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| Sponsor: | Eastern Cooperative Oncology Group |
|---|---|
| Collaborator: |
National Cancer Institute (NCI) |
| Information provided by: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT00057941 |
Purpose
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using anastrozole and fulvestrant may fight breast cancer by blocking the use of estrogen. Gefitinib may stop the growth of cancer cells by blocking the enzymes necessary for their growth. It is not yet known whether gefitinib is more effective when combined with anastrozole or fulvestrant in treating breast cancer.
PURPOSE: This randomized phase II trial is studying how well giving gefitinib together with anastrozole works compared to giving gefitinib together with fulvestrant in treating postmenopausal women with recurrent or metastatic breast cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: anastrozole Drug: fulvestrant Drug: gefitinib |
Phase II |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized, Open Label, Active Control |
| Official Title: | A Randomized Phase II Trial of Combination Anastrozole (NSC #719344) Plus ZD1839 (Iressa, NSC #715055, IND #61187) and of Combination Fulvestrant (NSC #719276) Plus ZD1839 in the Treatment of Postmenopausal Women With Hormone Receptor-Positive Metastatic Breast Cancer |
| Estimated Enrollment: | 148 |
| Study Start Date: | September 2003 |
| Estimated Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Arm I: Experimental
Patients receive oral anastrozole and oral gefitinib once daily on days 1-28.
|
Drug: anastrozole
Given orally
Drug: gefitinib
Given orally
|
|
Arm II: Experimental
Patients receive fulvestrant intramuscularly on day 1 and oral gefitinib once daily on days 1-28.
|
Drug: fulvestrant
Given intramuscularly
Drug: gefitinib
Given orally
|
OBJECTIVES:
OUTLINE: This is a randomized, open-label study. Patients are stratified according to prior hormonal therapy (yes vs no) and dominant site of disease (soft tissue/lymph nodes vs bone vs visceral). Patients are randomized to 1 of 2 treatment arms.
Courses in both arms repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 2 years and then every 6 months for 1 year.
PROJECTED ACCRUAL: A total of 148 patients (74 per treatment arm) will be accrued for this study within 2 years.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of the breast
Hormone receptor status:
PATIENT CHARACTERISTICS:
Age
Sex
Menopausal status
Postmenopausal* defined by 1 of the following:
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Concurrent radiotherapy to painful sites of bony disease or areas of impending fracture is allowed provided the following conditions are met:
Surgery
Other
Contacts and Locations
Show 150 Study Locations| Study Chair: | Robert W. Carlson, MD | Stanford University |
More Information
| Responsible Party: | Stanford Cancer Center ( Robert W. Carlson ) |
| Study ID Numbers: | CDR0000285631, ECOG-4101 |
| Study First Received: | April 7, 2003 |
| Last Updated: | October 23, 2008 |
| ClinicalTrials.gov Identifier: | NCT00057941 History of Changes |
| Health Authority: | United States: Food and Drug Administration |
|
recurrent breast cancer stage IV breast cancer |
|
Anastrozole Estrogen Antagonists Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Hormonal Skin Diseases Antineoplastic Agents Hormone Antagonists Physiological Effects of Drugs Hormones, Hormone Substitutes, and Hormone Antagonists Fulvestrant Breast Neoplasms |
Enzyme Inhibitors Protein Kinase Inhibitors Pharmacologic Actions Estrogen Receptor Modulators Neoplasms Neoplasms by Site Therapeutic Uses Aromatase Inhibitors Gefitinib Breast Diseases |