The purpose of this study is to determine whether temozolomide can be used as a prophylaxis against brain recurrence in participants with metastatic breast cancer.
Breast cancer is the second most common cause of brain metastases. Overall survival after the development of brain metastases tends to be poor (6-8 months). Over-expression of Human Epidermal Growth Factor Receptor 2 (HER-2/neu), negative estrogen receptor, and young age at diagnosis seem to be indicators of high risk for brain metastases. Temozolomide may be a good candidate for prophylactic chemotherapy because of its ability to cross the blood-brain-barrier, achieving high concentrations in the central nervous system (CNS).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
6
Capsules to equal 75 mg/m\^2, orally, daily for 6 weeks, in 3 eight-week cycles
Percent of Participants With Recurrence of Brain Metastases
The analysis could not be performed due to low enrollment.
Time frame: 1 Year
Number of Days With Progression-free Survival (PFS)
PFS was defined as the time interval from randomization to objective tumor progression or death from any cause. The analysis could not be performed due to low enrollment.
Time frame: 24, 38, and 52 weeks
Number of Days With Disease-free Survival (DFS)
DFS was defined as the time interval from randomization to any relapse (loco-regional, contra-lateral, and/or distant). The analysis could not be performed due to low enrollment.
Time frame: 24, 38, and 52 weeks
Number of Days With Distant Disease-free Survival (DDFS)
DDFS was defined as the time interval from randomization to only distant metastases (for example, bone, visceral organ, brain). The analysis could not be performed due to low enrollment.
Time frame: 24, 38, and 52 weeks
Number of Days With Brain Recurrence-free Survival (BRFS)
BRFS was defined as the time interval from randomization to the appearance of brain metastases. The analysis could not be performed due to low enrollment.
Time frame: 24,38, and 52 weeks
Number of Days on Temozolomide Treatment
This outcome measure was only applicable to the temozolomide arm; the observation arm was therefore not analyzed.
Time frame: Baseline to 24 Weeks
Total Dose of Temozolomide Taken
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This outcome measure was only applicable to the temozolomide arm; the observation arm was therefore not analyzed.
Time frame: Baseline to 24 Weeks
Number of Participants Who Had at Least One Dose Reduction During Treatment
This outcome measure was only applicable to the temozolomide arm; the observation arm was therefore not analyzed.
Time frame: Baseline to 24 Weeks
Number of Participants Who Had at Least One Treatment Omission During Treatment
This outcome measure was only applicable to the temozolomide arm; the observation arm was therefore not analyzed.
Time frame: Baseline to 24 Weeks
Number of Participants Who Completed the Third Cycle of Treatment
This outcome measure was only applicable to the temozolomide arm; the observation arm was therefore not analyzed.
Time frame: Baseline to 24 Weeks