Study Of Intraductal Carboplatin In Women With Ductal Carcinoma In Situ (DCIS)

NCT ID: NCT00669747

Last Updated: 2008-10-02

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2009-12-31

Brief Summary

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The primary objective of this study is to compare the safety of 100 mg carboplatin administered intraductally once on Day 1 or twice on Days 1 and 15 in women with ductal carcinoma in situ (DCIS) undergoing surgical management 2 to 4 weeks following the Day 15 intraductal infusion. Secondary objectives are to characterize the biologic and clinical effects with respect to: pharmacokinetics, extent of disease on MRI and mammogram, histopathological assessment of DCIS, and biomarker measurement of Ki-67, TUNEL and G-actin.

Detailed Description

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This is a randomized, 3-arm, saline-controlled study involving women undergoing surgical management of DCIS. Forty-five (45) women who have been diagnosed with DCIS by core biopsy will receive intraductal administration of either carboplatin or normal saline (NS) into the DCIS-involved breast duct. Thirty (30) patients (i.e., 15 patients per arm) will receive two intraductal infusions of either 100 mg of carboplatin or NS on Days 1 and 15. Fifteen (15) patients will receive an intraductal infusion of 100 mg carboplatin on Day 1 and an intraductal infusion of NS on Day 15. Patients will undergo surgical resection 2 to 4 weeks following the Day 15 intraductal infusion (i.e. 4 to 6 weeks from diagnosis).

The effect of carboplatin on DCIS in the pre-treatment core biopsy specimen and the resection specimen will be assessed. Venous blood samples will be collected for carboplatin PK analysis pre-dose and at 30 minutes, 1, 2, 4, and 8 hours following intraductal infusions on Days 1 and 15.

Conditions

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Ductal Carcinoma In Situ

Keywords

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Ductal Carcinoma In Situ DCIS Breast Cancer Carboplatin Intraductal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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A

Carboplatin infused into DCIS-involved duct on Days 1 \& 15

Group Type EXPERIMENTAL

Carboplatin i.d. Days 1 & 15

Intervention Type DRUG

Carboplatin, 10 mg/ml, 10 ml (100 mg) infused into DCIS-involved duct on Days 1 \& 15

B

Carboplatin infused into DCIS-involved duct Day 1 and Normal Saline infused into DCIS-involved duct on Day 15

Group Type EXPERIMENTAL

Carboplatin i.d. Day 1; Normal Saline i.d. Day 15

Intervention Type DRUG

Carboplatin 10 mg/ml, 10 ml (100 mg) i.d. DCIS duct on Day 1 Normal Saline, 10 ml i.d. DCIS duct on Day 15

C

Normal Saline infused into DCIS-involved duct Days 1 \& 15

Group Type PLACEBO_COMPARATOR

Normal Saline

Intervention Type DRUG

Normal Saline, 10 ml, i.d. on Days 1 and 15

Interventions

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Carboplatin i.d. Days 1 & 15

Carboplatin, 10 mg/ml, 10 ml (100 mg) infused into DCIS-involved duct on Days 1 \& 15

Intervention Type DRUG

Carboplatin i.d. Day 1; Normal Saline i.d. Day 15

Carboplatin 10 mg/ml, 10 ml (100 mg) i.d. DCIS duct on Day 1 Normal Saline, 10 ml i.d. DCIS duct on Day 15

Intervention Type DRUG

Normal Saline

Normal Saline, 10 ml, i.d. on Days 1 and 15

Intervention Type DRUG

Other Intervention Names

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Paraplatin Paraplatin

Eligibility Criteria

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Inclusion Criteria

* Female
* 18 years of age or older
* Scheduled to undergo surgical resection in 2 weeks or longer
* Pathological diagnosis of DCIS requiring surgical resection
* DCIS diagnosed with core biopsy
* Mammogram within 6 weeks of diagnosis
* Adequate organ function as defined by the following criteria:

Absolute neutrophil count (ANC) ≥ 1500/μl, Platelets ≥ 140,000/μl,Hemoglobin ≥ 12.0 g/dl, Creatinine \< 2.0 mg/dl

\- Able to sign informed consent

Exclusion Criteria

* Current diagnosis of invasive or inflammatory breast carcinoma
* DCIS with microinvasion on histology on core needle biopsy
* Palpable mass
* Mass on mammography
* Concurrent anti-cancer therapy
* Prior exposure to carboplatin (related to current or past diagnosis)
* Prior radiation to the breast or chest wall
* Prior areolar or breast surgery which interrupts communication of the ductal systems with the nipple
* Presence of breast implants
* Presence of ulcerating or fungal skin lesions or infection of the breasts
* Pregnant or lactating
* Impaired cardiac function or history of cardiac problems
* Poor nutritional state (as determined by clinician)
* Presence of serious infection
* Scheduled for intraoperative radiation of breast or chest wall
* Allergies to lidocaine or marcaine
* Allergies to imaging dyes
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Windy Hill Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Windy Hill Medical, Inc.

Principal Investigators

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Jane Doerr, RN, MSN

Role: STUDY_DIRECTOR

Windy Hill Medical, Inc.

Locations

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OU Medical Center Laboratory

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jane Doerr, RN, MSN

Role: CONTACT

Phone: 949-636-4737

Email: [email protected]

Andy Dorr, MD

Role: CONTACT

Phone: 949-584-4975

Email: [email protected]

Facility Contacts

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William C Dooley, M.D., F.A.C.S.

Role: primary

Linda White, R.N.

Role: backup

Henry Kuerer, M.D.

Role: primary

Linda White, R.N.

Role: backup

References

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Love SM, Barsky SH. Anatomy of the nipple and breast ducts revisited. Cancer. 2004 Nov 1;101(9):1947-57. doi: 10.1002/cncr.20559.

Reference Type BACKGROUND
PMID: 15382093 (View on PubMed)

Li CI, Daling JR, Malone KE. Age-specific incidence rates of in situ breast carcinomas by histologic type, 1980 to 2001. Cancer Epidemiol Biomarkers Prev. 2005 Apr;14(4):1008-11. doi: 10.1158/1055-9965.EPI-04-0849.

Reference Type BACKGROUND
PMID: 15824180 (View on PubMed)

Khan SA, Wiley EL, Rodriguez N, Baird C, Ramakrishnan R, Nayar R, Bryk M, Bethke KB, Staradub VL, Wolfman J, Rademaker A, Ljung BM, Morrow M. Ductal lavage findings in women with known breast cancer undergoing mastectomy. J Natl Cancer Inst. 2004 Oct 20;96(20):1510-7. doi: 10.1093/jnci/djh283.

Reference Type BACKGROUND
PMID: 15494601 (View on PubMed)

Other Identifiers

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DCIS-WHM-703M

Identifier Type: -

Identifier Source: org_study_id