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Clinical Trial Name - Celecoxib in Treating Women With Metastatic or Recurrent Breast Cancer

 
Original Study ID : CDR0000256905
Secondary ID : CALGB-40105
NCT ID : NCT00045591
Brief Title : Celecoxib in Treating Women With Metastatic or Recurrent Breast Cancer
Official Title : Evaluation Of Novel Therapeutic Agents (Celecoxib: NSC # 719627) Against Breast Cancer: An Innovative Randomized Phase II Trial Design
Brief Summary :

RATIONALE: Celecoxib may stop the growth of tumor cells by blocking the enzymes necessary for their growth and by stopping blood flow to the tumor. It is not yet known which regimen of celecoxib is more effective in treating breast cancer. PURPOSE: Randomized phase II trial to compare the effectiveness of two regimens of celecoxib in treating women who have metastatic or recurrent breast cancer

Source : National Cancer Institute (NCI)
Detailed Description :

OBJECTIVES: Primary - Compare the progression-free survival of women with metastatic or recurrent breast cancer treated with 2 dose levels of celecoxib. Secondary - Compare the side effects of the 2 dose levels of this drug in these patients. - Compare the overall survival of patients treated with the 2 dose levels of this drug. OUTLINE: This is a randomized, double-blind, multicenter study. Patients are stratified according to disease status at study entry (complete response vs partial response vs stable) and prior metastatic/recurrent chemotherapy regimens (1 vs 2). Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients receive oral high-dose celecoxib twice daily. - Arm II: Patients receive oral low-dose celecoxib twice daily. In both arms, treatment continues until first disease progression. At disease progression, treatment assignment is unblinded and treatment may continue at the treating physician's discretion. Patients initially randomized to the low-dose arm may either continue on that dosage or crossover to the high-dose arm. Patients initially randomized to the high-dose arm may continue on that dosage. Treatment after disease progression may continue for up to 12 months. Patients are followed every 3 months for 1 year and then every 6 months for up to 4 years. PROJECTED ACCRUAL: A total of 132 patients (88 in the high-dose arm and 44 in the low-dose arm) will be accrued for this study within 22 months.

Overall Status : Active, not recruiting
Start Date : February 2003
Official Title : Phase 2
Phase : Interventional
Study Design : Treatment, Randomized, Double-Blind, Active Control
Verification Date : July 2004
First Received Date : September 6, 2002
Trial Eligibility
Criteria :
DISEASE CHARACTERISTICS:

- Histologically confirmed invasive breast cancer

- Metastatic or recurrent disease documented by physical or radiographic
examination

- Isolated recurrence of breast cancer not considered eligible

- Bone disease alone allowed

- At least 4 prior courses (or 4 months) of chemotherapy resulting in stable disease,
partial response, or complete response

- Treated brain metastases allowed provided all of the following conditions are met:

- Palliation achieved without evidence of progression for at least 3 months after
completion of radiotherapy and/or surgical treatment

- At least 30 days since prior dexamethasone or other corticosteroids

- Documentation of another site of metastatic disease (in addition to brain
metastases)

- Measurable or evaluable disease

- Pleural or peritoneal effusion as only manifestation of disease allowed if palliated
by prior chemotherapy

- Hormone receptor status:

- Not specified

PATIENT CHARACTERISTICS:

Age

- 18 and over

Sex

- Female

Menopausal status

- Not specified

Performance status

- CTC (ECOG) 0-2

Life expectancy

- Not specified

Hematopoietic

- WBC at least 3,000/mm^3

- Absolute neutrophil count at least 1,000/mm^3

- Platelet count at least 100,000/mm^3

Hepatic

- Bilirubin no greater than 1.5 times upper limit of normal (ULN)

- AST or ALT no greater than 2.5 times ULN (5 times ULN if liver metastases present)

- Albumin at least 3.0 g/dL

Renal

- Creatinine no greater than 1.5 times ULN

Other

- Not pregnant or nursing

- Fertile patients must use effective contraception

- No other active malignancy within the past 2 years except nonmelanoma skin cancer

- No active peptic ulcer disease

- No known hypersensitivity to sulfonamides, aspirin, or other NSAIDs, including
celecoxib

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Concurrent trastuzumab (Herceptin) allowed if initiated at least 3 months prior to
study entry

Chemotherapy

- See Disease Characteristics

- At least 6 weeks since prior chemotherapy

- No more than 2 prior chemotherapy regimens for recurrent or metastatic disease

Endocrine therapy

- See Disease Characteristics

- Prior hormonal therapy for metastatic disease allowed

- No concurrent hormonal therapy except hormones for noncancer-related conditions (e.g.,
insulin for diabetes)

Radiotherapy

- See Disease Characteristics

- At least 4 weeks since prior radiotherapy

- Prior radiotherapy to the breast and for metastatic disease allowed

- No concurrent palliative radiotherapy

Surgery

- See Disease Characteristics

Other

- Prior adjuvant therapy for metastatic disease allowed

- Concurrent bisphosphonates allowed

- Concurrent low-dose aspirin (no greater than 325 mg/day) is allowed

- No other concurrent therapy with celecoxib or other nonsteroidal anti-inflammatory
drugs (NSAIDs) (e.g., rofecoxib, aspirin, choline magnesium trisalicylate, ibuprofen,
naproxen, etodolac, oxaprozin, diflunisal, nabumetone, or tolmetin)

- No concurrent fluconazole
Gender : Female
Minimum Age : 18 Years
Maximum Age : N/A
Healthy Volunteers : No
Facilities
Facility Name : Northeast Alabama Regional Medical Center
City : Anniston
State : Alabama
Zip Code : 36207
Country : United States
Facility Name : Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center
City : Los Angeles
State : California
Zip Code : 90048
Country : United States
Facility Name : Naval Medical Center - San Diego
City : San Diego
State : California
Zip Code : 92134-3202
Country : United States
Facility Name : Rebecca and John Moores UCSD Cancer Center
City : La Jolla
State : California
Zip Code : 92093-0658
Country : United States
Facility Name : UCSF Comprehensive Cancer Center
City : San Francisco
State : California
Zip Code : 94115
Country : United States
Facility Name : Veterans Affairs Medical Center - San Diego
City : San Diego
State : California
Zip Code : 92161
Country : United States
Facility Name : Veterans Affairs Medical Center - San Francisco
City : San Francisco
State : California
Zip Code : 94121
Country : United States
Facility Name : CCOP - Christiana Care Health Services
City : Newark
State : Delaware
Zip Code : 19713
Country : United States
Facility Name : Lombardi Cancer Center at Georgetown University Medical Center
City : Washington
State : District of Columbia
Zip Code : 20007
Country : United States
Facility Name : Veterans Affairs Medical Center - Washington, DC
City : Washington
State : District of Columbia
Zip Code : 20422
Country : United States
Facility Name : Walter Reed Army Medical Center
City : Washington
State : District of Columbia
Zip Code : 20307-5001
Country : United States
Facility Name : Broward General Medical Center
City : Fort Lauderdale
State : Florida
Zip Code : 33316
Country : United States
Facility Name : CCOP - Mount Sinai Medical Center
City : Miami Beach
State : Florida
Zip Code : 33140
Country : United States
Facility Name : Memorial Regional Cancer Center at Memorial Regional Hospital
City : Hollywood
State : Florida
Zip Code : 33021
Country : United States
Facility Name : CCOP - Illinois Oncology Research Association
City : Peoria
State : Illinois
Zip Code : 61615-7828
Country : United States
Facility Name : Lagrange Oncology Associates
City : La Grange
State : Illinois
Zip Code : 60525
Country : United States
Facility Name : MBCCOP - University of Illinois at Chicago
City : Chicago
State : Illinois
Zip Code : 60612
Country : United States
Facility Name : University of Chicago Cancer Research Center
City : Chicago
State : Illinois
Zip Code : 60637-1470
Country : United States
Facility Name : Veterans Affairs Medical Center - Chicago (Westside Hospital)
City : Chicago
State : Illinois
Zip Code : 60612
Country : United States
Facility Name : West Suburban Center for Cancer Care
City : River Forest
State : Illinois
Zip Code : 60305
Country : United States
Facility Name : CCOP - Northern Indiana CR Consortium
City : South Bend
State : Indiana
Zip Code : 46601
Country : United States
Facility Name : Fort Wayne Medical Oncology and Hematology, Incorporated
City : Fort Wayne
State : Indiana
Zip Code : 46885-5099
Country : United States
Facility Name : Holden Comprehensive Cancer Center at University of Iowa
City : Iowa City
State : Iowa
Zip Code : 52242-1009
Country : United States
Facility Name : Baptist Hospital East - Louisville
City : Louisville
State : Kentucky
Zip Code : 40207
Country : United States
Facility Name : Greenebaum Cancer Center at University of Maryland Medical Center
City : Baltimore
State : Maryland
Zip Code : 21201
Country : United States
Facility Name : Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
City : Boston
State : Massachusetts
Zip Code : 02115
Country : United States
Facility Name : UMASS Memorial Cancer Center - University Campus
City : Worcester
State : Massachusetts
Zip Code : 01655
Country : United States
Facility Name : Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
City : Saint Joseph
State : Michigan
Zip Code : 49085
Country : United States
Facility Name : University of Minnesota Cancer Center
City : Minneapolis
State : Minnesota
Zip Code : 55455
Country : United States
Facility Name : Veterans Affairs Medical Center - Minneapolis
City : Minneapolis
State : Minnesota
Zip Code : 55417
Country : United States
Facility Name : CCOP - Kansas City
City : Kansas City
State : Missouri
Zip Code : 64131
Country : United States
Facility Name : Ellis Fischel Cancer Center at University of Missouri - Columbia
City : Columbia
State : Missouri
Zip Code : 65203
Country : United States
Facility Name : Missouri Baptist Cancer Center
City : Saint Louis
State : Missouri
Zip Code : 63131
Country : United States
Facility Name : Siteman Cancer Center at Barnes-Jewish Hospital
City : Saint Louis
State : Missouri
Zip Code : 63110
Country : United States
Facility Name : Veterans Affairs Medical Center - Columbia (Truman Memorial)
City : Columbia
State : Missouri
Zip Code : 65201
Country : United States
Facility Name : UNMC Eppley Cancer Center at the University of Nebraska Medical Center
City : Omaha
State : Nebraska
Zip Code : 68198-7680
Country : United States
Facility Name : CCOP - Southern Nevada Cancer Research Foundation
City : Las Vegas
State : Nevada
Zip Code : 89106
Country : United States
Facility Name : Veterans Affairs Medical Center - Las Vegas
City : Las Vegas
State : Nevada
Zip Code : 89106
Country : United States
Facility Name : New Hampshire Oncology-Hematology, PA - Hooksett
City : Hooksett
State : New Hampshire
Zip Code : 03106
Country : United States
Facility Name : Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
City : Lebanon
State : New Hampshire
Zip Code : 03756-0002
Country : United States
Facility Name : Cancer Institute of New Jersey at the Cooper University Hospital
City : Camden
State : New Jersey
Zip Code : 08103
Country : United States
Facility Name : CCOP - North Shore University Hospital
City : Manhasset
State : New York
Zip Code : 11030
Country : United States
Facility Name : CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
City : East Syracuse
State : New York
Zip Code : 13057
Country : United States
Facility Name : Elmhurst Hospital Center
City : Elmhurst
State : New York
Zip Code : 11373
Country : United States
Facility Name : Memorial Sloan-Kettering Cancer Center
City : New York
State : New York
Zip Code : 10021
Country : United States
Facility Name : Mount Sinai Medical Center
City : New York
State : New York
Zip Code : 10029
Country : United States
Facility Name : New York Weill Cornell Cancer Center at Cornell University
City : New York
State : New York
Zip Code : 10021
Country : United States
Facility Name : North Shore University Hospital
City : Manhasset
State : New York
Zip Code : 11030
Country : United States
Facility Name : Queens Cancer Center of Queens Hospital
City : Jamaica
State : New York
Zip Code : 11432
Country : United States
Facility Name : Roswell Park Cancer Institute
City : Buffalo
State : New York
Zip Code : 14263-0001
Country : United States
Facility Name : SUNY Upstate Medical University Hospital
City : Syracuse
State : New York
Zip Code : 13210
Country : United States
Facility Name : Veterans Affairs Medical Center - Buffalo
City : Buffalo
State : New York
Zip Code : 14215
Country : United States
Facility Name : Veterans Affairs Medical Center - Syracuse
City : Syracuse
State : New York
Zip Code : 13210
Country : United States
Facility Name : Cape Fear Valley Medical Center
City : Fayetteville
State : North Carolina
Zip Code : 28302-2000
Country : United States
Facility Name : CCOP - Southeast Cancer Control Consortium
City : Goldsboro
State : North Carolina
Zip Code : 27534-9479
Country : United States
Facility Name : Comprehensive Cancer Center at Moore Regional Hospital
City : Pinehurst
State : North Carolina
Zip Code : 28374
Country : United States
Facility Name : Comprehensive Cancer Center at Wake Forest University
City : Winston-Salem
State : North Carolina
Zip Code : 27157-1082
Country : United States
Facility Name : Duke Comprehensive Cancer Center
City : Durham
State : North Carolina
Zip Code : 27710
Country : United States
Facility Name : Lenoir Memorial Cancer Center
City : Kinston
State : North Carolina
Zip Code : 28503-1678
Country : United States
Facility Name : Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
City : Chapel Hill
State : North Carolina
Zip Code : 27599-7295
Country : United States
Facility Name : NorthEast Oncology Associates - Concord
City : Concord
State : North Carolina
Zip Code : 28025
Country : United States
Facility Name : Veterans Affairs Medical Center - Asheville
City : Asheville
State : North Carolina
Zip Code : 28805
Country : United States
Facility Name : Veterans Affairs Medical Center - Durham
City : Durham
State : North Carolina
Zip Code : 27705
Country : United States
Facility Name : Zimmer Cancer Center at New Hanover Regional Medical Center
City : Wilmington
State : North Carolina
Zip Code : 28402-9025
Country : United States
Facility Name : Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
City : Columbus
State : Ohio
Zip Code : 43210-1240
Country : United States
Facility Name : Oklahoma University Medical Center
City : Oklahoma City
State : Oklahoma
Zip Code : 73104
Country : United States
Facility Name : Western Pennsylvania Cancer Institute at Western Pennsylvania Hospital
City : Pittsburgh
State : Pennsylvania
Zip Code : 15224
Country : United States
Facility Name : Lifespan: The Miriam Hospital
City : Providence
State : Rhode Island
Zip Code : 02906
Country : United States
Facility Name : Vermont Cancer Center at University of Vermont
City : Burlington
State : Vermont
Zip Code : 05401-3498
Country : United States
Facility Name : Martha Jefferson Hospital
City : Charlottesville
State : Virginia
Zip Code : 22902
Country : United States
Facility Name : MBCCOP - Massey Cancer Center
City : Richmond
State : Virginia
Zip Code : 23298-0037
Country : United States
Facility Name : Oncology and Hematology Associates of Southwest Virginia, Incorporated - Roanoke
City : Roanoke
State : Virginia
Zip Code : 24014
Country : United States
Facility Name : Virginia Oncology Associates - Norfolk
City : Norfolk
State : Virginia
Zip Code : 23502
Country : United States
Facility Name : St. Mary's Medical Center
City : Huntington
State : West Virginia
Zip Code : 25701
Country : United States
Interventions
Type : Drug
Name : celecoxib
 
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