Concomitant Chemoradiotherapy With Weekly Paclitaxel and Vinorelbine and Granulocyte Colony Stimulating Factor (GCSF) Support in Patients With Advanced Breast Cancer
A Phase I Study of Concomitant Chemoradiotherapy With Weekly Paclitaxel and Vinorelbine With Filgrastim Granulocyte Colony Stimulating Factor (GCSF) Support in Patients With Advanced Breast Cancer
1 other identifier
interventional
26
1 country
1
Brief Summary
The goal of this study is to determine the feasibility based on toxicity and response rate of giving paclitaxel weekly with concomitant every-other week radiotherapy to limit skin toxicity. This study will also seek to determine the maximally tolerated dose of Navelbine added to this combination when followed by Filgrastim and the dose-limiting toxicities of this regimen.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 breast-cancer
Started Jun 1999
Longer than P75 for phase_1 breast-cancer
1 active site
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
June 1, 1999
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2005
CompletedFirst Submitted
Initial submission to the registry
July 25, 2008
CompletedFirst Posted
Study publicly available on registry
July 29, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedMarch 7, 2014
March 1, 2014
6.3 years
July 25, 2008
March 6, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
feasibility of administering study therapy to limit skin toxicity
4 weeks
dose-limiting toxicity
4 weeks
Secondary Outcomes (4)
response
14 weeks
time to progression
overall survival
Bcl-2 detection by immunohistochemistry
14 weeks
Interventions
escalating doses administered intravenously over 6-10 minutes for 12-14 weeks
daily injections for 6 days beginning on day 2 of second week on study and then every other week (weeks 2, 4, 6, 8, 12). For the final dose cohort, administration on chemotherapy only weeks, only if dose reduction or dose delay required by subject
Radiotherapy for 5 consecutive days every other week (weeks 1, 3, 5, 7, 9, 11, 13)starting on same day as first dose of protocol chemotherapy
Eligibility Criteria
You may qualify if:
- Histologically or cytologically confirmed adenocarcinoma of the male or female breast (male or female) with gross, uncontrolled, unresectable breast and/or chest wall disease including:
- patients with locally advanced unresectable stage IIIa or IIIb;
- patients with locally recurrent (including locoregional lymph nodes) disease for which curative surgery is not thought possible
- patients with metastatic disease AND uncontrolled locoregional disease are eligible.
- Prior chemotherapy allowed, except for nitrosoureas and mitomycin chemotherapy or high dose chemotherapy with marrow or stem cell rescue.
- Prior palliative radiation to sites of metastases allowed (i.e. bone, brain, lung)
- weeks since any prior treatments (excluding hormonal therapy). Concurrent hormonal therapy is not allowed.
- Aged 18 years or older
- CALGB performance status of 0 - 2
- Life expectance of at least 12 weeks
- Initial Laboratory Data:
- ANC Count \> 1500/mm3
- Platelet Count \> 100,000/mm3
- Creatine ≤ 2.0 mg/dl
- Bilirubin ≤ 1.5 mg/dl
- +2 more criteria
You may not qualify if:
- Prior breast or chest wall radiation is not allowed unless the proposed site radiation port does not overlap with prior ports
- Subjects must not be pregnant (females able to have children must have negative pregnancy test and agree to use adequate contraception)
- Patients with a documented hypersensitivity to E.coli derived proteins are excluded.
- No other serious medical condition such as uncontrolled infection that in the opinion of the investigators places patient at undue risk for study treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Chicagolead
- Amgencollaborator
Study Sites (1)
University of Chicago
Chicago, Illinois, 60637, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 25, 2008
First Posted
July 29, 2008
Study Start
June 1, 1999
Primary Completion
October 1, 2005
Study Completion
November 1, 2012
Last Updated
March 7, 2014
Record last verified: 2014-03