Breast Cancer Clinical Trial
Official title:
Phase II Trial of Albumin-Bound Paclitaxel in Combination With Gemcitabine and Bevacizumab in Patients With Metastatic Breast Cancer
RATIONALE: Drugs used in chemotherapy, such as gemcitabine and paclitaxel albumin-stabilized
nanoparticle formulation, work in different ways to stop the growth of tumor cells, either
by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as
bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells
to grow and spread. Others find tumor cells and help kill them or carry tumor-killing
substances to them. Giving combination chemotherapy together with bevacizumab may kill more
tumor cells.
PURPOSE: This phase II trial is studying how well giving paclitaxel albumin-stabilized
nanoparticle formulation and gemcitabine together with bevacizumab works in treating
patients with metastatic breast cancer.
OBJECTIVES:
Primary
- To determine the 6-month progression-free survival rate of patients with metastatic
breast cancer treated with paclitaxel albumin-stabilized nanoparticle formulation,
gemcitabine hydrochloride, and bevacizumab.
Secondary
- To determine the adverse event profile of this regimen.
- To determine the progression-free survival and overall survival of patients treated
with this regimen.
- To determine the confirmed response rate, duration of response, and time to treatment
failure in patients treated with this regimen.
- To determine the quality of life of patients treated with this regimen.
OUTLINE: Patients receive paclitaxel albumin-stabilized nanoparticle formulation IV over 30
minutes and gemcitabine hydrochloride IV over 30 minutes on days 1 and 8, and bevacizumab IV
over 30-90 minutes on day 1. Courses repeat every 21 days in the absence of disease
progression or unacceptable toxicity.
Quality of life is assessed at baseline and after every other course, and then after
completion of treatment.
After completion of study treatment, patients are followed periodically for 5 years.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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