Doxil & Carboplatin Plus HER2+ in Metastatic Breast Cancer

NCT ID: NCT00303108

Last Updated: 2016-11-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2011-06-30

Brief Summary

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The purpose of this study is to determine the ORR associated with Doxil in combination with carboplatin in HER2- (negative) MBC (and with Herceptin in HER2+ MBC).

Detailed Description

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Conditions

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Metastatic Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1

Patients will receive IV Doxil 30 mg/m2 and carboplatin AUC=5 on Day 1 of each cycle. A cycle consists of 28 days. In addition, HER2+ (IHC3+ and FISH+) patients only will receive a one-time loading dose of Herceptin 8 mg/kg IV on Day 1 of Cycle 1 and 4 mg/kg on Day 1 and Day 15 of every cycle thereafter.

Group Type EXPERIMENTAL

Pegylated liposomal doxorubicin

Intervention Type DRUG

30 mg/m2 IV on Day 1 of each 28 day cycle

Carboplatin

Intervention Type DRUG

AUC=5 on Day 1 of each 28 day cycle

trastuzumab

Intervention Type DRUG

4 mg/kg on Days 1 and 15 of each cycle(loading dose of 8 mg/kg on Day 1 of Cycle 1 only)

Interventions

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Pegylated liposomal doxorubicin

30 mg/m2 IV on Day 1 of each 28 day cycle

Intervention Type DRUG

Carboplatin

AUC=5 on Day 1 of each 28 day cycle

Intervention Type DRUG

trastuzumab

4 mg/kg on Days 1 and 15 of each cycle(loading dose of 8 mg/kg on Day 1 of Cycle 1 only)

Intervention Type DRUG

Other Intervention Names

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Doxil Herceptin

Eligibility Criteria

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Inclusion Criteria

* Has metastatic breast cancer with documented HER2- or HER2+ (IHC3+ or FISH+) disease
* Has measurable MBC, with at least 1 measurable lesion per RECIST criteria (see Section 10). Irradiated lesions cannot be used to assess response but can be used to assess progression.
* Has had no prior treatment with Doxil or carboplatin; may have had adjuvant Herceptin if treatment was completed more than 1 year prior to study
* Has had no adjuvant chemotherapy within 1 year prior to study, but may have received prior anthracyclines as adjuvant chemotherapy
* For taxane-pretreated patients (adjuvant or metastatic), has had no more than 1 prior chemotherapy regimen for MBC
* For taxane-naïve patients, has had no prior chemotherapy for MBC
* Has had cumulative doses of \< 300 mg/m2 prior doxorubicin or \< 450 mg/m2 prior epirubicin
* Has normal cardiac function as evidenced by a LVEF within institutional normal limits by multiple gated acquisition (MUGA) scan. An echocardiogram (ECHO) may be used if MUGA is not available, but the same test must be used throughout the study to evaluate LVEF.
* Has an ECOG Performance Status (PS) 0-2 (see Appendix I)
* Is a male or female greater than or equal to 18 years of age
* Laboratory Values - Please refer to protocol section 4.2 for specific laboratory values.
* Has a negative serum pregnancy test within 7 days prior to registration (woman of childbearing potential \[WOCBP; not surgically sterilized and between menarche and 1 year postmenopause\])
* If fertile, patient (male or female) has agreed to use an acceptable method of birth control (eg, abstinence, intrauterine device, oral contraceptives, barrier device with spermicide or surgical sterilization) to avoid pregnancy for the duration of the study and for a period of 3 months thereafter.
* Has signed a Patient Informed Consent Form
* Has signed a Patient Authorization Form (HIPAA Form)
* Has a life expectancy of \> 3 months

Exclusion Criteria

* Has had a myocardial infarction (MI) within 6 months of trial enrollment, or has New York Heart Association (NYHA; see Appendix IV) Class II or greater heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, clinically significant pericardial disease, or electrocardiographic evidence of acute ischemic or active conduction system abnormalities
* Has a history of hypersensitivity reactions attributed to a conventional formulation of doxorubicin HCL or the components of Doxil
* Has evaluable only disease; eg, bone only, pleural, peritoneal only disease
* Is receiving concurrent immunotherapy, hormonal therapy, or radiation therapy. Patients receiving immunosuppressant therapy for autoimmune disease may enroll on the trial after a drug washout period of 2 weeks.
* Is receiving concurrent investigational therapy or has received such therapy within 30 days
* Has evidence of brain metastases requiring steroids and/or radiation or any documented leptomeningeal disease
* Has a serious uncontrolled intercurrent medical or psychiatric illness, including serious infection or history of uncontrolled seizures, CNS disorders deemed by the Treating Physician to be clinically significant, precluding informed consent
* Has a history of other malignancy within the last 5 years (except cured basal cell carcinoma of skin and carcinoma in situ of uterine cervix), which could affect the diagnosis or assessment of any of the study drugs
* Is a pregnant or lactating woman
* Is unable to comply with requirements of study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ortho Biotech, Inc.

INDUSTRY

Sponsor Role collaborator

Tibotec Pharmaceutical Limited

INDUSTRY

Sponsor Role collaborator

US Oncology Research

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rufus P Collea, MD

Role: PRINCIPAL_INVESTIGATOR

US Oncology Research

Locations

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Birmingham Hematology and Oncology

Birmingham, Alabama, United States

Site Status

Hematology Oncology Associates

Phoenix, Arizona, United States

Site Status

Northern AZ Hematology & Oncology Associates-Sedona

Sedona, Arizona, United States

Site Status

Rocky Mountain Cancer Center-Rose

Denver, Colorado, United States

Site Status

Florida Cancer Institute

New Port Richey, Florida, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Hematology Oncology Associates of IL

Chicago, Illinois, United States

Site Status

Cancer Care & Hematology Specialists of Chicagoland, PC

Niles, Illinois, United States

Site Status

Central Indiana Cancer Centers

Indianapolis, Indiana, United States

Site Status

Kansas City Cancer Centers-Southwest

Overland Park, Kansas, United States

Site Status

Maryland Oncology Hematology, PA

Columbia, Maryland, United States

Site Status

Flavio Kruter, MD, PA

Westminster, Maryland, United States

Site Status

Minnesota Oncology Hematology, PA

Minneapolis, Minnesota, United States

Site Status

Missouri Cancer Associates

Columbia, Missouri, United States

Site Status

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status

New Mexico Cancer Care Associates

Santa Fe, New Mexico, United States

Site Status

New York Oncology Hematology, PC

Albany, New York, United States

Site Status

Ruth Oratz MD

New York, New York, United States

Site Status

Raleigh Hematology Oncology Associates

Cary, North Carolina, United States

Site Status

Greater Dayton Cancer Center

Kettering, Ohio, United States

Site Status

Willamette Vallejy Cancer Center

Eugene, Oregon, United States

Site Status

Medical Oncology Associates

Kingston, Pennsylvania, United States

Site Status

Texas Cancer Center - Abilene (South)

Abilene, Texas, United States

Site Status

Texas Oncology, P.A.-Amarillo

Amarillo, Texas, United States

Site Status

Texas Cancer Center

Arlington, Texas, United States

Site Status

Mamie McFaddin Ward Cancer Center

Beaumont, Texas, United States

Site Status

Texas Oncology, PA-Bedford

Bedford, Texas, United States

Site Status

Texas Cancer Center at Medical City

Dallas, Texas, United States

Site Status

Texas Oncology, PA

Dallas, Texas, United States

Site Status

The TexasCancer Center

Dallas, Texas, United States

Site Status

Texas Oncology, PA

Dallas, Texas, United States

Site Status

Texas Cancer Center-Denton

Denton, Texas, United States

Site Status

El Paso Cancer Treatment Ctr

El Paso, Texas, United States

Site Status

Texas Oncology, PA

Fort Worth, Texas, United States

Site Status

Texas Oncology, PA

Garland, Texas, United States

Site Status

Texas Oncology, PA

Houston, Texas, United States

Site Status

Lake Vista Cancer Center

Lewisville, Texas, United States

Site Status

Longview Cancer Center

Longview, Texas, United States

Site Status

South Texas Cancer Center-McAllen

McAllen, Texas, United States

Site Status

Texas Cancer Center of Mesquite

Mesquite, Texas, United States

Site Status

Alison Cancer Center

Midland, Texas, United States

Site Status

West Texas Cancer Center

Odessa, Texas, United States

Site Status

Paris Regional Cancer Center

Paris, Texas, United States

Site Status

HOAST-Medical Dr.

San Antonio, Texas, United States

Site Status

Texas Cancer Center-Sherman

Sherman, Texas, United States

Site Status

Texas Oncology Cancer Center-Sugar Land

Sugar Land, Texas, United States

Site Status

Tyler Cancer Center

Tyler, Texas, United States

Site Status

Texas Oncology Cancer Care and Research Center-Waco

Waco, Texas, United States

Site Status

Texas Oncology, P.A.

Webster, Texas, United States

Site Status

Fairfax Northern VA Hem-Onc PC

Fairfax, Virginia, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Onc and Hem Associates of SW VA, Inc

Salem, Virginia, United States

Site Status

Puget Sound Cancer Center-Edmonds

Edmonds, Washington, United States

Site Status

Puget Sound Cancer Center-Seattle

Seattle, Washington, United States

Site Status

Cancer Care Northwest-North

Spokane, Washington, United States

Site Status

Northwest Cancer Specialists-Vancouver

Vancouver, Washington, United States

Site Status

Yakima Valley Mem Hosp/North Star Lodge

Yakima, Washington, United States

Site Status

Countries

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United States

References

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Collea RP, Kruter FW, Cantrell JE, George TK, Kruger S, Favret AM, Lindquist DL, Melnyk AM, Pluenneke RE, Shao SH, Crockett MW, Asmar L, O'Shaughnessy J. Pegylated liposomal doxorubicin plus carboplatin in patients with metastatic breast cancer: a phase II study. Ann Oncol. 2012 Oct;23(10):2599-2605. doi: 10.1093/annonc/mds052. Epub 2012 Mar 19.

Reference Type DERIVED
PMID: 22431702 (View on PubMed)

Other Identifiers

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04111

Identifier Type: -

Identifier Source: org_study_id