ISRCTN33132357已完成不适用
Three arm randomized parallel phase II/III study evaluating the efficacy and safety of the combinations Epirubicin and Taxotere® (ET), Taxotere® and Navelbine® (TN) and Navelbine® and Epirubicin (EN) as first line therapy in patients with metastatic breast cancer
VU University Medical Center (Netherlands)0 个研究点目标入组 111 人开始时间: 2006年1月27日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 111
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 性别
- Female
入选标准
- •1. Histologically proven breast cancer at first diagnosis. At study entry histological or cytological proof of metastasis is required in case of a single metastatic target lesion.
- •2. Female metastatic breast cancer patients
- •3. Measurable disease or evaluable disease (bone metastases only allowed)
- •4. Previous chemotherapy: Adjuvant: Patients may have had adjuvant and/or neoadjuvant chemotherapy but no more than 240 mg/m2 cumulative dose of prior doxorubicin or no more than 450 mg/m2 of epirubicin. Taxanes in adjuvant setting are allowed. However, there must be at least 12 months interval between the end of (neo-)adjuvant chemotherapy and protocol entry. This interval is not required for patients who received non-anthracycline/non-taxane adjuvant and/or neoadjuvant chemotherapy. No previous chemotherapy for metastatic breast cancer is allowed.
- •5. Previous hormonal treatment: Previous hormonal treatment is allowed provided discontinuation >4 weeks before start of study treatment
- •6. Previous radiation: Previous radiation therapy may have been given provided it is not the only site to assess response
- •7. Age >18 and <70 years
- •8. WHO performance status 0, 1 or 2
- •9. Laboratory requirements:
- •a. Hematology: White blood cell count >3.0 x 10^9/l (if WBC <3.0 x 10^9/l, Neutrophils should be >1.5 x 10^9/l), Platelets >100 x 10^9/l, Hemoglobin >10 g/dl (>6.2 mmol/l)
- •b. Hepatic function: Total bilirubin <1.00 times the upper-normal limits (UNL) of the institutional normal values. ASAT (SGOT) and/or ALAT (SGPT) <2.5 UNL, alkaline phosphatase <5 UNL (unless bone metastasis are present in the absence of any liver disorders). NB: Patients with ASAT and/or ALAT >1.5 UNL associated with alkaline phosphatase >2.5 UNL are not eligible for study.
- •c. Renal function: Serum creatinine <80 umol/l. If serum creatinine >80 umol/l, calculated creatinine clearance (Cockroft Gould) should be >60 ml/min
- •10. Normal left ventricular ejection fraction (LVEF) or superior to the lower limits of the institution (determined by either MUGA scan or ultrasound methods)
- •11. Patients must be accessible for treatment and follow-up
- •12. Measurability of the disease and evaluation of response according to RECIST criteria
- •13. Complete initial work-up within 3 weeks prior to first infusion
- •14. Written informed consent
排除标准
- •1. Prior chemotherapy for metastatic disease
- •2. Locally advanced inoperable breast cancer (Stage III B) as only manifestation of the disease
- •3. Non-measurable disease
- •4. Pregnant or lactating women or women of childbearing potential not using adequate contraception
- •5. History of prior malignancies (other than non melanoma skin cancer or excised cervical carcinoma in situ)
- •6. Clinical evidence of cerebral metastasis
- •7. Symptomatic peripheral neuropathy > grade 2 according to the NCI Common Toxicity Criteria
- •8. WHO PS >2
- •9. Concurrent treatment with other experimental drugs
- •10. Participation in another clinical trial with any investigational drug within 30 days prior to study screening
- •11. Concurrent treatment with any other anti-cancer therapy except for concomitant treatment with bisphosphonates, provided that bone metastases are not the only evaluable lesions for response to therapy (see measurability of disease and evaluation of response)
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