NCT00235235

Brief Summary

The proposed trial provides a unique opportunity in that it combines genomic, proteomic, and pharmacogenomic assessments in patients receiving the most commonly used chemotherapies for advanced breast cancer. To date no other trial has analyzed gene and protein expression at the same time points in the same patient, combined with clinical outcome. Similar to previous attempts to predict response based on expression of a single gene or protein, the researchers expect that neither genomic or proteomic profiling alone will be sufficient to optimize therapy. Rather, the researchers expect an iterative process that combines information gleaned from both platforms, modified to avoid toxicity based on pharmacogenomics.

Trial Health

60
Monitor

Trial Health Score

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

Enrollment
80

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2005

Longer than P75 for all trials

Geographic Reach
2 countries

11 active sites

Status
terminated

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, 2005

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 6, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 10, 2005

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
Last Updated

December 9, 2015

Status Verified

December 1, 2015

Enrollment Period

5.3 years

First QC Date

October 6, 2005

Last Update Submit

December 8, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • To correlate tumor gene expression (genomic profile) with response to commonly used chemotherapies in patients with advanced breast cancer

    36 months

Secondary Outcomes (4)

  • To correlate serum and tumor proteomic profiles with response to commonly used chemotherapies.

    36 months

  • To compare serum and tissue proteomic analyses.

    36 months

  • To compare genomic and proteomic profiles.

    36 months

  • To correlate toxicity and/or response with drug-specific pharmacogenomic parameters.

    36 months

Study Arms (4)

A

Doxorubicin 60 mg/m2 + Cyclophosphamide 600 mg/m2 day 2 of every 21-day cycle

Procedure: BiopsyProcedure: Serum CollectionProcedure: Urine CollectionDrug: DoxorubicinDrug: Cyclophosphamide

B

Capecitabine 1000mg/m2 bid days 1-14 of every 21-day cycle

Procedure: BiopsyProcedure: Serum CollectionProcedure: Urine CollectionDrug: Capecitabine

C

Vinorelbine 25 mg/m2 days 1, 8, 15 of every 28-day cycle

Procedure: BiopsyProcedure: Serum CollectionProcedure: Urine CollectionDrug: Vinorelbine

D

Gemcitabine 1000mg/m2 days 1, 8, 15 of every 28-day cycle

Procedure: BiopsyProcedure: Serum CollectionProcedure: Urine CollectionDrug: Gemcitabine

Interventions

BiopsyPROCEDURE

core biopsy

ABCD

serum collection

ABCD

urine collection

ABCD

Doxorubicin 60 mg/m2 day 1 of every 21-day cycle

A

Cyclophosphamide 600 mg/m2 day 1 of every 21-day cycle

A

Capecitabine 1000 mg/m2 bid days 1-14 of every 21-day cycle

B

Vinorelbine 25mg/m2 days 1, 8, 15 of every 28-day cycle

C

Gemcitabine 1000mg/m2 days 1, 8, 15 of every 28-day cycle

D

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Study limited to patients with breast cancer.

You may qualify if:

  • Histologically or cytologically confirmed adenocarcinoma of the breast with locally advanced or metastatic disease.
  • Disease amenable to pre-treatment core or incisional biopsy with adequate tissue for histology and genomic/proteomic analysis.
  • Measurable disease as assessed within 21 days prior to being registered for protocol therapy by RECIST.
  • Planned chemotherapy with one of the following regimens:
  • Doxorubicin 60 mg/m2 + Cyclophosphamide 600 mg/m2 day 1 of every 21-day cycle
  • Capecitabine 1000 mg/m2 BID days 1-14 of every 21-day cycle
  • Vinorelbine 25 mg/m2 days 1, 8, 15 of every 28-day cycle
  • Gemcitabine 1000 mg/m2 days 1, 8, 15 of every 28-day cycle

You may not qualify if:

  • No serious uncontrolled medical or surgical condition that the investigator feels might compromise study participation.
  • Negative pregnancy test obtained within 7 days prior to being registered for protocol therapy for women of child bearing potential.
  • Unwillingness to use adequate contraception (or practicing complete abstinence). Subjects should be advised that adequate contraception (or complete abstinence) must be continued while on treatment and for a period of 3 months after the final dose of chemotherapy.
  • No breast-feeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Cancer Care Center of Southern Indiana

Bloomington, Indiana, 47403, United States

Location

Fort Wayne Oncology & Hematology, Inc

Fort Wayne, Indiana, 46815, United States

Location

Center for Cancer Care at Goshen Health System

Goshen, Indiana, 46527, United States

Location

Indiana University Cancer Center

Indianapolis, Indiana, 46202, United States

Location

Mary Lou Mayer, M.D.

Indianapolis, Indiana, 46227, United States

Location

Community Regional Cancer Center

Indianapolis, Indiana, 46256, United States

Location

Arnett Cancer Care

Lafayette, Indiana, 47904, United States

Location

Horizon Oncology Center

Lafayette, Indiana, 47905, United States

Location

Northern Indiana Cancer Research Consortium

South Bend, Indiana, 46601, United States

Location

Baylor College of Medicine - Methodist Breast Center

Houston, Texas, 77030, United States

Location

Instituto de Enfermedades Neoplasticas (INEN)

Lima, Peru

Location

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

core biopsy, serum, urine

MeSH Terms

Conditions

Breast Neoplasms

Interventions

BiopsyUrine Specimen CollectionDoxorubicinCyclophosphamideCapecitabineVinorelbineGemcitabine

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

CytodiagnosisCytological TechniquesClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisSpecimen HandlingDiagnostic Techniques, SurgicalSurgical Procedures, OperativeInvestigative TechniquesDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedPhosphoramidesOrganophosphorus CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizines

Study Officials

  • Kathy Miller, M.D.

    Hoosier Oncology Group, LLC

    STUDY CHAIR
  • George Sledge, M.D.

    Hoosier Oncology Group, LLC

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, IU School of Medicine

Study Record Dates

First Submitted

October 6, 2005

First Posted

October 10, 2005

Study Start

September 1, 2005

Primary Completion

December 1, 2010

Study Completion

December 1, 2010

Last Updated

December 9, 2015

Record last verified: 2015-12

Locations