Dose Dense Abraxane in Adjuvant Chemotherapy for Breast Cancer

Overview[ - collapse ][ - ]

Purpose The purpose of this trial is to see if Abraxane, which is a new form of paclitaxel, is safe as a replacement form of paclitaxel in dose-dense chemotherapy. This trial will also determine if using Abraxane will allow patients to receive treatment every two weeks without requiring injects of G-CSF, a white blood cell stimulating growth factor.
ConditionBreast Cancer
InterventionDrug: Abraxane
PhaseN/A
SponsorHarold J. Burstein, MD, PhD
Responsible PartyDana-Farber Cancer Institute
ClinicalTrials.gov IdentifierNCT00308178
First ReceivedMarch 28, 2006
Last UpdatedFebruary 15, 2013
Last verifiedFebruary 2013

Tracking Information[ + expand ][ + ]

First Received DateMarch 28, 2006
Last Updated DateFebruary 15, 2013
Start DateMarch 2006
Estimated Primary Completion DateJune 2008
Current Primary Outcome MeasuresTo evaluate the feasibility and toxicity of Abraxane after chemotherapy as part of dose-dense adjuvant chemotherapy for breast cancer. [Time Frame: 2 years] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • To evaluate the feasibility of administering Abraxane on a dose dense schedule without G-CSF support [Time Frame: 2 years] [Designated as safety issue: No]
  • to estimate the percentage of patients with various grades of hematologic toxicity, neurotoxicity, and other non-hematologic toxicity associated with dose-dense Abraxane [Time Frame: 2 years] [Designated as safety issue: Yes]
  • to evaluate quality of life. [Time Frame: 2 years] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleDose Dense Abraxane in Adjuvant Chemotherapy for Breast Cancer
Official TitleDose Dense AB1-007 (Abraxane) in Adjuvant Chemotherapy for Breast Cancer: A Feasibility Study
Brief Summary
The purpose of this trial is to see if Abraxane, which is a new form of paclitaxel, is safe
as a replacement form of paclitaxel in dose-dense chemotherapy. This trial will also
determine if using Abraxane will allow patients to receive treatment every two weeks without
requiring injects of G-CSF, a white blood cell stimulating growth factor.
Detailed Description
- Patients will receive regular chemotherapy every 2 weeks for up to 8 cycles
(approximately 16 weeks total)of treatment. During the first four cycles patients will
be treated with Adriamycin and Cytoxan, and for the second four cycles they will be
treated with Abraxane.

- Patients will be taught to give themselves injections with either short or long acting
G-CSF as prescribed by their doctor for the first four cycles of chemotherapy. During
the last four cycles (while the patient is taking Abraxane) they will not receive G-CSF
unless they have low blood counts.

- If the patient has HER-2 positive breast cancer, they will also receive 52 weeks of
Herceptin as part of standard cancer care and will begin to receive Herceptin at the
same time they begin Abraxane (after 4 cycles of adriamycin and cytoxan treatment).

- This study involves a series of Quality of Life Questionnaires that will be completed
prior to beginning study treatment, then again at 2 months, 4 months, 6 months, and 1
year after starting study treatment.

- The following tests and procedures will be performed at the time periods specified.
Cycle 1-4 Day 1: Physical exam, vital signs, and blood tests. Cycle 5 Day 1: Physical
exam, vital signs, blood tests, RVG (measurement of heart function) and questionnaire.
Cycle 6 & 7 Day 1: Physical exam, vital signs, and blood tests. Cycle 8 Day 1:
physical exam, vital signs, blood tests, questionnaire. Follow-up (6 months and 1 year
after cycle 1 day 1): questionnaire.
Study TypeInterventional
Study PhaseN/A
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionBreast Cancer
InterventionDrug: Abraxane
Following 4 cycles (8 weeks) of adjuvant chemotherapy (adriamycin and cytoxan), abraxane will be give every 2 weeks for 4 cycles(8 weeks)
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment66
Estimated Completion DateJune 2008
Estimated Primary Completion DateSeptember 2006
Eligibility Criteria
Inclusion Criteria:

- Histologically or cytologically confirmed breast cancer, with clinical stage I, II,
or III disease

- Must register at the beginning of adjuvant or neoadjuvant chemotherapy

- 18 years of age or older

- ECOG performance status of 0 or 1

- Normal organ and marrow function

Exclusion Criteria:

- Previous cytotoxic chemotherapy or therapeutic radiation therapy for any reason

- Pregnant or nursing

- Receiving any other investigational agents

- Patients with Stage IV breast cancer

- Current grade II or greater peripheral neuropathy or prior history of grade II or
greater neuropathy

- Uncontrolled intercurrent illness, including but not limited to, ongoing or active
infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable
angina pectoris, cardiac arrythmia, or psychiatric illness/social situations that
would limit compliance with study requirements

- Immune deficiency when treated with marrow-suppressive therapy or HIV-positive
patients receiving anti-retroviral therapy

- Patients with sickle cell disease

- Known history of hyperviscosity syndrome

- Patients on lithium
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00308178
Other Study ID Numbers05-249
Has Data Monitoring CommitteeNot Provided
Information Provided ByDana-Farber Cancer Institute
Study SponsorHarold J. Burstein, MD, PhD
CollaboratorsCelgene Corporation
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
Investigators Principal Investigator: Harold Burstein, MD Dana-Farber Cancer Institute
Verification DateFebruary 2013

Locations[ + expand ][ + ]

Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States, 02215
Massacusetts General Hospital
Boston, Massachusetts, United States, 02114