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Breast CancerPhase 2X7-7NCT02595320

Capecitabine in Metastatic Breast and GI Cancers

A Phase 2 study testing Capecitabine in people with Breast Cancer and Gastrointestinal Cancer, run by Qamar Khan at 15 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is compare different doses of capecitabine to see if one is better than the other in terms of efficacy and toxicity. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer, Gastrointestinal Cancer
What is being tested?
Capecitabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
15 sitesUnited States
Study dates
5 Oct 2015to Dec 2023
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Women with metastatic breast cancer OR men and women with metastatic gastrointestinal (GI) cancer
  • There is no limit to the number of prior chemotherapy or endocrine therapy regimens received. Use of a previous fluoropyrimidine-containing regimen in advanced / metastatic setting is permitted as long as the subject discontinued the regimen for reasons other than progression.
  • No restriction on the use of fluoropyrimidine-containing regimen in the neoadjuvant or adjuvant setting
  • For metastatic colorectal cancers, patients starting maintenance capecitabine after a course of oxaliplatin or irinotecan based chemotherapy are eligible.
  • Measurable or non-measurable disease per RECIST criteria 1.1
  • Must have completed prior chemotherapy or radiation therapy at least 2 weeks prior to registration
Show all 19Show fewer
  • Pathologic confirmation of respective malignancies. Biopsy of metastatic disease is preferred but not mandatory.
  • Performance Status: Eastern Cooperative Oncology Group (ECOG) Performance Score (PS) 0-2
  • Adequate organ and marrow function as defined below:
  • Absolute neutrophil count ≥ 1,000/ microLiter (uL)
  • hemoglobin ≥ 7 g/L
  • platelets ≥ 50,000/uL
  • total bilirubin ≤ 2 X the Institutional Upper Limit of Normal (IULN)
  • o Aspartate Aminotransferase (AST) ( Serum Glutamic Oxaloacetic Transaminase [SGOT]) ≤ 5 X IULN
  • Alanine Aminotransferase (ALT) (Serum Pyruvic Glutamic Transaminase [SPGT]) ≤ 5 X IULN
  • creatinine clearance > 50 milliliters per minute (ml/min)
  • Women of childbearing potential must agree to use adequate contraception.
  • Subjects may have previously treated brain or Central Nervous System (CNS) metastasis with radiation completed at least 2 weeks prior to registration. Prior radiation to places other than CNS disease must be completed at least 14 days prior to registration. Any number of prior radiation therapy regimens is allowed provided all toxicity of prior therapy is resolved to grade 1 or less.
  • Life expectancy of >3 months

Who cannot join

  • Patient has used Capecitabine in a past regimen for metastatic disease.
  • Patient is currently using, or planning to use another investigational agent.
  • Patient with known Dihydropyrimidine Dehydrogenase (DPD) deficiency
  • Patient has symptomatic brain or CNS metastases.
  • Patient has leptomeningeal disease
  • Patient is pregnant or nursing
  • Subjects must have no barriers to taking oral medications, for example uncontrolled nausea, vomiting, diarrhea at baseline, lack of physical integrity of the upper gastrointestinal tract, or malabsorption syndrome.
  • No recent (≤ 3months) of partial or complete bowel obstruction unless surgically corrected.

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

United States15 sites
  • University of Kansas Cancer Center - CRC

    Fairway, Kansas, 66205

  • St. Catherine Hospital - Central Care Cancer Center

    Garden City, Kansas, 67846

  • Heartland Cancer Center - Central Care Cancer Center

    Great Bend, Kansas, 67530

  • Hays Medical Center Dreiling-Schmidt Cancer Institute

    Hays, Kansas, 67601

  • University of Kansas Cancer Center - West

    Kansas City, Kansas, 66112

  • Truman Medical Center

    Kansas City, Missouri, 64108

  • University of Kansas Cancer Center - South

    Kansas City, Missouri, 64131

  • University of Kansas Cancer Center - North

    Kansas City, Missouri, 64154

  • University of Kansas Cancer Center - Lee's Summit

    Lee's Summit, Missouri, 64064

  • Olathe Medical Center

    Olathe, Kansas, 66061

  • University of Kansas Cancer Center - Overland Park

    Overland Park, Kansas, 66210

  • Via Christi Cancer Center

    Pittsburg, Kansas, 66762

  • Salina Regional Health

    Salina, Kansas, 67401

  • St. Francis Comprehensive Cancer Center

    Topeka, Kansas, 66606

  • University of Kansas Cancer Center - Westwood

    Westwood, Kansas, 66205

Other trials in United States

About this study

Official title: Randomized Open-label Trial of Dose Dense, Fixed Dose Capecitabine Compared to Standard Dose Capecitabine in Metastatic Breast Cancer and Advanced/Metastatic Gastrointestinal Cancers.

The purpose of this study is compare different doses of capecitabine to see if one is better than the other in terms of efficacy and toxicity.

Read the detailed description

Goals of treatment of metastatic breast cancer remain largely comfort care. However, there has been improvement in median survival among women with metastatic disease over the last two decades, mainly due to availability of more effective agents. Women are now living longer with metastatic disease and are on therapy for longer periods of time. Therefore, it is increasingly important for effective therapies to be associated with less toxicity so that women can enjoy a better overall quality of life. Similar to breast cancer, goals of treatment of various GI malignancies (including metastatic colorectal cancer, metastatic gastric and esophageal cancers, and unresectable or metastatic pancreatic cancer and cholangiocarcinoma) are largely comfort care and it is important to minimize toxicity from therapy during the treatment for metastatic disease.

Capecitabine is a unique chemotherapeutic agent for two reasons. It is the only oral chemotherapy drug available to treat breast and GI malignancies, making it convenient for patients. In addition, whereas all other cytotoxic chemotherapy agents can be administered for only a few months at a time because of development of cumulative toxicities, capecitabine can be continued for many months to years if toxicities can be managed. However the optimal dosing schedule of capecitabine is not known.

This is the basis for the proposed randomized phase II trial, to compare the efficacy and tolerability of capecitabine 1500 milligrams (mg) twice a day (BID), 7 days on and 7 days off schedule to capecitabine 1250 milligrams/meters squared (mg/m2) BID, 14 days on and 7 days off) or 1000 mg/m2 BID, 14 days on and 7 days off, in women with metastatic breast cancer or patients with advanced/metastatic GI cancer.

Being tested
Capecitabine
Keywords
breast, gastrointestinal,capecitabine, cancer, metastatic
Medical subject headings
Breast Neoplasms, Gastrointestinal Neoplasms, Neoplasms, Neoplasm Metastasis

What participants receive

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

  • CapecitabineDrug

    Also called Xeloda®

    Capecitabine will be given to participants in Arm A at 1500 mg PO BID for 7 days, followed by a 7 day rest (7-7).

    Capecitabine will be given to participants in group B at 1250 mg/m2 OR 1000 mg/m2 PO BID for 14 days, followed by a 7 day rest (14-7).

Study groups in NCT02595320
Study groupRoleWhat they receive
Group AExperimentalcapecitabine, 1500 mg, twice a day for 7 days on then 7 days off
Receives: Drug: Capecitabine
Group BActive comparatorcapecitabine, 1250 mg/m2 OR 1000 mg/m2, twice a day for 14 days on then 7 days off
Receives: Drug: Capecitabine

What is being measured

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

  1. Twelve-week Progression Free Survival (cohort 1 only)

    As the percentage of patients with progression from the date of registration to 12 weeks from that date

    Measured: 12 weeks from the date of registration into the study

Secondary outcomes (1)
  1. Grade 3 or higher toxicity (cohorts 1 and 2)

    Percentage of patients having grade 3 or higher toxicity from the date of first treatment dose during the trial therapy to patient develops Grade 3 or higher toxicity.

    Measured: From Day 1 of treatment, throughout treatment, up to 2 years from Day 1 of treatment

Timeline

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

  1. First posted3 Nov 2015 (estimated)
  2. Study start5 Oct 2015
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2023 (estimated)

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
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02595320
Sponsor's protocol ID
2015-IIT-X7-7
Acronym
X7-7
Status last verified
Dec 2021
First submitted
2 Oct 2015
Last updated
20 Dec 2021
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Chia SK, Speers CH, D'yachkova Y, Kang A, Malfair-Taylor S, Barnett J, Coldman A, Gelmon KA, O'reilly SE, Olivotto IA. The impact of new chemotherapeutic and hormone agents on survival in a population-based cohort of women with metastatic breast cancer. Cancer. 2007 Sep 1;110(5):973-9. doi: 10.1002/cncr.22867.

    PubMed 17647245
  • Liu G, Franssen E, Fitch MI, Warner E. Patient preferences for oral versus intravenous palliative chemotherapy. J Clin Oncol. 1997 Jan;15(1):110-5. doi: 10.1200/JCO.1997.15.1.110.

    PubMed 8996131
  • Hofheinz RD, Wenz F, Post S, Matzdorff A, Laechelt S, Hartmann JT, Muller L, Link H, Moehler M, Kettner E, Fritz E, Hieber U, Lindemann HW, Grunewald M, Kremers S, Constantin C, Hipp M, Hartung G, Gencer D, Kienle P, Burkholder I, Hochhaus A. Chemoradiotherapy with capecitabine versus fluorouracil for locally advanced rectal cancer: a randomised, multicentre, non-inferiority, phase 3 trial. Lancet Oncol. 2012 Jun;13(6):579-88. doi: 10.1016/S1470-2045(12)70116-X. Epub 2012 Apr 13.

    PubMed 22503032
  • Kopf B, De Giorgi U, Zago S, Carminati O, Rosti G, Marangolo M. Innovative therapy for patients with brain metastases: oral treatments. J Chemother. 2004 Nov;16 Suppl 5:94-7. doi: 10.1080/1120009x.2004.11782396.

    PubMed 15675490
  • Fumoleau P, Largillier R, Clippe C, Dieras V, Orfeuvre H, Lesimple T, Culine S, Audhuy B, Serin D, Cure H, Vuillemin E, Morere JF, Montestruc F, Mouri Z, Namer M. Multicentre, phase II study evaluating capecitabine monotherapy in patients with anthracycline- and taxane-pretreated metastatic breast cancer. Eur J Cancer. 2004 Mar;40(4):536-42. doi: 10.1016/j.ejca.2003.11.007.

    PubMed 14962720
  • Oshaughnessy JA, Blum J, Moiseyenko V, Jones SE, Miles D, Bell D, Rosso R, Mauriac L, Osterwalder B, Burger HU, Laws S. Randomized, open-label, phase II trial of oral capecitabine (Xeloda) vs. a reference arm of intravenous CMF (cyclophosphamide, methotrexate and 5-fluorouracil) as first-line therapy for advanced/metastatic breast cancer. Ann Oncol. 2001 Sep;12(9):1247-54. doi: 10.1023/a:1012281104865.

    PubMed 11697835
  • Blum JL, Dieras V, Lo Russo PM, Horton J, Rutman O, Buzdar A, Osterwalder B. Multicenter, Phase II study of capecitabine in taxane-pretreated metastatic breast carcinoma patients. Cancer. 2001 Oct 1;92(7):1759-68. doi: 10.1002/1097-0142(20011001)92:73.0.co;2-a.

    PubMed 11745247
  • Blum JL, Jones SE, Buzdar AU, LoRusso PM, Kuter I, Vogel C, Osterwalder B, Burger HU, Brown CS, Griffin T. Multicenter phase II study of capecitabine in paclitaxel-refractory metastatic breast cancer. J Clin Oncol. 1999 Feb;17(2):485-93. doi: 10.1200/JCO.1999.17.2.485.

    PubMed 10080589
  • Mackean M, Planting A, Twelves C, Schellens J, Allman D, Osterwalder B, Reigner B, Griffin T, Kaye S, Verweij J. Phase I and pharmacologic study of intermittent twice-daily oral therapy with capecitabine in patients with advanced and/or metastatic cancer. J Clin Oncol. 1998 Sep;16(9):2977-85. doi: 10.1200/JCO.1998.16.9.2977.

    PubMed 9738566
  • Leonard R, O'Shaughnessy J, Vukelja S, Gorbounova V, Chan-Navarro CA, Maraninchi D, Barak-Wigler N, McKendrick JJ, Harker WG, Bexon AS, Twelves C. Detailed analysis of a randomized phase III trial: can the tolerability of capecitabine plus docetaxel be improved without compromising its survival advantage? Ann Oncol. 2006 Sep;17(9):1379-85. doi: 10.1093/annonc/mdl134.

    PubMed 16966367
  • Norton L. Conceptual and practical implications of breast tissue geometry: toward a more effective, less toxic therapy. Oncologist. 2005 Jun-Jul;10(6):370-81. doi: 10.1634/theoncologist.10-6-370.

    PubMed 15967831
  • Traina TA, Dugan U, Higgins B, Kolinsky K, Theodoulou M, Hudis CA, Norton L. Optimizing chemotherapy dose and schedule by Norton-Simon mathematical modeling. Breast Dis. 2010;31(1):7-18. doi: 10.3233/BD-2009-0290.

    PubMed 20519801
  • Traina TA, Theodoulou M, Feigin K, Patil S, Tan KL, Edwards C, Dugan U, Norton L, Hudis C. Phase I study of a novel capecitabine schedule based on the Norton-Simon mathematical model in patients with metastatic breast cancer. J Clin Oncol. 2008 Apr 10;26(11):1797-802. doi: 10.1200/JCO.2007.13.8388.

    PubMed 18398145
  • Gajria D, Feigin K, Tan LK, Patil S, Geneus S, Theodoulou M, Norton L, Hudis CA, Traina TA. Phase 2 trial of a novel capecitabine dosing schedule in combination with bevacizumab for patients with metastatic breast cancer. Cancer. 2011 Sep 15;117(18):4125-31. doi: 10.1002/cncr.25992. Epub 2011 Mar 8.

    PubMed 21387266
  • Ou SH, Holcombe RF. Capecitabine in advanced gastric or oesophagogastric cancer: a viewpoint by Sai-Hong Ignatius Ou and Randall F. Holcombe. Drugs. 2007;67(4):611-2. doi: 10.2165/00003495-200767040-00011. No abstract available.

    PubMed 17352521

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Capecitabine in people with Breast Cancer and Gastrointestinal Cancer, run by Qamar Khan at 15 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 19 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 20 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 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?

Results are not available in the source record.

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?

Twelve-week Progression Free Survival (cohort 1 only) (time frame: 12 weeks from the date of registration into the study). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02595320, which also lists 32 linked publications.

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 20 Dec 2021.

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