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Docetaxel With or Without Metronomic Cyclophosphamide as First Line Chemotherapy in Metastatic Breast Cancer

Primary Purpose

Breast Cancer

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Docetaxel and Cyclophosphamide (TC)
Docetaxel (T)
Sponsored by
Fudan University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring Metronomic cyclophosphamide, metastatic breast cancer, first line, docetaxel

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Females with age between 18 and 70 years old
  2. ECOG performance between 0-1
  3. Life expectancy more than 3 months
  4. Histological proven unresectable recurrent or advanced breast cancer
  5. No previous chemotherapy for metastatic breast cancer;suitable for monotherapy (Neoadjuvant or adjuvant docetaxel should be completed at least one year).
  6. At least one measurable disease according to the response evaluation criteria in solid tumor (RECIST1.1)
  7. No anticancer therapy within 4 weeks
  8. Adequate hematologic, hepatic, and renal function,No serious medical history of heart, lung, liver and kidney
  9. Provision of written informed consent prior to any study specific procedures

Exclusion Criteria:

  1. Pregnant or lactating women (female patients of child-bearing potential must have a negative serum pregnancy test within 14 days of first day of drug dosing, or, if positive, a pregnancy ruled out by ultrasound)
  2. Women of child-bearing potential, unwilling to use adequate contraceptive protection during the course of the study
  3. Treatment with an investigational product within 4 weeks before the first treatment
  4. Symptomatic central nervous system metastases
  5. Other active malignancies (including other hematologic malignancies) or other malignancies, except for cured nonmelanoma skin cancer or cervical intraepithelial neoplasia.
  6. Patient having a history of clinically significant cardiovascular, hepatic, respiratory or renal diseases, clinically significant hematological and endocrinal abnormalities, clinically significant neurological or psychiatric conditions
  7. Uncontrolled serious infection
  8. Patients with bad compliance

Sites / Locations

  • Fudan University Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

TC

T

Arm Description

Docetaxel plus Cyclophosphamide

Docetaxel

Outcomes

Primary Outcome Measures

Progression Free Survival

Secondary Outcome Measures

Biomarker serum VEGF level
Relationship of serum VEGF level and efficacy
Biomarker immuno-marker
Relationship of immuno-marker(CD3,CD4,CD8 ect) and efficacy
Efficacy Overall Response Rate
Overall Response Rate
Efficacy Overall Survival
Overall Survival, OS
Safety
Safety(NCI CTCAE v4.0)
genetic polymorphisms
To evaluate the relationship of genetic polymorphisms and efficacy.

Full Information

First Posted
January 29, 2012
Last Updated
February 5, 2012
Sponsor
Fudan University
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1. Study Identification

Unique Protocol Identification Number
NCT01526499
Brief Title
Docetaxel With or Without Metronomic Cyclophosphamide as First Line Chemotherapy in Metastatic Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
February 2012
Overall Recruitment Status
Unknown status
Study Start Date
December 2011 (undefined)
Primary Completion Date
July 2013 (Anticipated)
Study Completion Date
July 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fudan University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the role of metronomic cyclophosphamide in addition to docetaxel in first line therapy in metastatic breast cancer.
Detailed Description
Metronomic chemotherapy has been considered as an effective strategy for metastatic breast cancer. This trial is designed to evaluate the role of metronomic cyclophosphamide in addition to docetaxel in first line therapy in metastatic breast cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
Metronomic cyclophosphamide, metastatic breast cancer, first line, docetaxel

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TC
Arm Type
Experimental
Arm Description
Docetaxel plus Cyclophosphamide
Arm Title
T
Arm Type
Active Comparator
Arm Description
Docetaxel
Intervention Type
Drug
Intervention Name(s)
Docetaxel and Cyclophosphamide (TC)
Intervention Description
Docetaxel 75mg/m2 IVGTT D1 Cyclophosphamide 50mg PO D1-21;every 21days
Intervention Type
Drug
Intervention Name(s)
Docetaxel (T)
Intervention Description
Docetaxel 75mg/m2 IVGTT D1;every 21days
Primary Outcome Measure Information:
Title
Progression Free Survival
Time Frame
6 weeks
Secondary Outcome Measure Information:
Title
Biomarker serum VEGF level
Description
Relationship of serum VEGF level and efficacy
Time Frame
6 weeks
Title
Biomarker immuno-marker
Description
Relationship of immuno-marker(CD3,CD4,CD8 ect) and efficacy
Time Frame
6 weeks
Title
Efficacy Overall Response Rate
Description
Overall Response Rate
Time Frame
6 weeks
Title
Efficacy Overall Survival
Description
Overall Survival, OS
Time Frame
6 weeks
Title
Safety
Description
Safety(NCI CTCAE v4.0)
Time Frame
6 weeks
Title
genetic polymorphisms
Description
To evaluate the relationship of genetic polymorphisms and efficacy.
Time Frame
6 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females with age between 18 and 70 years old ECOG performance between 0-1 Life expectancy more than 3 months Histological proven unresectable recurrent or advanced breast cancer No previous chemotherapy for metastatic breast cancer;suitable for monotherapy (Neoadjuvant or adjuvant docetaxel should be completed at least one year). At least one measurable disease according to the response evaluation criteria in solid tumor (RECIST1.1) No anticancer therapy within 4 weeks Adequate hematologic, hepatic, and renal function,No serious medical history of heart, lung, liver and kidney Provision of written informed consent prior to any study specific procedures Exclusion Criteria: Pregnant or lactating women (female patients of child-bearing potential must have a negative serum pregnancy test within 14 days of first day of drug dosing, or, if positive, a pregnancy ruled out by ultrasound) Women of child-bearing potential, unwilling to use adequate contraceptive protection during the course of the study Treatment with an investigational product within 4 weeks before the first treatment Symptomatic central nervous system metastases Other active malignancies (including other hematologic malignancies) or other malignancies, except for cured nonmelanoma skin cancer or cervical intraepithelial neoplasia. Patient having a history of clinically significant cardiovascular, hepatic, respiratory or renal diseases, clinically significant hematological and endocrinal abnormalities, clinically significant neurological or psychiatric conditions Uncontrolled serious infection Patients with bad compliance
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Leiping Wang, MD
Phone
+862164175590
Email
leipingwang@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhonghua Wang, MD
Organizational Affiliation
Fudan University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fudan University Cancer Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Leiping Wang, MD
Phone
+862164175590
Ext
8908
Email
leipingwang@163.com

12. IPD Sharing Statement

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Docetaxel With or Without Metronomic Cyclophosphamide as First Line Chemotherapy in Metastatic Breast Cancer

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