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Two Dose Levels of Capecitabine With Docetaxel in Treating Women With Locally Advanced or Metastatic Breast Cancer That Has Not Responded to Previous Anthracycline-Based Chemotherapy

This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), August 2008

Sponsored by: PharmaNet
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00083200
  Purpose

RATIONALE: Drugs used in chemotherapy, such as capecitabine and docetaxel, work in different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known which dose of capecitabine is more effective when combined with docetaxel in treating breast cancer.

PURPOSE: This randomized phase II trial is studying two different doses of capecitabine when given together with docetaxel to compare how well they work in treating women with locally advanced or metastatic breast cancer that has not responded to previous anthracycline-based chemotherapy (such as daunorubicin, doxorubicin, or epirubicin).


Condition Intervention Phase
Breast Cancer
Drug: capecitabine
Drug: docetaxel
Phase II

Genetics Home Reference related topics:   breast cancer   

MedlinePlus related topics:   Breast Cancer    Cancer   

ChemIDplus related topics:   Docetaxel    Capecitabine   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Open Label, Active Control
Official Title:   Open-Label Randomized Study of Two Different Dosing Regimens of Capecitabine in Combination With Intravenous Docetaxel (Q3W) in Patients With Metastatic Breast Cancer Whose Disease Has Progressed After Failure of Prior Anthracycline Containing Chemotherapy

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Clinical efficacy [ Designated as safety issue: No ]
  • Toxicity [ Designated as safety issue: Yes ]

Estimated Enrollment:   440
Study Start Date:   July 2003

Arms Assigned Interventions
Arm I: Active Comparator
Patients receive standard-dose oral capecitabine twice daily on days 1-14 and docetaxel IV on day 1.
Drug: capecitabine
Given orally
Drug: docetaxel
Given IV
Arm II: Experimental
Patients receive lower-dose oral capecitabine twice daily on days 1-14 and docetaxel as in arm I.
Drug: capecitabine
Given orally
Drug: docetaxel
Given IV

Detailed Description:

OBJECTIVES:

  • Compare the clinical efficacy of 2 dose levels of capecitabine when given in combination with docetaxel in women with locally advanced or metastatic breast cancer previously treated with anthracycline-based chemotherapy.
  • Compare the toxicity of these 2 regimens in these patients.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive standard-dose oral capecitabine twice daily on days 1-14 and docetaxel IV on day 1.
  • Arm II: Patients receive lower-dose oral capecitabine twice daily on days 1-14 and docetaxel as in arm I.

In both arms, treatment repeats every 21 days for up to 16 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months.

PROJECTED ACCRUAL: A total of 440 patients (220 per treatment arm) will be accrued for this study.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed breast cancer

    • Locally advanced or metastatic disease
  • Failed prior anthracycline-based chemotherapy
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Sex

  • Female

Menopausal status

  • Not specified

Performance status

  • Karnofsky 70-100%

Life expectancy

  • More than 3 months

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Creatinine clearance ≥ 30 mL/min

Other

  • Able to swallow study medication
  • Must have good upper gastrointestinal tract integrity
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics
  • More than 4 weeks since prior chemotherapy

Endocrine therapy

  • More than 10 days since prior hormonal therapy

Radiotherapy

  • More than 4 weeks since prior radiotherapy

Surgery

  • Not specified
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00083200

Show 35 study locations  Show 35 Study Locations

Sponsors and Collaborators
PharmaNet

Investigators
Study Chair:     Aman U. Buzdar, MD     M.D. Anderson Cancer Center    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000367239, PHARMANET-NO16853, PHARMANET-CRRI0403008, ROCHE-NO16853
First Received:   May 14, 2004
Last Updated:   August 20, 2008
ClinicalTrials.gov Identifier:   NCT00083200
Health Authority:   Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent breast cancer  
stage IIIA breast cancer  
stage IIIB breast cancer  
stage IIIC breast cancer  
stage IV breast cancer  

Study placed in the following topic categories:
Docetaxel
Capecitabine
Skin Diseases
Breast Neoplasms
Breast Diseases
Recurrence

Additional relevant MeSH terms:
Antimetabolites
Neoplasms
Antimetabolites, Antineoplastic
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on September 22, 2008




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