Capecitabine in Metastatic Breast and GI Cancers

NCT ID: NCT02595320

Last Updated: 2021-12-20

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-05

Study Completion Date

2023-12-31

Brief Summary

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The purpose of this study is compare different doses of capecitabine to see if one is better than the other in terms of efficacy and toxicity.

Detailed Description

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Goals of treatment of metastatic breast cancer remain largely comfort care. However, there has been improvement in median survival among women with metastatic disease over the last two decades, mainly due to availability of more effective agents. Women are now living longer with metastatic disease and are on therapy for longer periods of time. Therefore, it is increasingly important for effective therapies to be associated with less toxicity so that women can enjoy a better overall quality of life. Similar to breast cancer, goals of treatment of various GI malignancies (including metastatic colorectal cancer, metastatic gastric and esophageal cancers, and unresectable or metastatic pancreatic cancer and cholangiocarcinoma) are largely comfort care and it is important to minimize toxicity from therapy during the treatment for metastatic disease.

Capecitabine is a unique chemotherapeutic agent for two reasons. It is the only oral chemotherapy drug available to treat breast and GI malignancies, making it convenient for patients. In addition, whereas all other cytotoxic chemotherapy agents can be administered for only a few months at a time because of development of cumulative toxicities, capecitabine can be continued for many months to years if toxicities can be managed. However the optimal dosing schedule of capecitabine is not known.

This is the basis for the proposed randomized phase II trial, to compare the efficacy and tolerability of capecitabine 1500 milligrams (mg) twice a day (BID), 7 days on and 7 days off schedule to capecitabine 1250 milligrams/meters squared (mg/m2) BID, 14 days on and 7 days off) or 1000 mg/m2 BID, 14 days on and 7 days off, in women with metastatic breast cancer or patients with advanced/metastatic GI cancer.

Conditions

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Breast Cancer Gastrointestinal Cancer

Keywords

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breast, gastrointestinal,capecitabine, cancer, metastatic

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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Group A

capecitabine, 1500 mg, twice a day for 7 days on then 7 days off

Group Type EXPERIMENTAL

Capecitabine

Intervention Type DRUG

Capecitabine will be given to participants in Arm A at 1500 mg PO BID for 7 days, followed by a 7 day rest (7-7).

Capecitabine will be given to participants in group B at 1250 mg/m2 OR 1000 mg/m2 PO BID for 14 days, followed by a 7 day rest (14-7).

Group B

capecitabine, 1250 mg/m2 OR 1000 mg/m2, twice a day for 14 days on then 7 days off

Group Type ACTIVE_COMPARATOR

Capecitabine

Intervention Type DRUG

Capecitabine will be given to participants in Arm A at 1500 mg PO BID for 7 days, followed by a 7 day rest (7-7).

Capecitabine will be given to participants in group B at 1250 mg/m2 OR 1000 mg/m2 PO BID for 14 days, followed by a 7 day rest (14-7).

Interventions

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Capecitabine

Capecitabine will be given to participants in Arm A at 1500 mg PO BID for 7 days, followed by a 7 day rest (7-7).

Capecitabine will be given to participants in group B at 1250 mg/m2 OR 1000 mg/m2 PO BID for 14 days, followed by a 7 day rest (14-7).

Intervention Type DRUG

Other Intervention Names

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Xeloda®

Eligibility Criteria

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Inclusion Criteria

* Women with metastatic breast cancer OR men and women with metastatic gastrointestinal (GI) cancer
* There is no limit to the number of prior chemotherapy or endocrine therapy regimens received. Use of a previous fluoropyrimidine-containing regimen in advanced / metastatic setting is permitted as long as the subject discontinued the regimen for reasons other than progression.
* No restriction on the use of fluoropyrimidine-containing regimen in the neoadjuvant or adjuvant setting
* For metastatic colorectal cancers, patients starting maintenance capecitabine after a course of oxaliplatin or irinotecan based chemotherapy are eligible.
* Measurable or non-measurable disease per RECIST criteria 1.1
* Must have completed prior chemotherapy or radiation therapy at least 2 weeks prior to registration
* Pathologic confirmation of respective malignancies. Biopsy of metastatic disease is preferred but not mandatory.
* Performance Status: Eastern Cooperative Oncology Group (ECOG) Performance Score (PS) 0-2
* Adequate organ and marrow function as defined below:

* Absolute neutrophil count ≥ 1,000/ microLiter (uL)
* hemoglobin ≥ 7 g/L
* platelets ≥ 50,000/uL
* total bilirubin ≤ 2 X the Institutional Upper Limit of Normal (IULN)
* o Aspartate Aminotransferase (AST) ( Serum Glutamic Oxaloacetic Transaminase \[SGOT\]) ≤ 5 X IULN
* Alanine Aminotransferase (ALT) (Serum Pyruvic Glutamic Transaminase \[SPGT\]) ≤ 5 X IULN
* creatinine clearance \> 50 milliliters per minute (ml/min)
* Women of childbearing potential must agree to use adequate contraception.
* Subjects may have previously treated brain or Central Nervous System (CNS) metastasis with radiation completed at least 2 weeks prior to registration. Prior radiation to places other than CNS disease must be completed at least 14 days prior to registration. Any number of prior radiation therapy regimens is allowed provided all toxicity of prior therapy is resolved to grade 1 or less.
* Life expectancy of \>3 months

Exclusion Criteria

* Patient has used Capecitabine in a past regimen for metastatic disease.
* Patient is currently using, or planning to use another investigational agent.
* Patient with known Dihydropyrimidine Dehydrogenase (DPD) deficiency
* Patient has symptomatic brain or CNS metastases.
* Patient has leptomeningeal disease
* Patient is pregnant or nursing
* Subjects must have no barriers to taking oral medications, for example uncontrolled nausea, vomiting, diarrhea at baseline, lack of physical integrity of the upper gastrointestinal tract, or malabsorption syndrome.
* No recent (≤ 3months) of partial or complete bowel obstruction unless surgically corrected.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Qamar Khan

OTHER

Sponsor Role lead

Responsible Party

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Qamar Khan

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Qamar Khan, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kansas Cancer Center - CRC

Locations

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University of Kansas Cancer Center - CRC

Fairway, Kansas, United States

Site Status

St. Catherine Hospital - Central Care Cancer Center

Garden City, Kansas, United States

Site Status

Heartland Cancer Center - Central Care Cancer Center

Great Bend, Kansas, United States

Site Status

Hays Medical Center Dreiling-Schmidt Cancer Institute

Hays, Kansas, United States

Site Status

University of Kansas Cancer Center - West

Kansas City, Kansas, United States

Site Status

Olathe Medical Center

Olathe, Kansas, United States

Site Status

University of Kansas Cancer Center - Overland Park

Overland Park, Kansas, United States

Site Status

Via Christi Cancer Center

Pittsburg, Kansas, United States

Site Status

Salina Regional Health

Salina, Kansas, United States

Site Status

St. Francis Comprehensive Cancer Center

Topeka, Kansas, United States

Site Status

University of Kansas Cancer Center - Westwood

Westwood, Kansas, United States

Site Status

Truman Medical Center

Kansas City, Missouri, United States

Site Status

University of Kansas Cancer Center - South

Kansas City, Missouri, United States

Site Status

University of Kansas Cancer Center - North

Kansas City, Missouri, United States

Site Status

University of Kansas Cancer Center - Lee's Summit

Lee's Summit, Missouri, United States

Site Status

Countries

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United States

References

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Other Identifiers

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2015-IIT-X7-7

Identifier Type: -

Identifier Source: org_study_id