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临床试验/NCT00196820
NCT00196820已完成2 期

A Multicenter Phase II Study to Determine the Efficacy of Capecitabine as First Line Monochemotherapy in Patients With HER2 Negative, Medium-risk, Metastatic Breast Cancer

German Breast Group1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2005年7月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
200
试验地点
1
主要终点
Any progression of disease or disease related death of a patient

研究概览

简要总结

Study done in patients with metastatic breast cancer in order to determine the efficacy of capecitabine

详细描述

Study design:

Prospective, open phase II trial

Treatment:

Capecitabine 2000 mg/m² orally day 1-14 q day 22 until progression, unacceptable toxicity, patient's request or withdrawal from study

Primary objective

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Written informed consent prior to beginning specific protocol procedures, including expected cooperation of the patients for the treatment and follow-up, must be obtained and documented according to the local regulatory requirements.
  • Histologically confirmed carcinoma of the breast.
  • Negative for HER2-overexpression of the primary and/or metastatic tumour tissue detected by immunohistochemistry (DAKO 0-2) or genamplification detected by FISH.
  • Locally advanced or metastatic stage of disease not suitable for surgery or radiotherapy alone.
  • The following previous systemic treatment are eligible:
  • adjuvant chemotherapy (except if capecitabine was included) adjuvant endocrine therapy palliative endocrine treatments treatment with bisphosphonates (adjuvant and/or palliative) treatment with immunotherapies (adjuvant and/or palliative)
  • Patients must have either measurable or nonmeasurable target lesions according to the WHO criteria (see Appendix 5).
  • At least 4 weeks since radiotherapy, with full recovery. The measurable disease must be completely outside the radiation portal or there must be pathologic proof of progressive disease.
  • Complete radiology and tumor measurement work up within 4 weeks prior to registration.
  • Karnofsky performance status evaluation > or = 60%
  • Age >18 years
  • WBC > or = 3000 cells/microl, platelet count > or = 100,000 cells/microl.
  • Bilirubin < or = 2x the upper limit of normal for the institution (ULN); elevation of transaminases and alkaline phosphatase < 2.5x ULN or <5x ULN for patients with liver metastases.
  • Creatinine < or = 1,25 x upper normal value or creatinin-clearance > 50 ml/min (according to Cockroft Gault).
  • If of childbearing potential, negative pregnancy test. In addition the patient has to agree to use an effective method to avoid pregnancy for the duration of the study.
  • Female and male patients

排除标准

  • Known hypersensitivity reaction to the compounds or incorporated substances or known dihydropyrimidine dehydrogenase deficiency.
  • Concurrent immunotherapy or hormonal therapy (antihormonal, contraceptive and/or replacement therapy). Bisphosphonates may be continued.
  • Parenchymal brain metastases, unless adequately controlled by surgery and/or radiotherapy with complete resolution of symptoms and discontinuation of all steroids.
  • Life expectancy of less than 3 months.
  • Serious intercurrent medical or psychiatric illness that may interfere with the planned treatment (including AIDS and serious active infection).
  • History of other malignancy within the last 5 years which could affect the diagnosis or assessment of metastatic breast cancer.
  • Patients with indication for polychemotherapy.
  • Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational not marketed drug within 30 days prior to study entry.
  • Treatment with sorivudine or derivates e.g. brivudin.
  • Pregnant or nursing women.

研究组 & 干预措施

A

Experimental

Capecitabine 2000 mg/m2 orally day 1-14 q day 22 until progression, unacceptable toxicity, patient's request or withdrawal from study

干预措施: Capecitabine (Drug)

结局指标

主要结局

Any progression of disease or disease related death of a patient

次要结局

  • Any death of a patient,
  • EORTC QoL and modified Brunner Score,
  • Any response (partial and complete) documented according to the WHO Criteria (s. App 6),
  • Premature treatment discontinuation,
  • Any dose reduction due to toxicity,
  • Time from complete or partial response until progression of disease or death due to any cause,
  • Any response (partial and complete) and stable disease of > 24 weeks duration documented according to the WHO Criteria (App. 6),
  • Any grade III/IV toxicity (NCI-CTC Version 2.0),

研究者

发起方
German Breast Group
申办方类型
Other
责任方
Sponsor

研究点 (1)

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