RATIONALE: Drugs used in chemotherapy, such as carboplatin and gemcitabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. PURPOSE: This phase II trial is studying how well giving carboplatin together with gemcitabine works in treating patients with locally advanced or metastatic breast cancer.
OBJECTIVES: Primary * Determine the overall response rate in patients with anthracycline- and taxane-resistant locally advanced or metastatic breast cancer treated with dose-dense carboplatin and gemcitabine hydrochloride. Secondary * Determine the overall toxicity of this regimen in these patients. * Determine the overall survival of patients treated with this regimen. * Determine the time to disease progression in patients treated with this regimen. * Determine the duration of response in patients treated with this regimen. * Determine the time to treatment failure in patients treated with this regimen. OUTLINE: This is a nonrandomized, open-label study. Patients receive carboplatin IV over 30 minutes on day 1 and gemcitabine hydrochloride IV over 150 minutes on day 2. Treatment repeats every 14 days for up to 9 courses in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed periodically for 2 years. PROJECTED ACCRUAL: A total of 35 patients will be accrued for this study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
5
At a dose equivalent to an area under the concentration-time curve of 4.5 mg/ml.min on day 1 of every 2-week cycle
1500 mg/m2 on day 2 of every 2-week cycle
Royal Bournemouth Hospital
Bournemouth, England, United Kingdom
Portsmouth Oncology Centre at Saint Mary's Hospital
Portsmouth, England, United Kingdom
Southampton General Hospital
Southampton, England, United Kingdom
Overall response rate (complete or partial response)
Assess the Overall response rate (complete or partial response)
Time frame: 8 months
Overall toxicity as assessed by NCI CTCAE v3.0
Summary Overall toxicity as assessed by NCI CTCAE v3.0
Time frame: 8 months
Overall survival
Assess Overall survival
Time frame: 8 months
Time to disease progression
Assess Time to disease progression
Time frame: 8 months
Duration of response
Assess Duration of response
Time frame: 8 months
Time to treatment failure
Assess Time to treatment failure
Time frame: 8 months
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