Phase I/II of Capecitabine and Vinorelbine in Elderly Patients (At Least 65 Years) With Metastatic Breast Cancer With or Without Bone Involvement
capecitabine
+ vinorelbine tartrate
Maladies du sein+3
+ Néoplasmes
+ Néoplasmes par site
Étude thérapeutique
Résumé
Date de début de l'étude : 1 mars 1999
Date à laquelle le premier participant a commencé l'étude.OBJECTIVES: Determine the maximum tolerated dose of capecitabine and vinorelbine in elderly women (65 and older) with metastatic breast cancer. Evaluate the efficacy and tolerability of this regimen in these patients. Assess the time to treatment failure for this regimen as a first line chemotherapy in these patients. OUTLINE: This is a dose-escalation study of capecitabine and vinorelbine. Patients are stratified according to bone involvement (yes [closed to accrual as of 12/7/04] vs no). Phase I: Patients receive oral capecitabine twice daily on days 1-14 and vinorelbine IV over 6-10 minutes on days 1 and 8. Treatment repeats every 21 days for a maximum of 6 courses in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of capecitabine and vinorelbine until the maximum tolerated dose (MTD) of each drug is determined. The MTD is defined as the dose at which 2 of 6 patients experience dose limiting toxicity. Phase II: Patients receive capecitabine and vinorelbine administered as in phase I, at the dose preceding the MTD. Quality of life is assessed during phase II on days 1, 8, and 15 of course 1 and on day 1 of courses 2-4. Patients are followed every 3 months until disease progression or start of any subsequent antitumor treatment. PROJECTED ACCRUAL: A total of 98-110 patients will be accrued for this study.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.110 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Traitement
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Femme
Le sexe biologique des participants éligibles à s'inscrire.À partir de 65 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
DISEASE CHARACTERISTICS: Histologically or cytologically proven adenocarcinoma of the breast Phase I: Measurable or evaluable disease Phase II: Bidimensionally measurable disease No CNS metastases Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age: 65 and over Sex: Female Menopausal status: Postmenopausal Performance status: ECOG/SAKK 0-2 Life expectancy: At least 12 weeks Hematopoietic: Normal peripheral blood counts Hepatic: AST no greater than 2 times upper limit of normal (ULN) (no greater than 3 times ULN if liver metastases present) Renal: Creatinine no greater than 1.5 times ULN Other: No other prior or concurrent malignancy except adequately treated basal or squamous cell skin cancer or carcinoma in situ of the cervix No peripheral neuropathy grade 2 or higher No cognitive impairment or severe psychiatric disorder PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: More than 6 months since prior adjuvant chemotherapy No prior chemotherapy for metastatic or locally advanced disease No other concurrent chemotherapy Endocrine therapy: Prior hormonal therapy for metastatic disease allowed No continuous concurrent steroids No concurrent systemic endocrine therapy for breast cancer No other concurrent endocrine therapy Radiotherapy: No concurrent radiotherapy involving greater than 30% of bone marrow or mucosa Radiotherapy to nonindicator lesion allowed Surgery: Not specified Other: Bisphosphonates allowed if indicator lesion in nonbone site
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.Objectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 1 site
Kantonsspital - St. Gallen
Sankt Gallen, SwitzerlandOuvrir Kantonsspital - St. Gallen dans Google Maps