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Epirubicin and Cyclophosphamide Compared With Epirubicin and Paclitaxel in Treating Women With Metastatic Breast Cancer

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Breast Cancer

Intervention: cyclophosphamide (Drug); epirubicin hydrochloride (Drug); paclitaxel (Drug)

Phase: Phase 3

Status: Active, not recruiting

Sponsored by: Medical Research Council

Official(s) and/or principal investigator(s):
James Carmichael, MD, PhD, Study Chair, Affiliation: Nottingham City Hospital NHS Trust

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Randomized phase III trial to compare the effectiveness of epirubicin and cyclophosphamide with epirubicin and paclitaxel in treating women with metastatic breast cancer.

Clinical Details

Official title: A Radomized Trial of Epirubicin & Cyclophosphamide vs. Epirubicin & Paclitaxel in the Treatment of Women With Metastatic Breast Cancer

Study design: Treatment

Detailed description: OBJECTIVES: I. Compare the activity and toxicity of epirubicin and cyclophosphamide with that of epirubicin and paclitaxel in patients with metastatic breast cancer.

OUTLINE: Patients are randomized to receive either epirubicin and cyclophosphamide or epirubicin and paclitaxel. Each drug combination is given every 3 weeks for 6 courses in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 704 patients will be accrued for this study.

Eligibility

Minimum age: N/A. Maximum age: N/A. Gender(s): Female.

Criteria:

DISEASE CHARACTERISTICS: Histologically proven carcinoma of the breast with metastases No CNS metastases Hormone receptor status: Not specified

PATIENT CHARACTERISTICS: Age: Not specified Menopausal status: Not specified Sex: Female Performance status: Not specified Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Bilirubin no greater than 1. 25 times upper limit of normal (ULN) SGOT and SGPT no greater than 2 times ULN (no greater than 5 times ULN with liver metastases) Renal: Not specified Cardiovascular: Ejection fraction within normal range No history of cardiac disease including myocardial infarction, cardiac failure and angina Other: Not pregnant No prior or concurrent malignancy that is likely to interfere with protocol treatments or comparisons

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy other than adjuvant No prior high dose adjuvant chemotherapy requiring transplantation Cumulative dose of doxorubicin no greater than 300 mg/m2 permitted Cumulative dose of epirubicin no greater than 400 mg/m2 permitted At least 6 months since prior anthracyclines Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not specified

Locations and Contacts

Groote Schuur Hospital, Cape Town, Cape Town 7925, South Africa

Royal Preston Hospital, Preston PR2 9HT, United Kingdom

Bristol Oncology Centre, Bristol, England BS2 8ED, United Kingdom

Bristol Royal Hospital for Sick Children, Bristol, England BS2 8BJ, United Kingdom

Clatterbridge Centre for Oncology NHS Trust, Merseyside, England L63 4JY, United Kingdom

Cookridge Hospital, Leeds, England LS16 6QB, United Kingdom

Derbyshire Royal Infirmary, Derby, England DE1 2QY, United Kingdom

Middlesex Hospital- Meyerstein Institute, London, England W1N 8AA, United Kingdom

Mount Vernon Hospital, Northwood, England HA6 2RN, United Kingdom

Newcastle General Hospital, Newcastle Upon Tyne, England NE4 6BE, United Kingdom

Norfolk & Norwich Hospital, Norwich, England NR1 3SR, United Kingdom

Nottingham City Hospital NHS Trust, Nottingham, England NG5 1PB, United Kingdom

Oxford Radcliffe Hospital, Oxford, England 0X3 7LJ, United Kingdom

Royal Marsden Hospital, Sutton, England SM2 5PT, United Kingdom

Southend General Hospital, Westcliff-On-Sea, England, United Kingdom

University Birmingham, Birmingham, England B15 2TT, United Kingdom

University Hospitals of Leicester, Leicester, England LE1 5WW, United Kingdom

Beatson Oncology Centre, Glasgow, Scotland G11 6NT, United Kingdom

Royal Hospital for Sick Children, Edinburgh, Scotland, United Kingdom

Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: December 1996
Last updated: May 23, 2008

Page last updated: June 20, 2008

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