Whole Brain Radiation Therapy With Oxygen, With or Without RSR13, in Women With Brain Metastases From Breast Cancer

NCT ID: NCT00083304

Last Updated: 2013-05-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

368 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-02-29

Study Completion Date

2007-06-30

Brief Summary

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RSR13 (efaproxiral) is a radiation sensitizer that has shown positive results in a Phase 3, randomized clinical trial of patients with brain metastases. Of 111 eligible breast cancer patients with brain metastases in that trial, 59 patients who received RSR13 prior to radiation therapy had a median survival time that was twice as long as the 52 patients who did not receive RSR13 prior to radiation therapy.

RSR13 (efaproxiral) is an experimental drug that increases the amount of oxygen released from blood into the tissues. It is well known that certain types of cancer tumors, including those in brain metastases, lack oxygen. Lack of oxygen in a tumor can reduce the effect of radiation therapy (RT). RSR13 may increase the oxygen level in brain tumors so that radiation therapy works better.

This study will enroll up to 360 women with brain metastases from breast cancer, and will evaluate if whole brain radiation therapy given with RSR13 will have a better treatment effect than whole brain radiation therapy alone. RSR13 will be infused intravenously (IV) through a central catheter placed in a central vein. Women randomized (assigned) to receive RSR13, therefore, will need to have a central catheter placed for treatment unless one is already in place.

Detailed Description

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The screening process will include documentation of the cancer, which which will require a brain scan and may include a liver scan. Other screening measurements will include a Karnofsky Performance Status (KPS) assessment, measurement of the amount of oxygen in the blood, using a non-invasive device most often placed on the finger, lung function tests that will require blowing into a machine, and an electrocardiogram (ECG). About 2 teaspoons, or 10 mL, of blood will be taken for specific laboratory tests, and a pregnancy test will be done on the blood of women of childbearing potential.

All study patients will receive supplemental oxygen and whole brain radiation therapy (WBRT) (30 Gy, 3 Gy fractions) every weekday for 2 weeks. Half of the patients will be randomized (assigned) to receive RSR13 prior to WBRT, and will need to have a central catheter placed for treatment unless one is already in place. Patients who receive RSR13 will also need to continue to receive oxygen in the clinic until the amount of oxygen in their blood is near normal. This level has returned to near normal in most patients within 1 to 2 hours.

During treatment and follow-up visits, physical and neurological exam, KPS assessment, weight, height, and vital sign measurements, and about 2 teaspoons of blood may be required. Patients will need to return for follow-up visits 1 month after completion of treatment, 2 months later, and every 3 months thereafter until their doctor tells them otherwise.

Conditions

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Breast Cancer Metastases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Efaproxiral + WBRT + Supplemental Oxygen

Group Type EXPERIMENTAL

Efaproxiral

Intervention Type DRUG

75 mg/kg, administered over 30 minutes via a central venous access device (CVAD).

Administered 30 minutes prior to the start of whole brain radiation therapy (WBRT) on each WBRT treatment day for 10 days.

Whole Brain Radiation Therapy (WBRT)

Intervention Type RADIATION

3.0 Gy per day for 10 days (30.0 Gy total) of WBRT.

Supplemental Oxygen

Intervention Type OTHER

4 L/minute by nasal cannula.

Administered at least 35 minutes prior to WBRT, during WBRT and until 15 minutes after completion of WBRT on all WBRT treatment days.

WBRT + Supplemental Oxygen

Group Type ACTIVE_COMPARATOR

Whole Brain Radiation Therapy (WBRT)

Intervention Type RADIATION

3.0 Gy per day for 10 days (30.0 Gy total) of WBRT.

Supplemental Oxygen

Intervention Type OTHER

4 L/minute by nasal cannula.

Administered at least 35 minutes prior to WBRT, during WBRT and until 15 minutes after completion of WBRT on all WBRT treatment days.

Interventions

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Efaproxiral

75 mg/kg, administered over 30 minutes via a central venous access device (CVAD).

Administered 30 minutes prior to the start of whole brain radiation therapy (WBRT) on each WBRT treatment day for 10 days.

Intervention Type DRUG

Whole Brain Radiation Therapy (WBRT)

3.0 Gy per day for 10 days (30.0 Gy total) of WBRT.

Intervention Type RADIATION

Supplemental Oxygen

4 L/minute by nasal cannula.

Administered at least 35 minutes prior to WBRT, during WBRT and until 15 minutes after completion of WBRT on all WBRT treatment days.

Intervention Type OTHER

Other Intervention Names

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RSR13

Eligibility Criteria

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Inclusion Criteria

* Adult women with brain metastases from breast cancer
* Minimum KPS of 70

Exclusion Criteria

* Previous treatment for brain metastases, including brain surgery and any form of radiation to the brain
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Spectrum Pharmaceuticals, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Allos Therapeutics, Inc.

Principal Investigators

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John Suh, MD

Role: STUDY_CHAIR

The Cleveland Clinic

Locations

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Virginia G. Piper Cancer Center, Arizona Oncology Services

Phoenix, Arizona, United States

Site Status

Arizona Cancer Center, University of Arizona

Tucson, Arizona, United States

Site Status

The University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

Site Status

Alta Bates Comprehensive Cancer Center

Berkeley, California, United States

Site Status

University of California at Los Angeles

Los Angeles, California, United States

Site Status

Radiological Associates of Sacramento

Sacramento, California, United States

Site Status

UCSF - Comprehensive Cancer Center

San Francisco, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Boca Raton Community Hospital

Boca Raton, Florida, United States

Site Status

University of Miami Medical

Miami, Florida, United States

Site Status

University of South Florida - H. Lee Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Parkview Research Center

Fort Wayne, Indiana, United States

Site Status

Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status

Siouxland Regional Cancer Center

Sioux City, Iowa, United States

Site Status

Johns Hopkins Oncology Center

Baltimore, Maryland, United States

Site Status

Maryland Hematology Oncology

Baltimore, Maryland, United States

Site Status

Franklin Square Hospital Center

Baltimore, Maryland, United States

Site Status

Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

University of Minnesota Cancer Center

Minneapolis, Minnesota, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Dent Neurologic Institute

Amherst, New York, United States

Site Status

SUNY Downstate Medical Center

Brooklyn, New York, United States

Site Status

Eastchester Center for Cancer Care

The Bronx, New York, United States

Site Status

University of North Carolina Breast Center

Chapel Hill, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

University of Cincinnati Division of Hematology-Oncology

Cincinnati, Ohio, United States

Site Status

Cleveland Clinic Hospital

Cleveland, Ohio, United States

Site Status

Ohio State University

Columbus, Ohio, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

Texas Oncology

Dallas, Texas, United States

Site Status

Texas Oncology

Fort Worth, Texas, United States

Site Status

Virginia Mason Cancer Center

Seattle, Washington, United States

Site Status

Wenatchee Valley Clinic

Wenatchee, Washington, United States

Site Status

University of Wisconsin

Madison, Wisconsin, United States

Site Status

Instituto Medico Especializado Alexander Fleming

Buenos Aires, Cuidad de Buenos Aires, Argentina

Site Status

Instituto de Oncologia A. Roffo

Buenos Aires, , Argentina

Site Status

Hospital Espanol

Buenos Aires, , Argentina

Site Status

Instituto Privado de Radioterapia y Oncologia

Córdoba, , Argentina

Site Status

Centro de Terapia Radiante Cumbres (CAICI)

Rosario, , Argentina

Site Status

LKH-Universitatsklinikum Graz

Graz, , Austria

Site Status

Medical University Innsbruck

Innsbruck, , Austria

Site Status

Hospital Sao Lucas PUC

Teófilo, Fortaleza Ceara, Brazil

Site Status

Fundação Pio XII - Hospital do Câncer de Barretos

Barretos, São Paulo, Brazil

Site Status

Hospital Erasto Gaertner

Curitiba, , Brazil

Site Status

Velindre Hospital

Porto Alegre, , Brazil

Site Status

Hospital Santa Rita da Irmandade da Santa Casa

Porto Alegre, , Brazil

Site Status

Instituto Brasileiro de Controle do Cancer

São Paulo, , Brazil

Site Status

Tom Baker Cancer Centre

Calgary, Alberta, Canada

Site Status

Cross Cancer Center

Edmonton, Alberta, Canada

Site Status

Juravinski Cancer Centre

Hamilton, Ontario, Canada

Site Status

Ottawa Regional Cancer Centre

Ottawa, Ontario, Canada

Site Status

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status

Hopital Maisonneuve-Rosemont

Montreal, Quebec, Canada

Site Status

CHUM - Campus Notre Dame

Montreal, Quebec, Canada

Site Status

McGill University

Montreal, Quebec, Canada

Site Status

Hotel-Dieu de Quebec du CHUQ

Québec, Quebec, Canada

Site Status

Centre Hospitalier Universitarie de Service de Radio-Oncologie

Sherbrooke, Quebec, Canada

Site Status

Cilnica Santa Maria

Providencia, Santiago de Chile, Chile

Site Status

Clinical Hospital Osijek

Osijek, , Croatia

Site Status

CHU Zagreb University School of Medicine

Zagreb, , Croatia

Site Status

University Hospital for Tumors

Zagreb, , Croatia

Site Status

Centre Georges François Leclerc

Dijon, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Hopital de Montbeliard

Montbéliard, , France

Site Status

Centre Antioned Lacasagne

Nice, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

Clinique Armoricaine de

Saint-Brieuc, , France

Site Status

Centre Rene Huguenin

Saint-Cloud, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Hygeia Diagnostic and Therapeutic Center of Athens

Athens, , Greece

Site Status

University of Debrecen

Debrecen, Hajdú-Bihar, Hungary

Site Status

University of Szeged

Szeged, , Hungary

Site Status

Azienda Ospedaliera Maggiore della Carita

Novara, , Italy

Site Status

Ospedale S Chiara, University of Pisa

Pisa, , Italy

Site Status

Kaunas Medical University Hospital

Kaunas, , Lithuania

Site Status

Institute of Oncology, Vilnius University

Vilnius, , Lithuania

Site Status

Hospital Edgardo Rebagliati Martins (ESSALUD)

Lima, , Peru

Site Status

Radiooncologia, Radiation Oncology Center

Lima, , Peru

Site Status

Instituto de Enfermedades Neoplasicas (INEN)

Lima, , Peru

Site Status

Instituto Catalan de Oncologia (ICO)

Barcelona, , Spain

Site Status

Ciutat Sanitari de Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Ramon Y Cajal

Madrid, , Spain

Site Status

Clinica Universitaria de Navarra

Pamplona, , Spain

Site Status

Instituto Valenciano de Oncologia

Valencia, , Spain

Site Status

Velindre Hospital

Whitchurch, Cardiff, United Kingdom

Site Status

Royal Sussex County Hospital

Brighton, , United Kingdom

Site Status

Beatson Oncolgy Center

Glasgow, , United Kingdom

Site Status

Countries

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United States Argentina Austria Brazil Canada Chile Croatia France Greece Hungary Italy Lithuania Peru Spain United Kingdom

Other Identifiers

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RT-016

Identifier Type: -

Identifier Source: org_study_id

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