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A randomized, placebo-controlled phase 2 study of paclitaxel in combination with reparixin compared to paclitaxel alone as front-line therapy for metastatic triple-negative breast cancer (fRida)
LJ. Goldstein, M. Mansutti, C. Levy, JC. Chang, S. Henry, I. Fernandez-Perez, J. Prausovà, E. Staroslawska, G. Viale, B. Butler, S. McCanna, PA. Ruffini, MS. Wicha, AF. Schott, fRida Trial Investigators
Jazyk angličtina Země Nizozemsko
Typ dokumentu klinické zkoušky, fáze II, časopisecké články, randomizované kontrolované studie
Grantová podpora
P30 CA006927
NCI NIH HHS - United States
NLK
ProQuest Central
od 1997-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2005-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 1997-01-01 do Před 1 rokem
Family Health Database (ProQuest)
od 1997-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 1997-01-01 do Před 1 rokem
- MeSH
- lidé MeSH
- paclitaxel škodlivé účinky MeSH
- protokoly protinádorové kombinované chemoterapie škodlivé účinky MeSH
- sulfonamidy MeSH
- triple-negativní karcinom prsu * farmakoterapie MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky, fáze II MeSH
- randomizované kontrolované studie MeSH
PURPOSE: CXCR1, one of the receptors for CXCL8, has been identified as a druggable target on breast cancer cancer stem cells (CSC). Reparixin (R), an investigational oral inhibitor of CXCR1, was safely administered to metastatic breast cancer patients in combination with paclitaxel (P) and appeared to reduce CSC in a window-of-opportunity trial in operable breast cancer. The fRida trial (NCT02370238) evaluated the addition of R to weekly as first-line therapy for metastatic (m) TNBC. SUBJECTS AND METHODS: Subjects with untreated mTNBC were randomized 1:1 to R or placebo days 1-21 in combination with weekly P 80 mg/m2 on days 1, 8, 15 of 28-day cycles. The primary endpoint was PFS by central review. RESULTS: 123 subjects were randomized (62 to R + P and 61 to placebo + P). PFS was not different between the 2 groups (median 5.5 and 5.6 months for R + P and placebo + P, respectively; HR 1.13, p = 0.5996). ALDH+ and CD24-/CD44+ CSC centrally evaluated by IHC were found in 16 and 34 of the 54 subjects who provided a metastatic tissue biopsy at study entry. Serious adverse events (21.3 and 20% of subjects) and grade ≥ 3 adverse reactions (ADR) (9.1 and 6.3% of all ADRs) occurred at similar frequency in both groups. CONCLUSION: fRida is the first randomized, double-blind clinical trial of a CSC-targeting agent in combination with chemotherapy in breast cancer. The primary endpoint of prolonged PFS was not met. CLINICAL TRIAL REGISTRATION/DATE OF REGISTRATION: NCT01861054/February 24, 2015.
Azienda Ospedaliero Universitaria Santa Maria della Misericordia 33100 Udine Italy
Centrum Onkologii Ziemi Lubelskiej św Jana z Dukli Lublin Poland
CHU UCL Namur site Ste Elisabeth Namur Belgium
CLCC Francois Baclesse Caen France
Department of Medical Oncology Fox Chase Cancer Center 333 Cottman Ave Philadelphia PA 19111 USA
Fakultni nemocnice v Motole Onkologická klinika 2 LF UK a FN Motol Praha Czech Republic
Hospital Alvaro Cunqueiro 36204 Vigo Spain
IEO Istituto Europeo di Oncologia IRCCS 20141 Milano Italy
Research and Development Dompé farmaceutici s p a 20122 Milano Italy
Rogel Cancer Center University of Michigan Ann Arbor MI 48109 USA
The Methodist Hospital Research Institute Houston Tx 77030 USA
Citace poskytuje Crossref.org
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