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| ID | Type | Description | Link |
|---|---|---|---|
| VU-VICC-BRE-0770 |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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RATIONALE: Drugs used in chemotherapy, such as cisplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Everolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving more than one drug (combination chemotherapy) together with everolimus may kill more tumor cells.
PURPOSE: This phase I trial is studying the side effects and best dose of cisplatin, paclitaxel, and everolimus when given together for the treatment of patients with metastatic breast cancer.
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a multicenter study.
Patients receive cisplatin intravenously (IV) over 1 hour and paclitaxel IV over 1 hour on days 1, 8, and 15. Patients receive oral everolimus on days 1, 8, 15, and 21. Courses repeat every 4 weeks in the absence of disease progression and unaccepted toxicity.
After completion of study therapy, patients are followed at 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic Intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cisplatin | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety profile and maximum tolerated dose | The Maximum Tolerated Dose (MTD) will be the dose level at which fewer than 2 of 6 (or 33% of) patients experience dose limiting toxicity (DLT). | At 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Antitumor activity | Cisplatin + Paclitaxel + RAD001 combination by determining response rates (RR) and time to progression (TTP) achieved with treatment | Date of study entry to date of progression of disease |
| Response rate |
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Inclusion Criteria:
DISEASE CHARACTERISTICS:
Histologically confirmed invasive mammary carcinoma
No locally recurrent breast cancer
Patients with HER2/neu overexpressing tumors must have received prior trastuzumab (Herceptin®) in first-line treatment of metastatic breast cancer
Patients with estrogen receptor- or progesterone receptor-expressing tumors must have received prior endocrine therapy (i.e., aromatase inhibitors, fulvestrant, tamoxifen, or ovarian ablation) in first-line treatment of metastatic breast cancer
No symptomatic brain metastases
Hormone receptor status not specified
PATIENT CHARACTERISTICS:
Menopausal status not specified
ECOG performance status 0-1
Life expectancy ≥ 6 months
ANC ≥ 1000/mm^3
Platelet count ≥ 100,000/mm^3
Creatinine ≤ 1.5 times upper limit of normal (ULN)
Bilirubin ≤ 1.5 times ULN (3 times ULN if liver metastasis present)
SGOT and SGPT ≤ 1.5 times ULN (3 times ULN if liver metastasis present)
Alkaline phosphatase ≤ 3 times ULN if liver metastasis present
Able to swallow and retain oral medication
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception during and for 3 months after completion of study treatment
Must be disease-free from prior invasive cancers for > 5 years with the exception of completely resected basal cell or squamous cell carcinoma of the skin or successfully treated cervical carcinoma in situ
No malabsorption syndrome, disease significantly affecting gastrointestinal function, or ulcerative colitis
No uncontrolled intercurrent illness including, but not limited to:
No known history of uncontrolled or symptomatic neuropathy ≥ grade 2
No hypersensitivity to paclitaxel, or drugs using the vehicle Cremophor, Chinese hamster ovary cell products, or other recombinant human antibodies
Exclusion Criteria:
PRIOR CONCURRENT THERAPY:
See Disease Characteristics
Recovered from all prior treatment
Must not have exceeded a total cumulative dose of life-time exposure of doxorubicin hydrochloride ≤ 360 mg/m² or epirubicin hydrochloride ≤ 640 mg/m²
At least 2 weeks since other prior investigational drugs
No prior resection of the stomach or small bowel
No more than 4 prior chemotherapy regimens in the metastatic setting
Concurrent radiotherapy to painful bone metastases or areas of impending bone fracture allowed as long as radiotherapy is initiated prior to study entry
No concurrent trastuzumab
No concurrent endocrine therapy
No concurrent CYP3A4 modifiers
No concurrent herbal supplement
No other concurrent anticancer therapy (chemotherapy, radiotherapy, surgery, immunotherapy, hormonal therapy, or biological therapy)
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| Name | Affiliation | Role |
|---|---|---|
| Ingrid Mayer, MD | Vanderbilt-Ingram Cancer Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt-Ingram Cancer Center - Cool Springs | Nashville | Tennessee | 37064 | United States | ||
| Vanderbilt-Ingram Cancer Center at Franklin |
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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 |
|---|---|
| D002945 | Cisplatin |
| D000068338 | Everolimus |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
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|
| everolimus | Drug |
|
|
|
| paclitaxel | Drug |
|
|
|
| at baseline and every 8 weeks to disease progression |
| Time to progression | date of study entry to date of disease progression |
| Nashville |
| Tennessee |
| 37064 |
| United States |
| Sarah Cannon Cancer Center at Centennial Medical Center | Nashville | Tennessee | 37203 | United States |
| Vanderbilt-Ingram Cancer Center | Nashville | Tennessee | 37232-6838 | United States |
| D017437 |
| Skin and Connective Tissue Diseases |
| D020123 |
| Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D004224 | Diterpenes |
| D013729 | Terpenes |