A Multicenter Randomized Trial, With Direct Individual Benefit, to Determine the Optimal Circadian Time of Vinorelbine Administration Combined With Chronomodulated Infusion of 5-Fluorouracil in Previously Treated Patients With Metastatic Breast Cancer
fluorouracil
+ vinorelbine tartrate
Breast Diseases+3
+ Neoplasms
+ Neoplasms by Site
Treatment Study
Summary
Study start date: December 1, 1998
Actual date on which the first participant was enrolled.OBJECTIVES: Determine the least toxic time of vinorelbine administration when combined with chronomodulated fluorouracil in women with previously treated metastatic breast cancer. Determine the toxic effects and dose intensities of each drug in these women. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to prior chemotherapy (second line vs third line) and participating center. Patients are randomized to 1 of 8 vinorelbine dosing times (0000, 0300, 0600, 0900, 1200, 1500, 1800, or 2100). Patients receive vinorelbine IV over 20 minutes on days 1 and 6 and fluorouracil IV over 12 hours according to a chronomodulated delivery rate (2200 to 1000 with a maximum dose at 0400) on days 1-4. Treatment repeats every 3 weeks for at least 3 courses in the absence of unacceptable toxicity. Patients are followed for 30 days. PROJECTED ACCRUAL: A minimum of 80 patients (10 per dosing time) will be accrued for this study.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.80 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Female
Biological sex of participants that are eligible to enroll.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed metastatic breast cancer At least 1 line of prior chemotherapy for metastatic disease (adjuvant or neoadjuvant chemotherapy is considered first line if completed less than one year prior to palliative chemotherapy) No cerebral metastases Hormonal receptor status: Not specified PATIENT CHARACTERISTICS: Age: Not specified Sex: Female Menopausal status: Not specified Performance status: WHO 0-2 Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm ^3 Hepatic: Bilirubin no greater than 2.5 times upper limit of normal (ULN) AST/ALT no greater than 2.5 times ULN Renal: Creatinine no greater than 1.58 mg/dL Cardiovascular: No clinically significant cardiac insufficiency or ischemic disease Pulmonary: No bronchoconstriction other than pulmonary lymphangitis Other: No serious chronic disease No bowel obstruction Not pregnant or nursing PRIOR CONCURRENT THERAPY: Biologic therapy: No concurrent immunotherapy No concurrent prophylactic growth factor Chemotherapy: See Disease Characteristics At least 4 weeks since prior chemotherapy No prior high-dose chemotherapy No other concurrent chemotherapy Endocrine therapy: No concurrent hormonal therapy No concurrent steroid therapy except in an emergency Radiotherapy: At least 4 weeks since prior radiotherapy (for primary tumor or axillary or mammary chain treatment only) No concurrent radiotherapy Surgery: Not specified Other: No other concurrent antitumor therapy
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 17 locations
VZW Monica Campus Eeuwfeestkliniek
Antwerp, BelgiumOpen VZW Monica Campus Eeuwfeestkliniek in Google MapsC.H.C - Asbl
Liège, BelgiumCHU Liege - Domaine Universitaire du Sart Tilman
Liège, BelgiumCentre Jean Perrin
Clermont-Ferrand, France