A Comparative, Multicenter, Open-Label, Randomized, Phase 2 Study of the Safety and Antitumor Activity of Oral Eniluracil + 5 Fluorouracil + Leucovorin Versus Capecitabine Monotherapy in Subjects With Metastatic Breast Cancer
Inclusion Criteria:
- Histologically or cytologically confirmed metastatic (Stage IV) adenocarcinoma of the
breast
- Prior exposure to anthracyclines either in the neoadjuvant/adjuvant setting, or as
treatment for metastatic disease
- Either evidence of a recurrence or development of metastatic disease at least 12
months after the last dose of a taxane as neoadjuvant/adjuvant therapy, or evidence
of disease progression while receiving a taxane for metastatic disease
- ECOG Performance Status of 0 or 1
- Measurable disease according to RECIST 1.1 Criteria
- Adequate renal, hematologic, and hepatic function
- Negative pregnancy test and willing to use effective contraception
- Willing to avoid any other dose or form (iv, oral, or topical) of 5 FU or related
derivatives for 8 weeks following the last dose of eniluracil
- Willing to be closely monitored for changes in coagulation parameters (prothrombin
time and/or international normalized ratio [INR] values) if receiving concomitant
warfarin
Exclusion Criteria:
- Pregnant or lactating females
- Prior treatment with capecitabine
- More than one prior chemotherapy regimen for metastatic disease
- Prior radiation must not have included ≥ 30% of major bone marrow-containing areas
(pelvis, lumbar spine). If prior radiation was < 30%, then a minimum interval of 6
weeks must be allowed between the last radiation treatment and administration of
either study arm.
- Currently receiving anti-cancer therapy
- Residual ≥ Grade 2 clinically significant side effects (excluding alopecia)
associated with prior radiotherapy, chemotherapy, and investigational treatments
- Unstable CNS metastases. However, subjects that are asymptomatic and off systemic
steroids and anticonvulsants for at least 3 months are not excluded.
- Malabsorption syndrome, disease significantly affecting gastrointestinal function,
resection of the stomach or small bowel, ulcerative colitis, recent history of GI
bleeding or perforation
- History of other malignancy, except subjects who have been disease-free for 5 years
or subjects with a history of completely resected non-melanoma skin cancer or
successfully treated in situ carcinoma
- Concurrent disease or condition that would make the subject inappropriate for study
participation, or any serious medical disorder that would interfere with the
subject's safety
- Known history or clinical evidence of leptomeningeal carcinomatosis
- Active or uncontrolled infection
- Dementia, altered mental status, or any psychiatric condition that would prohibit the
understanding or rendering of informed consent
- Known history of uncontrolled or symptomatic angina, arrhythmia or congestive heart
failure
- Concurrent treatment with an investigational agent
- Use of an investigational drug within 30 days or 5 half-lives, whichever is longer,
preceding the first dose of study medication
- Taking phenytoin
- Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs
chemically related to capecitabine, fluorouracil, leucovorin, or any excipients
- Known dihydropyrimidine dehydrogenase (DPD) deficiency