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Paclitaxel Followed by FEC Versus Paclitaxel and RAD001 Followed by FEC In Women With Breast Cancer
This study is currently recruiting participants.
Verified by M.D. Anderson Cancer Center, October 2008
First Received: July 9, 2007   Last Updated: October 10, 2008   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
Novartis
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00499603
  Purpose

Primary Objective:

  • To determine if the addition of an mTOR inhibitor to standard neoadjuvant chemotherapy in patients with triple receptor-negative breast cancer causes molecular changes (inhibition/activation) of the PI3K/PTEN/AKT pathway.

Secondary Objectives:

  • To evaluate pathologic complete response (pCR) rates for each treatment group.
  • To evaluate the relationship between pCR and the molecular changes (inhibition/activation) of the PI13K/PTEN/AKT pathway in each treatment group.
  • To evaluate overall response rates (ORR) for each treatment group.
  • To assess the toxicity of both regimens and to evaluate the relationship of toxicities with PI3K/PTEN/AKT pathway status.

Condition Intervention Phase
Breast Cancer
Drug: Paclitaxel
Drug: 5-Fluorouracil
Drug: Epirubicin
Drug: Cyclophosphamide
Drug: RAD001
Phase II

Genetics Home Reference related topics: breast cancer
MedlinePlus related topics: Breast Cancer Cancer
Drug Information available for: Cyclophosphamide Fluorouracil Paclitaxel Epirubicin hydrochloride Epirubicin Everolimus
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title: Open Label Randomized Clinical Trial of Standard Neoadjuvant Chemotherapy (Paclitaxel Followed by FEC) Versus the Combination of Paclitaxel and RAD001 Followed by FEC in Women With Triple Receptor-Negative Breast Cancer (CRAD001C24101)

Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • To learn if RAD001 given in combination with chemotherapy will turn off the signaling pathway (a chain of information that tells cancer cells to grow quickly) and make the chemotherapies given on this study more effective. [ Time Frame: 2 Years ] [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: July 2007
Estimated Study Completion Date: July 2009
Estimated Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Paclitaxel Followed by FEC (5-Fluorouracil + Epirubicin + Cyclophosphamide)
Drug: Paclitaxel
80 mg/m^2 IV Once Weekly Over 1 Hour on day 1(+/- 2 days) each week for 3 weeks and for 12 cycles.
Drug: 5-Fluorouracil
500 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
Drug: Epirubicin
100 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
Drug: Cyclophosphamide
500 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
2: Experimental
Paclitaxel + RAD001 Followed by FEC (5-Fluorouracil + Epirubicin + Cyclophosphamide)
Drug: Paclitaxel
80 mg/m^2 IV Once Weekly Over 1 Hour on day 1(+/- 2 days) each week for 3 weeks and for 12 cycles.
Drug: 5-Fluorouracil
500 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
Drug: Epirubicin
100 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
Drug: Cyclophosphamide
500 mg/m^2 IV on day 1 every 3 weeks (+/- 7 days) for 4 cycles.
Drug: RAD001
30 mg PO Weekly On Days 1, 8, & 15 for 12 cycles.

  Show Detailed Description

  Eligibility

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

Inclusion:

  1. Patients with histologic confirmation of invasive ER/PR and HER2/neu-negative breast carcinoma. Immunohistochemistry (IHC) must be used for ER/PR evaluation and IHC or FISH for determination of HER2/neu. ER/PR will be considered negative if equal or lower than 5% IHC staining and HER2/neu will be considered negative if IHC of 0% or negative FISH.
  2. Patients must have intact primary tumors.
  3. Age equal or greater than 18 years
  4. Patients should have stage IIA (T1N1) to IIIC non inflammatory breast cancer.
  5. Patients with bilateral breast cancers are eligible.
  6. Patients should have a Karnofsky performance scale of =/> 70%.
  7. Patients must have clinically measurable disease to be treated in the neoadjuvant setting. This includes patients with a non-palpable primary tumor who have histologically proven lymph node involvement that is clinically palpable and measurable by ultrasound.
  8. Patients should have adequate bone marrow function, as defined by peripheral granulocyte count of >/= 1500/mm3, and a platelet count >/= 100000/ mm3.
  9. Patients must have adequate liver function with a bilirubin within normal laboratory values. Alkaline phosphatase and transaminases (ALT and AST) may be up to 1.5 x upper limit of normal (ULN) of the institution.
  10. Patients should have adequate renal function with creatinine levels within normal range.
  11. Patients should have a normal left ventricular ejection fraction of =/> 50%.
  12. Negative serum pregnancy test for a woman of childbearing potential.
  13. Women of childbearing potential (WOCBP) must use a reliable and appropriate contraceptive method during the study and 6 months after chemotherapy is completed. WOCBP are women who are not menopausal for 12 months or had no previous surgical sterilization.
  14. Patients must agree to have study biopsies.
  15. Patients must sign an informed consent indicating that they are aware of the investigational nature of the study, in keeping with institutional policy.

Exclusion:

  1. Patients whose tumors express ER, PR or HER2/neu gene amplification.
  2. Patients with a history of other invasive malignancies diagnosed and treated within the previous 5 years, except non-melanoma skin cancer and non-invasive cervical cancer
  3. Patients with an organ allograft or other history of immune compromise
  4. Prior exposure to mTOR inhibitors
  5. Hypersensitivity to rapamycin or other similar compounds
  6. Prior treatment with any investigational drug within the preceding 4 weeks
  7. Chronic treatment with systemic steroids or another immunosuppressive agent
  8. A known history of HIV seropositivity
  9. Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)
  10. Patients with an active, bleeding diathesis or on oral anti-vitamin K medication (except low dose coumadin defined as 1 mg a day).
  11. Other concurrent severe and/or uncontrolled medical disease which could compromise participation in the study (i.e., uncontrolled diabetes, uncontrolled hypertension, severe infection, severe malnutrition, unstable angina, or congestive heart failure - New York Heart Association Class III or IV, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, chronic liver or renal disease, active upper GI tract ulceration)
  12. Patients with a pre-existing peripheral neuropathy > grade 1
  13. Patients taking medications metabolized by the CYP3A4 subfamily will not be included in this study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00499603

Contacts
Contact: Julia A Moore, RN, BSN 713-563-0770 jmoore@mdanderson.org
Contact: Carol Stalzer, RN, BSN 713-745-6806 cstalzer@mdanderson.org

Locations
United States, Texas
U.T. M.D. Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Julia A Moore, RN, BSN     713-563-0770     jmoore@mdanderson.org    
Contact: Carol Stalzer, RN, BSN     713-745-6806     cstalzer@mdanderson.org    
Principal Investigator: Ana Gonzalez-Angulo, M.D.            
Sponsors and Collaborators
M.D. Anderson Cancer Center
Novartis
Investigators
Principal Investigator: Ana Gonzalez-Angulo, M.D. U.T. M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: U.T.M.D. Anderson Cancer Center ( Ana Gonzalez-Angulo, MD/Assistant Professor )
Study ID Numbers: 2006-0790
Study First Received: July 9, 2007
Last Updated: October 10, 2008
ClinicalTrials.gov Identifier: NCT00499603     History of Changes
Health Authority: United States: Institutional Review Board;   United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Breast Cancer
ER negative
PR negative
HER2neu negative
Tumor Triple Negative Receptors
Paclitaxel
Taxol
RAD001
FEC
5-Fluorouracil
5-FU
Epirubicin
Cyclophosphamide

Study placed in the following topic categories:
Antimetabolites
Everolimus
Skin Diseases
Immunologic Factors
Breast Neoplasms
Antimitotic Agents
Cyclophosphamide
Epirubicin
Immunosuppressive Agents
Anti-Bacterial Agents
Paclitaxel
Fluorouracil
Tubulin Modulators
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Antineoplastic Agents, Phytogenic
Alkylating Agents
Breast Diseases

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Cyclophosphamide
Antibiotics, Antineoplastic
Neoplasms by Site
Therapeutic Uses
Alkylating Agents
Breast Diseases
Everolimus
Skin Diseases
Mitosis Modulators
Breast Neoplasms
Antimitotic Agents
Immunosuppressive Agents
Epirubicin
Pharmacologic Actions
Neoplasms
Paclitaxel
Fluorouracil
Tubulin Modulators
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on May 07, 2009