Status:

TERMINATED

Epirubicin and Vinorelbine in Treating Patients With Stage II, Stage III, or Stage IV Breast Cancer

Lead Sponsor:

University of Medicine and Dentistry of New Jersey

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Breast Cancer

Eligibility:

All Genders

21-120 years

Phase:

PHASE2

Brief Summary

RATIONALE: Drugs used in chemotherapy, such as epirubicin and vinorelbine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Givi...

Detailed Description

OBJECTIVES: * Assess the efficacy of sequential use of epirubicin hydrochloride followed by vinorelbine ditartrate in patients with stage IIB, IIIA, IIIB, or IV breast cancer. * Measure the biologica...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed stage IIB (T3, N0), IIIA, IIIB, or IV breast carcinoma
  • Original tumor must be available for analysis of p53 status
  • Measurable disease, defined as any lesion that can be accurately measured in ≥ 1 dimension with longest diameter ≥ 20 mm using conventional techniques OR ≥ 10 mm with spiral CT scan
  • Stage IIIB disease will be assessed by clinical exam (monitoring skin changes as well as tumor size)
  • No visceral crisis (lymphangitic pulmonary spread, or liver or marrow replacement sufficient to cause significant organ dysfunction)
  • No untreated CNS metastases
  • Hormone receptor status not specified
  • PATIENT CHARACTERISTICS:
  • Menopausal status not specified
  • ECOG performance status 0-2
  • Life expectancy ≥ 8 weeks
  • Absolute neutrophil count ≥ 1,000/mm³
  • Platelet count ≥ 100,000/mm³
  • Hemoglobin ≥ 10 g/dL
  • Bilirubin normal
  • AST ≤ 3 times normal (≤ 5 times normal if liver metastases are present)
  • Creatinine ≤ 1.5 mg/dL
  • Ejection fraction ≥ lower limit of normal by MUGA scan or ECG
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective nonhormonal contraception
  • No other malignancy except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer
  • No pre-existing disease (i.e., cardiac, pulmonary, neurologic, or other disease) that the investigator judges to be clinically significant
  • No active infectious process, severe malnutrition, or intractable emesis
  • PRIOR CONCURRENT THERAPY:
  • Recovered from all prior therapy
  • At least 3 weeks since prior radiotherapy
  • At least 3 weeks since prior chemotherapy
  • Maximum prior doxorubicin hydrochloride dose must be ≤ 300 mg/m² OR equivalent anthracycline (epirubicin hydrochloride) dose must be ≤ 540 mg/m² OR calculated total anthracycline dose must be ≤ 540 mg/m² (determined as 1.8 times total doxorubicin hydrochloride dose plus epirubicin hydrochloride dose)
  • No prior chemotherapy for metastatic disease
  • Prior adjuvant chemotherapy, radiotherapy, and/or hormonal therapy for breast cancer allowed
  • No concurrent radiotherapy except for brain metastases

Exclusion

    Key Trial Info

    Start Date :

    June 1 2003

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    October 1 2009

    Estimated Enrollment :

    31 Patients enrolled

    Trial Details

    Trial ID

    NCT00176488

    Start Date

    June 1 2003

    End Date

    October 1 2009

    Last Update

    March 23 2017

    Active Locations (1)

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    Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School

    New Brunswick, New Jersey, United States, 08903