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Celecoxib and Trastuzumab in Treating Women With Metastatic Breast Cancer
This study has been completed.
Study NCT00006381   Information provided by National Cancer Institute (NCI)
First Received: October 4, 2000   Last Updated: February 6, 2009   History of Changes

October 4, 2000
February 6, 2009
June 2000
 
 
 
Complete list of historical versions of study NCT00006381 on ClinicalTrials.gov Archive Site
 
 
 
Celecoxib and Trastuzumab in Treating Women With Metastatic Breast Cancer
Phase II Study of Celecoxib in HER-2/Neu Overexpressing Metastatic Breast Cancer Patients Who Have Failed Recombinant Humanized Anti-p 185HER Monoclonal Antibody Trastuzumab (HERCEPTIN)

RATIONALE: Celecoxib may be effective in preventing the further development of cancer. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining trastuzumab with celecoxib may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining celecoxib and trastuzumab in treating women who have metastatic breast cancer that has not responded to previous trastuzumab.

OBJECTIVES:

  • Determine the efficacy of celecoxib and trastuzumab (Herceptin) in women with HER2/neu-overexpressing metastatic breast cancer that is refractory to prior trastuzumab.
  • Determine the safety of celecoxib in these patients.

OUTLINE: At least 3 weeks after the last dose of prior chemotherapy, patients receive oral celecoxib twice daily. Patients continue or restart trastuzumab (Herceptin) IV over 30-90 minutes weekly or every 3 weeks. Treatment continues in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 12-37 patients will be accrued for this study within approximately 9 months.

Phase II
Interventional
Treatment
Breast Cancer
  • Biological: trastuzumab
  • Drug: celecoxib
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Completed
 
 
 

DISEASE CHARACTERISTICS:

  • Histologically proven metastatic breast cancer

    • HER2/neu-positive (overexpressing) tumor tissue
  • Failed prior trastuzumab (Herceptin) therapy with or without chemotherapy
  • Resected stage IV disease allowed if evidence of disease
  • Bidimensionally measurable or evaluable disease

    • No lesions in previously irradiated field except nonbone lesions progressive after radiotherapy
    • No pleural effusions
    • No blastic or mixed bony metastases
    • No palpable abdominal masses
  • No leptomeningeal disease
  • Brain metastases allowed if:

    • No concurrent use of steroids
    • At least 3 months since prior brain irradiation
    • No evidence of progression of metastases
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Sex:

  • Female

Menopausal status:

  • Not specified

Performance status:

  • Karnofsky 70-100%

Life expectancy:

  • At least 3 months

Hematopoietic:

  • Granulocyte count at least 1,500/mm^3
  • Hemoglobin at least 8.0 g/dL
  • Platelet count at least 100,000/mm^3

Hepatic:

  • AST/ALT no greater than 2 times upper limit of normal (ULN)
  • Bilirubin no greater than 1.5 times ULN

Renal:

  • Creatinine no greater than 1.5 mg/dL

Cardiovascular:

  • LVEF at least 50%

Other:

  • Not pregnant
  • Negative pregnancy test
  • Fertile patients must use effective barrier contraception
  • No other prior malignancy within the past 5 years except adequately treated carcinoma in situ of the cervix or nonmelanoma skin cancer
  • No other serious medical illness
  • No severe infection
  • No severe malnutrition
  • No prior allergic reactions to sulfonamides or celecoxib

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • See Disease Characteristics
  • Prior trastuzumab (Herceptin) for breast cancer allowed, either as adjuvant/neoadjuvant or for metastatic disease

Chemotherapy:

  • See Disease Characteristics
  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
  • Prior cytotoxic therapy for breast cancer allowed, either as adjuvant/neoadjuvant or for metastatic disease

Endocrine therapy:

  • See Disease Characteristics
  • At least 3 weeks since prior hormonal therapy
  • Prior exogenous hormonal therapy for stage IV disease and/or as adjuvant therapy allowed

Radiotherapy:

  • See Disease Characteristics
  • At least 4 weeks since prior radiotherapy and recovered
  • Prior localized radiotherapy allowed if no influence on the signal measurable lesion
  • Concurrent localized radiotherapy allowed if no influence on the signal measurable lesion

Surgery:

  • See Disease Characteristics
  • At least 3 weeks since prior major surgery and recovered
  • At least 2 weeks since prior minor surgery and recovered
Female
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00006381
 
CDR0000068255, MSKCC-00078, NCI-G00-1869
Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Study Chair: Chau T. Dang, MD Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
December 2003

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP