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Phase II Study of Valproic Acid With FEC100 for Patients With Locally Advanced Breast Cancer
This study is currently recruiting participants.
Verified by H. Lee Moffitt Cancer Center and Research Institute, February 2007
Sponsored by: H. Lee Moffitt Cancer Center and Research Institute
Information provided by: H. Lee Moffitt Cancer Center and Research Institute
ClinicalTrials.gov Identifier: NCT00437801
  Purpose

The drugs FEC 100 (5-fluorouracil, epirubicin, and cyclophosphamide) are the standard way to treat your type of cancer. In this study, we will add another drug called Valproic Acid (VPA) to see whether this makes the treatment better. The addition of Valproic Acid to chemotherapy has been studied in about 65 subjects with cancer and was found to be safe and tolerable.

The results of a Phase I study of Valproic Acid and FEC100 in subjects with cancer that spreads has led us to believe that this combination is better than just the standard treatment alone. We are now testing the combination in a study with subjects who have either a large tumor or many lymph nodes involved. In addition to the treatment, a main goal of the study is to find out which subjects will benefit from this combination.

Subjects with breast cancer that has not spread will be asked to participate. Valproic acid will begin on day 1 and will be given for 6 doses, on day 3, the FEC100 regimen will be infused. A biopsy of the tumor will be mandatory on day 3 of cycle 1. A treatment cycle will last for three weeks and the treatment will be given for 4 cycles. Subjects will have to come to the center on day 1 and 3 of each cycle. In addition to the standard tests that will be done during the chemotherapy, two more teaspoons of blood will be taken in cycle 1 and cycle 4 to see how the drug is distributed in the blood stream.


Condition Intervention Phase
Breast Cancer
Drug: Epirubicin
Drug: 5-fluorouracil
Drug: cyclophosphamide
Drug: Valproic Acid
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Cyclophosphamide Fluorouracil Epirubicin hydrochloride Epirubicin Divalproex sodium Valproate Sodium Valproic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase II Study of Valproic Acid in Combination With FEC100 for Primary Therapy in Patients With Locally Advanced Breast Cancer

Further study details as provided by H. Lee Moffitt Cancer Center and Research Institute:

Primary Outcome Measures:
  • Pathological Response Rate
  • Clinical Response Rate
  • Safety and Toxicity

Secondary Outcome Measures:
  • Correlative Endpoints:
  • histone acetylation in treated tumor samples and peripheral blood mononuclear cells
  • histone acetylation, topo II and HDAC expression
  • chromatin decondensation

Estimated Enrollment: 55
Study Start Date: January 2007
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must have histologically or cytologically confirmed diagnosis of breast cancer
  • Patients must have “locally advanced” adenocarcinoma of the breast without evidence of systemic involvement , which includes the following definitions: (1)tumors > 3 cm without lymph node involvement (negative sentinel lymph node mapping); (2) tumors > 3 cm with lymph node involvement (either by positive sentinel lymph node mapping or FNA of palpable lymph node); (3)tumors of any size that show extension to the chest wall or skin, including edema, ulceration, or satellite skin nodules; (4) inflammatory carcinoma (stage IIIB); (5) tumors of any size associated with ipsilateral internal mammary nodes (stage IIIB); (6) tumors of any size associated with ipsilateral supraclavicular lymph nodes (IIIC) without other evidence of systemic metastases; (7) patients may have bilateral breast cancer if both breasts are assessable for response
  • Age >18 years
  • Because no dosing or adverse event data are currently available on the use of VPA in combination with FEC100 in patients <18 years of age, children are excluded from this study
  • ECOG performance status 0 or 1 (Karnofsky >80%).
  • Patients must have normal organ and marrow function as defined: (1)leukocytes >3,000/mcL; (2)absolute neutrophil count >1,500/mcL; (3)platelets >100,000/mcL; (4) total bilirubin within 1.5 x normal institutional limits; (5) AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal; (6)Creatinine within normal institutional limits
  • VPA has been associated with neural tube defects in the developing human fetus, for this reason and because FEC100 used in this trial are also known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Participating men must use condoms while on study and for at least 3 months after the trial has ended. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  • Patients may not have had any prior chemotherapy within the last 2 years
  • Patients may not have been exposed to prior anthracyclines
  • Patients may not be receiving any other investigational agents
  • Patients with known systemic or brain metastases are excluded
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to VPA or FEC100.
  • Patients with known congestive heart disease or LVEF fractions of <50 % (past or current), patients with known ventricular arrhythmias
  • Patients taking VPA as an anti-seizure agent or for any other indications
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Due to the teratogenic effects of VPA and FEC100, pregnant or lactating women are excluded from the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00437801

Locations
United States, Florida
H. Lee Moffitt Cancer Center & Research Institute Recruiting
Tampa, Florida, United States, 33612
Contact: Mira (Mensura) Lacevic, MD     813-745-8304     lacevicm@moffitt.usf.edu    
Contact: Connie Schmitt     813-745-8948     CONNIE.SCHMITT@MOFFITT.ORG    
Principal Investigator: Pamela N Munster, MD            
Sub-Investigator: W. Bradford Carter, MD            
Sub-Investigator: Charles Cox, MD            
Sub-Investigator: Christine Laronga, MD            
Sponsors and Collaborators
H. Lee Moffitt Cancer Center and Research Institute
Investigators
Principal Investigator: Pamela N Munster, MD H. Lee Moffitt Cancer Center and Research Institute
  More Information

Study ID Numbers: MCC-14947, IRB#105070
Study First Received: February 19, 2007
Last Updated: February 20, 2007
ClinicalTrials.gov Identifier: NCT00437801  
Health Authority: United States: Institutional Review Board

Keywords provided by H. Lee Moffitt Cancer Center and Research Institute:
breast cancer
FEC100
valproic acid
Histone deacetylases

Study placed in the following topic categories:
Skin Diseases
Fluorouracil
Breast Neoplasms
Cyclophosphamide
Valproic Acid
Epirubicin
Breast Diseases

Additional relevant MeSH terms:
Antimetabolites
Neurotransmitter Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Psychotropic Drugs
Antibiotics, Antineoplastic
Neoplasms by Site
Therapeutic Uses
Alkylating Agents
Tranquilizing Agents
Central Nervous System Depressants
Enzyme Inhibitors
Antimanic Agents
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Myeloablative Agonists
GABA Agents
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on January 15, 2009