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Brief Title: A Correlative Study for Predicting Response and Toxicity in Patients Receiving Chemotherapy for Breast Cancer
Official Title: Predicting Response and Toxicity in Patients Receiving Chemotherapy for Breast Cancer: A Multicenter Genomic, Proteomic and Pharmacogenomic Correlative Study: Hoosier Oncology Group COE-01
Study ID: NCT00235235
Brief Summary: The proposed trial provides a unique opportunity in that it combines genomic, proteomic, and pharmacogenomic assessments in patients receiving the most commonly used chemotherapies for advanced breast cancer. To date no other trial has analyzed gene and protein expression at the same time points in the same patient, combined with clinical outcome. Similar to previous attempts to predict response based on expression of a single gene or protein, the researchers expect that neither genomic or proteomic profiling alone will be sufficient to optimize therapy. Rather, the researchers expect an iterative process that combines information gleaned from both platforms, modified to avoid toxicity based on pharmacogenomics.
Detailed Description: OUTLINE: This is a 4 arm, multi-center study. Sample Collection: * Core Biopsy * Serum * Urine Treatment Regimens (Investigator/Patient Discretion): * Arm A: Doxorubicin 60 mg/m2 + Cyclophosphamide 600 mg/m2 day 1 of every 21-day cycle * Arm B: Capecitabine 1000 mg/m2 BID days 1-14 of every 21-day cycle * Arm C: Vinorelbine 25 mg/m2 days 1, 8, 15 of every 28-day cycle * Arm D: Gemcitabine 1000 mg/m2 days 1, 8, 15 of every 28-day cycle Performance status \& Organ Function: Performance status and organ function appropriate for chemotherapy in the opinion of the treating investigator according to Good Clinical Practice (GCP). Life Expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Cardiovascular: Not specified Pulmonary: Not specified
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Cancer Care Center of Southern Indiana, Bloomington, Indiana, United States
Fort Wayne Oncology & Hematology, Inc, Fort Wayne, Indiana, United States
Center for Cancer Care at Goshen Health System, Goshen, Indiana, United States
Indiana University Cancer Center, Indianapolis, Indiana, United States
Mary Lou Mayer, M.D., Indianapolis, Indiana, United States
Community Regional Cancer Center, Indianapolis, Indiana, United States
Arnett Cancer Care, Lafayette, Indiana, United States
Horizon Oncology Center, Lafayette, Indiana, United States
Northern Indiana Cancer Research Consortium, South Bend, Indiana, United States
Baylor College of Medicine - Methodist Breast Center, Houston, Texas, United States
Instituto de Enfermedades Neoplasticas (INEN), Lima, , Peru
Name: Kathy Miller, M.D.
Affiliation: Hoosier Oncology Group, LLC
Role: STUDY_CHAIR
Name: George Sledge, M.D.
Affiliation: Hoosier Oncology Group, LLC
Role: PRINCIPAL_INVESTIGATOR