Sulindac and Docetaxel in Treating Women With Metastatic or Recurrent 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. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining sulindac with docetaxel in treating women who have metastatic or recurrent breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: docetaxel Drug: sulindac |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | A Phase II Trial Of Exisulind With Docetaxel In Patients With Metastatic Adenocarcinoma Of The Breast |
| Study Start Date: | January 2002 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- Determine the response rate of women with metastatic or recurrent adenocarcinoma of the breast treated with sulindac and docetaxel.
- Determine the time to progression of patients treated with this regimen.
- Determine the toxicity of this regimen in these patients.
OUTLINE: Patients receive oral sulindac twice daily. Patients also receive docetaxel IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Patients are followed within 3-4 weeks.
PROJECTED ACCRUAL: Approximately 12-33 patients 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 or cytologically confirmed adenocarcinoma of the breast
- Metastatic or recurrent disease
Measurable disease
- Bone only disease is not eligible
- No hematologic malignancy
No carcinomatous meningitis and/or untreated or uncontrolled brain parenchymal disease
- At least 8 weeks since prior therapy for brain parenchymal disease and patient must be asymptomatic from CNS disease
Hormone receptor status:
- Not specified
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Sex:
- Female
Menopausal status:
- Premenopausal or postmenopausal
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
- WBC at least 3,000/mm^3
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic:
- Bilirubin no greater than upper limit of normal (ULN)
One of the following:
- SGOT and SGPT no greater than 2.5 times ULN AND
- Alkaline phosphatase no greater than ULN OR
- SGOT and SGPT no greater than ULN AND
- Alkaline phosphatase no greater than 4 times ULN
Renal:
- Creatinine no greater than 2.0 mg/dL
Cardiovascular:
- No unstable angina
- No uncontrolled atrial or ventricular arrhythmias
- No congestive heart failure
- No uncontrolled hypertension
Other:
- No other malignancy within the past 5 years except curatively treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or contralateral breast cancer
- No active unresolved infection
- No poorly controlled diabetes mellitus
- No prior hypersensitivity reactions to sulindac or Polysorbate 80
- No peripheral neuropathy grade 2 or greater
- No active peptic ulcer disease
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 4 weeks since prior immunotherapy
- No concurrent biological response modifiers
- No concurrent trastuzumab (Herceptin)
Chemotherapy:
- No more than 1 prior chemotherapy regimen in the adjuvant setting
- No more than 1 prior chemotherapy regimen for recurrent or metastatic disease
- No prior docetaxel
- Prior paclitaxel allowed
- At least 1 week since prior chronic sulindac
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
- No other concurrent sulindac
- No other concurrent chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- At least 4 weeks since prior radiotherapy
- No prior radiotherapy to more than 25% of bone marrow
- No concurrent radiotherapy
Surgery:
- Not specified
Other:
- At least 1 week since prior antibiotics
- At least 4 weeks since prior investigational agents
- No other concurrent investigational drugs
- No other concurrent antineoplastic therapy
- No concurrent chronic (full dose for more than 2 weeks) nonsteroidal anti-inflammatory drugs (except ibuprofen or naproxen sodium), including cyclo-oxygenase-2 inhibitors and salicylates (e.g., aspirin, mesalamine, azodisalicylate, salsalate, or sulfasalazine)
- No concurrent parenteral antibiotics
- Concurrent low-dose aspirin for cardiovascular prevention allowed
Contacts and Locations| United States, Pennsylvania | |
| Fox Chase Cancer Center | |
| Philadelphia, Pennsylvania, United States, 19111 | |
| Study Chair: | Mary Cianfrocca, DO | Fox Chase Cancer Center |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00039520 History of Changes |
| Other Study ID Numbers: | CDR0000069390, P30CA006927, FCCC-01031, FCCC-63723, NCI-G02-2080 |
| Study First Received: | June 6, 2002 |
| Last Updated: | February 11, 2010 |
| Health Authority: | United States: Federal Government |
Keywords provided by Fox Chase Cancer Center:
|
stage IV breast cancer recurrent breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Docetaxel Sulindac Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Cyclooxygenase Inhibitors |
Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Antirheumatic Agents Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 23, 2013