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| ID | Type | Description | Link |
|---|---|---|---|
| P30CA043703 | U.S. NIH Grant/Contract | View source | |
| 07-02-14M | Other Identifier | University Hospitals IRB | |
| CASE-CWRU-1102 | Other Identifier | Case Comprehensive Cancer Center |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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RATIONALE: Erlotinib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining erlotinib with docetaxel may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of combining erlotinib with docetaxel in treating patients who have stage IV or recurrent breast cancer.
OBJECTIVES:
OUTLINE: Patients receive docetaxel IV over 1 hour once weekly for 3 weeks and oral erlotinib once daily beginning on day 1. Treatment repeats every 4 weeks for a minimum of 6 courses in the absence of unacceptable toxicity or disease progression. Patients achieving maximal tumor response or stabilization of disease after 6 courses may continue to receive erlotinib alone until disease progression.
Patients are followed for survival.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study within 12-14 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erlotinib Plus Docetaxel | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| docetaxel | Drug | Docetaxel IV infusion weekly for 3 weeks with a one-week break. One cycle is 4 weeks (28 days). Patients' actual weight will be used to calculate dose. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disease Response (Tumor Measurements)Per RECIST Criteria v. 2000 | Response and progression will be evaluated in this study using the criteria by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used in the RECIST criteria. Partial Response: At least a 30% decrease in the sum of the longest diameter (LD) of target lesions. Progressive Disease: At least a 20% increase in the sum of the LD of target lesions. Stable Disease: Neither sufficient shrinkage nor sufficient increase. | after 6 course (6 months) of combination therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival(PFS) | Progression free survival was defined as time from the start of treatment to the date of cancer progression, or death, and censored at the date of last follow-up for those without disease progression and still alive. Stable disease is measured from the start of the treatment until progression, taking as reference the smallest measurements recorded since the treatment started. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. |
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DISEASE CHARACTERISTICS:
Histologically confirmed stage IV or recurrent adenocarcinoma of the breast
Measurable disease
Disease recurrence must not be within 1 year of receiving prior adjuvant docetaxel
Stable brain metastases allowed
Hormone receptor status:
PATIENT CHARACTERISTICS:
Age
Sex
Menopausal status
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Cardiovascular
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
Other
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| Name | Affiliation | Role |
|---|---|---|
| Paula Silverman, MD | Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center | Cleveland | Ohio | 44106-5065 | United States |
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Patients recruited from University Hospitals and its satellite hospitals from 12/4/2002 through 9/22/2006.
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| ID | Title | Description |
|---|---|---|
| FG000 | Docetaxel and OSI-774 | docetaxel IV over 1 hour once weekly for 3 weeks and oral erlotinib once daily |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Docetaxel and OSI-774 | docetaxel IV over 1 hour once weekly for 3 weeks and oral erlotinib once daily |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Disease Response (Tumor Measurements)Per RECIST Criteria v. 2000 | Response and progression will be evaluated in this study using the criteria by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions are used in the RECIST criteria. Partial Response: At least a 30% decrease in the sum of the longest diameter (LD) of target lesions. Progressive Disease: At least a 20% increase in the sum of the LD of target lesions. Stable Disease: Neither sufficient shrinkage nor sufficient increase. | Excluding 11 not evaluable cases | Posted | Number | participants | after 6 course (6 months) of combination therapy |
|
Patients will be evaluated for adverse events at each study visit for the duration of their participation in the study and for 30 days after the discontinuation of Tarceva.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Docetaxel and OSI-774 | docetaxel IV over 1 hour once weekly for 3 weeks and oral erlotinib once daily |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Allergic Rhinitis | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Pain | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Paula Silverman, MD | Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center | 216-844-3951 | paula.silverman@uhhospitals.org |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D018567 | Breast Neoplasms, Male |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D000077143 | Docetaxel |
| D000069347 | Erlotinib Hydrochloride |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
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|
| erlotinib hydrochloride | Drug | OSI-774 will be taken 1 hour before or 2 hours after meals. Cycle 1 will be administered at dose level -1.If no grade 3 or 4 toxicity occurs during cycle 1, then the patient may proceed to be treated at dose level 0 for the remaining chemotherapy cycles. |
|
|
| 3 years |
| Overall Survival as of 2008 | Overall survival (OS) was defined as time from the start of treatment to death, and censored at the time of last assessment for survivors. | 5 yrs |
| Physician Decision |
|
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Secondary | Progression Free Survival(PFS) | Progression free survival was defined as time from the start of treatment to the date of cancer progression, or death, and censored at the date of last follow-up for those without disease progression and still alive. Stable disease is measured from the start of the treatment until progression, taking as reference the smallest measurements recorded since the treatment started. Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. | Posted | Median | 95% Confidence Interval | months | 3 years |
|
|
|
| Secondary | Overall Survival as of 2008 | Overall survival (OS) was defined as time from the start of treatment to death, and censored at the time of last assessment for survivors. | Including 10 patients with only 1 cycle of treatment | Posted | Median | 95% Confidence Interval | months | 5 yrs |
|
|
|
| 28 |
| 39 |
| 39 |
| 39 |
| Anemia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Bone Pain | Musculoskeletal and connective tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Cerebrovascular Ischemia | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Chest Pain | Cardiac disorders | CTCAE (2.0) | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dry Skin | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dyspnea | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Eye tearing | Eye disorders | CTCAE (2.0) | Systematic Assessment |
|
| Fatigue | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hyperbilirubinbemia | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Hyperbilirubinemia | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Hyperglycemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypotension | Vascular disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypoxia | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Infection | Infections and infestations | CTCAE (2.0) | Systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Light headedness | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Lymphopenia | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Mucositis | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pericarditis | Cardiac disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pulmonary | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| SGOT (AST) | Investigations | CTCAE (2.0) | Systematic Assessment | serum glutamic-oxaloacetic transaminase |
|
| SGPT (ALT) | Investigations | CTCAE (2.0) | Systematic Assessment | serum glutamic-pyruvic transaminase |
|
| Sinus Tach. | Cardiac disorders | CTCAE (2.0) | Systematic Assessment |
|
| Sinus Tachycardia | Cardiac disorders | CTCAE (2.0) | Systematic Assessment |
|
| Taste Change(dysgeusia) | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Vaginitis | Reproductive system and breast disorders | CTCAE (2.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment | Emesis |
|
| Alkaline Phosphatase | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Anemia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Anorexia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | CTCAE (2.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Bicarbonate | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Bilirubin | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Blurred Vision | Eye disorders | CTCAE (2.0) | Systematic Assessment |
|
| Bone Pain | Musculoskeletal and connective tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Bruising | Injury, poisoning and procedural complications | CTCAE (2.0) | Systematic Assessment |
|
| Conjunctivitis | Eye disorders | CTCAE (2.0) | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Depression | Psychiatric disorders | CTCAE (2.0) | Systematic Assessment |
|
| Derm | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dry Mouth | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dry Skin | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dry eye | Eye disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dysgeusia | Nervous system disorders | CTCAE (2.0) | Systematic Assessment | Taste change |
|
| Dysphagia | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dyspnea | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Dysuria | Renal and urinary disorders | CTCAE (2.0) | Systematic Assessment | Painful urination |
|
| Edema | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Emesis | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment | vomiting |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment | Bleeding from the nose |
|
| Fatigue | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Fever | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Flushing | Vascular disorders | CTCAE (2.0) | Systematic Assessment |
|
| Frequent urination | Renal and urinary disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hand-Foot syndrome | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hot Flashes | Vascular disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hyperbilirubinemia | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Hyperglycemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hyperkalemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypernatremia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypoalbuminemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypocalcemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypoglycemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypokalemia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hypomagnesmia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Hyponatremia | Metabolism and nutrition disorders | CTCAE (2.0) | Systematic Assessment |
|
| Infection | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Injection site reaction | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | CTCAE (2.0) | Systematic Assessment |
|
| Leg edema | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Light headedness | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Lymphedema | Vascular disorders | CTCAE (2.0) | Systematic Assessment |
|
| Lymphopenia | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Mucositis | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Myalgia (muscle pain) | Musculoskeletal and connective tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Nail Changes | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Neuropathy | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Odynophagia | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment | Painful swallowing |
|
| Pain | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pleural Effusion | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pruritis | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | CTCAE (2.0) | Systematic Assessment |
|
| Reflux | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Rigors or chills | General disorders | CTCAE (2.0) | Systematic Assessment |
|
| SGOT (AST) | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| SGPT (ALT) | Investigations | CTCAE (2.0) | Systematic Assessment |
|
| Sensory Neuropathy | Nervous system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Stridor | Respiratory, thoracic and mediastinal disorders | CTCAE (2.0) | Systematic Assessment |
|
| Tearing | Eye disorders | CTCAE (2.0) | Systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | CTCAE (2.0) | Systematic Assessment |
|
| Vaginitis | Reproductive system and breast disorders | CTCAE (2.0) | Systematic Assessment |
|
| Weight Loss | Investigations | CTCAE (2.0) | Systematic Assessment |
|
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| D017437 |
| Skin and Connective Tissue Diseases |
| D006844 |
| Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D011799 | Quinazolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |