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Maintenance Treatment With Capecitabine Versus Observation in Breast Cancer Patients
This study is currently recruiting participants.
Verified by Spanish Breast Cancer Research Group, September 2008
Sponsors and Collaborators: Spanish Breast Cancer Research Group
Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA)
Hoffmann-La Roche
Information provided by: Spanish Breast Cancer Research Group
ClinicalTrials.gov Identifier: NCT00130533
  Purpose

This is a prospective, open-label, randomized phase III study. Patients will be stratified as per investigational site, previous adjuvant chemotherapy (anthracyclines versus anthracyclines plus taxanes), and number of affected axillary lymph nodes (0, 1-3, >= 4). Node negative patients must present a tumour size > 2 cm to be eligible. At least 6 lymph nodes must be analysed to confirm the number of affected nodes. Patients will be randomised to receive: 8 courses of capecitabine 1000 mg/m2 by mouth, twice a day (p.o. bid) for 14 days, followed by a 7 day rest versus observation.

Tissue samples must be analysed by a central laboratory, to confirm estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor-2 (HER2), cytokeratins CK 5/6 and epidermal growth factor receptor (EGFR) status.

The researchers assume that 5-year disease-free survival in the control arm will be 64.72%. To detect a decrease in risk ratio of 25%, with alpha error = 0.05 and 80% of power, 379 events are required.

Assuming 10% post-randomization drop-outs, 1324 patients must be enrolled, 662 per treatment arm.


Condition Intervention Phase
Breast Cancer
Drug: capecitabine
Phase III

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Capecitabine
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study
Official Title: Multicenter, Open-Label, Randomized Phase III Trial, to Evaluate Efficacy of Maintenance Treatment With Capecitabine (X) Following Standard Adjuvant Chemotherapy, in Operable Breast Cancer Patients With Negative Hormone Receptor, Negative HER2 Tumours

Further study details as provided by Spanish Breast Cancer Research Group:

Primary Outcome Measures:
  • 5-year disease free survival

Secondary Outcome Measures:
  • Overall survival
  • Toxicity profile
  • Chemotherapy-related amenorrhea
  • Single nucleotide polymorphisms (SNPs) predicting response to capecitabine

Estimated Enrollment: 1324
Study Start Date: January 2006
Estimated Study Completion Date: January 2008
  Eligibility

Ages Eligible for Study:   18 Years to 70 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Written informed consent.
  • Histological diagnoses of operable invasive adenocarcinoma of the breast (T1-T3). Tumours must be HER2 negative. Time window between end of adjuvant chemotherapy and study randomization must be less than 8 weeks. In patients receiving adjuvant radiotherapy, time window allowed between last session and randomisation is 4 weeks.
  • Surgery must consist of mastectomy or conservative surgery with axillary lymph node dissection. Margins free of disease and ductal carcinoma in-situ (DCIS) are required. Lobular carcinoma is not considered a positive margin.
  • Node negative patients with tumour size > 2 cm.
  • Positive axillary lymph nodes defined as at least 1 out of 6 nodes with presence of disease. If sentinel node technique is used, sentinel node can be the only node affected. Patients belonging to the following classifications are eligible: pN1a, pN2a, pN3a.
  • Status of hormone receptors in primary tumour. Negative results must be available before the end of adjuvant chemotherapy.
  • Patients must not present evidence of metastatic disease.
  • Negative status of HER2 in primary tumour, known before randomization.
  • Adjuvant chemotherapy consisting of a minimum of 6 courses with anthracyclines and/or taxanes.
  • Age >= 18 and <= 70 years old.
  • Performance status (Karnofsky index) >= 80.
  • Laboratory results (within 14 days prior to randomization):
  • Hematology:

    • neutrophils >= 1.5 x 10e9/l;
    • platelets >= 100x 10e9/l;
    • hemoglobin >= 10 mg/dl
  • Hepatic function:

    • total bilirubin <= 1 UNL;
    • SGOT and SGPT <= 2.5 UNL;
    • alkaline phosphatase <= 2.5 UNL.
    • If values of SGOT and SGPT > 1.5 UNL are associated to alkaline phosphatase > 2.5 UNL, patient is not eligible.
  • Renal Function:

    • creatinine <= 175 µmol/l (2 mg/dl).
    • creatinine clearance >= 60 ml/min.
  • Pharmacogenetics:

    • one blood sample is needed for SNPs assessment.
  • Patients able to comply with treatment and study follow-up.
  • Negative pregnancy test done in the 14 previous days to randomization.

Exclusion Criteria:

  • Prior therapy with anthracyclines or taxanes (paclitaxel or docetaxel) for any malignancy.
  • Pregnant or lactating women. Adequate contraceptive methods must be used during chemotherapy and hormone therapy treatments. Negative pregnancy test in the 14 previous days to randomization.
  • Bilateral invasive breast cancer.
  • Any T4 or M1 tumour.
  • Axillary lymph nodes: patients belonging to the following classifications are excluded: pN1b, pN1c, pN2b, pN3b, pN3c.
  • Any other serious medical pathology, such as congestive heart failure, unstable angina, history of myocardial infarction during the previous year, uncontrolled HA or high risk arrhythmias.
  • History of neurological or psychiatric disorders, which could preclude the patients to free informed consent.
  • Active uncontrolled infection.
  • Active peptic ulcer, unstable diabetes mellitus.
  • Previous or current history of neoplasms different to breast cancer, except for skin carcinoma, cervical in situ carcinoma, or any other tumour curatively treated and without recurrence in the last 10 years; ductal in situ carcinoma in the same breast; lobular in situ carcinoma.
  • History of hypersensitivity to capecitabine, fluorouracil.
  • Patients lacking physical integrity of upper gastrointestinal tract or with history of bad absorption syndrome.
  • History of dihydropyrimidine dehydrogenase (DPD) deficiency.
  • Anticoagulant treatment with coumadin anticoagulants.
  • Current treatment with sorivudine or its chemical family.
  • Concomitant treatment with other investigational products. Participation in other clinical trials with a non-marketed drug in the 30 previous days before randomization.
  • Concomitant treatment with other therapy for cancer.
  • Males.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00130533

Contacts
Contact: Ana Lluch lluch_ana@gva.es

Locations
Spain, Madrid
Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA) Recruiting
San Sebastián de los Reyes, Madrid, Spain, 28700
Contact: Esther Mahillo, PhD     +34916592870     emahillo@ciboma.org    
Principal Investigator: Henry Gómez            
Principal Investigator: Ana Lluch            
Principal Investigator: Laura Torrecillas            
Principal Investigator: Carlos H Barrios            
Principal Investigator: Miguel Martín            
Principal Investigator: José I Mayordomo            
Principal Investigator: César Mendiola            
Principal Investigator: Carlos Jara, MD., PhD            
Principal Investigator: Ignacio Tusquets, MD., PhD            
Principal Investigator: Manuel Ramos, MD., PhD            
Principal Investigator: Manuel Ruiz, MD., PhD            
Principal Investigator: Pedro Sánchez, MD., PhD            
Principal Investigator: José Enrique Alés, MD., PhD            
Principal Investigator: Jesús Florián, MD., PhD            
Principal Investigator: José Manuel Baena, MD., PhD            
Principal Investigator: Javier Cassinello, MD., PhD            
Principal Investigator: Miguel Angel Seguí, MD., PhD            
Principal Investigator: Agustín Barnadas, MD., PhD            
Principal Investigator: Angels Arcusa, MD., PhD            
Principal Investigator: José Ramón Mel, MD., PhD            
Principal Investigator: César Rodríguez, MD., PhD            
Principal Investigator: Laura G. Estévez, MD., PhD            
Principal Investigator: Mireia Margelí, MD., PhD            
Principal Investigator: Álvaro Rodríguez, MD., PhD            
Principal Investigator: José Manuel Lopez, MD., PhD            
Principal Investigator: José Valero Álvarez, MD., PhD            
Principal Investigator: Encarnación González, MD., PhD            
Principal Investigator: Laura Perez            
Principal Investigator: Daniel Capdeville            
Principal Investigator: Paula Cabrera            
Principal Investigator: Álvaro Guerrero            
Principal Investigator: Alejo Jiménez            
Principal Investigator: Fernando Checa            
Principal Investigator: Jorge Moncayo            
Principal Investigator: Diana Sosa            
Principal Investigator: Manuel Roberto Torres            
Principal Investigator: Mónica Campos            
Principal Investigator: José Getulio Martins            
Sponsors and Collaborators
Spanish Breast Cancer Research Group
Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA)
Hoffmann-La Roche
Investigators
Study Chair: Ana Lluch Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA)
Study Chair: Laura Torrecillas Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA)
Study Chair: Carlos H Barrios Coalición Iberoamericana de Investigación en Oncología Mamaria (CIBOMA)
  More Information

Related Info  This link exits the ClinicalTrials.gov site

Study ID Numbers: CIBOMA 2004-01
Study First Received: August 12, 2005
Last Updated: September 23, 2008
ClinicalTrials.gov Identifier: NCT00130533  
Health Authority: Spain: Spanish Agency of Medicines

Keywords provided by Spanish Breast Cancer Research Group:
Maintenance chemotherapy treatment.
Basal-like genotype.

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

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 January 16, 2009