S0029 Docetaxel in Treating Older Women With Metastatic Breast Cancer
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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 docetaxel in treating older women who have metastatic breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: docetaxel |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Single Agent Docetaxel for Metastatic Breast Cancer in Patients Aged 70 Years and Older (and in a Cohort of Patients Younger Than 60 Years) |
- Study treatment feasibility [ Time Frame: monthly for duration of accrual ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: at weeks 10 and 19, then every 3 months for 3 years ] [ Designated as safety issue: No ]
- Survival at 2 years [ Time Frame: at weeks 10 and 19, then every 3 months for 2 years ] [ Designated as safety issue: No ]
- Response rate (confirmed and unconfirmed complete and partial response) [ Time Frame: at weeks 10 and 19, then every 3 months for 3 years ] [ Designated as safety issue: No ]
- Toxicity and tolerability [ Time Frame: at week 1, then every 3 weeks ] [ Designated as safety issue: Yes ]
- Feasibility of standardized self-report measures of comorbidity, depression, and functional status [ Time Frame: upon completion of patient accrual ] [ Designated as safety issue: No ]
- Comparison of clinical pharmacologic parameters between elderly patients and patients under 60 years of age [ Time Frame: upon completion of patient accrual ] [ Designated as safety issue: No ]
| Enrollment: | 27 |
| Study Start Date: | October 2001 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | June 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: docetaxel
docetaxel
|
Drug: docetaxel |
Detailed Description:
OBJECTIVES:
- Determine the feasibility of treating elderly women with metastatic breast cancer with docetaxel.
- Determine the overall survival, 2-year survival, and response (confirmed and unconfirmed complete and partial) in patients treated with this drug.
- Determine the toxicity and tolerability of this drug in these patients.
- Determine the feasibility of using standardized self-report measures of comorbidity, depression, and functional status in elderly cancer patients.
- Determine the parameters of clinical pharmacology of this drug in elderly patients and in patients under 60 years of age.
- Determine, preliminarily, the genetic polymorphisms and gene expression levels of enzymes involved in drug metabolism and resistance in patients treated with this drug.
OUTLINE: Patients are stratified according to age (70 and over vs under 60).
Patients receive docetaxel IV over 1 hour on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 3 years.
PROJECTED ACCRUAL: Approximately 80 patients (60 patients age 70 and over and 20 patients under age 60) will be accrued for this study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed breast cancer
- Distant metastatic disease confirmed by histology, cytology, or strong clinical evidence
- Measurable disease
- No known brain or CNS metastases
Hormone receptor status:
- Not specified
PATIENT CHARACTERISTICS:
Age:
- 70 and over OR
- Under 60
Sex:
- Female
Menopausal status:
- Not specified
Performance status:
- Zubrod 0-2
Life expectancy:
- Not specified
Hematopoietic:
- Absolute granulocyte count at least 1,500/mm^3
- Hemoglobin at least 9 g/dL
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than upper limit of normal (ULN)
- SGOT or SGPT no greater than 1.5 times ULN (2.0 times ULN if liver metastases are present)
- Alkaline phosphatase no greater than 1.5 times ULN (2.0 times ULN if liver metastases are present)
Renal:
- Creatinine no greater than ULN
Other:
- Not pregnant or nursing
- Fertile patients must use effective contraception
- HIV negative
- No other prior malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or adequately treated stage I or II cancer in complete remission
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent immunotherapy for breast cancer
Chemotherapy:
- Prior adjuvant or neoadjuvant chemotherapy allowed
- Prior adjuvant taxanes allowed
- No other concurrent chemotherapy for breast cancer
Endocrine therapy:
- Prior hormonal therapy in the adjuvant setting or for metastatic disease allowed
- No concurrent hormonal therapy for breast cancer
Radiotherapy:
- No concurrent radiotherapy for breast cancer
Surgery:
- Not specified
Other
- No more than 1 prior regimen for advanced, recurrent, or metastatic disease
Contacts and Locations
More Information
Additional Information:
No publications provided
| Responsible Party: | Southwest Oncology Group |
| ClinicalTrials.gov Identifier: | NCT00025493 History of Changes |
| Other Study ID Numbers: | CDR0000068966, U10CA032102, S0029 |
| Study First Received: | October 11, 2001 |
| Last Updated: | January 22, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by Southwest Oncology Group:
|
stage IV breast cancer recurrent breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
Docetaxel Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013