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Everolimus in Treating Patients WIth Recurrent or Metastatic Breast Cancer

Phase 2
Completed
Conditions
Breast Cancer
Interventions
Registration Number
NCT00255788
Lead Sponsor
NCIC Clinical Trials Group
Brief Summary

RATIONALE: Everolimus may stop the growth of tumor cells by blocking blood flow to the tumor.

PURPOSE: This randomized phase II trial is studying two different schedules of everolimus to see how well they work in treating patients with recurrent or metastatic breast cancer.

Detailed Description

OBJECTIVES:

Primary

* Determine the efficacy of 2 different treatment schedules of everolimus, in terms of clinical/radiological response and early progression, in patients with recurrent or metastatic breast cancer.

Secondary

* Determine the time to progression and response duration in patients treated with these regimens.

* Determine the toxic effects of these regimens in these patients.

* Correlate molecular markers of mTOR activity in tumor tissue with objective tumor response in patients treated with these regimens.

OUTLINE: This is a randomized, open label, multicenter study. Patients are stratified according to presence of visceral metastases (yes vs no) and prior chemotherapy regimens for recurrent disease (0 vs 1). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive oral everolimus once daily on days 1-28.

* Arm II: Patients receive oral everolimus on days 1, 8, 15, and 22. In both arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 4 weeks and then periodically until disease progression.

PROJECTED ACCRUAL: A total of 60 patients (30 per treatment arm) will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
49
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm AeverolimusEverolimus - 28 days q 4 wk
Arm BeverolimusEverolimus - days 1, 8, 15 and 22 q 4wks
Primary Outcome Measures
NameTimeMethod
Early progression rate by clinical evaluation every 4 weeks and radiologic reevaluation every 8 weeks
Response rate by clinical evaluation every 4 weeks and radiologic reevaluation every 8 weeks
Secondary Outcome Measures
NameTimeMethod
Time to progression by clinical evaluation every 4 weeks and radiologic reevaluation every 8 weeks
Response duration by evaluation 4 weeks after response and then every 8 weeks
Adverse event rates
Correlative assessment of response with molecular markers of mTor activity on archival tissue
Optional correlative assessment of response with molecular markers of mTor activity on fresh tissue

Trial Locations

Locations (5)

Toronto Sunnybrook Regional Cancer Centre at Sunnybrook and Women's College Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

Margaret and Charles Juravinski Cancer Centre

🇨🇦

Hamilton, Ontario, Canada

British Columbia Cancer Agency - Vancouver Cancer Centre

🇨🇦

Vancouver, British Columbia, Canada

Fraser Valley Cancer Centre at British Columbia Cancer Agency

🇨🇦

Surrey, British Columbia, Canada

British Columbia Cancer Agency - Centre for the Southern Interior

🇨🇦

Kelowna, British Columbia, Canada

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