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Drug Resistance Inhibition in Treating Patients With Recurrent or Metastatic Breast Cancer



Drug Resistance Inhibition in Treating Patients With Recurrent or Metastatic Breast Cancer

For Condition: recurrent breast cancer,stage 4 breast cancer
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Eastern Cooperative Oncology Group
Synopsis: RATIONALE: Some tumors become resistant to chemotherapy drugs. Combining PSC 833 with a chemotherapy drug may reduce resistance to the drug, and allow the tumor cells to be killed. PURPOSE: Phase II trial to study the effectiveness of PSC 883 and paclitaxel in treating women who have recurrent or metastatic breast cancer.
Details: OBJECTIVES: I. Evaluate the antitumor activity, as measured by frequency of objective response and time to progression, of the multidrug resistance modulator PSC 833 in combination with paclitaxel in women with recurrent or metastatic breast cancer. II. Describe the toxicity of this regimen. PROTOCOL OUTLINE: All patients receive PSC 833 by mouth every 6 hours for a total of 12 doses. Paclitaxel is infused over 3 hours, after the 5th dose of PSC 833. Treatment is repeated every 3 weeks in stable and responding patients. PSC 833 must not be mixed with grapefruit juice. Growth factors may be used at the discretion of the investigator. Patients are followed every 3 months for the first two years, then every 6 months for years 2-5, and then annually thereafter. PROJECTED ACCRUAL: It is anticipated that approximately 36 patients will be entered over 24 months if there are at least 6 responses in the first 17 patients.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed adenocarcinoma of the breast that is recurrent or metastatic; No CNS metastases - Bidimensionally measurable disease required - Patients with bone sites only are not eligible - Hormone receptor status: Not specified --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: Prior anthracyclines or medical contraindication to anthracycline therapy required; No prior paclitaxel or taxotere; No more than 1 prior regimen for metastatic or recurrent disease; Adjuvant chemotherapy within 6 months of diagnosis of metastatic disease considered therapy for advanced disease; At least 3 weeks since chemotherapy - Endocrine therapy: At least 3 weeks since hormonal therapy for metastases - Radiotherapy: Not specified - Surgery: Not specified - Other: No concurrent treatment with any of the following agents proven to affect blood levels of cyclosporine: Diltiazem; Nicardipine; Verapamil; Fluconazole; Itraconazole; Ketoconazole Clarithromycin; Erythromycin; Methylprednisolone; Prednisolone; Allopurinol; Bromocriptine; Danazol; Metoclopramide; Nafcillin; Rifampin; Carbamazepine; Phenobarbital; Phenytoin; Octreotide; Ticlopidine --Patient Characteristics-- - Age: 18 and over - Sex: Women only - Menopausal status: Not specified - Performance status: ECOG 0-2 - Hematopoietic: Platelet count at least 100,000/mm3; Absolute granulocyte count at least 1,500/mm3 - Hepatic: Bilirubin no greater than 1.5 mg/dL; AST less than 2.5 times upper limit of normal - Renal: Creatinine no greater than twice upper limit of normal - Other: No allergy to cyclosporine or to drugs formulated with Cremophor (e.g., some anesthetics and muscle relaxants); No active unresolved infection; More than 7 days since parenteral antibiotics; No second malignancy within 5 years except: In situ cervical cancer Nonmelanomatous skin cancer; No pregnant or nursing women; Adequate contraception required of fertile women
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RobertCarlson,  Study Chair,  Eastern Cooperative Oncology Group

Stanford University Medical Center
Stanford,  California,  94305-5408
United States
 

Kimball Medical Center
Lakewood,  New Jersey,  08701
United States
 

Albert Einstein Comprehensive Cancer Center
Bronx,  New York,  10461
United States
 

Veterans Affairs Medical Center - Palo Alto
Palo Alto,  California,  94304
United States
 

St. Francis Medical Center
Trenton,  New Jersey,  08629
United States
 

Fox Chase Cancer Center at Virtua-Memorial Hospital Burlington County
Mount Holly,  New Jersey,  08060
United States
 

Fox Chase Cancer Center
Philadelphia,  Pennsylvania,  19111
United States
 

Cancer Institute of New Jersey
New Brunswick,  New Jersey,  08901
United States
 

Hunterdon Regional Cancer Program
Flemington,  New Jersey,  08822
United States
 


Additional Information:
Study ID Numbers:
  CDR0000065011;  E-1195
Study Start Date: June 1997
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002826

Other Recurrent Breast Cancer Studies:
1. PS-341 in Treating Women With Metastatic Breast Cancer

2. Perillyl Alcohol in Preventing Recurrent Breast Cancer in Women Who Have Been Treated With Surgery With or Without Adjuvant Therapy

3. Combination Chemotherapy in Treating Older Women With Metastatic Breast Cancer

4. Monoclonal Antibody Therapy, Cyclosporine, and Paclitaxel in Treating Patients With Recurrent or Refractory Metastatic Breast Cancer

5. Sequential High-Dose Chemotherapy and Stem Cell Transplantation in Treating Patients With Chemotherapy-Sensitive Metastatic Breast Cancer

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Drug Resistance Inhibition in Treating Patients With Recurrent or Metastatic Breast Cancer

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