NCT00070252

Brief Summary

Phase I/II trial to study the effectiveness of neoadjuvant tipifarnib combined with docetaxel and capecitabine in treating patients who have locally advanced or metastatic solid tumors or stage IIIA or stage IIIB breast cancer. Tipifarnib may stop the growth of tumor cells by blocking the enzymes necessary for cancer cell growth. Drugs used in chemotherapy, such as docetaxel and capecitabine, use different ways to stop tumor cells from dividing so they stop growing or die. Combining tipifarnib with docetaxel and capecitabine may kill more tumor cells.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
53

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Sep 2003

Longer than P75 for phase_1

Geographic Reach
1 country

7 active sites

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

Study Start

First participant enrolled

September 1, 2003

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 3, 2003

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 7, 2003

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2006

Completed
4.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2010

Completed
Last Updated

May 4, 2015

Status Verified

December 1, 2012

Enrollment Period

2.4 years

First QC Date

October 3, 2003

Last Update Submit

May 1, 2015

Conditions

Outcome Measures

Primary Outcomes (2)

  • Dose-limiting toxicity (DLT) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 (Phase I)

    21 days

  • Pathologic complete response rate (Phase II)

    Estimated by the number of patients with a complete pathologic response divided by the total number of evaluable patients. Ninety-five percent confidence intervals for the true pathologic complete response probability will be calculated according to the approach of Duffy and Santner.

    Up to 5 years

Secondary Outcomes (3)

  • Clinical tumor response (complete response [CR] or partial response [PR]) (Phase I)

    Up to 5 years

  • Overall survival

    From registration to death due to any cause, assessed up to 5 years

  • Toxicity as assessed by the National Cancer Institute (NCI) CTCAE version 3.0

    Up to 5 years

Study Arms (1)

Treatment (tipifarnib, capecitabine, docetaxel)

EXPERIMENTAL

Phase Ib: Patients receive oral tipifarnib twice daily and oral capecitabine twice daily on days 1-14 and docetaxel IV over 30-60 minutes on days 1 and 8. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Phase II: Patients receive oral tipifarnib twice daily for 6 days. Beginning at least 48 hours after completion of the initial dose of tipifarnib, patients receive treatment as in phase Ib for up to 6 courses at the MTD of capecitabine.

Drug: CapecitabineDrug: DocetaxelOther: Laboratory Biomarker AnalysisOther: Pharmacological StudyDrug: Tipifarnib

Interventions

Given PO

Also known as: Ro 09-1978/000, Xeloda
Treatment (tipifarnib, capecitabine, docetaxel)

Given IV

Also known as: RP56976, Taxotere, Taxotere Injection Concentrate
Treatment (tipifarnib, capecitabine, docetaxel)

Correlative studies

Treatment (tipifarnib, capecitabine, docetaxel)

Correlative studies

Treatment (tipifarnib, capecitabine, docetaxel)

Given orally (PO)

Also known as: R115777, Zarnestra
Treatment (tipifarnib, capecitabine, docetaxel)

Eligibility Criteria

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

You may qualify if:

  • Histologically or cytologically confirmed solid tumor
  • Locally advanced or metastatic
  • No known standard therapy that is potentially curative or definitely capable of extending life expectancy
  • No history of metastatic brain disease within the past 6 months
  • Treated metastatic brain disease is allowed provided disease has been stable for more than 6 months and does not require concurrent steroids or anti-seizure medication
  • Histologically confirmed breast cancer
  • Stage IIIA or stage IIIB, including ipsilateral palpable supraclavicular lymph node(s) without other distant metastasis
  • Invasive disease confirmed by 1 of the following\*:
  • Incisional biopsy
  • Punch biopsy (applicable for clinical T4b tumors)
  • Core needle (cutting needle) biopsies
  • No distant metastatic disease
  • Hormone receptor status:
  • Not specified
  • Male or female
  • +47 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

Mayo Clinic in Arizona

Scottsdale, Arizona, 85259, United States

Location

Howard University Cancer Center CCOP

Washington D.C., District of Columbia, 20060, United States

Location

Mayo Clinic in Florida

Jacksonville, Florida, 32224-9980, United States

Location

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

University of Wisconsin Medical School

Milwaukee, Wisconsin, 53201, United States

Location

MeSH Terms

Conditions

Inflammatory Breast NeoplasmsBreast Neoplasms, MaleBreast Neoplasms

Interventions

CapecitabineDocetaxeltipifarnib

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

DeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Officials

  • Philip Philip

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 3, 2003

First Posted

October 7, 2003

Study Start

September 1, 2003

Primary Completion

February 1, 2006

Study Completion

June 1, 2010

Last Updated

May 4, 2015

Record last verified: 2012-12

Locations