A Trial of Doxil and Multiday Vinorelbine in Patients With Metastatic Breast Cancer

The recruitment status of this study is unknown because the information has not been verified recently.
Verified September 2005 by Hematology Oncology Consultants.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Ortho Biotech, Inc.
Information provided by:
Hematology Oncology Consultants
ClinicalTrials.gov Identifier:
NCT00159094
First received: September 7, 2005
Last updated: May 30, 2008
Last verified: September 2005
  Purpose

This is a phase II trial of Doxil on day 1 and vinorelbine on days 1 and 2 in women with metastatic breast cancer. Administered every 28 days. A study to assess the safety and efficacy of Doxil and vinorelbine in metastatic breast cancer.


Condition Intervention Phase
Metastatic Breast Cancer
Drug: Doxil and Vinorelbine
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Trial of Doxil and Multiday Vinorelbine in Patients With Metastatic Breast Cancer

Resource links provided by NLM:


Further study details as provided by Hematology Oncology Consultants:

Primary Outcome Measures:
  • Response rate

Secondary Outcome Measures:
  • Time to progression
  • Overall survival
  • Toxicity

Estimated Enrollment: 30
Study Start Date: October 2003
Detailed Description:

PROTOCOL SUMMARY

Study design: Phase II trial of monthly Doxil® and vinorelbine on day 1 and 2 in women with metastatic breast cancer.

Treatment plan: Patients will continue therapy, until they have unacceptable toxicity or disease progression.

Primary endpoint: Response rate

Secondary endpoints: Time to progression, overall survival and toxicity.

Additional study objectives: Evaluation of treatment-related dyspnea, with measurement of pulse oximetry during and after drug administration, and rigorous study of patients who experience dyspnea. Palmar-plantar erythrodysesthesia (PPE) will be treated with one of 2 randomly assigned topical salves, measuring duration and severity of symptoms.

Eligibility: Women who have had prior chemotherapy in the adjuvant or metastatic setting, or both, up to 3 prior regimens. Patients having more than one prior regimen for metastatic disease must have a performance status of 0 or 1; others may have 0-2. No prior Doxil® or vinorelbine therapy. Patients are ineligible if prior anthracycline dose is greater than 400 mg/m2, or if they have primary anthracycline-refractory disease, with disease progression during treatment or with relapse/recurrence within 6 months after last dose of anthracycline. Patients must have normal neurologic, hematologic, renal and hepatic functional parameters. Asymptomatic brain metastases are permissible.

Treatment plan: Doxil® 40 mg/m2 IV infusion over 60 minutes on day 1 Vinorelbine 15 mg/m2 IV over 6 minutes on days 1 and 2 Dexamethasone 4 mg IV or 8 mg po (Doxil® pretreatment) Heparin 5000 U IV (Vinorelbine pretreatment) Pyridoxine (vitamin B6) 200 mg po qd Repeat every 28 days.

Supportive measures:

For anemia (hematocrit < 35): Procrit® 40,000 U q wk For neutropenia (ANC < 1,000/mm3 ): Prophylactic antibiotics (Cipro® or Septra®) For all cycles after neutropenic fever/infection or grade 3-4 stomatitis: Prophylactic Neulasta® 6 mg SQ on day 3 (This intervention may be adopted for all patients, all cycles, if 2 of the first 4 patients enrolled need it.) For PPE: randomize between 2 topical salves and document duration and severity of sx

Dose adjustments: Subsequent cycles are given on day 29 or after recovery or to grade 0-1 toxicity, with no more than 3 weeks delay. Reduce dose of both drugs by 25% if grade 3 or 4 stomatitis or palmar-plantar or grade 4 thrombocytopenia. Reduce dose of Doxil® ONLY by 50-75% if abnormal bilirubin, alkaline phosphatase and/or ALT, AST (appendix 14.3)

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must be informed of the investigational nature of this study and must give and sign informed consent in compliance with federal and institutional guidelines.
  • Women 18 years or older with biopsy proven advanced breast cancer.
  • Patients with reproductive potential must use an adequate contraceptive method (e.g., abstinence, intrauterine device, oral contraceptives, barrier device with spermicide, or surgical sterilization) during treatment and for three months after completing treatment.
  • Performance status (PS) 0-2 (ECOG). PS must be 0-1 if patient has had more than one prior regimen for metastatic disease or more than 2 prior regimens, including adjuvant and metastatic.
  • Measurable disease by RECIST criteria, with baseline staging completed within 14 days of registration.
  • At least two weeks post surgery and three weeks from completion of irradiation and recovered from toxicities associated with these treatments.
  • Psychological, family, social and geographical conditions allowing weekly medical follow up during chemotherapy are required.
  • Preregistration blood work must include complete blood counts with differential, and blood chemistries including serum bilirubin, GGT, LDH, SGOT, SGPT, alkaline phosphatase, creatinine, and tumor markers, CEA and CA 27-29. Patients must have:

    • Absolute neutrophil count (ANC) >1,500/mm3
    • Platelet count >100,000/mm3
    • Hemoglobin > 8.0 g/dl
    • Serum creatinine < 2.5 mg/dl (< 200 mol/L)
    • Serum bilirubin < the upper limit of normal (ULN)
    • SGOT and SGPT or AST and ALT < 2.0 x ULN
    • Alkaline phosphatase < 2.0 x ULN, except if attributed to tumor
    • Life expectancy > than 12 week.

Exclusion Criteria:

  • Prior Doxil® or vinorelbine
  • Cumulative anthracycline dose exceeding 400 mg/m2 anthracycline
  • Primary anthracycline refractory disease, ie. disease progression during treatment or relapse/recurrence within 6 months after last dose of anthracycline
  • If PS 0-1, more than 3 prior chemotherapy regimens, including adjuvant and metastatic
  • If PS 2, more than 1 prior regimen for metastatic disease or more than 2 prior chemotherapy regimens, including adjuvant and metastatic
  • Hormone therapy including aromatase inhibitors within 2 weeks of baseline
  • Pregnant or lactating women. Women of reproductive potential must have a negative pregnancy test and must agree to use an effective contraceptive method
  • Prior history of cardiac disease, with New York Heart Association Class II or greater, or clinical evidence of congestive heart failure
  • Symptomatic brain metastasis
  • Past medical history of severe hypersensitivity reaction to conventional formulation of doxorubicin HCL or the components of Doxil® or vinorelbine
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00159094

Contacts
Contact: Leslie R Laufman, MD 614-846-0044 email@hoci.org

Locations
United States, Ohio
Hematology Oncology Consultants, Inc Recruiting
Columbus, Ohio, United States, 43235
Contact: Debbie Conover, RN    614-846-0044 ext 3104    debbie@hoci.org   
Principal Investigator: Leslie R Laufman, MD         
Sub-Investigator: Harris Spiridonidis, MD         
Sub-Investigator: Sanjay Yadav, MD         
Hematology Oncology Consultants, Inc Recruiting
Newark, Ohio, United States, 43055
Contact: Heather Meek    740-344-5705 ext 3312    heather@hoci.org   
Principal Investigator: Leslie R Laufman, MD         
Sub-Investigator: Harris Spiridonidis, MD         
Sub-Investigator: Sanjay Yadav, MD         
Sponsors and Collaborators
Hematology Oncology Consultants
Ortho Biotech, Inc.
Investigators
Principal Investigator: Leslie R Laufman, MD Hematology Oncology Consultants, Inc
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00159094     History of Changes
Other Study ID Numbers: DO03-21-005
Study First Received: September 7, 2005
Last Updated: May 30, 2008
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Vinorelbine
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on April 15, 2014