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Brief Title: Second Line ERIbulin Followed by CApecitabine or the Reverse Sequence in HER2-negative Metastatic Breast Cancer Patients
Official Title: Second Line ERIbulin Followed by CApecitabine or the Reverse Sequence in HER2-negative Metastatic Breast Cancer (MBC) Patients: a Randomized Phase II Study - ERICA Trial
Study ID: NCT05833919
Brief Summary: GIM22-ERICA is a clinical trial investigating the efficacy of two different strategies in HER2 negative MBC treatment. The study will include MBC patients with histologically documented HER2 negative disease, who have progressed to one prior regimen for metastatic disease and are eligible for a second-line chemotherapy with either eribulin or capecitabine. This study design should answer to different questions: * What is the correct placement of Eribulin in the context of a long term treatment strategy? * Is an early use of Eribulin the best approach for MBC pts treatment? * May early use of Eribulin impact on subsequent treatment outcomes? The correlated biomarkers analysis, evaluating angiogenic, epithelial and mesenchymal markers should confirm the results observed in preclinical studies ad support the clinical findings. Liquid biopsies and ctDNA evaluation could help to monitor the course of the disease and to identify novel biomarkers of drug resistance.
Detailed Description: Patients who are considered eligible for the study treatment, will be randomly allocated within the two study arms. ARM A: * Second line Eribulin 1.23 mg/m2 i.v. on day 1, 8 every 21 days * third line Capecitabine 1250 mg/m2 orally twice per day on days 1 to 14 every 21 days ARM B: * Second line Capecitabine 1250 mg/m2 orally twice per day on days 1 to 14 every 21 days * Third line Eribulin 1.23 mg/m2 i.v. on day 1, 8 every 21 days Study treatment will be continued until disease progression, death, unacceptable toxicity, Investigator's decision or patient refusal of further treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Fondazione Poliambulanza, Istituto Ospedaliero, Brescia, , Italy
A.R.N.A.S. Garibaldi - P.O. Nesima, Catania, , Italy
A.O. Pugliese-Ciaccio, Catanzaro, , Italy
A.O. S. Croce e Carle, Cuneo, , Italy
Ospedale Civile degli Infermi, Faenza, , Italy
Ospedale Fabrino Spaziani, Frosinone, , Italy
Ospedale Policlinico San Martino, Genova, , Italy
A.O. Ospedale Papardo, Messina, , Italy
AORN dei Colli - Ospedale Monaldi, Napoli, , Italy
Azienda Ospedaliero Universitaria Federico II, Napoli, , Italy
Istituto Nazionale dei Tumori - Fondazione G. Pascale, Napoli, , Italy
Università degli studi della Campania L. Vanvitelli, Napoli, , Italy
P.O. Santa Maria delle Grazie - ASL Napoli 2 Nord, Pozzuoli, , Italy
P.O. San Paolo - ASL Roma 4, Roma, , Italy
Università Campus Biomedico, Roma, , Italy
Policlinico Universitario Tor Vergata, Roma, , Italy
IFO - Istituto Nazionale Tumori Regina Elena - U.O.C. Oncologia Medica 1, Roma, , Italy
IFO - Istituto Nazionale Tumori Regina Elena - U.O.C. Oncologia Medica 2, Roma, , Italy
Ospedale Sandro Pertini - ASL Roma 2, Roma, , Italy
Fondazione Policlinico A. Gemelli, Roma, , Italy
Policlinico Universitario A. Gemelli, Roma, , Italy
Presidio Cassia Sant'Andrea - ASL Roma 1, Roma, , Italy
ASST Lariana - Ospedale Sant'Anna, San Fermo Della Battaglia, , Italy
ASUFC P.O. "Santa Maria della Misericordia", Udine, , Italy
ASST Sette Laghi - Ospedale Di Circolo e Fondazione Macchi, Varese, , Italy
Name: Mario R D'Andrea, MD
Affiliation: UOSD Oncologia, Presidio Ospedaliero San Paolo, Civitavecchia, Rome, Italy
Role: STUDY_CHAIR
Name: Michelino De Laurentiis, MD
Affiliation: Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale", Naples, Italy
Role: PRINCIPAL_INVESTIGATOR