Addition of Aromatase at the Navelbine in Pretreated Metastatic Breast Cancer.

NCT ID: NCT02585388

Last Updated: 2023-09-06

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-23

Study Completion Date

2017-05-15

Brief Summary

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The CHEOPS study aims to confirm the clinical benefit of a combination of an anti-aromatase and metronomic chemotherapy treatment

Detailed Description

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The CHEOPS study aims to confirm the clinical benefit of a combination of an anti-aromatase and metronomic chemotherapy treatment that would have the theoretical advantage of being well tolerated and more effective than chemotherapy alone even after an anti-aromatase therapy.

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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Vinorelbine

Vinorelbine (metronomic) alone 3 times per week ( mondays, wednesdays, Fridays or Thursdays, Tuesdays, Saturdays) at 50 mg per day, taken orally until progression of disease or toxicity.

Group Type ACTIVE_COMPARATOR

Vinorelbine

Intervention Type DRUG

Vinorelbine metronomic at 50 mg (1 tablet at 20 mg and 1 tablet at 30mg),per oral, 3 times per week. One dose level reduction is authorized at 30 mg per day.when stopping over 3 consecutive weeks due to toxicity, treatment should be permanently discontinued

Vinorelbine+Anastrozole or Letrozole

Vinorelbine metronomic 3 times per week (mondays, wednesdays, Fridays or Thursdays,Tuesdays, Saturdays) at 50 mg per day, taken orally until progression of disease or toxicity.

And:

Letrozole 2,5 mg every day or Anastrozole 1 mg every day. Until progression of disease or toxicity

Group Type EXPERIMENTAL

Vinorelbine

Intervention Type DRUG

Vinorelbine metronomic at 50 mg (1 tablet at 20 mg and 1 tablet at 30mg),per oral, 3 times per week. One dose level reduction is authorized at 30 mg per day.when stopping over 3 consecutive weeks due to toxicity, treatment should be permanently discontinued

Letrozole

Intervention Type DRUG

Lestrozole at 2,5 mg every day , per oral

Anastrozole

Intervention Type DRUG

Anastrozole at 1 mg every day, per oral

Interventions

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Vinorelbine

Vinorelbine metronomic at 50 mg (1 tablet at 20 mg and 1 tablet at 30mg),per oral, 3 times per week. One dose level reduction is authorized at 30 mg per day.when stopping over 3 consecutive weeks due to toxicity, treatment should be permanently discontinued

Intervention Type DRUG

Letrozole

Lestrozole at 2,5 mg every day , per oral

Intervention Type DRUG

Anastrozole

Anastrozole at 1 mg every day, per oral

Intervention Type DRUG

Other Intervention Names

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Navelbine ARM A ARM B

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 50 years.
2. Histologically proven breast cancer.
3. Progesterone and /or oestrogene receptors positive.
4. HER2 negative on primary tumour.
5. Patient taking hormonotherapy, in progression, already treated by at least one line of anti-aromatase non-steroidal hormonotherapy and by at least on line of chemotherapy.
6. Patient having to begin a second or third line of chemotherapy.
7. Presence of one or several measurable(s) or assessable(s) metastatic lesion(s).In case of isolated bone lesion (s): need to have a non-irradiated with an osteolytic component for be considered as lesion (s) target (s) and having an elevation of the CA15-3.
8. Post menopausal woman.
9. ECOG 0, 1 or 2.
10. Adequate biological function.

* Neutrophil ≥ 1,5.E9/L
* Platelets ≥ 100.E9/L
* Creatinine clearance ≥ 30 mL/min
* Total bilirubin ≤ 1,5 x the upper limit of normal (ULN)
* Alkaline phosphatase ≤ 2,5 x ULN
* ALT, AST ≤ 1,5 x ULN in the absence of liver metastases or ≤ 3 x ULN if liver metastases.
11. Patient with a life expectancy greater than 3 months.
12. Signed informed consent before enrollment.
13. affiliation to a social security scheme

Exclusion Criteria

1. Patient with located or single metastatic tumoral relapse, accessible to a surgical treatment.
2. Patient having already received more 2 lines of chemotherapy for metastatic or advanced decease
3. Patient having already received a treatment by Navelbine®
4. Patient requiring an immediate located radiotherapy for analgesic action
5. Patient with non-irradiated cerebral or symptomatic metastasis, symptomatic pulmonary carcinomatosis lymphangitis
6. Simultaneous administration of another chemotherapy hormonotherapy or anti-tumoral drug
7. Patient having already received another treatment ongoing evaluation within the 30 days before the screening visit
8. Known positive serology HIV
9. Previous cancer within 5 years before the entry in the study, excepted an in situ carcinoma of the cervix or a spino or basal cell carcinoma of the skin or a nonmelanoma skin cancer with an adequate treatment.
10. Any serious concomitant pathology and / or uncontrolled could compromise participation in the study (including uncontrolled diabetes, uncontrolled hypertension, severe infection, profound malnutrition, unstable angina or congestive heart failure - class III or IV according to the New York Heart Association - ventricular arrhythmias, progressive coronary artery disease, myocardial infarction within the last six months, chronic liver or kidney disease, a progressive ulceration of the digestive tract above, CNS disorders).
11. Disorder of gastrointestinal function (GI) or pathology likely to significantly interfere with the absorption of Navelbine, of Letrozole or Anastrozole (eg. Ulcerative disease, uncontrolled nausea, vomiting, diarrhea, syndrome malabsorption, or resection of the small intestine).
12. Known hypersensitivity to letrozole, anastrozole, vinorelbine or other vinco-alkaloids or any other component.
13. Patient with fructose intolerance, galactose, a Lapp lactase deficiency or malabsorption of glucose and galactose (rare hereditary disease).
14. Patient with a history of poor compliance with medical treatment.
15. Patient can not be monitored regularly for family reasons, geographical, social or psychological.
16. Patient with altered mental status would not allow him to understand the study or give informed consent .
Minimum Eligible Age

50 Years

Maximum Eligible Age

95 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Pierre Fabre Laboratories

INDUSTRY

Sponsor Role collaborator

ARCAGY/ GINECO GROUP

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pierre-Etienne HEUDEL, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Leon Berard

Locations

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Centre Hospitalier de l'Agglomération Montargoise

Amilly, , France

Site Status

ICO Paul Papin

Angers, , France

Site Status

Institut Sainte-Catherine

Avignon, , France

Site Status

Centre Hospitalier de la Côte Basque

Bayonne, , France

Site Status

Centre Hospitalier Fleyriat

Bourg-en-Bresse, , France

Site Status

CHU de Brest

Brest, , France

Site Status

Clinique Pasteur

Brest, , France

Site Status

Centre Hospitalier Alpes Léman

Contamine-sur-Arve, , France

Site Status

CH de la Dracénie

Draguignan, , France

Site Status

Centre Hospitalier Intercommunal des Alpes du Sud

Gap, , France

Site Status

Groupe Hospitalier Mutualiste de Grenoble

Grenoble, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

Hôpital Privé Drôme Ardèche - Clinique Pasteur

Guilherand-Granges, , France

Site Status

Hôpital Privé Drôme Ardèche

Guilhérand-Granges, , France

Site Status

CHD Vendée

La Roche-sur-Yon, , France

Site Status

Centre Hospitalier de Laon

Laon, , France

Site Status

CH Chartres Hôpital Louis Pasteur

Le Coudray, , France

Site Status

Centre Hospitalier Le Mans

Le Mans, , France

Site Status

Centre Léon Berard

Lyon, , France

Site Status

Hôpital Privé Jean Mermoz

Lyon, , France

Site Status

Hôpital Privé Jean Mermoz

Lyon, , France

Site Status

CH Layne

Mont-de-Marsan, , France

Site Status

CH Montélimar

Montélimar, , France

Site Status

Centre Azuréen de Cancérologie

Mougins, , France

Site Status

Oracle

Nancy, , France

Site Status

Centre Catherine de Sienne

Nantes, , France

Site Status

CHR Orléans

Orléans, , France

Site Status

Centre Hospitalier de Pau

Pau, , France

Site Status

Polyclinique Francheville

Périgueux, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

Hopital privé des côtes d'armor

Plérin, , France

Site Status

Centre Hospitalier Annecy-Genevois

Pringy, , France

Site Status

Centre Hospitalier de la Région d'Annecy

Pringy, , France

Site Status

Centre Hospitalier de Quimper

Quimper, , France

Site Status

Institut du Cancer Courlancy Reims

Reims, , France

Site Status

Institut Jean Godinot

Reims, , France

Site Status

Centre Hospitalier de Romans sur Isère

Romans-sur-Isère, , France

Site Status

Hôpitaux Drôme Nord - Site de Romans

Romans-sur-Isère, , France

Site Status

CHP Saint Grégoire

Saint-Grégoire, , France

Site Status

ICO Gauducheau

Saint-Herblain, , France

Site Status

Polyclinique Côte Basque Sud

Saint-Jean-de-Luz, , France

Site Status

Institut de Cancérologie Lucien Neuwirth

Saint-Priest-en-Jarez, , France

Site Status

Centre Hospitalier de Soissons

Soissons, , France

Site Status

Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status

Hôpitaux du Léman

Thonon-les-Bains, , France

Site Status

Centre Hospitalier Jean Bernard

Valenciennes, , France

Site Status

Institut de Cancérologie de Lorraine

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

Other Identifiers

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GINECO-BR112

Identifier Type: -

Identifier Source: org_study_id

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