Intra-hepatic Chemotherapy in Patients With Liver Metastases From Breast Cancer and Limited Extrahepatic Disease
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ClinicalTrials.gov Identifier: NCT01387295 |
Recruitment Status : Unknown
Verified June 2013 by Dorte Nielsen, Herlev Hospital.
Recruitment status was: Recruiting
First Posted : July 4, 2011
Last Update Posted : March 21, 2014
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This is a phase II trial evaluating intra-hepatic chemotherapy with oxaliplatin every second week in combination with systemic capecitabine and in patients with a HER2-positive tumour in combination with trastuzumab (Herceptin®) in patient with non-resectable liver metastases from breast cancer.
Only patients with limited extrahepatic disease are included.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Metastatic Breast Cancer Liver Metastases | Drug: oxaliplatin, capecitabine, trastuzumab | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 100 participants |
Allocation: | Non-Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Intra-hepatic Chemotherapy With Oxaliplatin Every Second Week in Combination With Systemic Capecitabine in Patient With Non-resectable Liver Metastases From Breast Cancer A Phase II Trial in Patients With Limited Extrahepatic Disease |
Study Start Date : | April 2010 |
Estimated Primary Completion Date : | December 2014 |
Estimated Study Completion Date : | December 2014 |

Arm | Intervention/treatment |
---|---|
Experimental: chemotherapy |
Drug: oxaliplatin, capecitabine, trastuzumab
Oxaliplatin intrahepatic capecitabine and trastuzumab systemic
Other Name: HAI |
- Response rate [ Time Frame: 6 months after last patient included ]Number of patients with complete or partial response in the liver (RECIST version 1.1). Only patients with measurable disease are included in the protocol. Response rate number of patients with CR + PR divided with total number
- Number of patients suitable for local therapy (radiofrequency) [ Time Frame: 6 months after last patient included ]Total number of patients receiving RF treatment or surgical treatment
- Survival [ Time Frame: 6 months after last patient included ]All patients in intent-to-treat population , calculated from start of treatment to death of any course
- toxicity [ Time Frame: 28 days after last treatment of last patient ]All patients who received at least one dose of study drug are evaluable for toxicity. CTC version 3.0 will be used.
- PFS [ Time Frame: 6 months after last patient included ]From start of therapy to progression or death of any cause.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:• Informed consent
- Age > 18 years
- Performance status 0-1; expected survival ≥ 3 months
- Patient with histologically or cytologically confirmed locally advanced or metastatic adenocarcinoma of the breast
- Liver metastases not suitable for local treatment
- Extrahepatic disease should be determined by PET-CT-scan.
- No progression on treatment with capecitabine.
- Prior treatment with taxane (adjuvant or for metastatic disease)
- Metastases < 70 % of the liver
- Neutrophile granulocytes > 1.5 x 109/l og thrombocytes > 100 x 109/l
- Bilirubin < 2.0 x UNL (upper normal limit).
- Creatinine-clearance > 30 ml/min.
- INR < 1.6.
- If the patient is HER2-positive:Baseline LVEF ≥ 50 %
Exclusion Criteria:
- History of chemotherapy within the 4-week period prior to the start of trial medication
- Other current or prior malignant disease except adequately treated and cured carcinoma in situ of the cervix or squamous cell carcinoma of the skin.
- Previous treatment with oxaliplatin
- Cytotoxic or experimental treatment within a 14 days period before start of trial medication
- The patient is not allowed to participate in other clinical trials.
- Any clinical symptoms suggesting peripheral neuropathy < or equal to grade 2 or CNS metastases (In case of clinical suspicion on CNS metastases a MR or CT scan should be performed within 4 weeks before inclusion
- Other severe medical conditions e.g. severe cardial disease or AMI < 1 year
- Presence of diseases which prevent oral therapy.
- Patients with uncontrolled infection
- Pregnant or lactating women
- Women capable of childbearing not using a sufficient non-hormonal method of birth control
- Patients not able to understand the treatment or to collaborate.
- Prior serious or unsuspected reaction after treatment with fluoropyrimidine
- Known prior hypersensitivity reactions to the agents
If the patient is HER2-positive:
- Dyspnoea in due to complication related to malignant disease e.g.lung metastases with lymphangitis or other conditions with need of supportive oxygen.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01387295
Contact: Dorte Nielsen, Professor | +4544884000 ext 82344 | dornie01@heh.regionh.dk | |
Contact: Birgitte Krogh Jensen, Study nurse | +4544884000 ext 89562 | bikrje01@heh.regionh.dk |
Denmark | |
Herlev Hospital | Recruiting |
Herlev, Denmark, DK-2730 | |
Contact: Dorte Nielsen, Professor +4544884000 ext 82344 dornie01@heh.regionh.dk | |
Contact: Birgitte Krogh Jensen, Study nurse +454488000 ext 89562 bikrje01@heh.regionh.dk | |
Principal Investigator: Dorte Nielsen, professor |
Principal Investigator: | Dorte Nielsen, Professor | professor |
Responsible Party: | Dorte Nielsen, Responsible Party was entered in the old format as Dorte Nielsen, professor DMSci, Department of Oncology, Herlev Hospital., Herlev Hospital |
ClinicalTrials.gov Identifier: | NCT01387295 |
Other Study ID Numbers: |
MA 0918 |
First Posted: | July 4, 2011 Key Record Dates |
Last Update Posted: | March 21, 2014 |
Last Verified: | June 2013 |
breast cancer liver metastases intrahepatic chemotherapy |
Breast Neoplasms Neoplasm Metastasis Neoplasms, Second Primary Liver Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Neoplastic Processes Pathologic Processes Digestive System Neoplasms |
Digestive System Diseases Liver Diseases Capecitabine Oxaliplatin Trastuzumab Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Antineoplastic Agents, Immunological |