Clinical trial

Randomised Phase II Study of the Combination of Oral Vinorelbine With Capecitabine Versus Gemcitabine in Combination With Paclitaxel Versus Gemcitabine in Combination With Docetaxel as First Line Chemotherapy in Patients With Metastatic Breast Cancer

Name
PM0259CA223B0
Description
The aim of this international open-label randomized phase II trial is to evaluate the efficacy and safety of an all-oral combination and two all-intravenous combinations as first-line therapy for HER2-negative mBC patients.
Trial arms
Trial start
2007-03-27
Estimated PCD
2013-04-18
Trial end
2013-04-18
Status
Completed
Phase
Early phase I
Treatment
oral vinorelbine
Oral vinorelbine 60 mg/m² on day 1 \& day 8, for cycle 1, and then 80 mg/m² on day 1 \& day 8, every 3 weeks for subsequent cycles
Arms:
Vinorelbine-Capecitabine (arm A)
Capecitabine
Capecitabine 1000 mg/m² twice a day (2000 mg/m² daily) from day 1 to day 14
Arms:
Vinorelbine-Capecitabine (arm A)
Gemcitabine 1250 mg/m²
Gemcitabine 1250 mg/m² on day 1 \& day 8
Arms:
Gemcitabine-Paclitaxel (arm B)
Gemcitabine 1000 mg/m²
Gemcitabine: 1000 mg/m² on day 1 \& 8
Arms:
Gemcitabine-Docetaxel (arm C)
Paclitaxel
Paclitaxel 175 mg/m² on day 1
Arms:
Gemcitabine-Paclitaxel (arm B)
Docetaxel
Docetaxel 75 mg/m² on day 1
Arms:
Gemcitabine-Docetaxel (arm C)
Size
152
Primary endpoint
Disease Control Rate (DCR)
From Baseline to disease progression or death, up to 6 years
Eligibility criteria
Inclusion Criteria: * Histologically confirmed adenocarcinoma of the breast; * Documented metastatic disease previously untreated by chemotherapy; * HER2 negative (assessed by 0-1+ IHC or 2+ IHC with FISH-) on the primary tumor or on metastatic site; * Karnofsky Performance Status 70%. Exclusion Criteria: * Local relapse alone after conservative treatment or contra-lateral tumor; * Patients with symptoms suggesting CNS involvement or leptomeningeal metastases; * Concomitant hormonal therapy for metastatic breast cancer; * Prior chemotherapy in the metastatic setting; * Patients previously treated with a vinca-alkaloid, capecitabine, gemcitabine or taxanes; * Prior severe and unexpected reaction to fluoropyrimidine therapy (with or without documented DPD deficiency) or known hypersensitivity to 5-fluorouracil.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 152, 'type': 'ACTUAL'}}
Updated at
2024-04-30

1 organization

5 products

1 indication

Indication
Breast Cancer
Product
Docetaxel
Product
Paclitaxel