are followed every 3 months until death. PROJECTED ACCRUAL: A total of 12-37 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed metastatic adenocarcinoma of the breast - Prior treatment with an anthracycline (e.g., doxorubicin or epirubicin) and a taxane (e.g., paclitaxel or docetaxel) either as adjuvant therapy or for advanced disease - Bidimensionally measurable disease; Sentinel lesions must be outside of any prior radiation port - No resected disease or stage IV with no evaluable disease - No brain metastases or leptomeningeal disease - No symptomatic lymphangitic pulmonary metastases - Hormone receptor status: Not specified --Prior/Concurrent Therapy-- - Biologic therapy: No concurrent biologic therapy; No prophylactic colony stimulating factors to prevent neutropenia (except when neutropenia fever occurs despite dose reduction) - Chemotherapy: See Disease Characteristics; No greater than 3 prior chemotherapy regimens for metastatic breast cancer or as either adjuvant or neoadjuvant therapy; At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin) and recovered; No other concurrent cytotoxic chemotherapy - Endocrine therapy: Exogenous hormonal therapy for stage IV disease and/or as adjuvant therapy allowed; At least 3 weeks since prior hormonal therapy except for: Patients who are highly unlikely to have a withdrawal response to cessation of hormonal therapy (e.g., patients with disease that is primarily resistant to hormonal therapy, patients without prior partial response, or stabilization of disease lasting less than 6 months); Patients with new or extensive visceral metastases; Patients with rapidly progressive or symptomatic metastases during hormonal therapy - Radiotherapy: See Disease Characteristics; At least 4 weeks since prior radiotherapy and recovered; No prior radiotherapy to greater than 50% of bone marrow; No concurrent radiotherapy - Surgery: See Disease Characteristics; At least 4 weeks since prior major surgery and recovered; No concurrent surgery - Other: No other concurrent anticancer treatment; At least 28 days since other prior investigational drugs, including analgesics or antiemetics; No other investigational drugs during and for 28 days after the study; No drugs that induce or inhibit CYP3A enzyme --Patient Characteristics-- - Age: 18 and over - Sex: Female - Menopausal status: Not specified - Performance status: ECOG 0-2 - Life expectancy: At least 12 weeks - Hematopoietic: Hemoglobin at least 9.0 g/dL; Absolute neutrophil count at least 1,500/mm3; Platelet count at least 100,000/mm3 - Hepatic: Bilirubin no greater than 1.5 mg/dL; SGOT or SGPT no greater than 2 times upper limit of normal (ULN) (5 times ULN if liver metastases present) - Renal: Creatinine no greater than 2.0 mg/dL - Cardiovascular: No active congestive heart failure; No uncontrolled angina; No myocardial infarction within past 6 months - Neurologic: No history of an existing grade 3-4 peripheral neuropathy of any etiology - Other: Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception; No allergy to camptothecin or its derivatives; No concurrent serious infection; No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix; No overt psychosis, mental disability, or incompetence; No other life threatening disease
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RobertDeJager,  Study Chair,  Daiichi Pharmaceuticals

University of Texas - MD Anderson Cancer Center
Houston,  Texas,  77030-4009
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067148;  DAIICHI-8951A-PRT011,MDA-ID-98308
Study Start Date: March 2000
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004046

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