Liposomal Doxorubicin and Trastuzumab in Treating Women With Advanced Breast Cancer
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining chemotherapy with monoclonal antibody therapy may kill more tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of liposomal doxorubicin and trastuzumab in treating women who have advanced breast cancer.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Detailed Description
OBJECTIVES:
-
Determine the toxicity, including cardiac toxicity, of doxorubicin HCl liposome and trastuzumab (Herceptin) in women with advanced HER-2/neu-overexpressing breast cancer.
-
Determine the efficacy of this regimen in these patients.
OUTLINE: Patients receive doxorubicin HCl liposome IV over 1 hour on day 1, followed by trastuzumab (Herceptin) IV over 30-90 minutes on days 1, 8, and 15. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically proven breast cancer
-
Metastatic disease OR
-
Locoregional relapse following optimal adjuvant therapy and regional treatment
-
HER-2/neu overexpression (3+ by immunohistochemistry OR gene amplification by FISH)
-
Hormone receptor status:
-
Not specified
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Sex:
- Female
Menopausal status:
- Not specified
Performance status:
- ECOG 0-2
Life expectancy:
- Not specified
Hematopoietic:
-
Absolute neutrophil count at least 1,500/mm3
-
Platelet count at least 100,000/mm3
-
Hemoglobin at least 10 g/dL
Hepatic:
-
SGOT and SGPT no greater than 3 times upper limit of normal (ULN)
-
Alkaline phosphatase no greater than 2 times ULN unless documented to be arising from bone
-
Bilirubin no greater than 1.5 times ULN
Renal:
-
BUN less than 1.5 times ULN
-
Creatinine less than 1.5 times ULN
Cardiovascular:
-
LVEF normal by radioisotope method
-
No history of congestive cardiac failure, myocardial infarction, cardiac arrhythmia, or ischemic heart disease requiring medication
Other:
-
Not pregnant or nursing
-
Fertile patients must use effective contraception
-
No known sensitivity to benzyl alcohol
-
No other prior malignancy except adequately treated nonmelanomatous skin cancer or carcinoma in situ of the cervix
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Biologic therapy:
- Not specified
Chemotherapy:
- No prior doxorubicin greater than 240 mg/m2
Endocrine therapy:
- Not specified
Radiotherapy:
- Prior radiotherapy to left breast or chest wall allowed
Surgery:
- Not specified
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | NYU School of Medicine's Kaplan Comprehensive Cancer Center | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
- National Cancer Institute (NCI)
Investigators
- Study Chair: Matthew D. Volm, MD, NYU Langone Health
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000068331
- P30CA016087
- NYU-0012
- ALZA-00-001-ii
- NCI-G00-1878