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A Study of Pemetrexed and Cyclophosphamide Given Every 21 Days in Advanced Breast Cancer Patients

Phase 1
Completed
Conditions
Breast Cancer
Interventions
Registration Number
NCT00190671
Lead Sponsor
Eli Lilly and Company
Brief Summary

This is the phase 2 portion of a phase 1/2 trial, testing the use of pemetrexed and cyclophosphamide in combination for the treatment of advanced breast cancer. A single arm Phase 1 dose finding (establish maximum tolerated dose) study precedes the randomized phase 2 portion.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
103
Inclusion Criteria
  • You must be female and at least 18 years old. - You must have been diagnosed with breast cancer. - Your pre-study lab tests are within study requirements. - You must be willing to take folic acid and vitamin B12.
Exclusion Criteria
  • You are pregnant or breastfeeding. - You have another illness that your doctor thinks would make you unable to participate. - You are currently taking aspirin or aspirin-like medicine and are unable to stop for a few days during each cycle of therapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Pemetrexed 600 mg/m2pemetrexed-
Pemetrexed 600 mg/m2cyclophosphamide-
Pemetrexed 1800 mg/m2cyclophosphamide-
Pemetrexed 1800 mg/m2pemetrexed-
Primary Outcome Measures
NameTimeMethod
Best Tumor Responsebaseline to measured progressive disease

Tumor response was assessed using radiological imaging, which was repeated every 6 weeks prior to every other cycle. Confirmation of response was to occur no less than 4 weeks (28 days) after the first evidence of response.

Secondary Outcome Measures
NameTimeMethod
Time to Progressive Diseasebaseline to measured progressive disease

Time to progressive disease was defined as the time from the date of the first treatment dose to the first date of progressive disease or death from study disease.

Progression Free Survivalbaseline to measured progressive disease

Defined as date of first treatment dose to first date of progressive disease or death from any cause. For patients not known to have died as of data cutoff date and who did not have progressive disease, the progression free survival date was censored at last contact date.

Pharmacokinetics - Maximum Observed Drug Concentration (Cmax)cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)
Pharmacokinetics - Area Under the Curve (AUC)cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)

Area under the gemcitabine concentration-time curve from zero to last quantifiable concentration \[AUC(0-t)\] was calculated by combination of linear and logarithmic trapezoidal methods. Linear trapezoidal method was employed up to tmax (time to reach maximal concentration), and then log trapezoidal method was used for those data after tmax.

Pharmacokinetics - Clearance (CL)cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)

Total body clearance of drug calculated after intravenous administration.

Pharmacokinetics - Volume of Distributioncycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)

Central volume (V1) and peripheral volume (V2) of distribution.

Pharmacokinetics - Half-Life (t½)cycle 1 (Day 1: <1 min prior to end of pemetrexed infusion; 1/2, 1, 1.5, 2, 3, 4, 6, 8, 24, 48, 72 hours after start of pemetrexed infusion)

The half-life associated with the terminal elimination rate constant.

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal ph

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