Randomised, Multicenter Phase II Study in Patients With Metastatic Breast Cancer With Gemcitabine Plus Vinorelbine Versus Gemcitabine Plus Cisplatin Versus Gemcitabine Plus Capecitabine
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Metastatic Breast Cancer
- Sponsor
- Ludwig-Maximilians - University of Munich
- Enrollment
- 141
- Primary Endpoint
- Response rate
- Status
- Completed
- Last Updated
- 15 years ago
Overview
Brief Summary
Development of an active second-line treatment option for metastatic breast cancer patients previously pre-treated with anthracyclines and taxanes in neoadjuvant, adjuvant or palliative settings.
For each randomisation arm, 47 patients will be included. The trial was performed as a 2-stage phase II study according to the optimal design by Simon with overall response rate as the primary objective.
Study Design:
Arm A Gemcitabine 1000 mg/m2 d1, 8; Vinorelbine 25 mg/m2 d1, 8 q 3 weeks
Arm B Gemcitabine 1000 mg/m2 d1, 8; Cisplain 30 mg/m2 d1, 8 q 3 weeks
Arm C Gemcitabine 1000 mg/m2 d1, 8; Capecitabine 1650 mg/m2 oral d1-14 q 3 weeks
Investigators
Eligibility Criteria
Inclusion Criteria
- •Histologically confirmed metastatic breast cancer
- •All patients were required to give written informed consent
- •Only one prior chemotherapy for metastatic breast cancer was allowed. This clinical trial was designed to test the efficacy of a second-line chemotherapy.
- •Antracycline-pretreatment during aduvant or palliative first line therapy
- •Bidimensionally measurable lesion outside a previous radiation field.
- •Age \>= 18 years
- •Karnofsky Performance status \>= 70%
- •Adequate heamatological, renal, cardiac and hepatic function
- •No radiation of the measurable lesion during the study was allowed.
Exclusion Criteria
- •Only bone metastases
- •Active infection
- •Previous treatment with one of the study drugs
- •Application of other cytotoxic chemotherapy
- •Insufficent renal function (creatinine clearance \< 60ml/min)
- •Known DPD deficiency
- •clinically unstable brain metastasis
- •pregancy or lactation
- •other primary malignancies (other than carcinoma-in-situ of the cervix or adequately treated basal cell cancer of the skin).
Outcomes
Primary Outcomes
Response rate
Time Frame: one year after last patient in
Secondary Outcomes
- Time to progression(one year after last patient in)
- Overall Survival(one year after last patient in)
- Toxicity