Radiation Therapy With or Without Temozolomide in Treating Women With Brain Metastases and Breast Cancer
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.
研究概览
详细说明
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.
研究类型
注册 (预期的)
阶段
- 阶段2
联系人和位置
学习地点
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Paris、法国、75248
- 招聘中
- Institut Curie Hopital
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接触：
- Youlia Kirova
- 电话号码：33-44-32-4000
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Arm I
Patients undergo isocentric radiotherapy to the brain 5 times a week for 2 weeks.
|
患者接受放射治疗
|
|
实验性的：Arm II
Patients undergo radiotherapy as in arm I and receive oral temozolomide once daily for 2 weeks.
|
口头给予
患者接受放射治疗
|
研究衡量的是什么？
主要结果指标
结果测量 |
|---|
|
Response at 6 weeks as assessed by MRI and/or scan
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合作者和调查者
调查人员
- 首席研究员：Youlia Kirova、Institut Curie
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.