A Study of Whole Brain Radiation Therapy and Capecitabine in Breast Cancer Participants With Newly Diagnosed Brain Metastasis

NCT ID: NCT00977379

Last Updated: 2016-11-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-02-28

Brief Summary

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This open-label, randomized, parallel arm study will evaluate the effect of capecitabine administered concurrently with WBRT and as maintenance therapy in participants with breast cancer and newly diagnosed brain metastases. Participants will be randomized to receive either capecitabine with 10 days standard WBRT, or WBRT alone. Maintenance therapy will follow with capecitabine or another systemic therapy in the WBRT only group.

Detailed Description

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Conditions

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Breast Cancer

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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WBRT Followed by Standard of Care

Participants will receive 3000 centi-Gray (cGy) WBRT in 10 single daily fractions over 12 to 14 days (300 cGy / fraction) followed by standard of care therapy at the discretion of the treating oncologist starting no earlier than 2 weeks after completion of WBRT. The participants will be followed during the treatment until the halting of standard of care for any reason (central nervous system \[CNS\] or extra-cranial tumor progression, unacceptable toxicity, change of therapeutic strategy, withdrawal of participant consent, or death).

Group Type ACTIVE_COMPARATOR

WBRT

Intervention Type RADIATION

3000 cGy WBRT in 10 single daily fractions over 12 to 14 days (300 cGy / fraction).

Standard of Care

Intervention Type DRUG

The choice of standard of care will be at the discretion of the treating oncologist. The protocol does not specify any particular standard of care treatment.

WBRT+Capecitabine Followed by Capecitabine Maintenance

Participants will receive 3000 cGy WBRT in 10 single daily fractions over 12 to 14 days (300 cGy / fraction) concurrent with capecitabine 825 milligrams per square meter (mg/m\^2) orally twice daily, Days 1-14 of a 21 day cycle for 1 cycle followed by capecitabine 1000 mg/m\^2 orally twice daily Days 1-14 every 21 days starting with Cycle 2, one week after completion of WBRT and continuing until the halting of capecitabine for any reason (CNS or extra-cranial progression, unacceptable toxicity, withdrawal of participant consent or death).

Group Type EXPERIMENTAL

WBRT

Intervention Type RADIATION

3000 cGy WBRT in 10 single daily fractions over 12 to 14 days (300 cGy / fraction).

Capecitabine

Intervention Type DRUG

825 mg/m\^2 orally twice daily, Days 1-14 of a 21 day cycle for 1 cycle followed by 1000 mg/m\^2 orally twice daily Days 1-14 every 21 days starting with Cycle 2.

Interventions

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WBRT

3000 cGy WBRT in 10 single daily fractions over 12 to 14 days (300 cGy / fraction).

Intervention Type RADIATION

Capecitabine

825 mg/m\^2 orally twice daily, Days 1-14 of a 21 day cycle for 1 cycle followed by 1000 mg/m\^2 orally twice daily Days 1-14 every 21 days starting with Cycle 2.

Intervention Type DRUG

Standard of Care

The choice of standard of care will be at the discretion of the treating oncologist. The protocol does not specify any particular standard of care treatment.

Intervention Type DRUG

Other Intervention Names

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Xeloda

Eligibility Criteria

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Inclusion Criteria

* Women with histologically confirmed breast cancer with known human epidermal receptor-2 (HER2) and hormone status
* Newly diagnosed CNS metastasis with at least one brain lesion measuring greater than or equal to (\>/=) 1 centimeter (cm) or two lesions measuring \>/= 0.5 to less than (\<) 1 cm in longest dimension
* Participant not eligible for or refusing surgery or stereotactic radiosurgery
* Eastern cooperative oncology group (EOCG) performance status 0 to 2

Exclusion Criteria

* Prior treatment of brain metastases
* Leptomeningeal disease
* Known contra-indication to radiotherapy or magnetic resonance imaging (MRI) or capecitabine
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Arras, , France

Site Status

Beuvry, , France

Site Status

Béziers, , France

Site Status

Bobigny, , France

Site Status

Dijon, , France

Site Status

Le Mans, , France

Site Status

Lille, , France

Site Status

Lyon, , France

Site Status

Montpellier, , France

Site Status

Nantes, , France

Site Status

Narbonne, , France

Site Status

Nice, , France

Site Status

Paris, , France

Site Status

Paris, , France

Site Status

Rouen, , France

Site Status

Salouël, , France

Site Status

Countries

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France

Other Identifiers

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2008-007349-30

Identifier Type: -

Identifier Source: secondary_id

ML21873

Identifier Type: -

Identifier Source: org_study_id