NCT00049114

Brief Summary

Drugs used in chemotherapy, such as doxorubicin and cyclophosphamide, work in different ways to stop tumor cells from dividing so they stop growing or die. Tipifarnib may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Combining tipifarnib with doxorubicin and cyclophosphamide may kill more tumor cells. Phase II trial to study the effectiveness of combining tipifarnib with doxorubicin and cyclophosphamide in treating women who have locally advanced breast cancer.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
62

participants targeted

Target at P50-P75 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 12, 2002

Completed
3 months until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
5 days until next milestone

Study Start

First participant enrolled

February 1, 2003

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2007

Completed
Last Updated

June 6, 2013

Status Verified

June 1, 2013

Enrollment Period

3.9 years

First QC Date

November 12, 2002

Last Update Submit

June 5, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • Pathological complete response in the breast

    95% confidence intervals of these estimates will be obtained.

    8 weeks

Secondary Outcomes (5)

  • Proportion of patients who have a clinical complete response

    8 weeks

  • Grade 3 or 4 toxicities assessed using NCI CTCAE version 3.0

    Up to 5 years

  • Median disease-free survival

    Up to 5 years

  • Percentage of patients free of disease

    1 year

  • Percentage of patients free of disease

    2 years

Study Arms (1)

Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

EXPERIMENTAL

PHASE I (nonregional stage IV disease) (closed to accrual as of 1/19/04): Patients receive doxorubicin IV over 10-15 minutes and cyclophosphamide IV over 30 minutes on day 1, oral tipifarnib twice daily on days 2-7, and G-CSF subcutaneously on days 2-13. Treatment repeats every 2 weeks for 4 courses in the absence of disease progression or unacceptable toxicity. PHASE II (stage IIB, IIIA, IIIB, or IIIC): Patients receive tipifarnib at the MTD and doxorubicin, cyclophosphamide, and G-CSF as in phase I (phase I closed to accrual as of 1/19/04). After the fourth course, patients may undergo complete resection.

Drug: doxorubicin hydrochlorideDrug: cyclophosphamideDrug: tipifarnibBiological: filgrastimProcedure: therapeutic conventional surgeryOther: laboratory biomarker analysis

Interventions

Also known as: ADM, ADR, Adria, Adriamycin PFS, Adriamycin RDF
Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

Given IV

Also known as: CPM, CTX, Cytoxan, Endoxan, Endoxana
Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

Given orally

Also known as: R115777, Zarnestra
Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)
filgrastimBIOLOGICAL

Given subcutaneously

Also known as: G-CSF, Neupogen
Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

Undergo complete resection

Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

Correlative studies

Treatment (doxorubicin, cyclophosphamide, tipifarnib, G-CSF)

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed adenocarcinoma of the breast
  • Phase I (closed to accrual as of 1/19/04):
  • Nonregional stage IV disease
  • Phase II:
  • Locally advanced disease, according to AJCC staging criteria:
  • Stage IIB
  • Stage IIIA
  • Stage IIIB
  • Stage IIIC
  • At least 1 bidimensionally or unidimensionally measurable indicator lesion
  • Hormone receptor status:
  • Not specified
  • Female
  • Performance status - ECOG 0-1
  • Performance status - Karnofsky 70-100%
  • +40 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Albert Einstein College of Medicine

The Bronx, New York, 10461, United States

Location

MeSH Terms

Conditions

Inflammatory Breast NeoplasmsBreast Neoplasms

Interventions

DoxorubicinCyclophosphamidetipifarnibFilgrastimGranulocyte Colony-Stimulating Factor

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

DaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedPhosphoramidesOrganophosphorus CompoundsColony-Stimulating FactorsGlycoproteinsGlycoconjugatesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological Factors

Study Officials

  • Joseph Sparano

    Albert Einstein College of Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 12, 2002

First Posted

January 27, 2003

Study Start

February 1, 2003

Primary Completion

January 1, 2007

Last Updated

June 6, 2013

Record last verified: 2013-06

Locations