Anastrozole and ZD 1839 in Treating Postmenopausal Women With Metastatic
Breast Cancer
This study is currently recruiting patients.
Sponsored by: |
Institute for Drug Development |
Information provided by: |
National Cancer Institute (NCI) |
Purpose
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Anastrozole may fight breast cancer by blocking the production
of estrogen by the tumor cells. Biological therapies such as ZD 1839 may interfere with the growth of the tumor cells and
slow the growth of advanced solid tumors. Combining anastrozole with ZD 1839 may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining anastrozole with ZD 1839 in treating postmenopausal women
who have metastatic breast cancer that has not responded to hormone therapy.
Condition
|
Treatment or Intervention |
Phase |
recurrent breast cancer stage IIIB breast cancer stage IIIC breast cancer stage IV breast cancer
|
Drug: anastrozole Drug: gefitinib Procedure: aromatase inhibition Procedure: endocrine therapy Procedure: enzyme inhibitor therapy Procedure: hormone therapy Procedure: protein tyrosine kinase inhibitor therapy
|
Phase II
|
MedlinePlus related topics: Breast Cancer
Genetics Home Reference related topics: breast cancer
Study Type: Interventional
Study Design: Treatment
Official Title: Phase II Study of Anastrozole and ZD 1839 in Post-Menopausal Women With Estrogen Receptor-Positive, Hormone Refractory, Metastatic
Breast Cancer
Further Study Details:
OBJECTIVES:
- Determine the antitumor activity of anastrozole and ZD 1839, as measured by objective response (partial or complete) or stable
disease at 6 months, in post-menopausal women with estrogen receptor-positive, hormone refractory, metastatic breast cancer.
- Determine the progression-free and overall survival of patients treated with this regimen.
- Determine the safety of this regimen in these patients.
- Determine the pharmacokinetics of this regimen in these patients.
- Correlate molecular markers with clinical benefit in patients treated with this regimen.
OUTLINE: This is an open-label, multicenter study.
Patients are stratified according to prior objective response to endocrine therapy (yes vs no).
Patients receive oral anastrozole once daily alone for 2 weeks. Patients then receive oral anastrozole and oral ZD 1839 once
daily for 28 days. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Patients are followed at 1 month and then monthly thereafter.
PROJECTED ACCRUAL: A total of 36-78 patients (18-39 per stratum) will be accrued for this study.
Eligibility
Ages Eligible for Study:
18 Years and above,
Genders Eligible for Study:
Both
DISEASE CHARACTERISTICS:
- Histologically confirmed breast cancer
- Metastatic or locally advanced unresectable disease
- At least 1 measurable target lesion that has not been irradiated
- New lesions in a previously irradiated field allowed as sites of measurable disease
- Progressive disease after more than 2 months of aromatase inhibitor therapy
- No known CNS disease or unevaluated CNS symptoms suggestive of brain metastases
- Hormone receptor status:
- Estrogen receptor or progesterone receptor positive
PATIENT CHARACTERISTICS: Age
Sex
Menopausal status
- Post-menopausal by 1 of the following criteria:
- Age 50 and over and has not menstruated during the past year or has castrate follicle-stimulating hormone (FSH) levels (greater
than 40 IU/L)
- Under age 50 and has castrate FSH levels
- Received prior bilateral oophorectomy and has castrate FSH levels
Performance status
Life expectancy
Hematopoietic
- Absolute neutrophil count at least 1,500/mm^3
- Platelet count at least 100,000/mm^3
Hepatic
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- ALT or AST no greater than 2.5 times ULN (5 times ULN if liver metastases present)
Renal
- Creatinine no greater than 1.5 times ULN
Cardiovascular
- No history of congestive heart failure requiring therapy
- No ventricular arrhythmia requiring therapy
- No unstable angina pectoris
- No myocardial infarction within the past 6 months
Other
- Able to swallow oral medication
- No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
- No known malabsorption condition or other condition that would impair absorption of study drug
- No active infection
- No other concurrent medical condition that would preclude study
- No known severe hypersensitivity to ZD 1839 or any excipients
PRIOR CONCURRENT THERAPY: Biologic therapy
Chemotherapy
- No prior chemotherapy except in adjuvant setting
- No concurrent chemotherapy for breast cancer
Endocrine therapy
- See Disease Characteristics
- More than 30 days since other prior hormonal therapy (including hormone replacement therapy and megestrol)
- Concurrent steroids for other reasons besides skin toxicity allowed
- No other concurrent hormonal therapy (including megestrol) for breast cancer
Radiotherapy
- See Disease Characteristics
Surgery
- Recovered from prior oncologic or other major surgery
- No concurrent ophthalmic surgery
Other
- More than 30 days since prior anticancer therapy
- More than 30 days since prior non-approved or investigational drugs
- No prior epidermal growth factor receptor or HER2 blockers
- No concurrent phenytoin, carbamazepine, barbiturates, rifampicin, phenobarbital, Hypericum perforatum, or systemic retinoids
- No other concurrent investigational therapy for breast cancer
- Concurrent bisphosphonates for metastatic bone disease allowed
Location
and Contact
Information
Texas Cancer Therapy and Research Center, San Antonio,
Texas,
78229,
United States; Recruiting
Study chairs or principal investigators
Eric Keith Rowinsky, MD, Study Chair, Cancer Therapy and Research Center
More Information
Clinical trial summary from the National Cancer Institute's PDQ® database
Study ID Numbers:
CDR0000257752; CTRC-IDD-0219; CTRC-IDD-1839US; CTRC-IDD-0228
Record last reviewed:
November 2002
Record first received:
November 12, 2002
ClinicalTrials.gov Identifier:
NCT00049062Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2004-11-05