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TerminatedNCT00075673Updated Jul 27, 2020

Vinorelbine and Celecoxib in Treating Women With Relapsed or Metastatic Breast Cancer

A Phase 1 interventional study of celecoxib and vinorelbine ditartrate in Breast Cancer, sponsored by Case Comprehensive Cancer Center. Terminated at 1 site in United States. Open to female participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2020-07-27.

Sponsored by Case Comprehensive Cancer Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
18 Years to 120 Years
Sex
Female
01

Study summary

RATIONALE: Celecoxib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth. Drugs used in chemotherapy, such as vinorelbine, work in different ways to stop tumor cells from dividing so they stop growing or die. Combining vinorelbine with celecoxib may kill more tumor cells.

PURPOSE: Phase I trial to determine the effectiveness of combining vinorelbine with celecoxib in treating women who have relapsed or metastatic breast cancer.

Read the detailed description

OBJECTIVES:

  • Determine the maximum tolerated dose of vinorelbine and celecoxib in women with relapsed or metastatic breast cancer.
  • Determine the safety profile of this regimen in these patients.

OUTLINE: This is a dose-escalation study.

Patients receive oral celecoxib twice daily on days 1-21 and oral vinorelbine on days 7, 14, and 21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of celecoxib and vinorelbine until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

PROJECTED ACCRUAL: A total of 12-18 patients will be accrued for this study.

02

Conditions studied

  • Breast Cancer

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Keywords

  • recurrent breast cancer
  • stage IV breast cancer
03

In context

Breast Neoplasms

12,543 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 6 is below the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Case Comprehensive Cancer Center is the lead sponsor of 484 studies on the registry; 59 are open to participants now.

Of its 74 completed or terminated interventional studies of FDA-regulated products, 45 (61%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the breast

    • Recurrent or metastatic (stage IV) disease
    • Incurable disease
  • Measurable or evaluable disease
  • Stable brain metastases allowed
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Sex

  • Female

Menopausal status

  • Not specified

Performance status

  • ECOG 0-1

Life expectancy

  • More than 3 months

Hematopoietic

  • Absolute neutrophil count ≥ 1,500/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin ≥ 8.0 g/dL

Hepatic

  • Bilirubin normal
  • AST/ALT ≤ 2.5 times upper limit of normal

Renal

  • Creatinine normal OR
  • Creatinine clearance ≥ 60 mL/min
  • No clinically significant proteinuria
  • No impaired renal function

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina
  • No cardiac arrhythmia
  • No inadequately controlled hypertension

Gastrointestinal

  • No disorder that would alter gastrointestinal motility or absorption
  • No dysphagia
  • Able to swallow tablets or capsules

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No hypersensitivity to celecoxib

    • No prior urticaria, asthma, or other allergic-type reaction after taking aspirin or other nonsteroidal anti-inflammatory drugs
  • No allergy to sulfa
  • No other concurrent uncontrolled illness
  • No psychiatric illness or social situation that would preclude study compliance
  • No ongoing or active infection

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 3 weeks since prior trastuzumab (Herceptin®) and recovered
  • No concurrent hematopoietic growth factors

Chemotherapy

  • At least 3 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
  • Prior adjuvant or neoadjuvant chemotherapy allowed
  • Prior chemotherapy for recurrent or metastatic disease allowed
  • No prior vinorelbine

Endocrine therapy

  • At least 2 weeks since prior hormonal therapy
  • Prior adjuvant or neoadjuvant hormonal therapy allowed
  • Prior hormonal therapy for recurrent or metastatic disease allowed

Radiotherapy

  • At least 4 weeks since prior radiotherapy for metastatic disease
  • Prior adjuvant radiotherapy allowed

Surgery

  • Not specified

Other

  • At least 3 weeks since prior investigational anticancer agents and recovered
  • At least 1 week since prior cyclooxygenase-2 (COX-2) inhibitors, except celecoxib
  • No concurrent administration of any of the following drugs:

    • Lithium
    • Fluconazole
    • Aluminum antacids
    • Magnesium antacids
  • Concurrent H_2 blocking agents or proton pump inhibitors allowed for the treatment of dyspepsia or gastroesophageal reflux disease
  • Concurrent bisphosphonates allowed
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Interventions

  • Drugcelecoxib

    Patients receive oral celecoxib twice daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

  • Drugvinorelbine ditartrate

    Patients receive oral vinorelbine on days 7, 14, and 21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

06

What researchers measure

Primary outcomes

  1. Determine the maximum tolerated dose of vinorelbine and celecoxib in women with relapsed or metastatic breast cancer.

    Time frame: Courses (21 days) repeat every 21 days in the absence of disease progression or unacceptable toxicity.

07

Study locations

1 site
  • Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center
    Cleveland, Ohio 44106-5055, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00075673
Lead sponsor
Case Comprehensive Cancer Center
First posted
Jan 12, 2004
Start date
Nov 2003
Primary completion
Sep 2004
Completion
Feb 2005
Last update
Jul 27, 2020

Study contacts

Paula Silverman, MD
principal investigator · Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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