Breast Cancer Clinical Trial
Bryostatin 1 in Treating Patients With Stage IV Breast Cancer
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of bryostatin 1 in treating patients with stage IV breast cancer.
Full Description
OBJECTIVES:
Determine the clinical response of patients with stage IV breast cancer to bryostatin 1.
Determine the efficacy of this regimen in these patients.
Estimate the pharmacokinetic parameters of bryostatin 1 when given as 24 hour infusion.
Determine the ability of this regimen to regulate lymphocyte function in these patients.
Determine the effect of this regimen on platelet function and protein kinase C activity in these patients.
OUTLINE: Patients receive bryostatin 1 IV over 24 hours. Treatment continues weekly in the absence of disease progression or unacceptable toxicity.
Patients are followed every 4-8 weeks for tumor response.
PROJECTED ACCRUAL: A total of 14-25 patients will be accrued for this study.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Unequivocal diagnosis of metastatic breast cancer
Bidimensionally measurable disease
No uncontrolled CNS metastases
No disease that is evaluable only, including blastic bone disease, malignant ascites, and malignant pleural effusion
Hormone receptor status:
Not specified
PATIENT CHARACTERISTICS:
Age:
18 and over
Menopausal status:
Not specified
Performance status:
SWOG 0-2 OR
Karnofsky 60-100%
Life expectancy:
At least 18 weeks
Hematopoietic:
Platelet count at least 50,000/mm^3
PT and PTT within normal limits
Neutrophil count at least 2,000/mm^3
Hepatic:
Bilirubin no greater than 1.2 mg/dL
Transaminases no greater than 3 times normal
Renal:
Creatinine no greater than 1.6 mg/dL OR
Creatinine clearance at least 70 mL/min
Other:
No active infections requiring antibiotics
No viral hepatitis allowed
Seronegative for hepatitis B or C
Not pregnant or nursing
Fertile patients must use effective contraception during and for 2 months following study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
No concurrent immunotherapy
Chemotherapy:
2 prior chemotherapy regimens for metastatic disease allowed as adjuvant therapy or for advanced disease (may include high dose chemotherapy with stem cell support)
At least 4 weeks since prior chemotherapy
At least 6 weeks since prior nitrosourea or mitomycin therapy
No other concurrent chemotherapy
Endocrine therapy:
2 prior hormonal therapy regimens for metastatic disease as adjuvant therapy or for advanced diseases allowed
At least 2 weeks since prior hormonal therapy (at least 4 weeks in case of disease progression while receiving hormonal therapy after initial response)
No concurrent hormonal therapy except oral contraceptives
No concurrent use of steroids except for management of severe or life- threatening toxic effects arising from bryostatin 1
Radiotherapy:
At least 2 weeks since prior radiotherapy
No concurrent radiotherapy
Surgery:
Not specified
Other:
No concurrent use of drugs known to interfere with platelet function, such as aspirin or NSAIDs (including ibuprofen)
No concurrent use of anticoagulants
At least 2 weeks since prior use of aspirin
At least 2 days since prior use of NSAIDS
Concurrent use of acetaminophen to control pain is allowed
If acetaminophen inadequate for pain control, concurrent use of oral narcotics such as codeine or oxycodone is allowed
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There is 1 Location for this study
Denver Colorado, 80010, United States
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