Phase II trial to study the effectiveness of combining 3-AP with gemcitabine in treating patients who have refractory metastatic breast cancer. Drugs used in chemotherapy, such as 3-AP and gemcitabine, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining 3-AP with gemcitabine may kill more tumor cells
OBJECTIVES: Primary I. Determine antitumor activity of 3-AP (Triapine®) and gemcitabine by measuring tumor size in patients with refractory metastatic breast cancer. Secondary I. Determine the safety and tolerability of this regimen in these patients. II. Determine the time to disease progression in patients treated with this regimen. III. Determine the effect of multidrug resistance polymorphisms on pharmacokinetics and toxicity of this regimen in these patients. OUTLINE: This is a multicenter study. Patients receive 3-AP (Triapine®) IV over 2 hours followed by gemcitabine IV over 30 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months until disease progression and then every 6 months for up to 3 years after registration. PROJECTED ACCRUAL: A total of 30-75 patients will be accrued for this study within 24 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
68
Mayo Clinic
Rochester, Minnesota, United States
Confirmed response (complete or partial response)
Ninety five percent confidence intervals for the true success proportion will be calculated according to the approach of Duffy and Santner.
Time frame: Up to 6 months
Toxicities, graded according to the National Cancer Institute Common Toxicity Criteria (NCI CTC) version 3.0
Time frame: Up to 3 years
Time to progression
The distribution of time to progression will be estimated using the method of Kaplan-Meier.
Time frame: Time from registration to the time of progression, assessed up to 3 years
Overall survival
The distribution of overall survival will be estimated using the method of Kaplan-Meier.
Time frame: Time from registration to death due to any cause, assessed up to 3 years
Changes in tyrosyl radical and cell-cycle arrest on buccal mucosa
Time frame: Pre-infusion, 2 and 4.5 hours post-infusion
Changes in R2 messenger ribonucleic acid (mRNA) on protein levels before and after treatment with triapine
Time frame: Pre-infusion, 2 and 4.5 hours post-infusion
MDR polymorphism on tumor tissue
Time frame: Baseline
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