Overview

Azacitidine in Treating Patients With Triple Negative Stage I-IV Invasive Breast Cancer That Can Be Removed By Surgery

Status:
Withdrawn
Trial end date:
2013-03-01
Target enrollment:
0
Participant gender:
Female
Summary
This clinical trial studies azacitidine in treating patients with triple negative stage I-IV invasive breast cancer that can be removed by surgery. Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
University of Southern California
Collaborator:
National Cancer Institute (NCI)
Treatments:
Azacitidine
Criteria
Inclusion Criteria:

- Resectable tumor measuring 2 cm or more

- Histologically documented triple negative invasive breast cancer characterized by 0%
Immunohistochemistry (IHC) nuclear staining for ER-alpha, 0% IHC nuclear staining for
PR-alpha, and no amplification of HER2/neu by fluorescence in situ hybridization
(FISH); standard IHC assays for ER and PR use antibodies to ER-alpha and PR-alpha and
PR-beta

- Southwest Oncology Group (SWOG) performance status of less than or equal to 1

- Absolute neutrophil count (ANC) >= 1500/μL

- Hemoglobin (Hgb) >= 9 g/dL

- Platelets >= 100,000/uL

- Aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT) and
alanine aminotransferase (ALT)/serum glutamic pyruvate transaminase (SGPT) =< 2.5 x
upper limit normal (ULN) or =< 5.0 x ULN in patients with liver metastases

- Creatinine =< 2.0 mg/dL Or Calculated Creatinine Clearance >= 50 ml/min

- Albumin >= 3 g/dL

- Potassium >= lower limit normal (LLN)

- Phosphorous >= LLN

- Calcium >= LLN

- Magnesium > LLN

- Women of childbearing potential must have a negative serum or urine pregnancy test
performed within 7 days prior to start of treatment

- Accessible for treatment and follow-up

- Written informed consent prior to study entry

Exclusion Criteria:

- HER2/neu amplification by FISH

- Concurrent neoadjuvant treatment with chemotherapy, endocrine therapy, or radiotherapy

- Known hypersensitivity to azacitidine or mannitol

- Preexisting hepatic impairment or renal impairment

- Intent to receive additional neoadjuvant therapy prior to surgery

- Concurrent use of an histone deacetylase (HDAC) inhibitor or hydralazine

- Known diagnosis of human immunodeficiency virus (HIV) infection

- Major surgery < 4 weeks prior to starting study drug

- Pregnant or breastfeeding or female of reproductive potential not using an effective
method of birth control

- Other concurrent severe, uncontrolled infection or intercurrent illness, including but
not limited to ongoing or active infection or psychiatric illness/social situations
that would limit compliance with study requirements

- Prior antiestrogens (selective estrogen receptor modulator [SERM] or aromatase
inhibitors) within 6 months of study entry

- Underlying medical, psychiatric or social conditions that would preclude patient from
receiving treatment