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The prognosis of advanced breast cancer does not improve much recently although varies of adjuvant drugs have been tried.Dendritic cells co-cultured with cytokine-induced killer cells(DC-CIK) immunotherapy has been proved to improve survival in several cancers, but its role in advanced breast cancer stains unclear. The purpose of this study is to evaluate the efficacy and safety of DC-CIK immunotherapy combined with capecitabine versus capecitabine monotherapy for the treatment of advanced breast cancer.
1.400 patients with advanced breast cancer should be definitively diagnosis based on histopathology, according to the 7th American Joint Committee on Cancer(AJCC) Cancer Staging Manual.
2.All patients will be randomly divided into group A(DC-CIK immunotherapy combined with capecitabine ) or group B(capecitabine monotherapy).
3.Patients in group A will receive 4 cycles of DC-CIK treatment (every 1 year) and capecitabine(continuous).Patients in group B will receive only capecitabine monotherapy(continuous) .
4.The response is assessed using Response Evaluation Criteria in Solid Tumor Group (RECIST) guidelines.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Capecitabine Monotherapy | Active Comparator | Patients with advanced breast cancer accept capecitabine monotherapy. Drug: Capecitabine |
|
| DC-CIK Immunotherapy+Capecitabine | Experimental | Biological/Vaccine: DC-CIK DC-CIK immunotherapy combined with capecitabine are used to treat advanced breast cancer. Drug: Capecitabine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DC-CIK Immunotherapy | Biological | DC-CIK cells are used to treat advanced breast cancer with capecitabine. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival(OS) | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Disease-free survival | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with side effects | The side effect was evaluated according to WHO standards, including diarrhea, nausea, vomiting, hand-foot syndrome and neutropenia. | 1 week |
| Clinical benefit response ( composite) |
Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D000069287 | Capecitabine |
| ID | Term |
|---|---|
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
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| Capecitabine Monotherapy | Drug | All patients receive capecitabine monotherapy (2500 mg/m2 twice daily) for 2 weeks followed by a 1-week rest period.And the treatment is repeated every 3 weeks. |
|
|
complete response(CR),partial response(PR),stable disease(SD)and progressive disease(PD).
| 2 months |
| D017437 |
| Skin and Connective Tissue Diseases |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |