Randomized Phase III Trial With Docetaxel Plus Epirubicine Versus Docetaxel Plus Capecitabine for Metastatic Breast Cancer

NCT ID: NCT00429871

Last Updated: 2009-05-29

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

272 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-05-31

Study Completion Date

2007-11-30

Brief Summary

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The combination of docetaxel+epirubicin is highly effective and well tolerated as first line treatment in patients with metastatic breast cancer (MBC). Capecitabine is an active drug in women with MBC pretreated with taxane and anthracycline. Docetaxel increases the intracellular levels of thymidilate phosphorylase and thus is synergistic with capecitabine. The combination of docetaxel plus capecitabine is highly active and superior to docetaxel monotherapy in women with MBC pretreated with an anthracycline

Detailed Description

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This trial will compare the efficacy of docetaxel plus epirubicin versus docetaxel plus capecitabine combinations as first line treatment in women with MBC

Conditions

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Breast Cancer

Keywords

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Metastatic breast cancer; First line chemotherapy; Docetaxel; Epirubicin; Capecitabine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

DF

Group Type EXPERIMENTAL

Docetaxel

Intervention Type DRUG

Docetaxel at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

Epirubicin

Intervention Type DRUG

Epirubicin at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

2

DC

Group Type EXPERIMENTAL

Capecitabine

Intervention Type DRUG

Capecitabine 950 mg/m2 orally twice a day on days 1-14 every 3 weeks for 6 consecutive cycles

Docetaxel

Intervention Type DRUG

Docetaxel at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

Interventions

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Docetaxel

Docetaxel at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

Intervention Type DRUG

Capecitabine

Capecitabine 950 mg/m2 orally twice a day on days 1-14 every 3 weeks for 6 consecutive cycles

Intervention Type DRUG

Epirubicin

Epirubicin at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

Intervention Type DRUG

Docetaxel

Docetaxel at the dose of 75mg/m2 IV on day 1 every 3 weeks for 6 consecutive cycles

Intervention Type DRUG

Other Intervention Names

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Taxotere Xeloda Farmorubicin Taxotere

Eligibility Criteria

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Inclusion Criteria

* Histologically- or cytologically- confirmed metastatic breast adenocarcinoma.
* No previous chemotherapy treatment for metastatic disease.
* No previous anthracycline treatment except as adjuvant therapy at least one year before.
* Age 19-75 years old
* Presence of measurable disease
* Performance status 0-2 (WHO)
* Adequate cardiac function (LVEF \>50%) without a recent (within 6 months) history of myocardial infraction and/or unstable or uncontrolled angina.
* Adequate bone marrow(absolute neutrophil count \>1500/mm3, platelet count \>100.000/mm3, hemoglobin \>10gr/mm3), liver (bilirubin \<1.5 times upper limit of normal and SGOT/SGPT \<2 times upper limit of normal) and renal function (creatinine \<2mg/dl).
* No previous radiotherapy to more than 25% of marrow-containing bones.
* Written informed consent

Exclusion Criteria

* Active brain metastases.
* Psychiatric illness or social situation that would preclude study compliance
* Other concurrent uncontrolled illness.
* Other invasive malignancy within the past 5 years except of nonmelanoma skin cancer.
* Positive pregnancy for premenopausal women.
* Concurrent antineoplastic treatment e.g. hormonal therapy
Minimum Eligible Age

19 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital of Crete

OTHER

Sponsor Role collaborator

Hellenic Oncology Research Group

OTHER

Sponsor Role lead

Responsible Party

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Hellenic Oncology Research Group

Principal Investigators

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Dimitris Mavrudis, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Crete, Dep of Medical Oncology

Locations

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University Hospital of Heraklion

Heraklion, Crete, Greece

Site Status

University General Hospital of Alexandroupolis, Dep of Medical Oncology

Alexandroupoli, , Greece

Site Status

"IASO" General Hospital of Athens, 1st Dep of Medical Oncology

Athens, , Greece

Site Status

"Laikon" General Hospital, Medical Oncology Unit, Propedeutic Dep of Internal Medicine

Athens, , Greece

Site Status

"Marika Iliadis" Hospital of Athens, Dep of Medical Oncology

Athens, , Greece

Site Status

401 Military Hospital of Athens

Athens, , Greece

Site Status

Air Forces Military Hospital of Athens

Athens, , Greece

Site Status

State General Hospital of Larissa, Dep of Medical Oncology

Larissa, , Greece

Site Status

"Metaxa's" Anticancer Hospital of Piraias

Piraeus, , Greece

Site Status

"Theagenion" Anticancer Hospital of Thessaloniki, 2nd Dep of Medical Oncology

Thessaloniki, , Greece

Site Status

Countries

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Greece

References

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Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.

Reference Type DERIVED
PMID: 34037241 (View on PubMed)

Other Identifiers

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CT/02.09

Identifier Type: -

Identifier Source: org_study_id