Radiation Therapy With or Without Temozolomide in Treating Women With Brain Metastases and Breast Cancer

August 25, 2009 updated by: Institut Curie

Phase II Randomized Multicenter Study Comparing Brain Radiation in Combination With Temozolomide or Radiation Alone in Patients With Brain Metastases From Breast Cancer

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known whether radiation therapy is more effective when given alone or together with temozolomide in treating brain metastases secondary to breast cancer.

PURPOSE: This randomized phase II trial is studying how well radiation therapy given together with temozolomide works compared with radiation therapy given alone in treating women with brain metastases and breast cancer.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

OBJECTIVES:

Primary

  • Compare the objective response rate at 6 weeks in women with brain metastases secondary to breast cancer treated with radiotherapy with vs without temozolomide.

Secondary

  • Evaluate the tolerability.
  • Compare the duration of response.
  • Compare local progression-free survival.
  • Compare overall survival.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo isocentric radiotherapy to the brain 5 times a week for 2 weeks.
  • Arm II: Patients undergo radiotherapy as in arm I and receive oral temozolomide once daily for 2 weeks.

After completion of study treatment, patients are followed at 3 and 6 months and then every 6 months for 2 years.

Study Type

Interventional

Enrollment (Anticipated)

100

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
      • Paris, France, 75248
        • Recruiting
        • Institut Curie Hopital
        • Contact:
          • Youlia Kirova
          • Phone Number: 33-44-32-4000

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

DISEASE CHARACTERISTICS:

  • Diagnosis of breast cancer

    • Unresectable disease or patient refused surgery
  • Must have brain metastases

PATIENT CHARACTERISTICS:

  • WHO performance status 0-2
  • ANC ≥ 1,500/mm³
  • Platelet count ≥ 100,000/mm³
  • Liver transaminases ≤ 1.5 times upper limit of normal (ULN)
  • Creatinine < 1.5 times ULN
  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No carcinomatous meningitis
  • No history of cancer except for basal cell carcinoma of the skin or carcinoma in situ of the cervix
  • No other serious concurrent disease that is, in the opinion of the investigator, likely to interfere with study evaluation and treatment
  • No contraindications to treatment with temozolomide
  • No psychological, familial, social, or geographic situations that preclude clinical follow up
  • No patient deprived of liberty or under guardianship

PRIOR CONCURRENT THERAPY:

  • No prior brain radiotherapy
  • At least 10 days since prior chemotherapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm I
Patients undergo isocentric radiotherapy to the brain 5 times a week for 2 weeks.
Radiation: radiation therapy
Patients undergo radiotherapy
Experimental: Arm II
Patients undergo radiotherapy as in arm I and receive oral temozolomide once daily for 2 weeks.
Drug: temozolomide
Given orally
Radiation: radiation therapy
Patients undergo radiotherapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Response at 6 weeks as assessed by MRI and/or scan

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Institut Curie

Investigators

  • Principal Investigator: Youlia Kirova, Institut Curie

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

November 1, 2007

Primary Completion (Anticipated)

November 1, 2009

Study Registration Dates

First Submitted

April 2, 2009

First Submitted That Met QC Criteria

April 2, 2009

First Posted (Estimate)

April 3, 2009

Study Record Updates

Last Update Posted (Estimate)

August 26, 2009

Last Update Submitted That Met QC Criteria

August 25, 2009

Last Verified

July 1, 2009

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CDR0000633496
  • CLCC-IC-RT-TEMODAL
  • CLCC-IC-2007-01
  • INCA-RECF0630
  • EUDRACT-2007-002531-83
  • SCHER-CLCC-IC-RT-TEMODAL

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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