Metastatic Breast Cancer
Conditions
Keywords
Metastatic breast cancer, Breast Cancer, Pegylated Liposomal Doxorubicin, Capecitabine, DOXIL, Xeloda
Brief summary
The main purpose of this study is to compare treatment with either pegylated liposomal doxorubicin or capecitabine as first line chemotherapy for metastatic breast cancer in women 60 years and older.
Detailed description
This is an open-label (all people know the identity of the intervention), randomized (the study medication is assigned by chance), multicenter study comparing with pegylated liposomal doxorubicin (PLD) with capecitabine as first line chemotherapy of metastatic breast cancer in women 60 years and older. The study consists of a screening Phase (up to 14 days prior to treatment), treatment phase (up to 1 year), and post-treatment follow-up phase. The planned duration of treatment was 1 year in the absence of disease progression or unacceptable toxicity. Approximately 300 patients will be enrolled and randomly assigned to receive 1 of 2 treatment groups (PLD or capecitabine). Safety evaluations will consist of vital sign examination, physical examination, incidence and severity of adverse events, and laboratory tests findings and will be followed throughout the study.
Interventions
DRUGPegylated liposomal doxorubicin
Type=exact number, unit=mg/m2, number=40, form=infusion, route=intravenous. Pegylated liposomal doxorubicin will be administered on Day 1 of each cycle. Cycle will be repeated every 28 days, up to 1 year.
DRUGCapecitabine
Type=exact number, unit=mg, number=500, form=tablet, route=oral. Capecitabine will be administered at a dosage of 1000 mg/m2 twice daily for 14 consecutive days followed by a 7-day rest period. Cycle is repeated every 21 days, up to one year.
Sponsors
Tibotec Therapeutics, a Division of Ortho Biotech Products, L.P., USA
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Clinically or pathologically proven metastatic breast cancer * Eastern Cooperative Oncology Group performance status between 0-2 * Adequate bone marrow, renal and liver functions within normal limits * Left ventricular ejection fractions more than 45% measured by multiple gated acquisition scan or echocardiogram within 6 weeks of randomization
Exclusion criteria
* Prior chemotherapy for metastatic disease (hormonal or chemotherapy in adjuvant setting and hormonal therapy in metastatic setting is allowed) * Prior treatment with capecitabine or pegylated liposomal doxorubicin in the adjuvant setting (prior anthracyclines up to certain dose limit is allowed) * Evidence of brain metastases unless previously treated and asymptomatic for 3 months or greater * History of cardiac disease with New York Heart Association Class II or greater or clinical evidence of congestive heart failure * Anthracycline resistant disease (locally recurrent or metastatic disease while on adjuvant anthracycline therapy or relapse less than 18 months after therapy completion)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to disease progression | Up to disease progression or death | Time to disease progression is the duration in months from the date of randomization to the first documented evidence of disease progression or death caused by disease progression before the end of study. Time to disease progression will be compared between patients treated with doxorubicin and capecitabine. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response rate | Up to disease progression or death | Overall response rate is measured as the number of patient with complete and partial responses. It will be compared between patients treated with doxorubicin and capecitabine. |
| Overall survival | Up to 2 years after last patient is enrolled or death | Overall survival is the duration from date of randomization to the date of death due to any cause during the study. It will be compared between patients treated with doxorubicin and capecitabine. |
| Number of patients with adverse events | Up to 1 month after intake of last dose of study medication | Safety evaluated as number of patients with adverse events is compared between 2 treatment groups (doxorubicin and capecitabine). |
| The European Organization for Research and Treatment of Cancer (EORTC) QLQ (Quality of Life Questionnaire) - C30 | Day 1 and end of treatment | The 30 item questionnaire to assess quality of life incorporates five functional scales: general physical symptoms, physical functioning, psychological distress, social functioning, and fatigue/malaise. Most items are rated on a 4 point Likert scale ranging from 0 = not at all to 4 = very much. The effect of doxorubicin and capecitabine on the quality of life measured by the EORTC QLQ-C30 is assessed. |
| Subjective Significance Questionnaire (SSQ) | Day 1 and end of treatment | The SSQ consists of 4 items in which patients rate the degree to which they experienced an improvement or deterioration in their physical condition, emotional state, ability to enjoy their social life, and overall quality of life since there last QOL assessment.Each of the four items are rated on a 7 point Likert scale ranging from 0 = very much worse to 7 = very much better. The effect of doxorubicin and capecitabine on the quality of life measured by the SSQ is assessed. |
Countries
United States
Outcome results
None listed