Gemcitabine in Treating Women With Metastatic Breast Cancer Previously Treated With Doxorubicin and Paclitaxel
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Purpose
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of gemcitabine in treating women with metastatic breast cancer previously treated with doxorubicin and paclitaxel.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: gemcitabine hydrochloride |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | Phase II Study of Gemcitabine in the Treatment of Patients With Metastatic Breast Cancer Previously Treated With Adriamycin and Taxol |
| Estimated Enrollment: | 30 |
| Study Start Date: | June 1998 |
| Primary Completion Date: | November 2002 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- Determine the objective response rate to gemcitabine in women with metastatic breast cancer previously treated with two to four chemotherapy regimens, including doxorubicin and paclitaxel.
- Characterize the nature of toxicity of gemcitabine in this patient population.
- Determine the response duration to gemcitabine in this patient population.
OUTLINE: Patients receive gemcitabine IV over 30 minutes once weekly for 3 consecutive weeks (days 1, 8, and 15) followed by 1 week of rest. Treatment continues every 4 weeks in the absence of disease progression or unacceptable toxic effects.
Patients are followed until death.
PROJECTED ACCRUAL: A total of 14-30 patients will be accrued for this study within 13 months.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
- Histologically confirmed metastatic breast cancer
Bidimensionally measurable disease
- No bone scan abnormalities alone
- Lytic lesions in conjunction with bone scan abnormalities allowed
- No pure blastic bone metastases
- No pleural or peritoneal effusions
- No previously irradiated lesions
- Must have received 2-4 prior chemotherapy regimens, including paclitaxel and doxorubicin, for breast cancer
Brain metastases allowed if other measurable disease exists
- No uncontrolled or life threatening brain lesions
- No carcinomatous meningitis
Hormone receptor status:
- Not specified
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Sex:
- Female
Menopausal status:
- Not specified
Performance status:
- Karnofsky 60-100%
Life expectancy:
- Not specified
Hematopoietic:
- Granulocyte count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- AST/ALT no greater than 5 times upper limit of normal
Renal:
- Calcium no greater than 11.0 mg/dL
Other:
- Not pregnant
- Negative pregnancy test
- No history of other malignancy except carcinoma in situ of the cervix or curatively treated nonmelanoma skin cancer
- No other serious medical illnesses, including severe infection and severe malnutrition
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin) and recovered
- No other concurrent chemotherapy
Endocrine therapy:
- Prior hormonal therapies for stage IV disease and/or adjuvant therapy allowed
- At least 3 weeks since prior hormonal therapy
Radiotherapy:
- See Disease Characteristics
- No prior radiotherapy to greater than 30% of the marrow bearing bone
- At least 4 weeks since prior radiotherapy and recovered
- No concurrent radiotherapy to the only measurable lesion
Surgery:
- Recovered from prior surgery
- No concurrent surgery to the only measurable lesion
Other:
- No concurrent nonprotocol treatment
Contacts and Locations| United States, New York | |
| Memorial Sloan-Kettering Cancer Center | |
| New York, New York, United States, 10021 | |
| Study Chair: | Violante E. Currie, MD | Memorial Sloan-Kettering Cancer Center |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00003540 History of Changes |
| Other Study ID Numbers: | CDR0000066594, MSKCC-98030, NCI-G98-1474 |
| Study First Received: | November 1, 1999 |
| Last Updated: | December 3, 2009 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
stage IV breast cancer recurrent breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Gemcitabine Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions |
Antineoplastic Agents Therapeutic Uses Antiviral Agents Anti-Infective Agents Enzyme Inhibitors Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Radiation-Sensitizing Agents |
ClinicalTrials.gov processed this record on May 22, 2013