A Combination of Abraxane and Cisplatin in Metastatic Breast Cancer

NCT ID: NCT01149798

Last Updated: 2012-08-07

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

PHASE2

Total Enrollment

73 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2011-11-30

Brief Summary

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This phase II trial on the assumption that abraxane and cisplatin combination therapy is efficacy in metastatic breast cancer.

Detailed Description

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The rationales for the combination of Abraxane and cisplatin include that either drug has antitumor activity; they have different mechanisms; no cross-resistance are documented between them, and there have been some preclinical evidences indicating synergistic effects between the two agents. This phase II study will be undertaken to evaluate combination of cisplatin and weekly abraxane in terms of efficacy and safety in MBC patients.

Conditions

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Metastatic Breast Cancer

Keywords

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metastatic breast cancer combined chemotherapy

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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Abraxane and Cisplatin combination

Abraxane and Cisplatin combination

Group Type EXPERIMENTAL

Abraxane and Cisplatin combination

Intervention Type DRUG

Abraxane will be given at 125 mg/m2, venous infusion within 30 minutes, administered on days 1, 8 and 15.

Cisplatin at 75mg/m2, venous infusion for 120 minutes, will be administered on day 1.

Interventions

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Abraxane and Cisplatin combination

Abraxane will be given at 125 mg/m2, venous infusion within 30 minutes, administered on days 1, 8 and 15.

Cisplatin at 75mg/m2, venous infusion for 120 minutes, will be administered on day 1.

Intervention Type DRUG

Other Intervention Names

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Abraxane Cisplatin

Eligibility Criteria

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Inclusion Criteria

* Subject must fulfill all of the following conditions or characteristics in order to be considered for study enrollment:

1. Written informed consent prior to study specific screening procedures, with the understanding that the patient has the right to withdraw from the study at any time without prejudice.
2. At least one measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST).
3. Histopathologically or cytologically confirmed breast cancer.
4. Female at an age of ≥18 years.
5. Prior taxane or platinum treatment allowed. However, the drug interval should be longer than 12 months in adjuvant/neo-adjuvant setting and three months in MBC patients who have obtained ORR with taxane- or platinum-containing regimens.
6. The lab values within 2 weeks prior to trial should meet:

* PLT ≥100,000/mm3
* ANC≥2000/mm3
* HB≥80g/L
* Total bilirubin \< upper limit of normal level(UNL, \< 1.5 x UNL for patients with liver metastasis)
* ALT/AST \< 1.5 x UNL (\< 2.5 x UNL for patients with liver metastasis)
* AKP \< 5 x UNL (except for patients with bone metastasis)
* Serum creatinine \< UNL
7. ECOG performance status of 0, 1 or 2.
8. A life expectancy of more than 3 months.

Exclusion Criteria

1. Pregnant or breast-feeding women.
2. Positive serum pregnancy test.
3. Unwilling to use a medically acceptable form of contraception, except for those who were surgically sterile or at least 1 year postmenopausal.
4. Uncontrolled brain metastases. Patients with brain metastases must be locally treated and the disease must be stable for at least one month at the time of enrolling.
5. Meningeal metastases.
6. Radiotherapy within the 4 weeks preceding study treatment start.
7. Incomplete recovery from the effects of major surgery.
8. Prior hormonal treatment allowed but must be discontinued 14 days prior to study entry.
9. Participation in any investigational drug study within 4 weeks preceding treatment start.
10. Blood transfusions or growth factors to aid hematological recovery within 2 weeks prior to study treatment start.
11. Significant medical condition that would make treatment or follow-up on this protocol difficult or problematic in the opinion of the treating oncologist.
12. Concurrent other malignancy at other sites or previous other cancer within the last 5 years, with the exception of adequately treated in situ carcinoma of cervix uteri or basal or squamous cell carcinoma of the skin or a contralateral breast cancer.
13. Serious uncontrolled intercurrent infections.
14. Poor compliance.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Xichun Hu

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xichun Hu

Role: STUDY_CHAIR

Fudan University

Locations

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Fudan University Cancer Hospital

Shanghai, , China

Site Status

Countries

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China

References

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Li Y, Zhao Y, Gong C, Xie Y, Hu X, Zhang J, Wang L, Zhang S, Cao J, Tao Z, Wang B. Cisplatin shows greater efficacy than gemcitabine when combined with nab-paclitaxel in metastatic triple-negative breast cancer. Sci Rep. 2019 Mar 5;9(1):3563. doi: 10.1038/s41598-019-39314-y.

Reference Type DERIVED
PMID: 30837503 (View on PubMed)

Tang LC, Wang BY, Sun S, Zhang J, Jia Z, Lu YH, Di GH, Shao ZM, Hu XC. Higher rate of skin rash in a phase II trial with weekly nanoparticle albumin-bound paclitaxel and cisplatin combination in Chinese breast cancer patients. BMC Cancer. 2013 May 9;13:232. doi: 10.1186/1471-2407-13-232.

Reference Type DERIVED
PMID: 23659317 (View on PubMed)

Other Identifiers

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Fudan BR2010-02

Identifier Type: -

Identifier Source: org_study_id