Breast Cancer Clinical Trial
Official title:
An Open-label, Randomised, Phase II Study of Docetaxel in Combination With a Dietary Phytonutrient in First or Second Line Treatment for Patients With HER2 Negative Locally Advanced or Metastatic Breast Cancer, or Loco-regional Recurrence Not Amenable to Treatment by Surgery or Radiotherapy.
RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the
growth of tumor cells, either by killing the cells or by stopping them from dividing. Dietary
supplements, such as phytochemicals, may stop or delay the development of breast cancer. It
is not yet known whether giving docetaxel together with a phytochemical is more effective
than giving docetaxel alone in treating patients with breast cancer.
PURPOSE: This randomized phase II trial is studying how well giving docetaxel together with a
phytochemical works compared with giving docetaxel alone as first- or second-line therapy in
treating patients with breast cancer.
OBJECTIVES:
Primary
- To compare the response rate in HER2-negative patients with locally advanced or
metastatic breast cancer or locoregional breast cancer recurrence treated with docetaxel
and a dietary phytochemical vs docetaxel alone.
Secondary
- To compare the overall clinical benefit rate (i.e., objective response plus stable
disease) in patients treated with these regimens.
- To compare time to progression in patients treated with these regimens.
- To compare overall survival of patients treated with these regimens.
- To assess biomarkers of response in blood samples from patients treated with these
regimens.
OUTLINE: This is a multicenter study. Patients are stratified according to recruitment center
and line of chemotherapy (first vs second line of docetaxel). Patients are randomized to 1 of
2 treatment arms.
- Arm I: Patients receive docetaxel IV over 1 hour on day 1. Treatment repeats every 3
weeks for up to 6 courses in the absence of disease progression or unacceptable
toxicity.
- Arm II: Patients receive docetaxel as in arm I. Patients also receive an oral dietary
phytochemical twice on day 1. Treatment repeats every 3 weeks for up to 6 courses in the
absence of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed periodically.
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