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Paclitaxel or Docetaxel in Treating Women With Advanced Breast Cancer



Paclitaxel or Docetaxel in Treating Women With Advanced Breast Cancer

For Condition: stage 4 breast cancer,stage 3A breast cancer,recurrent breast cancer,stage 3B breast cancer,stage 3C breast cancer
Status: Recruiting
Sponsor(s): Aventis Pharmaceuticals ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether paclitaxel is more effective than docetaxel for breast cancer. PURPOSE: Randomizedphase III trial to study the effectiveness of paclitaxel or docetaxel in treating women with stage IIIB or metastatic breast cancer.
Details: OBJECTIVES: - Compare the response rate in women with metastatic or locally advanced, inoperable adenocarcinoma of the breast treated with docetaxel vs paclitaxel. - Compare the toxicity of these regimens in these patients. - Compare the time to disease progression, duration of response, quality of life, and survival of patients treated with these regimens. OUTLINE: This is a randomized, open-label, multicenter study. Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive docetaxel IV over 1 hour on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. - Arm II: Patients receive paclitaxel IV over 3 hours on day 1. Courses repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Quality of life is assessed at baseline and after courses 4 and 6. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 400 patients (200 per arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically proven metastatic or locally advanced, inoperable adenocarcinoma of the breast - Clinically evident metastases (e.g., clearly malignant lesions on chest x-ray or CT or abdominal CT do not require histologic confirmation) - Hot spots on bone scan not shown to be malignant on plain x-rays are not adequate evidence of malignant disease in the absence of other lesions - Must meet 1 of the following conditions: - Disease progression after 1 prior chemotherapy regimen for locally advanced or metastatic disease (which may or may not have followed a separate adjuvant regimen using chemotherapy or hormonal therapy) - Locally advanced or metastatic disease during or after 1 adjuvant or neoadjuvant chemotherapy regimen - One of the above chemotherapy regimens must have contained an anthracycline (e.g., doxorubicin, but not mitoxantrone) - Single drug substitution (e.g., methotrexate for doxorubicin) during prior combination chemotherapy allowed - Bidimensionally measurable - No clinical or radiographic evidence of brain or leptomeningeal disease - Hormone receptor status: - Not specified PATIENT CHARACTERISTICS: Age: - 18 and over Sex: - Female Menopausal status: - Not specified Performance status: - Karnofsky 60-100% OR - ECOG 0-2 Life expectancy: - At least 12 weeks Hematopoietic: - Absolute neutrophil count at least 2,000/mm3 - Platelet count at least 100,000/mm3 Hepatic: - Bilirubin normal - SGOT no greater than 2.5 times upper limit of normal Renal: - Creatinine no greater than 2.0 mg/dL - No uncontrolled hypercalcemia Cardiovascular: - No myocardial infarction within the past 6 months - No history of arrhythmia requiring treatment - No heart block - No clinical evidence of congestive heart failure - No unstable angina (e.g., new onset, crescendo, or rest angina) - Stable exertional angina allowed Other: - No current symptomatic grade 2 or greater peripheral neuropathy - No history of hypersensitivity to products containing Cremophor EL (e.g., cyclosporine or teniposide) or Polysorbate 80 (e.g., IV etoposide) - No serious infection - No significant psychiatric disease that would preclude study - No other malignancy within the past 5 years except nonmelanomatous skin cancer or completely excised carcinoma in situ of the cervix - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior bone marrow or stem cell transplantation Chemotherapy: - See Disease Characteristics - At least 3 weeks since prior chemotherapy (2 weeks for oral cyclophosphamide or 6 weeks for nitrosoureas or mitomycin) - No prior high-dose chemotherapy given with ablative intent - No prior taxoids - No other concurrent antineoplastic therapy Endocrine therapy: - See Disease Characteristics - Prior hormonal therapy as adjuvant therapy or for metastatic disease allowed - At least 1 week since prior hormonal therapy - No concurrent corticosteroids except: - Prophylaxis or treatment for acute hypersensitivity reactions - Chronic therapy (more than 6 months) at low doses (20 mg/day or less of methylprednisolone or equivalent) Radiotherapy: - At least 4 weeks since prior radiotherapy to major bone marrow areas - No prior high-dose radiotherapy given with ablative intent - No concurrent radiotherapy except limited palliative radiotherapy (e.g., for a solitary rib fracture) during objective response Surgery: - See Disease Characteristics - More than 2 weeks since prior surgery except simple biopsy or placement of venous access device Other: - At least 4 weeks since prior investigational drugs - Concurrent medications known to alter cardiac conduction (e.g., digoxin, beta blockers, or calcium channel blockers) allowed - No concurrent ketoconazole - No concurrent bisphosphonates unless initiated more than 3 months before randomization - No concurrent experimental drug or therapy
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
PeterRavdin,  Study Chair,  University of Texas

Charles M. Barrett Cancer Center at University Hospital *Recruiting*
Cincinnati,  Ohio,  45267-0501
United States
Recruiting Elyse  Lower 513-584-7661

Hematology Oncology Consultants Inc *Recruiting*
Columbus,  Ohio,  43235
United States
Recruiting Leslie  Laufman 614-846-0044 ext. 3104

Roger Williams Medical Center *Recruiting*
Providence,  Rhode Island,  02908-4735
United States
Recruiting Alan  Weitberg 401-456-2070

Medical College of Wisconsin Cancer Center *Recruiting*
Milwaukee,  Wisconsin,  53226-3596
United States
Recruiting David  Vesole 414-805-4646

California Cancer Care, Inc. *Recruiting*
Greenbrae,  California,  94904-2007
United States
Recruiting Peter  Eisenberg 415-925-5000

Oncology-Hematology Associates *Recruiting*
Philadelphia,  Pennsylvania,  19107
United States
Recruiting Patricia  Ford 215-829-6088

Mercy Arch Hematology Oncology, P.C. *Recruiting*
St. Louis,  Missouri,  63141
United States
Recruiting Alex  Denes 314-569-6954

Northeast Arkansas Clinic *Recruiting*
Jonesboro,  Arkansas,  72401-3125
United States
Recruiting Ronald  Blachly 870-935-4150

University of Colorado Cancer Center at University of Colorado Health Sciences Center *Recruiting*
Denver,  Colorado,  80010
United States
Recruiting Douglas  Rovira 303-270-8801

Baptist Regional Cancer Center - Knoxville *Recruiting*
Knoxville,  Tennessee,  37901
United States
Recruiting Tracy  Dobbs 865-632-5717

Tufts - New England Medical Center *Recruiting*
Boston,  Massachusetts,  02111
United States
Recruiting John  Erban 617-636-5147

Rush-Presbyterian-St. Luke's Medical Center *Recruiting*
Chicago,  Illinois,  60612
United States
Recruiting Sarah  Lincoln 312-563-2537

University of Michigan Comprehensive Cancer Center *Recruiting*
Ann Arbor,  Michigan,  48109-0942
United States
Recruiting Sofia  Merajver 313-747-3421

Green Cancer Center at Scripps Clinic *Recruiting*
La Jolla,  California,  92037
United States
Recruiting Joel  Bernstein 858-554-8533

Highlands Oncology Group, P.A. - Fayetteville *Recruiting*
Fayetteville,  Arkansas,  72703
United States
Recruiting Joseph  Beck 479-587-1700

Maine Center for Cancer Medicine and Blood Disorders - Scarborough *Recruiting*
Scarborough,  Maine,  04074
United States
Recruiting Thomas  Ervin 207-885-7600

George Washington University Medical Center *Recruiting*
Washington D.C.,  District of Columbia,  20037
United States
Recruiting Robert  Siegel 202-741-2210

Charles A. Sammons Cancer Center *Recruiting*
Dallas,  Texas,  75246
United States
Recruiting Stephen  Jones 214-370-1795

James Graham Brown Cancer Center at University of Louisville *Recruiting*
Louisville,  Kentucky,  40202
United States
Recruiting John  Hamm 502-562-4369

Blumenthal Cancer Center at Carolinas Medical Center *Recruiting*
Charlotte,  North Carolina,  28232-2861
United States
Recruiting Warden  Woodard 704-355-3789

Penn State Cancer Institute at Milton S. Hershey Medical Center *Recruiting*
Hershey,  Pennsylvania,  17033-0850
United States
Recruiting Harold  Harvey 717-531-8677

University of Arkansas for Medical Sciences *Recruiting*
Little Rock,  Arkansas,  72205
United States
Recruiting Laura  Hutchins 501-686-8511

Cleveland Clinic Taussig Cancer Center *Recruiting*
Cleveland,  Ohio,  44195
United States
Recruiting Beth  Overmoyer 216-445-6066

Carolinas Hematology-Oncology Associates *Recruiting*
Charlotte,  North Carolina,  28203
United States
Recruiting Steven  Limentani 704-446-9046

Sidney Kimmel Cancer Center *Recruiting*
San Diego,  California,  92121
United States
Recruiting John  Gutheil 619-450-5998, ext. 270

Montclair Regional Cancer Center *Recruiting*
Birmingham,  Alabama,  35213
United States
Recruiting Jimmie  Harvey 205-592-5077

Baptist Regional Cancer Institute - Jacksonville *Recruiting*
Jacksonville,  Florida,  32207-8554
United States
Recruiting Neil  Abramson 904-202-7048

Norwich Cancer Center *Recruiting*
Norwich,  Connecticut,  06360
United States
Recruiting Mandeep  Dhami 860-886-8362

Greenville Hospital System *Recruiting*
Greenville,  South Carolina,  29605
United States
Recruiting Mark  O'Rourke 803-455-8752

Georgia Cancer Specialists - DeKalb *Recruiting*
Decatur,  Georgia,  30033
United States
Recruiting Melvin  Moore 404-501-7725

University of Texas Health Science Center at San Antonio *Recruiting*
San Antonio,  Texas,  78284-7811
United States
Recruiting Peter  Ravdin 210-567-4777

Southfield Oncology Institute, Inc. *Recruiting*
Southfield,  Michigan,  48076-3779
United States
Recruiting Clarence  Vaughn 248-356-2828


Additional Information:
Study ID Numbers:
  CDR0000064232;  AVENTIS-56976-TAX-311,RP-56976-TAX-311,NCI-V95-0680
Study Start Date: 
Record last reviewed: May 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002662

Other Stage 3c Breast Cancer Studies:
1. Celecoxib in Treating Postmenopausal Women Who Are Undergoing Surgery for Invasive Breast Cancer

2. Combination Chemotherapy, Monoclonal Antibody Therapy, and Surgery in Treating Women With Stage II, Stage III, or Stage IV Breast Cancer

3. Paclitaxel Plus Radiation Therapy in Treating Women With Stage II or Stage III Breast Cancer

4. Neoadjuvant and Adjuvant Exemestane in Treating Postmenopausal Women With Locally Advanced Hormone Receptor-Positive Breast Cancer

5. Epirubicin and Tamoxifen With or Without Docetaxel in Treating Postmenopausal Women With Breast Cancer

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