NCT00191152

Brief Summary

This is a phase III randomized study between the docetaxel/gemcitabine and docetaxel/ capecitabine doublets, with crossover to the alternate agent. The experimental arm will receive gemcitabine 1000 mg/m2 intravenous (IV) over 30 minutes days 1 and 8 and docetaxel 75 mg/m2 IV day 1 over 1 hour repeated every three weeks. The comparator arm will receive docetaxel 75 mgm/m2 IV day 1 over 1 hour and oral capecitabine 1000 mg/m2 twice daily, days 1 through 14 repeated every three weeks. Patients who progress on the experimental arm, will be treated with capecitabine as dosed on the comparator arm. Patients who progress on the comparator arm will be treated with gemcitabine as dosed on the experimental arm.

Trial Health

93
On Track

Trial Health Score

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

Enrollment
475

participants targeted

Target at P50-P75 for phase_3 breast-cancer

Timeline
Completed

Started Feb 2002

Typical duration for phase_3 breast-cancer

Geographic Reach
8 countries

65 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

February 1, 2002

Completed
3.6 years until next milestone

First Submitted

Initial submission to the registry

September 12, 2005

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 19, 2005

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2008

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 8, 2009

Completed
Last Updated

December 24, 2009

Status Verified

December 1, 2009

Enrollment Period

6.8 years

First QC Date

September 12, 2005

Results QC Date

November 4, 2009

Last Update Submit

December 21, 2009

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time to Disease Progression (Initial Treatment)

    Time to disease progression (TTDP) at initial treatment was defined as the number of months between date of randomization and the date of first documented disease progression or the date of death due to disease under study, whichever came first. TTDP censored at earliest of: 1) date of death not due to disease; or 2) date of last contact for participants alive without disease progression; or 3) start date of other anti-tumor therapy; or 4) first dose date of crossover treatment.

    Randomization date to the earliest date of first documented disease progression date or the date of death if the participant died due to study disease (up to 82 months)

Secondary Outcomes (12)

  • Time to Disease Progression (Crossover Treatment)

    Date of first dose of crossover treatment to date of first-documented disease progression after receiving first crossover treatment or date of death due to study disease, whichever came first (up to 82 months)

  • Progression-Free Survival (Initial Treatment)

    Date of randomization until the date of first documented progression or date of death from any cause, whichever came first (up to 82 months)

  • Progression-Free Survival (Crossover Treatment)

    First dose date of crossover treatment to date of first-documented progression after receiving crossover treatment or date of death due to any cause, whichever came first (up to 82 months)

  • Duration of Response (Initial Treatment)

    Date of response (CR or PR) until the first date of documented progression or death from any cause (up to 82 months)

  • Duration of Response (Crossover Treatment)

    Date of CR or PR until first date of recurrent or progressive disease after receiving crossover treatment was objectively documented or date of date due to any cause, whichever came first (up to 82 months)

  • +7 more secondary outcomes

Study Arms (2)

Gemcitabine + Docetaxel

EXPERIMENTAL
Drug: gemcitabineDrug: docetaxel

Capecitabine + Docetaxel

ACTIVE COMPARATOR
Drug: docetaxelDrug: capecitabine

Interventions

1000 mg/m2, intravenous (IV) day 1 and day 8 every 21 days until disease progression

Also known as: LY188011, Gemzar
Gemcitabine + Docetaxel

75 mg/m2, intravenous (IV), every 21 days until disease progression

Capecitabine + DocetaxelGemcitabine + Docetaxel

1000 mg/m2, by mouth (PO) twice a day (BID), days 1-14, every 21 days until disease progression

Capecitabine + Docetaxel

Eligibility Criteria

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

You may qualify if:

  • Histologic or cytologic confirmation of breast cancer with locally advanced and/or metastatic disease
  • Patients may have received prior neo-adjuvant or adjuvant taxane regimen as long as it has been greater than or equal to 6 months since completion of the regimen
  • Patients may have had 0-1, but no more than one prior course of chemotherapy for metastatic disease
  • Patients must have either measurable or non-measurable (evaluable) disease
  • Prior radiation therapy allowed of less than 25% of the bone marrow

You may not qualify if:

  • Second primary malignancy (except in situ carcinoma of the cervix or adequately treated nonmelanomatous carcinoma of the skin or other malignancy treated at least 5 years previously with no evidence of recurrence)
  • Parenchymal or leptomeningeal brain metastases
  • Peripheral neuropathy greater than or equal to grade 2
  • Prior treatment with gemcitabine and capecitabine will not be allowed. Prior treatment with a taxane in the metastatic setting will not be allowed. Prior taxane therapy in the neo-adjuvant or adjuvant setting is allowed if completion of therapy greater than or equal to 6 months prior to enrollment.
  • Active cardiac disease not controlled by therapy and/or myocardial infarction within the preceding 6 months.
  • Concomitant Herceptin is not allowed

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (65)

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Glendale, Arizona, United States

Location

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Fort Smith, Arkansas, United States

Location

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Hot Springs, Arkansas, United States

Location

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Little Rock, Arkansas, United States

Location

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Springdale, Arkansas, United States

Location

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Berkeley, California, United States

Location

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Fountain Valley, California, United States

Location

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Highland, California, United States

Location

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La Jolla, California, United States

Location

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Los Angeles, California, United States

Location

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Rancho Mirage, California, United States

Location

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San Diego, California, United States

Location

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Santa Rosa, California, United States

Location

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Sylmar, California, United States

Location

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Denver, Colorado, United States

Location

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Torrington, Connecticut, United States

Location

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Fort Myers, Florida, United States

Location

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Hollywood, Florida, United States

Location

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Orlando, Florida, United States

Location

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Idaho Falls, Idaho, United States

Location

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South Bend, Indiana, United States

Location

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Iowa City, Iowa, United States

Location

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Louisville, Kentucky, United States

Location

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Metairie, Louisiana, United States

Location

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Royal Oak, Michigan, United States

Location

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Southfield, Michigan, United States

Location

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Columbia, Missouri, United States

Location

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St Louis, Missouri, United States

Location

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Fremont, Nebraska, United States

Location

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Voorhees Township, New Jersey, United States

Location

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New York, New York, United States

Location

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Springfield, Ohio, United States

Location

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Dunmore, Pennsylvania, United States

Location

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Franklin, Pennsylvania, United States

Location

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Johnstown, Pennsylvania, United States

Location

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Kittanning, Pennsylvania, United States

Location

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Pittsburgh, Pennsylvania, United States

Location

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Charleston, South Carolina, United States

Location

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Knoxville, Tennessee, United States

Location

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Memphis, Tennessee, United States

Location

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Nashville, Tennessee, United States

Location

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Austin, Texas, United States

Location

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Dallas, Texas, United States

Location

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Lubbock, Texas, United States

Location

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San Antonio, Texas, United States

Location

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Madison, Wisconsin, United States

Location

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Milwaukee, Wisconsin, United States

Location

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Capital Federal, Argentina

Location

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Mendoza, Argentina

Location

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Rosario, Argentina

Location

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Santa Fe, Argentina

Location

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Waratah, New South Wales, Australia

Location

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Redcliffe, Queensland, Australia

Location

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Ashford, South Australia, Australia

Location

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Porto Alegre, Brazil

Location

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Acapulco, Mexico

Location

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Mexico City, Mexico

Location

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Michoacán, Mexico

Location

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Toluca, Mexico

Location

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San Juan, Puerto Rico

Location

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Seoul, South Korea

Location

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Kaohsiung City, Taiwan

Location

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Taichung, Taiwan

Location

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Taipei, Taiwan

Location

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Taoyuan District, Taiwan

Location

Related Publications (1)

  • Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.

Related Links

MeSH Terms

Conditions

Breast Neoplasms

Interventions

GemcitabineDocetaxelCapecitabine

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Heterocyclic CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

September 12, 2005

First Posted

September 19, 2005

Study Start

February 1, 2002

Primary Completion

November 1, 2008

Study Completion

November 1, 2008

Last Updated

December 24, 2009

Results First Posted

December 8, 2009

Record last verified: 2009-12

Locations