Study of Albumin-bound Paclitaxel (Abraxane) in Combination With Carboplatin and Herceptin in Patients With Advanced Breast Cancer

NCT ID: NCT00093145

Last Updated: 2019-11-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-06-01

Study Completion Date

2008-10-01

Brief Summary

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This trial will treat patients with advanced breast cancer with a new anti-cancer medicine used in combination with two existing anti-cancer medications: Albumin-bound paclitaxel (ABI-007), Carboplatin and Herceptin. Participants will be given the combination therapy on a weekly basis and may continue on therapy as long as their condition improves and drug toxicity is tolerated.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Albumin-bound paclitaxel, Carboplatin + Herceptin

Participants received albumin-bound paclitaxel, 100 mg/m\^2 weekly every 3 out of 4 weeks, carboplatin at an area under the curve (AUC) = 6 every 4 weeks and Herceptin weekly, 4 mg/kg the first week and 2 mg/kg on all subsequent weeks by intravenous (IV) infusion for up to 6 cycles in the absence of disease progression or intolerable toxicity. Participants could continue treatment with chemotherapy beyond 6 cycles at the discretion of the investigator, but Herceptin therapy was to continue to be administered weekly (2 mg/kg) until intercurrent illness, disease progression, unacceptable toxicity, patient withdrawal or administration of any non-protocol anti-cancer treatment.

Group Type EXPERIMENTAL

Albumin-bound paclitaxel

Intervention Type DRUG

Administered by intravenous infusion.

Carboplatin

Intervention Type DRUG

Carboplatin dose was calculated using a modified Calvert formula (creatinine clearance was substituted for GFR): Total dose (mg) = (target AUC) x (creatinine clearance + 25). Note: AUC = 6 was initially targeted, but could be decreased due to toxicity.

Herceptin®

Intervention Type DRUG

Administered by IV infusion

Interventions

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Albumin-bound paclitaxel

Administered by intravenous infusion.

Intervention Type DRUG

Carboplatin

Carboplatin dose was calculated using a modified Calvert formula (creatinine clearance was substituted for GFR): Total dose (mg) = (target AUC) x (creatinine clearance + 25). Note: AUC = 6 was initially targeted, but could be decreased due to toxicity.

Intervention Type DRUG

Herceptin®

Administered by IV infusion

Intervention Type DRUG

Other Intervention Names

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ABI-007 ABRAXANE® Paraplatin® Trastuzumab

Eligibility Criteria

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Inclusion Criteria

* Confirmed adenocarcinoma of the breast
* Tumor shows 3+ overexpression of the human epidermal growth factor receptor 2 (HER-2)/proto-oncogene by immunohistochemistry assay, or is fluorescence in situ hybridization (FISH)+
* Stage IV disease
* Measurable disease
* At least 3 weeks since prior cytotoxic chemotherapy
* At least 4 weeks since radiotherapy with full recovery
* At least 4 weeks since major surgery with full recovery
* Eastern Cooperative Oncology Group (ECOG) performance status 0-2
* At least 18 years old
* Absolute neutrophil count (ANC) at least 1.5 x 10\^9 cells/L
* Platelets at least 100 x 10\^9 cells/L
* Hemoglobin at least 9 g/dL
* Aspartame aminotransferase (AST), alanine aminotransferase (ALT) less than 2.5X upper limit normal
* Alkaline Phosphatase less than 1.5X upper limit normal
* Creatinine less than 1.5 gm/dL
* Normal left ventricular ejection fraction
* Negative pregnancy test
* Agree to use method to avoid pregnancy
* Informed Consent is obtained

Exclusion Criteria

* Up to one regimen of prior neo-adjuvant or adjuvant chemotherapy is allowed. One year since Taxane and Herceptin treatment.
* Cumulative life-time dose of doxorubicin is greater than 360 mg/m\^2
* Concurrent immunotherapy or hormonal therapy
* Parenchymal brain metastases, if present, must be documented to be clinically and radiographically stable for at least 6 months after treatment
* Serious intercurrent medical or psychiatric illness, including serious active infection
* History of congestive heart failure
* History of other malignancy within the last 5 years which could affect the diagnosis or assessment of breast cancer
* Patients who have received an investigational drug within the previous 3 weeks
* Patient is currently enrolled in another clinical study receiving investigational therapies
* Pregnant or nursing women
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew Seidman, MD

Role: PRINCIPAL_INVESTIGATOR

Memorial Sloan Kettering Cancer Center

Locations

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Breastlink Med Group

Long Beach, California, United States

Site Status

Hematology/Oncology P.C. Carl & Dorothy Bennet Cancer Center

Stamford, Connecticut, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Lombardi Cancer Center Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Florida Cancer Institute

Hudson, Florida, United States

Site Status

Gulf Coast Oncology Associates

St. Petersburg, Florida, United States

Site Status

Palm Beach Cancer Institute

West Palm Beach, Florida, United States

Site Status

Gerogia Cancer Specialist

Atlanta, Georgia, United States

Site Status

Maine Center for Cancer Medicine and Blood Disorders

Scarborough, Maine, United States

Site Status

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

University of Pittsburgh Medical Center Magee Womens Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Southwest Regional Cancer Center

Austin, Texas, United States

Site Status

Swedish Medical Center Cancer Institute Research

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Conlin AK, Seidman AD, Bach A, Lake D, Dickler M, D'Andrea G, Traina T, Danso M, Brufsky AM, Saleh M, Clawson A, Hudis CA. Phase II trial of weekly nanoparticle albumin-bound paclitaxel with carboplatin and trastuzumab as first-line therapy for women with HER2-overexpressing metastatic breast cancer. Clin Breast Cancer. 2010 Aug 1;10(4):281-7. doi: 10.3816/CBC.2010.n.036.

Reference Type RESULT
PMID: 20705560 (View on PubMed)

Other Identifiers

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CA016

Identifier Type: -

Identifier Source: org_study_id

NCT00085605

Identifier Type: -

Identifier Source: nct_alias

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