LY231514 Plus Gemcitabine in Treating Women With Metastatic Breast Cancer

This study has been completed.
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: July 5, 2000
Last updated: July 23, 2008
Last verified: May 2006

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.

PURPOSE: Phase II trial to study the effectiveness of combining LY231514 plus gemcitabine in treating women who have metastatic breast cancer.

Condition Intervention Phase
Breast Cancer
Drug: gemcitabine hydrochloride
Drug: pemetrexed disodium
Phase 2

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: A Phase II Study of a Combination of MTA (LY231514) and Gemcitabine in Patients With Metastatic Breast Cancer

Resource links provided by NLM:

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

Study Start Date: December 2000
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Detailed Description:


  • Assess the antitumor activity of pemetrexed disodium in combination with gemcitabine in the treatment of women with metastatic breast cancer who have received an anthracycline and a taxane in the adjuvant and/or metastatic setting and no more than 1 chemotherapy regimen for metastatic disease (unless these were a taxane and anthracycline).
  • Determine the toxicity of this regimen in this patient population.
  • Determine time to progression and overall survival of these patients receiving this regimen.

OUTLINE: Patients receive gemcitabine IV over 30 minutes on days 1 and 8. pemetrexed disodium IV is administered over 10 minutes 90 minutes following gemcitabine on day 8. Treatment continues every 21 days for a minimum of 6 courses in the absence of unacceptable toxicity or disease progression. Patients achieving a complete response receive 2 additional courses.

Patients are followed every 3 months for 5 years.

PROJECTED ACCRUAL: A total of 60 patients will be accrued for this study within 1 year.


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


  • Histologically or cytologically confirmed breast cancer with clinical evidence of metastatic disease
  • Bidimensionally measurable disease

    • If bisphosphonates used, must have measurable disease site other than bone
    • No bone only disease
  • Must have received a prior anthracycline and taxane in the adjuvant and/or metastatic setting
  • No clinically significant pericardial effusions, pleural effusions, or ascites unless they can be drained
  • No active CNS metastases

    • Treated CNS metastasis that has ben stable for at least 8 weeks allowed
  • Hormone receptor status:

    • Not specified



  • 18 and over


  • Female

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 3 months


  • Absolute neutrophil count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3


  • Bilirubin no greater than 2 times upper limit of normal (ULN)
  • AST no greater than 3 times ULN (5 times ULN if liver metastases)
  • Albumin at least 3.0 g/dL


  • Creatinine clearance at least 45 mL/min


  • No New York Heart Association class III or IV heart disease


  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Able to take folic acid and cyanocobalamin (vitamin B12) supplements
  • Body surface area less than 3 m^2
  • No uncontrolled infection
  • No chronic debilitating disease
  • No other prior malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or adequately treated noninvasive carcinomas


Biologic therapy:

  • At least 4 weeks since prior immunotherapy
  • At least 4 weeks since prior genetic therapy
  • No concurrent immunomodulating agents


  • See Disease Characteristics
  • No more than 3 prior chemotherapy regimens including adjuvant therapy

    • No more than 1 prior chemotherapy regimen for metastatic disease unless these were a taxane and anthracycline
  • At least 4 weeks since prior chemotherapy
  • No prior gemcitabine and/or pemetrexed disodium
  • No other concurrent cytostatic or cytotoxic chemotherapy

Endocrine therapy:

  • Not specified


  • At least 4 weeks since prior radiotherapy
  • No prior radiotherapy to greater than 25% of bone marrow
  • No prior strontium chloride Sr 89
  • No concurrent radiotherapy


  • At least 4 weeks since prior major surgery


  • No aspirin or nonsteroidal antiinflammatory agents 2 days before, the day of, and for 2 days after pemetrexed disodium administration (5 days before for long acting agents such as naproxen, piroxicam, diflunisal, or nabumetone)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00006007

  Show 24 Study Locations
Sponsors and Collaborators
North Central Cancer Treatment Group
Study Chair: Alex A. Adjei, MD, PhD Mayo Clinic
  More Information

Additional Information:
Ma CX, Steen P, Rowland KM, et al.: A phase II study of a combination of pemetrexed (Pem) and gemcitabine (Gem) in patients with metastatic breast cancer (MBC): an NCCTG study. [Abstract] J Clin Oncol 22 (Suppl 14): A-639, 36s, 2004. Identifier: NCT00006007     History of Changes
Other Study ID Numbers: CDR0000068015, NCCTG-983253
Study First Received: July 5, 2000
Last Updated: July 23, 2008
Health Authority: United States: Federal Government

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

Additional relevant MeSH terms:
Breast Neoplasms
Breast Diseases
Neoplasms by Site
Skin Diseases
Anti-Infective Agents
Antimetabolites, Antineoplastic
Antineoplastic Agents
Antiviral Agents
Enzyme Inhibitors
Folic Acid Antagonists
Immunologic Factors
Immunosuppressive Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Physiological Effects of Drugs
Radiation-Sensitizing Agents
Therapeutic Uses processed this record on July 01, 2015