| Property | Value |
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linkedct:brief_title
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High-Dose Combination Chemotherapy Followed by Peripheral Stem Cell Transplantation in Treating Patients With Poor-Prognosis Breast Cancer
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linkedct:condition
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<http://data.linkedct.org/resource/condition/1883>
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linkedct:criteria
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DISEASE CHARACTERISTICS: Histologically confirmed invasive (stage II-IV) carcinoma of the
breast 8 or more positive axillary nodes required for stage II disease
Chemotherapy-responsive disease required of patients with measurable or evaluable disease
Partial or complete response to 3 courses of standard
cyclophosphamide/doxorubicin/fluorouracil (CAF) or, for patients who have had CAF,
cyclophosphamide/methotrexate/fluorouracil (CMF) 3-month course of standard
mitomycin/vinblastine or paclitaxel acceptable in patients clearly resistant to CAF or CMF
Visceral response despite progression in bone will be considered on an individual basis
Patients with no evidence of disease may be entered without evidence of a chemotherapy
response Resectable disease must be surgically removed prior to transplantation Hormone
receptor status: If estrogen-receptor positive, prior failure with at least 1 hormonal
manipulation required unless patient is premenopausal or has rapidly progressing visceral
disease No more than 20% of marrow involved with tumor
PATIENT CHARACTERISTICS: Age: 15 to 60 Sex: Women only Menopausal status: Not specified
Performance status: Karnofsky 80%-100% Hematopoietic: WBC at least 4,000/mm3 Platelet
count at least 100,000/mm3 Hepatic: Bilirubin less than 2.0 mg/dL AST less than 2 times
normal Albumin at least 3.0 g/dL Renal: Creatinine less than 1.8 mg/dL BUN less than 20
mg/dL Cardiovascular: Left ventricular ejection fraction at least 55% Pulmonary: DLCO,
FEV1, and FVC at least 50% of predicted pO2 at least 70 mm Hg on room air Other: No
serious psychiatric, neurologic, or medical illness that would compromise the safety of a
bone marrow transplant Effective contraception required of fertile women
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease
Characteristics Endocrine therapy: See Disease Characteristics Radiotherapy: No prior
chest irradiation other than to locally involved lymph nodes Surgery: See Disease
Characteristics
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linkedct:description
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OBJECTIVES: I. Investigate the curative potential of high-dose cyclophosphamide, etoposide,
and carboplatin followed by autologous stem cell rescue in women with breast cancer
considered incurable by conventional therapy. II. Observe the overall response rate,
survival rate, and toxicity associated with this regimen.
OUTLINE: Prior to therapy, patients undergo collection of peripheral blood stem cells (PBSC)
on another protocol; patients with marrow involvement undergo PBSC harvest only, while all
others may also undergo bone marrow harvest. All patients receive cyclophosphamide,
etoposide, and carboplatin over 4 consecutive days, followed 3 days later by PBSC or bone
marrow and granulocyte colony-stimulating factor. Patients are followed for duration of
remission and survival.
PROJECTED ACCRUAL: 100-200 patients will be entered.
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linkedct:download_date
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Information obtained from ClinicalTrials.gov on December 30, 2009
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linkedct:eligibility_gender
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Female
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linkedct:eligibility_healthy_volunteers
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No
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linkedct:eligibility_maximum_age
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60 Years
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linkedct:eligibility_minimum_age
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15 Years
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linkedct:enrollment
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0
(xsd:int)
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linkedct:firstreceived_date
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November 1, 1999
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linkedct:id
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NCT00002509
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rdfs:label
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Trial NCT00002509
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linkedct:lastchanged_date
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February 6, 2009
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linkedct:lead_sponsor_agency
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<http://data.linkedct.org/resource/agency/169>
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linkedct:location
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<http://data.linkedct.org/resource/location/160773>
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linkedct:nct_id
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NCT00002509
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linkedct:number_of_arms
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0
(xsd:int)
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linkedct:number_of_groups
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0
(xsd:int)
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linkedct:official_title
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HIGH-DOSE CHEMOTHERAPY WITH CYCLOPHOSPHAMIDE, ETOPOSIDE, AND CARBOPLATIN FOLLOWED BY RESCUE WITH AUTOLOGOUS BONE MARROW AND AUTOLOGOUS PERIPHERAL BLOOD STEM CELLS IN PATIENTS WITH POOR PROGNOSIS BREAST CANCER
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linkedct:org_study_id
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CDR0000078064
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linkedct:overall_official
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<http://data.linkedct.org/resource/overall_official/58429>
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linkedct:overall_status
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Active, not recruiting
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linkedct:oversight
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<http://data.linkedct.org/resource/oversight/2918>
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foaf:page
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<http://clinicaltrials.gov/show/NCT00002509>
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linkedct:phase
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Phase 1/Phase 2
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linkedct:results_reference
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<http://data.linkedct.org/resource/results_reference/924>
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linkedct:secondary_id
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NCI-V92-0205
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linkedct:secondary_id
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TUHSC-1992
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linkedct:source
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National Cancer Institute (NCI)
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linkedct:start_date
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November 1991
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linkedct:study_design
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Treatment
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linkedct:study_type
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Interventional
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linkedct:summary
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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Combining peripheral stem cell transplantation with
combinations of drugs may kill more tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of high-dose combination chemotherapy
followed by peripheral stem cell transplantation or autologous bone marrow transplantation
in women with stage II breast cancer with eight or more positive axillary lymph nodes and in
women with stage III or metastatic breast cancer.
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rdf:type
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linkedct:trials
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linkedct:verification_date
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April 2000
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