Breast Cancer Clinical Trial
Bicalutamide in Treating Patients With Metastatic Breast Cancer
Summary
RATIONALE: Androgens can cause the growth of breast cancer cells. Antihormone therapy, such as bicalutamide, may stop the adrenal glands from making androgens.
PURPOSE: This phase II trial is studying how well bicalutamide works in treating patients with metastatic breast cancer.
Full Description
OBJECTIVES:
Primary
Determine the 6-month efficacy rate of bicalutamide as first-, second-, or third-line therapy in patients with androgen receptor-positive and estrogen receptor- and progesterone receptor-negative metastatic breast cancer.
Secondary
Determine the 6-month progression-free survival of patients treated with this drug.
Evaluate the safety of this drug in these patients.
Evaluate changes in estradiol, total and free testosterone, and sex-hormone binding globulin in response to androgen blockade in patients treated with this drug.
Evaluate tissue, including cytokeratins 5/6 and 17, SPDEF, ALCAM, ERBB2, FGFR4, and prostate-specific antigen (PSA), using immunohistochemical analysis in patients treated with this drug.
OUTLINE: This is a open-label study.
Patients receive oral bicalutamide once daily for 4 weeks. Treatment repeats every 4 weeks for 6 months in the absence of disease progression or unacceptable toxicity. Patients achieving complete response, partial response, or stable disease may continue to receive bicalutamide as above at the discretion of the investigator.
Patients undergo blood and tissue sample collection for correlative studies. Samples are analyzed for hormonal levels, including estradiol, total testosterone, free testosterone, and sex-hormone binding globulin, and proteins, including ALCAM, SPEDF, and CK 5/6, by immunohistochemical analysis at baseline, after course 1, and at the end of the study.
After completion of study treatment, patients are followed every 3 months.
PROJECTED ACCRUAL: A total of 28 patients will be accrued for this study.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of the breast
Stage IV disease
Measurable or non-measurable disease
Patients with HER2/neu-positive disease must have received prior trastuzumab (Herceptin®)
No active brain metastases or leptomeningeal disease
History of brain metastases allowed provided lesions are stable for at least 3 months as documented by head CT scan or MRI of the brain
Hormone receptor status:
Estrogen receptor- and progesterone receptor-negative*
Androgen receptor-positive* NOTE: *Samples are considered positive if greater than 10% of cell nuclei are immunoreactive
PATIENT CHARACTERISTICS:
Male or female
Menopausal status not specified
ECOG performance status 0-1
Absolute neutrophil count ≥ 1,500/mm³
Platelet count ≥ 100,000/mm³
Hemoglobin ≥ 9 g/dL
AST and ALT ≤ 2.5 times upper limit of normal (ULN)
Bilirubin ≤ 1.5 times ULN
Alkaline phosphatase ≤ 2.5 times ULN (unless bone metastases are present in the absence of liver metastases)
Creatinine ≤ 1.5 mg/dL
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
No serious medical or psychiatric illness
No serious active infection
No other malignancy within the past 5 years except nonmelanoma skin cancer
No hypersensitivity reaction to bicalutamide or any of the tablet's components
PRIOR CONCURRENT THERAPY:
At least 2 weeks since prior cytotoxic chemotherapy and recovered
At least 3 weeks since prior investigational drugs
At least 4 weeks since prior major surgery and recovered
Prior neoadjuvant or adjuvant chemotherapy allowed
Any number of chemotherapy regimens are allowed for metastatic disease
Prior hormonal therapy allowed
No concurrent chemotherapy, other hormonal therapy, immunotherapy, or biological therapy
No concurrent trastuzumab (Herceptin®)
No concurrent enrollment in another clinical trial in which investigational procedures are performed or investigational therapies are administered
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 8 Locations for this study
San Francisco California, 94115, United States
Washington District of Columbia, 20007, United States
Boston Massachusetts, 02115, United States
Rochester Minnesota, 55905, United States
New York New York, 10035, United States
New York New York, 10065, United States
Chapel Hill North Carolina, 27599, United States
Durham North Carolina, 27710, United States
How clear is this clinincal trial information?
Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.