Clinical trial NCT00216021: Capecitabine and Oxaliplatin in Treating Patients With Metastatic Breast Cancer
Official title: A Phase II Trial of Capecitabine and Oxaliplatin (CAPOX) in Patients With Metastatic Breast Cancer: Hoosier Oncology Group BRE03-60
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Metastatic Breast Cancer
Keywords: Breast Cancer
Lead sponsor: Hoosier Cancer Research Network
Sponsor class: OTHER
Collaborators: name: Sanofi
name: Hoffmann-La Roche
name: Walther Cancer Institute
First posted: 2005-09-22
Enrollment: 25
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: In vitro data suggest synergy between oxaliplatin and 5-FU. The combination of oxaliplatin with 5-fluorouracil produced objective response rates ranging from 27-34% in two studies of patients with prior chemotherapy. Capecitabine was designed as an orally administered, tumor selective fluoropyrimidine, preferentially converted to 5-FU at the tumor site by the higher levels of pyrimidine nucleoside phosphorylase (PyNPase) in tumor tissues compared to normal tissues. The end result is higher concentrations of 5-fluorouracil in tumor relative to surrounding normal tissue. This trial will investigate the activity of this novel capecitabine/oxaliplatin (CAPOX) combination in patients with advanced disease. In addition, an exploratory analysis will correlate response with thymidine synthase and thymidine phosphorylase expression in primary tumor samples.

Detailed description: OUTLINE: This is a multi-center study.

CAPOX (21 day cycle):

* Capecitabine 825 mg/m2 orally twice daily Days 1-14.
* Oxaliplatin 100 mg/m2 intravenously Day 1

Patients may continue combination therapy until progression or toxicity intervenes. Patients who discontinue either agent due to toxicity may, at the investigators discretion, continue therapy with the remaining single agent on study.

ECOG performance status 0 or 1

Hematopoietic:·

* ANC \> 1,200/mm3·
* Platelets \> 100,000/mm3

Hepatic:·

* Total bilirubin \< 1.5 x ULN·
* AST \< 2 x ULN (up to 5 x ULN in patients with known liver involvement)

Renal:·

* Serum creatinine \< 1.5 x ULN and estimated creatinine clearance \>50ml/min as calculated with Cockroft-Gault equation

Cardiovascular:·

* No clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 12 months.

Eligibility criteria: Inclusion Criteria:

* Histologic or cytologic diagnosis of breast cancer with evidence of (1) unresectable, locally recurrent, or (2) metastatic disease.·
* Patients with HER2 positive (3+ overexpression by IHC or gene amplification by FISH) are eligible only if they have had prior trastuzumab therapy.·
* At least one measurable lesion as defined by the RECIST.
* Prior radiation therapy is allowed as long as the irradiated area is not the only source of measurable disease.

Exclusion Criteria:

* No prior therapy with capecitabine or oxaliplatin in any setting
* No prior therapy with other platinum compounds·
* No other forms of cancer therapy including radiation, chemotherapy and hormonal therapy within 21 days prior to beginning protocol therapy.·
* No prior unanticipated severe reaction to fluoropyrimidine therapy, or known sensitivity to 5-fluorouracil.·
* No prior fluoropyrimidine therapy for metastatic disease is allowed. Prior adjuvant fluoropyrimidine therapy is allowed if completed \> 12 months from study entry.·
* Maximum of one prior chemotherapy regimen for unresectable, locally recurrent or metastatic disease·
* No symptomatic brain metastasis. ·
* No evidence of serious concomitant systemic disorders incompatible with the study ·
* No peripheral neuropathy ·
* No major surgery within 28 days prior to beginning protocol therapy.·
* Negative pregnancy test·
* No female patients currently breastfeeding·
* No malabsorption syndrome·
* No evidence of serious concomitant systemic disorders incompatible with the study·
* Patients must not be treated with any of the following while on protocol therapy or within 28 days prior to beginning protocol therapy: sorivudine, brivudine, cimetidine, allopurinol.

Primary outcomes:
measure: - To determine the objective response rate (CR+PR) of capecitabine and oxaliplatin (CAPOX) in patients with metastatic breast cancer.
timeFrame: 36 months
Secondary outcomes:
measure: To measure time to progression ·
timeFrame: 36 months
measure: To determine rate of clinical benefit response (CR + PR + SD > 6 months). ·
timeFrame: 36 months
measure: To determine toxicity rate of CAPOX in this patient population.·
timeFrame: 36 months
measure: To explore potential correlations between thymidine synthase (TS), thymidine phosphorylase (TP) and dihydropyrimidine dehydrogenase (DPD) expression in the primary tumor with response.
timeFrame: 36 months
Other outcomes:
Locations:
city: Newark
country: United States
facility: Helen F. Graham Cancer Center
state: Delaware
city: Galesburg
country: United States
facility: Medical & Surgical Specialists, LLC
state: Illinois
city: Elkhart
country: United States
facility: Elkhart Clinic
state: Indiana
city: Evansville
country: United States
facility: Oncology Hematology Associates of SW Indiana
state: Indiana
city: Indianapolis
country: United States
facility: Indiana University Cancer Center
state: Indiana
city: Indianapolis
country: United States
facility: Quality Cancer Center (MCGOP)
state: Indiana
city: Indianapolis
country: United States
facility: Community Regional Cancer Center
state: Indiana
city: Muncie
country: United States
facility: Medical Consultants, P.C.
state: Indiana
city: New Albany
country: United States
facility: Center for Cancer Care, Inc., P.C.
state: Indiana
city: South Bend
country: United States
facility: Northern Indiana Cancer Research Consortium
state: Indiana
city: Terre Haute
country: United States
facility: AP&S Clinic
state: Indiana
Study officials:
affiliation: Hoosier Oncology Group, LLC
name: Kathy Miller, M.D.
role: STUDY_CHAIR
References: