BREAST-10: Three-weekly Versus Weekly First-line Chemotherapy for Metastatic or Locally Advanced Breast Cancer
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Purpose
Some chemotherapies, including docetaxel, are better tolerated and just as effective when giving the dose weekly rather than on an every three week basis. The purpose of this study is to compare 2 schedules of combination chemotherapy with docetaxel for the effects on quality of life. Standard every three week chemotherapy will be compared with weekly chemotherapy for metastatic or locally advanced breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: docetaxel Drug: epirubicin Drug: capecitabine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase III Multicenter Study of the Effects on Quality of Life of Three-weekly Versus Weekly First-line Chemotherapy for Metastatic or Locally Advanced Breast Cancer |
- quality of life [ Time Frame: during first 6 weeks of chemotherapy ]
- Response rate [ Time Frame: After 12 and 24 weeks of chemotherapy ]
- Toxicity [ Time Frame: every 3 weeks ]
- overall survival
| Estimated Enrollment: | 280 |
| Study Start Date: | February 2004 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: A
Three-weekly chemotherapy
|
Drug: docetaxel
given in combination with epirubicin or capecitabine
Drug: epirubicin
for patients with locally advanced breast cancer, or metastatic breast cancer not previously treated with anthracyclines
Drug: capecitabine
for metastatic breast cancer patients previously treated with anthracyclines
|
|
Experimental: B
Weekly chemotherapy
|
Drug: docetaxel
given in combination with epirubicin or capecitabine
Drug: epirubicin
for patients with locally advanced breast cancer, or metastatic breast cancer not previously treated with anthracyclines
Drug: capecitabine
for metastatic breast cancer patients previously treated with anthracyclines
|
Detailed Description:
Patients with locally advanced breast cancer and patients with metastatic breast cancer who have not previously received an anthracycline will be treated with docetaxel and epirubicin.
Patients with metastatic breast cancer who have already received anthracyclines will be treated with docetaxel and capecitabine.
All patients will be randomized to receive their treatment either on an every three week schedule, or on a weekly schedule.
Eligibility| Ages Eligible for Study: | up to 70 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histological diagnosis of breast cancer
- Inoperable locally advanced or metastatic disease not yet treated with first-line chemotherapy
- Age < 70 years
- ECOG performance status < 2
- Written informed consent
Exclusion Criteria:
- Previous or concomitant malignant neoplasm (excluding adequately treated baso or spinocellular skin carcinoma or carcinoma in situ of the cervix)
- Previous treatment with docetaxel
- Symptomatic brain metastases
- Neutrophil < 2000/mm3, platelets < 100,000/mm3, haemoglobin < 10 g/dl
- Creatinine > 1.25 x the upper normal limits
- GOT and/or GPT > 1.25 x the upper normal limits in absence of hepatic metastases
- GOT and/or GPT > 2.5 x the upper normal limits in presence of hepatic metastases
- Bilirubin > 1.5 x the upper normal limit
- Any concomitant pathology that would, in the investigator's opinion, contraindicate the use of the drugs in this study
- Inability to provide informed consent
- Inability to comply with follow-up
Contacts and Locations| Italy | |
| Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B | |
| Napoli, Italy, 80131 | |
| Istituto Nazionale dei Tumori, Divisione di Oncologia Medica C | |
| Napoli, Italy, 80131 | |
| Ospedale S. Luca ASL SA 3 | |
| Vallo della Lucania, Italy | |
| Principal Investigator: | Andrea de Matteis, M.D. | NCI Naples, Division of Medical Oncology C |
| Principal Investigator: | Francesco Perrone, M.D., Ph.D. | NCI Naples, Clinical Trials Office |
More Information
No publications provided by National Cancer Institute, Naples
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Francesco Perrone, National Cancer Institute Naples |
| ClinicalTrials.gov Identifier: | NCT00540800 History of Changes |
| Other Study ID Numbers: | BREAST-10 |
| Study First Received: | October 5, 2007 |
| Last Updated: | August 4, 2011 |
| Health Authority: | Italy: Ethics Committee |
Keywords provided by National Cancer Institute, Naples:
|
anthracycline pre-treated chemotherapy first-line metastatic breast cancer locally advanced breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Epirubicin Docetaxel Capecitabine |
Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013