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| Name | Class |
|---|---|
| Hoffmann-La Roche | INDUSTRY |
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It is a phase III trial to explore the efficacy and safety of metronomic chemotherapy with Capecitabine versus intermittent Capecitabine as maintenance therapy following first-line Capecitabine plus Docetaxel chemotherapy in treatment of HER2-negative metastatic breast cancer(mBC).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intermittent Capecitabine | Active Comparator | Capecitabine 1000 mg/m2 twice daily on days 1-14 of each 3-week cycle. |
|
| Metronomic Capecitabine | Experimental | Capecitabine 500 mg three times daily on days 1-21 of each 3-week cycle |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Docetaxel plus Capecitabine | Drug | Eligible patients will receive treatment with Capecibatine (1000 mg/ m2 twice daily D1-14 Q3W) plus docetaxel(75 mg/m2, D1,Q3W) for a maximum of 6 cycles, or be treated until disease progression, unacceptable toxicity or patient request for withdrawal, whichever occurs first. Each cycle is 3 weeks in duration. For the the patients with SD, PR or CR after initiate treatment phrase will enter into maintenance treatment phase. |
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival (PFS) | Time from randomization to progression or death (whichever occurred first). | up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events (AEs) | Adverse events (AEs) and laboratory tests graded according to the NCI CTCAE (version 4.0), premature withdrawals and vital signs. Hand-foot syndrome and diarrhea will be specially interested. Adverse events of special interest: hand-foot syndrome and diarrhea. The estimated HFS rate will be about 60% from intermittent Capecitabine vs about 10% from metronomic Capecitabine, diarrhea rate will be about 50% from intermittent Capecitabine vs about 10% from metronomic Capecitabine. |
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Inclusion Criteria:
Exclusion Criteria:
Previous chemotherapy for metastatic breast cancer.
Prior adjuvant/neoadjuvant chemotherapy within 6 months prior to first study treatment administration.
Prior (radical)radiotherapy for the treatment of metastatic disease or major surgical procedure within 28 days prior to the first study treatment,
Inadequate bone marrow function: absolute neutrophil count (ANC): <1.5 x 109/L, platelet count<75 x 109/L or hemoglobin <100g/L.
Inadequate liver or renal function, defined as:
Pregnant or lactating females.
Her-2 positive (ICH +++ or FISH positive).
Symptomatic cerebral parenchyma and/or leptomeningeal metastases.
Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix or squamous carcinoma of the skin, or adequately controlled limited basal cell skin cancer.
Pre-existing peripheral neuropathy ≥grade 1 according NCI CTCAE 4.0.
Mental disease or other conditions affecting on the compliance of patients.
Other serious disease or medical condition:
Inability to take or absorption oral medications.
Concurrent or within 30 days using drugs of other clinical trials.
Previous treatments containing Capecitabine (whether adjuvant or palliative treatment).
Previous treatments containing docetaxel within 12 months.
Known hypersensitivity to any of the study treatments or excipients.
Any other conditions the research consider not appropriate to take part in the trial.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Binghe Xu, MD, PhD | Contact | +86-10-87788826 | xubinghe@medmail.com.cn | |
| Fei Ma, MD | Contact | +86-13910217780 | mafei2011@139.com |
| Name | Affiliation | Role |
|---|---|---|
| Binghe Xu, MD, PhD | Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cancer Institute and Hospital, Chinese Academy Of Medical Sciences | Recruiting | Beijing | 100021 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39648226 | Derived | Yi Z, Feng K, Lv D, Guan Y, Shao Y, Ma F, Xu B. Genomic landscape of circulating tumor DNA in HER2-low metastatic breast cancer. Signal Transduct Target Ther. 2024 Dec 9;9(1):345. doi: 10.1038/s41392-024-02047-0. | |
| 30606259 | Derived | Guan X, Ma F, Li C, Wu S, Hu S, Huang J, Sun X, Wang J, Luo Y, Cai R, Fan Y, Li Q, Chen S, Zhang P, Li Q, Xu B. The prognostic and therapeutic implications of circulating tumor cell phenotype detection based on epithelial-mesenchymal transition markers in the first-line chemotherapy of HER2-negative metastatic breast cancer. Cancer Commun (Lond). 2019 Jan 3;39(1):1. doi: 10.1186/s40880-018-0346-4. |
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|
| Intermittent Capecitabine | Drug | Capecitabine 1000 mg/m2 twice daily on days 1-14 of each 3-week cycle |
|
|
| Metronomic Capecitabine | Drug | Capecitabine 500 mg three times daily on days 1-21 of each 3-week cycle |
|
|
| up to 36 months |
| Overall survival (OS): | Time from randomization to death | up to 52 months |
| Overall Response rates (ORR) | Defined as CR+PR, assessed based on Response Evaluation Criteria in Solid Tumors (RECIST 1.1) criteria. It will be evaluated in the initial treatment phase and the maintenance treatment phase. | up to 36 months |
| Clinical Benefit rate (CBR) | Defined as CR+PR+SD, assessed based on on Response Evaluation Criteria in Solid Tumors (RECIST 1.1) criteria. It will be evaluated in the initial treatment phase and the maintenance treatment phase | up to 36 months |
| Time to Progression (TTP) | Time from randomization to disease progression | up to 36 months |
| QoL | Using the EORTC quality of life questionnaire QLQ-C30 | up to 36 months |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009371 | Neoplasms by Site |
| D009362 | Neoplasm Metastasis |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077143 | Docetaxel |
| D000069287 | Capecitabine |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
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