ClinicalTrials.gov
 Home    Search    Study Topics    Glossary  
 

  Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Combination Chemotherapy in Treating Patients With Metastatic Breast Cancer

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: Ireland Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00006260
  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. Drugs such as mesna may be effective in preventing some of the side effects of chemotherapy.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy consisting of etoposide and ifosfamide given with mesna, and cisplatin in treating patients who have metastatic breast cancer.


Condition Intervention Phase
Breast Cancer
Drug: cisplatin
Drug: etoposide
Drug: ifosfamide
Phase II

Genetics Home Reference related topics:   breast cancer   

MedlinePlus related topics:   Breast Cancer    Cancer   

Drug Information available for:   Mesna    Ifosfamide    Etoposide    Cisplatin    Etoposide phosphate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   A Phase II Study Of An OutPatient Three Day VIP Regimen With Oral Mesna For Metastatic Breast Cancer

Further study details as provided by National Cancer Institute (NCI):

Study Start Date:   May 1997

Detailed Description:

OBJECTIVES:

  • Determine the objective response rate in patients with metastatic breast cancer treated with etoposide, ifosfamide with mesna, and cisplatin.
  • Determine the tolerability and toxicity of this regimen in these patients.

OUTLINE: Patients are stratified according to number of prior chemotherapy courses for metastatic disease (0 vs 1).

Patients receive etoposide IV over 60-90 minutes, cisplatin IV over 30 minutes, and ifosfamide IV over 30 minutes on days 1-3. Mesna is administered IV over 15 minutes 30 minutes prior to and 4 hours after ifosfamide, then orally at 8 hours post infusion. Treatment continues every 28 days in the absence of unacceptable toxicity or disease progression.

Patients are followed every 3 months.

PROJECTED ACCRUAL: At least 36 patients (16 per stratum) will be accrued over 36 months.

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Histologically proven progressive metastatic breast cancer
  • Measurable disease

    • Any lesion measurable in 2 dimensions
    • Hepatic metastases if the sum of the measurements below the costal margin in the midclavicular line and the tip to the xiphoid process is greater than 5 cm during quiet respiration
    • Hepatic defects that are clearly measurable by radionuclide, CAT, or MRI scans
    • Bone metastases are not considered measurable disease
    • Evaluable disease allowed if measurable disease also present
  • No brain metastases, carcinomatous meningitis, or spinal cord compression
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • Not specified

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 3 months

Hematopoietic:

  • Hemoglobin at least 10 g/dL
  • WBC at least 4,000/mm3
  • Platelet count at least 100,000/mm3

Hepatic:

  • Bilirubin no greater than 2.0 mg/dL

Renal:

  • Creatinine no greater than 1.5 mg/dL
  • No bladder outlet obstruction

Cardiovascular:

  • No symptomatic cardiovascular disease (e.g., congestive heart disease) or inability to tolerate a fluid load

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No active infection
  • No prior malignancies except adequately treated basal or squamous cell skin cancer or carcinoma in situ of the cervix

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No greater than 1 prior biologic response modifier treatment for metastatic disease

Chemotherapy:

  • No greater than 1 prior chemotherapy regimen for metastatic disease allowed
  • Patients who relapsed during or within 6 months after adjuvant chemotherapy are considered to have failed 1 regimen
  • Patients who relapsed more than 6 months after adjuvant chemotherapy are considered to not have had a prior regimen
  • Greater than 4 weeks since prior chemotherapy (greater than 6 weeks for mitomycin or nitrosoureas) and recovered
  • No prior cisplatin, etoposide, or ifosfamide

Endocrine therapy:

  • Prior medical or surgical hormonal therapy allowed

Radiotherapy:

  • Prior radiation therapy to areas of measurable disease allowed if indicator lesion increased in size by greater than 25% after treatment
  • Recovered from effects of prior radiotherapy

Surgery:

  • Recovered from effects of major surgery

Other:

  • At least 7 days since prior nephrotoxic drugs (e.g., aminoglycosides, diuretics, lithium, intravenous contrast, or nonsteroidal antiinflammatory drugs)
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00006260

Locations
United States, Ohio
Ireland Cancer Center    
      Cleveland, Ohio, United States, 44106-5055

Sponsors and Collaborators
Ireland Cancer Center
National Cancer Institute (NCI)

Investigators
Study Chair:     Scot C. Remick, MD     Case Comprehensive Cancer Center    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Study ID Numbers:   CDR0000068196, CWRU-4196, BMS-CRWU-4196, NCI-G00-1854
First Received:   September 11, 2000
Last Updated:   July 23, 2008
ClinicalTrials.gov Identifier:   NCT00006260
Health Authority:   United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV breast cancer  
recurrent breast cancer  

Study placed in the following topic categories:
Ifosfamide
Cisplatin
Skin Diseases
Breast Neoplasms
Mesna
Etoposide phosphate
Etoposide
Breast Diseases
Recurrence
Isophosphamide mustard

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Antineoplastic Agents, Alkylating
Alkylating Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on December 03, 2008




Links to all studies - primarily for crawlers