AzTrials
AzTrials

Breast NeoplasmsPhase 2IXTENDNCT00546364

Randomized Study Evaluating Ixabepilone Plus Capecitabine or Docetaxel Plus Capecitabine in Metastatic Breast Cancer

A Phase 2 study testing Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2, Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 and Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 in people with Breast Neoplasms, run by R-Pharm at 60 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The purpose of this study is to assess the effect of ixabepilone plus capecitabine or docetaxel plus capecitabine on shrinking or slowing the growth of metastatic breast cancer in women. The safety of this combination therapy will also be evaluated. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Neoplasms
What is being tested?
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2, Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 and Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
60 sitesUnited States
Study dates
Feb 2008to Mar 2010
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants with metastatic breast cancer
  • Measurable disease
  • Up to 1 chemotherapy regimen is acceptable. Participants who have received paclitaxel in the neoadjuvant or adjuvant setting acceptable, only if the last dose of paclitaxel was received 12 months or less before the treatment. There is no timeframe for prior paclitaxel in the metastatic setting.
  • Human epidermal growth factor receptor 2-positive participants allowed if they have progressed after receiving treatment with trastuzumab or lapatinib
  • Eastern Cooperative Oncology Group Performance status of 0-1
  • Age younger than 18 years
  • Women of childbearing potential must be using an adequate method of contraception to avoid pregnancy throughout the study and for at least 4 weeks after the last dose of investigational products

Who cannot join

  • More than 1 chemotherapy regimen for the treatment of metastatic breast cancer
  • Prior treatment with any epothilone, capecitabine, or docetaxel
  • Prior radiation must not have included 30% or more of major bone marrow-containing areas (pelvis, lumbar spine). If prior radiation was less than 30%, a minimum interval of 2 weeks must be allowed between the last radiation treatment and administration of study medication. There must be at least 1 week between focal/palliative radiation and administration of study medication.
  • Any current or previous history of brain and/or leptomeningeal metastases
  • Neuropathy greater than Grade 2
  • Any concurrent malignancy other than nonmelanoma skin cancer or carcinoma in situ of the cervix
Show all 11Show fewer
  • Uncontrolled diabetes mellitus
  • Chronic hepatitis
  • HIV-positive status
  • Administration of trastuzumab, lapatinib, bevacizumab, or other systemic treatment for cancer must be discontinued 28 days prior to study medication. Hormonal anticancer agents must be discontinued at least 14 days prior to study medication. Hormonal replacement therapy is acceptable
  • Biphosphonates for palliation of bone metastases allowed if initiated at least 7 days before study entry

Trial locations and contacts

60 sites in 1 country.

60 sites in 1 country

United States60 sites
  • Akron General Medical Center

    Akron, Ohio, 44302

  • Summa Health System

    Akron, Ohio, 44304

  • UNM Cancer Center

    Albuquerque, New Mexico, 87106

  • Medical Oncology Associates of Augusta, PC

    Augusta, Georgia, 30901

  • Austin Cancer Centers

    Austin, Texas, 78759

  • Sinai Hospital of Baltimore

    Baltimore, Maryland, 21215

  • Hematology/Oncology Clinic

    Baton Rouge, Louisiana, 70809

  • Mary Bird Perkins Cancer Center

    Baton Rouge, Louisiana, 70809

  • Center for Cancer & Blood Disorders, PC

    Bethesda, Maryland, 20817

  • Local Institution

    Canton, Ohio, 44710

  • Charleston Cancer Center

    Charleston, South Carolina, 29406

  • The Center for Cancer and Hematologic Disease

    Cherry Hill, New Jersey, 08003

  • Northwestern University Feinberg School of Medicine

    Chicago, Illinois, 60611

  • Mid Ohio Oncology/Hematology, Inc, dba The Mark H Zangmeister Center

    Columbus, Ohio, 43219

  • Cancer Specialists of South Texas

    Corpus Christi, Texas, 78412

  • Coastal Bend Cancer Center

    Corpus Christi, Texas, 78463

  • Doylestown Hospital

    Doylestown, Pennsylvania, 18901

  • Edward L Middleman, MD

    Duncanville, Texas, 75137

  • Hematology & Oncology Associates of Nepa

    Dunmore, Pennsylvania, 18512

  • Gaston Hematology and Oncology

    Gastonia, North Carolina, 28054

  • Center for Cancer Care at Goshen Health System

    Goshen, Indiana, 46526

  • The Cancer Center at Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Local Institution

    Honolulu, Hawaii, 96813

  • Section Chief Medical Oncology

    Houston, Texas, 77030

  • Howell Office Plaza

    Howell Township, New Jersey, 07731

  • Jackson Oncology Associates, Pllc

    Jackson, Mississippi, 39202

  • Local Institution

    Jacksonville, Florida, 32209

  • Kingsport Hematology Oncology

    Kingsport, Tennessee, 37660

  • The University of Tennessee Medical Center

    Knoxville, Tennessee, 37920

  • Leah L Dietrich, MD

    La Crosse, Wisconsin, 54601

  • Scripps Cancer Center

    La Jolla, California, 92037

  • Arena Oncology Associates, PC

    Lake Success, New York, 11042

  • Regional Hematology Oncology, PC

    Langhorne, Pennsylvania, 19047

  • St Mary Medical Center

    Langhorne, Pennsylvania, 19047

  • University of Kentucky

    Lexington, Kentucky, 40536

  • University Medical Center, Inc

    Louisville, Kentucky, 40202

  • Jose A Figueroa, MD

    Lubbock, Texas, 79410

  • Local Institution

    Miami, Florida, 33176

  • Lowcountry Hematology & Oncology, PA

    Mt. Pleasant, South Carolina, 29464

  • Monroe Medical Associates

    Munster, Indiana, 46321

  • Local Institution

    Newark, Delaware, 19718

  • Local Institution

    Newark, New Jersey, 07112

  • Peninsula Cancer Institute

    Newport News, Virginia, 23601

  • Hematology Oncology Associates of Rockland

    Nyack, New York, 10960

  • John W Kugler, MD

    Peoria, Illinois, 61615

  • Local Institution

    Philadelphia, Pennsylvania, 19140

  • Albert Einstein Cancer Center

    Philadelphia, Pennsylvania, 19141

  • New Mexico Cancer Care Associates (NMCCA)

    Santa Fe, New Mexico, 87505

  • Sanford Cancer Center Oncology Clinic

    Sioux Falls, South Dakota, 57104

  • Cancer Center of Central Connecticut

    Southington, Connecticut, 06489

  • Southlake Oncology

    Southlake, Texas, 76092

  • Providence Cancer Center

    Spokane, Washington, 99204

  • Santee Hematology/Oncology

    Sumter, South Carolina, 29150

  • Dch Cancer Treatment Center

    Tuscaloosa, Alabama, 35401

  • Cooper Hospital, Division of Hematology/Oncology

    Voorhees Township, New Jersey, 08043

  • Marion L Shepard Cancer Center

    Washington, North Carolina, 27889

  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20007

  • Cancer Center of Kansas

    Wichita, Kansas, 67214

  • Local Institution

    Woonsocket, Rhode Island, 02895

  • Midwestern Regional Medical Center

    Zion, Illinois, 60099

Other trials in United States

About this study

Official title: IXTEND: A Randomized Phase 2 Study to Evaluate the Combination of Ixabepilone Plus Capecitabine or Capecitabine Plus Docetaxel in the Treatment of Metastatic Breast Cancer

The purpose of this study is to assess the effect of ixabepilone plus capecitabine or docetaxel plus capecitabine on shrinking or slowing the growth of metastatic breast cancer in women. The safety of this combination therapy will also be evaluated.

Being tested
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2, Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2, Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2Drug

    Also called IXEMPRA®, BMS-247550

    Ixabepilone, 40 mg/m^2, administered as a 3-hour intravenous (IV) infusion on Day 1 of a 21-day cycle plus capecitabine, 1000 mg/m^2, self-administered on an outpatient basis twice daily by mouth on Days 1 through 14 (±2 days) of each 21-day cycle.

  • Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2Drug

    Ixabepilone, 32 mg/m^2, administered as a 3-hour IV infusion on Day 1 of a 21-day cycle plus capecitabine, 1000 mg/m^2, self-administered on an outpatient basis twice daily by mouth on Days 1 through 14 (±2 days) of each 21-day cycle.

  • Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2Drug

    Docetaxel 75 mg/m^2 administered as a 1-hour IV infusion on Day 1 of a 21-day cycle plus capecitabine, 1000 mg/m^2, self-administered on an outpatient basis twice daily by mouth on Days 1 through 14 (±2 days) of each 21-day cycle.

Study groups in NCT00546364
Study groupRoleWhat they receive
Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2ExperimentalNot described
Receives: Drug: Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2
Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2ExperimentalNot described
Receives: Drug: Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2
Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2Active comparatorNot described
Receives: Drug: Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Best Tumor Response as Assessed With Response Evaluation Criteria in Solid Tumors (RECIST)

    RECIST definitions: Complete reponse (CR)=disappearance of all nontarget lesions; partial response (PR)=at least 30% reduction in the sum of the longest diameter (LD) of all target lesions in reference to the baseline sum LD; stable disease (SD)=neither PR nor progressive disease (PD) criteria were met; PD=at least 20% increase in the sum of the LD of all target lesions, taking as reference the smallest sum LD recorded at or following baseline. Tumor status assessed by investigator.

    Measured: Baseline to 6 weeks (end of Cycle 2)

  2. Percentage of Participants With Best Response to Treatment of Complete or Partial

    The tumor response rate is defined as the number of participants with a best tumor response of CR or PR (as assessed by the investigator according to RECIST criteria), divided by the number of participants randomized in that arm.

    Measured: Baseline to 6 weeks (end of Cycle 2)

Secondary outcomes (8)
  1. Percentage of Triple-negative (TN) Participants With Best Response to Treatment of Complete or Partial

    The tumor response rate is defined as the total number of participants whose best response is CR or PR, divided by the number of randomized participants. Participants not evaluable for response are considered to be nonresponders. TN participants are those with tumors that do not express estrogen or progesterone receptors and that do not over express human epidermal growth factor receptor 2 (HER2).

    Measured: Baseline to 6 weeks (end of Cycle 2)

  2. Percentage of Nontriple-negative (NTN) Participants With Best Response to Treatment of Complete or Partial Per Cohort

    The tumor response rate is defined as the total number of participants whose best response is CR or PR, divided by the number of randomized participants. Participants not evaluable for response are considered to be nonresponders. NTN participants are who are not TN participants (TN participants are those with tumors that do not express estrogen or progesterone receptors and that do not overexpress HER2) and who received ixabepilone plus capecitabine or docetaxel plus capecitabine.

    Measured: Baseline to 6 weeks (end of Cycle 2)

  3. Number of Participants With Death, Adverse Events (AEs), Drug-related AEs, Serious AEs (SAEs), Drug-related SAEs, AEs Leading to Discontinuation (AEDs), Drug-related AEDs, and Drug-related Peripheral Neuropathy

    An AE is any new untoward medical occurrence or worsening of a preexisting medical condition that does not necessarily have a causal relationship with this treatment. An SAE is any untoward medical event that at any dose results in death, persistent or significant disability/incapacity, or drug dependency or abuse; is life-threatening, an important medical event, or a congenital anomaly/birth defect; or requires or prolongs hospitalization. Drug-related=possibly, probably, or certainly related or of unknown relationship to study treatment. Grade 3=Severe, Grade 4=Life-threatening.

    Measured: Baseline to end of Cycle 1 (21 days), continuously

  4. Number of Participants With Abnormalities in Hematology Laboratory Results by Worst Common Terminology Criteria (CTC) Grade

    CTC Grade 1=Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2=Moderate; minimal, local or noninvasive intervention indicated. Grade 3=Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling. Grade 4=Life-threatening consequences; urgent intervention indicated.

    Measured: Baseline in Cycle 1 (21 days) and then prior to start of each 21-day cycle

  5. Number of Participants With Abnormalities in Serum Chemistry Laboratory Results

    ULN=Upper limit of normal among all laboratory ranges. Alanine aminotransferase (ALT) Grade 1:>ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Aspartate aminotransferase (AST) Grade 1: >ULN to 2.5*ULN; Grade 2: >2.5 to 5.0*ULN; Grade 3: >5.0 to 20.0*ULN; Grade 4: >20.0*ULN. Total bilirubin Grade 1: >ULN to 1.5*ULN; Grade 2: >1.5 to 3.0*ULN; Grade 3: >3.0 to 10.0*ULN; Grade 4: >10.0*ULN. Creatine Grade 1: >ULN to 1.5*ULN; Grade 2: 1.5 to 3.0*ULN; Grade 3: >3.0 to 6.0*ULN; Grade 4: >6.0*ULN.

    Measured: Baseline in Cycle 1 (21 days) and then prior to start of each 21-day cycle

  6. Time to Progression

    Time to progression is defined as the time from date of randomization until the date that PD is first reported. Participants who die without a reported prior progression are considered to have progressed on the day of their death. Those who did not progress or die are censored at the day of their last tumor assessment.

    Measured: Baseline to date progressive disease reported

  7. Duration of Response

    Duration of overall response is computed for participants whose best response is either PR or CR and is measured from the time measurement criteria are first met for CR or PR (whichever status is recorded first) until the first date of documented PD or death. Participants who did not relapse or die are censored on the date of their last tumor assessment.

    Measured: Baseline (date of randomization) to date CR or PR criteria first met

  8. Median Number of Treatment Cycles

    The first dosing date is defined as the date of the first dose of chemotherapy or capecitabine, whichever was administered first. Cycles are defined as the time from Day 1 of the cycle until the day before the next cycle. The last cycle per participant is the 21-day period following Day 1 of that cycle.

    Measured: Day 1 to end of Cycle 18, maximum (54 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2007 (estimated)
  2. Study startFeb 2008
  3. Primary completionMar 2010
  4. Study completionMar 2010

Why it stopped: Slow Accrual

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00546364
Sponsor's protocol ID
CA163-131
Acronym
IXTEND
Status last verified
Feb 2016
First submitted
17 Oct 2007
Last updated
10 Mar 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ixabepilone, 40 mg/m^2 + Capecitabine, 1000 mg/m^2, Ixabepilone, 32 mg/m^2 + Capecitabine, 1000 mg/m^2 and Docetaxel, 75 mg/m^2 + Capecitabine, 1000 mg/m^2 in people with Breast Neoplasms, run by R-Pharm at 60 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 10 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Jun 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Best Tumor Response as Assessed With Response Evaluation Criteria in Solid Tumors (RECIST) (time frame: Baseline to 6 weeks (end of Cycle 2)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
IXTEND Clinical Trial NCT00546364 | AzTrials