Completed

Docetaxel and Imatinib Mesylate in Treating Patients With Locally Advanced or Metastatic Breast Cancer

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What is being tested

docetaxel

+ imatinib mesylate
Drug
Who is being recruted

Breast Cancer

Over 18 Years
How is the trial designed

Treatment Study

Phase 1
Interventional
Study Start: December 2003

Summary

Principal SponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Last updated: April 24, 2018
Sourced from a government-validated database.Claim as a partner
Study start date: December 1, 2003Actual date on which the first participant was enrolled.

RATIONALE: Drugs used in chemotherapy such as docetaxel work in different ways to stop tumor cells from dividing so they stop growing or die. Imatinib mesylate may stop the growth of tumor cells by blocking the enzymes necessary for their growth. Giving docetaxel with imatinib mesylate may kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of docetaxel when given together with imatinib mesylate in treating patients with locally advanced or metastatic breast cancer. OBJECTIVES: Primary * Determine the safety profile, maximum tolerated dose, and recommended phase II dose of docetaxel when administered with imatinib mesylate in patients with locally advanced or metastatic breast cancer. Secondary * Determine the pharmacokinetic profile of this regimen in these patients. * Determine the potential effects of this regimen on CYP3A4 activity and docetaxel metabolism in these patients. * Correlate docetaxel and imatinib mesylate exposure (utilizing total and unbound docetaxel and imatinib mesylate plasma concentrations) with drug response (e.g., pharmacodynamic effects, drug toxicity, and response) in these patients. * Determine response rate, duration of response, and time to treatment failure in patients treated with this regimen. * Correlate proteomic profile changes in serum with tumor burden and response in patients treated with this regimen. * Correlate pharmacokinetic parameters, tissue expression of specific receptor tyrosine kinases (e.g., c-Kit, platelet-derived growth factor receptor \[PDGFR\], and phosphorylated PDGFR) in paraffin blocks, and pharmacodynamic assays with antitumor activity of this regimen in these patients. OUTLINE: This is an open-label, dose-escalation study of docetaxel. Patients receive docetaxel IV over 1 hour on days 1, 8, and 15 and oral imatinib mesylate (STI571) on days 8-28 of course 1 and days 1-28 of all subsequent courses. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity\*. Patients with stable or responding disease after at least 2 courses of therapy may discontinue docetaxel and continue therapy with single-agent STI571 until disease progression. NOTE: \*Patients experiencing excessive docetaxel-related toxicity who have completed at least 2 full courses may continue on single-agent STI571 in the absence of disease progression or excessive STI571-related toxicity. Cohorts of 3-6 patients receive escalating doses of docetaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. An additional cohort of 6-12 patients receives treatment at the MTD. Patients are followed at 30 days. PROJECTED ACCRUAL: Approximately of 18-30 patients will be accrued for this study.

Official TitleA Phase I Study Of Weekly Taxotere (Docetaxel) And Gleevec (STI571, Imatinib Mesylate, CGP 57148B) In Locally Advanced Or Metastatic Breast Cancer 
Principal SponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Last updated: April 24, 2018
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details
12 patients to be enrolledTotal number of participants that the clinical trial aims to recruit.
Treatment Study
These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.

How participants are assigned to different groups/arms
In this clinical study, all participants receive the same treatment. Since there is only one group, there is no need for randomization or assignment to different arms. This type of study is often used to test a new treatment without comparing it to another.

Other Ways to Assign Participants
Randomized allocation
: Participants are assigned randomly, like flipping a coin, to ensure fairness and reduce bias.

Non-randomized allocation
: Participants are assigned based on specific factors, such as their medical condition or a doctor's decision.

How treatments are given to participants
In this study, all participants receive the same treatment. This approach is often used to evaluate the effects of a single intervention without comparing it to another.

Other Ways to Assign Treatments
Parallel assignment
: Participants are split into separate groups, each receiving a different treatment.

Cross-over assignment
: Participants switch between treatments during the study.

Factorial assignment
: Participants receive different combinations of treatments.

Sequential assignment
: Participants receive treatments one after another in a specific order, possibly based on individual responses.

Other assignment
: Treatment assignment does not follow a standard or predefined design.

How the effectiveness of the treatment is controlled
In a non placebo-controlled study, no participants receive an inert substance (placebo) to compare outcomes. Instead, all participants receive either the experimental treatment or an alternative treatment (often the Standard of Care). This method allows researchers to compare the effects of the experimental treatment with those of a different active intervention, rather than a placebo.

Other Options
Placebo-Controlled
: A placebo is used to compare the effects of the experimental treatment with those of an inert substance, isolating the true treatment effect.

How the interventions assigned to participants is kept confidential
Everyone involved in the study knows which treatment is being given. This is typically used when it's not possible or necessary to hide the treatment details from participants or researchers.

Other Ways to Mask Information
Single-blind
: Participants do not know which treatment they are receiving, but researchers do.

Double-blind
: Neither participants nor researchers know which treatment is given.

Triple-blind
: Participants, researchers, and outcome assessors do not know which treatment is given.

Quadruple-blind
: Participants, researchers, outcome assessors, and care providers all do not know which treatment is given.

Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria
Any sexBiological sex of participants that are eligible to enroll.
Over 18 YearsRange of ages for which participants are eligible to join.
Healthy volunteers not allowedIf individuals who are healthy and do not have the condition being studied can participate.
Conditions
Pathology
Breast Cancer
Criteria

DISEASE CHARACTERISTICS: * Histologically confirmed adenocarcinoma of the breast * Stage IIIB, IIIC, or IV disease * Measurable or evaluable disease * Stable brain metastases allowed provided prior surgery or radiotherapy was completed more than 90 days ago * No documented or suspected leptomeningeal disease * Hormone receptor status: * Not specified PATIENT CHARACTERISTICS: Age * 18 and over Sex * Male or female Menopausal status * Not specified Performance status * ECOG 0-1 Life expectancy * Not specified Hematopoietic * Granulocyte count ≥ 1,500/mm\^3 * Hemoglobin ≥ 8.0 g/dL * Platelet count ≥ 100,000/mm\^3 Hepatic * Bilirubin ≤ upper limit of normal (ULN) * Meets 1 of the following criteria for AST or ALT AND alkaline phosphatase: * AST or ALT ≤ ULN AND alkaline phosphatase ≤ 5 times ULN * AST or ALT ≤ 2.5 times ULN AND alkaline phosphatase ≤ ULN * AST or ALT ≤ 1.5 times ULN AND alkaline phosphatase ≤ 2.5 times ULN * No known acute or chronic liver disease (e.g., chronic active hepatitis or cirrhosis) Renal * Creatinine ≤ 1.5 mg/dL Cardiovascular * No New York Heart Association class III or IV heart disease * No congestive heart failure * No myocardial infarction within the past 6 months Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for at least 3 months after study participation * No other primary malignancy except those malignancies that are clinically insignificant AND do not require active intervention * No other concurrent severe and/or life-threatening medical disease * No significant history of noncompliance to medical regimens or inability to grant reliable informed consent PRIOR CONCURRENT THERAPY: Biologic therapy * At least 14 days since prior systemic trastuzumab (Herceptin®) * No concurrent trastuzumab * No concurrent biologic therapy for the primary malignancy Chemotherapy * Prior taxane therapy, including docetaxel, in the adjuvant or metastatic setting allowed * At least 21 days since prior systemic chemotherapy (14 days for weekly or oral chemotherapy and 42 days for nitrosoureas or mitomycin) * No other concurrent chemotherapy Endocrine therapy * At least 14 days since prior systemic hormonal therapy * No concurrent antiestrogen therapy * No concurrent routine systemic corticosteroid therapy except as premedication for chemotherapy * Concurrent megestrol allowed only as an appetite stimulant Radiotherapy * See Disease Characteristics * At least 14 days since prior radiotherapy * No prior radiotherapy to only site of measurable/evaluable disease unless there is new evidence of post-radiotherapy disease progression * No concurrent radiotherapy Surgery * See Disease Characteristics * More than 2 weeks since prior major surgery Other * Recovered from all prior therapy * At least 14 days since prior daily or weekly systemic investigational treatment * No concurrent warfarin for full anticoagulation * Concurrent low-dose warfarin (e.g., 1 mg/day) allowed for prophylaxis of central venous access * No concurrent treatment with any of the following: * Phenobarbital * Phenytoin * Carbamazepine * Barbiturates * Rifampin * Hypericum perforatum (St. John's wort) * No other concurrent therapies for the primary malignancy * No other concurrent investigational drugs or systemic therapy * No concurrent bisphosphonates unless started before study therapy * No concurrent grapefruit juice


Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives
One single intervention group 

is designated in this study

This study does not include a placebo group 

Treatment Groups
Group I
Experimental
Imatinib mesylate (400-600 mg, oral, once daily) and docetaxel (15-30 mg/m2, IV, weekly on days 1, 8, and 15) each 28 day cycle
Study Objectives
Primary Objectives


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 1 location
Suspended
Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsBaltimore, United StatesSee the location

CompletedOne Study Center