Description:
RATIONALE: Drugs used in chemotherapy, such as carboplatin and gemcitabine, work in different
ways to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving carboplatin together with
gemcitabine works in treating patients with locally advanced or metastatic breast cancer.
Title
- Brief Title: Carboplatin and Gemcitabine in Treating Patients With Locally Advanced or Metastatic Breast Cancer
- Official Title: A Phase II Study of Carboplatin in Combination With Gemcitabine as a Dose Dense Schedule in Patients With Locally Advanced or Metastatic Breast Cancer That Are Resistant to Anthracyclines & Taxanes
Clinical Trial IDs
- ORG STUDY ID:
CDR0000542627
- SECONDARY ID:
2005-005164-83
- NCT ID:
NCT00470249
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Carboplatin | | Patients with (HER-2)-negative and anthracycline- and taxane-resistant |
Gemcitabine Hydrochloride | | Patients with (HER-2)-negative and anthracycline- and taxane-resistant |
Purpose
RATIONALE: Drugs used in chemotherapy, such as carboplatin and gemcitabine, work in different
ways to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving carboplatin together with
gemcitabine works in treating patients with locally advanced or metastatic breast cancer.
Detailed Description
OBJECTIVES:
Primary
- Determine the overall response rate in patients with anthracycline- and taxane-resistant
locally advanced or metastatic breast cancer treated with dose-dense carboplatin and
gemcitabine hydrochloride.
Secondary
- Determine the overall toxicity of this regimen in these patients.
- Determine the overall survival of patients treated with this regimen.
- Determine the time to disease progression in patients treated with this regimen.
- Determine the duration of response in patients treated with this regimen.
- Determine the time to treatment failure in patients treated with this regimen.
OUTLINE: This is a nonrandomized, open-label study.
Patients receive carboplatin IV over 30 minutes on day 1 and gemcitabine hydrochloride IV
over 150 minutes on day 2. Treatment repeats every 14 days for up to 9 courses in the absence
of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed periodically for 2 years.
PROJECTED ACCRUAL: A total of 35 patients will be accrued for this study.
Trial Arms
Name | Type | Description | Interventions |
---|
Patients with (HER-2)-negative and anthracycline- and taxane-resistant | Experimental | Patients with human epidermal growth factor 2 (HER-2)-negative locally advanced or metastatic breast cancer that was anthracycline- and taxane-resistant | - Carboplatin
- Gemcitabine Hydrochloride
|
Eligibility Criteria
Inclusion criteria:
- DISEASE CHARACTERISTICS: histologically confirmed breast cancer, locally advanced or
metastatic disease, recurrent or refractory disease, histological or cytological
confirmation required for recurrence in a solitary site
- Must have received prior anthracycline and taxane as neoadjuvant, adjuvant, or
metastatic therapy
- At least 1 measurable site of disease, defined as ≥ 1 unidimensionally measurable
lesion ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan
- Palpable disease allowed, Lesions that have been irradiated in the advanced setting
cannot be included as sites of measurable disease
- No nonmeasurable disease only, including the following:
- Bone lesions
- Leptomeningeal disease
- Ascites
- Pleural or pericardial effusion
- Inflammatory breast disease
- Lymphangitic pulmonary disease
- Abdominal masses that are not confirmed and followed by imaging techniques
- Cystic lesions
- No HER2-positive disease, defined as 3+ by IHC OR positive by FISH or chromogenic in
situ hybridization
- Hormone receptor status not specified
- PATIENT CHARACTERISTICS:
- Male or female, Menopausal status not specified, ECOG performance status 0-1,
Estimated life expectancy ≥ 12 weeks, Not pregnant or nursing, fertile patients must
use effective contraception during and for 3 months after completion of study therapy
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 9 g/dL
- ALT or AST < 2.5 times upper limit of normal (ULN)
- Bilirubin normal
- Alkaline phosphatase ≤ 2.5 times ULN
- Creatinine ≤ 1.25 times ULN OR creatinine clearance > 40 mL/min
- Calcium ≤ 1.2 times ULN
- No concurrent serious medical or psychiatric illness, including any serious active
infection incompatible with the study
- No other primary malignancy except carcinoma in situ of the cervix, adequately treated
nonmelanomatous skin cancer, or any other malignancy previously treated ≥ 5 years ago
with no evidence of recurrence
- No peripheral neuropathy ≥ grade 2
- PRIOR CONCURRENT THERAPY (See Disease Characteristics):
- Recovered from prior chemotherapy
- Prior hormonal therapy or immunotherapy allowed
- Antitumoral hormonal therapy must be discontinued prior to study entry
- More than 4 weeks since prior radiotherapy and recovered
- No prior radiotherapy to the whole pelvis or to ≥ 25% of the bone marrow
- No prior gemcitabine hydrochloride, cisplatin, or carboplatin
- No other cytotoxic chemotherapy for 21 days before and for 14 days after completion of
study therapy
- More than 30 days since prior treatment with a drug (not including study drug) that
has not received regulatory approval for any indication at the time of study entry
- Bisphosphonate therapy may not be initiated or discontinued within 4 weeks of study
entry
- No more than 1 prior course of chemotherapy for metastatic disease
- Prior chemotherapy in the adjuvant setting allowed
- Concurrent palliative radiotherapy to existing painful lesions (soft tissue or bone)
allowed
- New bone pain requiring radiotherapy > 4 weeks after first study treatment considered
disease progression
- New pain in a soft tissue lesion without other objective changes may be irradiated
provided ≥ 1 other site of nonirradiated measurable disease exists
- No other concurrent anticancer treatment
- No concurrent tamoxifen citrate, aromatase inhibitors, or progestagens
Maximum Eligible Age: | 120 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall response rate (complete or partial response) |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Assess the Overall response rate (complete or partial response) |
Secondary Outcome Measures
Measure: | Overall toxicity as assessed by NCI CTCAE v3.0 |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Summary Overall toxicity as assessed by NCI CTCAE v3.0 |
Measure: | Overall survival |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Assess Overall survival |
Measure: | Time to disease progression |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Assess Time to disease progression |
Measure: | Duration of response |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Assess Duration of response |
Measure: | Time to treatment failure |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Assess Time to treatment failure |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | University of Southampton |
Trial Keywords
- stage IIIB breast cancer
- stage IIIC breast cancer
- stage IV breast cancer
- recurrent breast cancer
- male breast cancer
- stage IIIA breast cancer
Last Updated
February 1, 2021