A Phase II Multi-Institution Study of Docetaxel and Doxorubicin as Induction Therapy Followed by Sequential High Dose Chemotherapy and CD 34+ Selected Stem Cell Support for Women With Metastatic Breast Cancer
OBJECTIVES: I. Assess the toxicity and response rates to induction therapy with docetaxel
and doxorubicin in women with chemotherapy naive metastatic breast cancer. II. Assess the
toxicity and response rates to sequential high dose chemotherapy following induction
chemotherapy in women with metastatic breast cancer. III. Determine the hematopoietic
recovery rate following CD34+ selected peripheral blood stem cell support in this patient
population. IV. Assess the toxicity of noncytotoxic maintenance therapy following high dose
chemotherapy in this patient population.
OUTLINE: This is a multicenter study. Patients with no prior chemotherapy for metastatic
disease receive induction chemotherapy consisting of doxorubicin IV immediately followed by
docetaxel IV over 1 hour on day 1. Patients receive filgrastim (G-CSF) subcutaneously (SQ)
beginning on day 2 and continuing until day 11-15. Induction therapy repeats every 3 weeks
for 4 courses. Within 4 weeks of the last course of induction chemotherapy, patients receive
mobilization chemotherapy consisting of cyclophosphamide IV for 2 days, and etoposide IV and
cisplatin IV for 3 days. At 24 hours following completion of chemotherapy, patients receive
G-CSF SQ twice daily until the target number of peripheral blood stem cells (PBSC) are
reached. Within 5 weeks following completion of mobilization chemotherapy, patients receive
cyclophosphamide IV, thiotepa IV, and carboplatin IV continuously on days -7 through -4.
Patients receive CD34+ selected PBSC on day 0 followed 4 hours later by G-CSF SQ daily and
continuing until blood counts recover. Within 30 days of blood count recovery or immediately
following completion of post transplantation radiotherapy, patients receive maintenance
therapy consisting of oral anastrozole daily until disease progression. Patients with bone
involvement also receive pamidronate IV over 2 hours monthly for 1 year. Patients are
followed monthly for 6 months, every 3 months for 1 year, every 4-6 months for 5 years, and
then annually thereafter.
PROJECTED ACCRUAL: A total of 50 patients will be accrued for this study over 12 months.
Interventional
Primary Purpose: Treatment
Andrew L. Pecora, MD, FACP
Study Chair
Hackensack University Medical Center Cancer Center
United States: Federal Government
NU-H97B1
NCT00004906
October 1999
June 2001
Name | Location |
---|---|
Ireland Cancer Center | Cleveland, Ohio 44106-5065 |
University of Pennsylvania Cancer Center | Philadelphia, Pennsylvania 19104 |
Robert H. Lurie Comprehensive Cancer Center, Northwestern University | Chicago, Illinois 60611 |
Hackensack University Medical Center | Hackensack, New Jersey 07601 |