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Last Modified: 1/4/2007     First Published: 10/24/2006  
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Phase II/III Study of Neoadjuvant Therapy Comprising Capecitabine and Paclitaxel (Albumin-Stabilized Nanoparticle Formulation) (Abraxane®) in Women With Previously Untreated, Unresected, Stage II-IIIB Breast Cancer

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Capecitabine and Paclitaxel (Albumin-Stabilized Nanoparticle Formulation) in Treating Women Undergoing Surgery for Stage II or Stage III Breast Cancer

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase III, Phase II


Treatment


Active


18 and over


Other


WHC-MRI-GU-2006-097
NCT00397761

Objectives

Primary

  1. Determine the rate of pathological complete response (i.e., tumor completely gone) in women with previously untreated, unresected, stage II-IIIB breast cancer treated with neoadjuvant therapy comprising capecitabine and paclitaxel (albumin-stabilized nanoparticle formulation) (Abraxane®).

Secondary

  1. Evaluate the safety of this regimen in these patients.
  2. Determine overall clinical response rate in patients treated with this regimen.

Entry Criteria

Disease Characteristics:

  • Histologically confirmed infiltrating carcinoma of the breast or inflammatory breast cancer
    • Stage II-IIIB disease (T1-4, N1-2, M0)


  • Previously untreated disease


  • Previously unresected disease


  • High-risk disease that is not resectable by lumpectomy alone


  • Any HER2/neu status (positive, negative, or unknown) allowed


  • Hormone receptor status:
    • Any estrogen/progesterone status (positive, negative, or unknown) allowed


Prior/Concurrent Therapy:

  • See Disease Characteristics

Patient Characteristics:

  • Female
  • Menopausal status not specified
  • ECOG performance status 0-2
  • Life expectancy > 3 months
  • Absolute neutrophil count > 1,500/mm³
  • Platelet count > 100,000/mm³
  • Hemoglobin > 9.0 g/dL
  • Creatinine < 1.5 mg/dL
  • Bilirubin < 1.5 times upper limit of normal (ULN)
  • ALT and AST < 2.5 times ULN (5 times ULN if due to Gilbert's disease)
  • Alkaline phosphatase < 2.5 times ULN (5 times ULN if due to Gilbert's disease)

Expected Enrollment

33

A total of 33 patients will be accrued for this study.

Outcomes

Primary Outcome(s)

Pathological complete response rate

Secondary Outcome(s)

Safety
Overall clinical response rate

Outline

Patients receive up to 4 courses of capecitabine and paclitaxel (nanoparticle albumin-stabilized formulation) (Abraxane®) in the absence of disease progression. Patients then undergo definitive surgical resection of the tumor off study.

Trial Contact Information

Trial Lead Organizations

Washington Cancer Institute at Washington Hospital Center

Anita Aggarwal, DO, PhD, Protocol chair
Ph: 202-877-8839
Email: anita.aggarwal@medstar.net

Trial Sites

U.S.A.
District of Columbia
  Washington
 Washington Cancer Institute at Washington Hospital Center
 Clinical Trials Office - Washington Cancer Institute
Ph: 202-877-8839

Registry Information
Official Title Combination Capecitabine (Xeloda®) and ABI-007 (Abraxane®, Nanoparticle Albumin-Bound Paclitaxel) Chemotherapy as Neoadjuvant Treatment of Locally Advanced, Operable Breast Cancer
Trial Start Date 2006-07-27
Registered in ClinicalTrials.gov NCT00397761
Date Submitted to PDQ 2006-10-12
Information Last Verified 2006-11-14

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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