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At Blue Ridge
Cancer Care, we believe that clinical trials are
an integral
part of our efforts to provide cancer patients access
to the latest therapies and treatment options.
We are pleased to share with you a representative sampling of the current
trials that are available at Blue Ridge Cancer Care. If you
have any questions about our clinical research program or how we can
help any
of your patients, please Contact
Blue Ridge Cancer Care.
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BREAST CANCER
Does Prolonged Adjuvant Hormonal Therapy
Improve Disease-free Survival in Postmenopausal Women With
ER+ and/or PgR+ Breast Cancer?
A phase III study to determine if prolonged adjuvant hormonal
therapy with Letrozole will improve disease-free survival
in postmenopausal women with ER+ and/or PgR+ tumors who have
completed five years of hormonal therapy and either five years
of an aromatase inhibitor or up to three years of tamoxifen
followed by an aromatase inhibitor. (B42)
TC (Docetaxel/Cyclophosphamide) versus
TAC versus TC+Bevacizumab in Node-Positive or High-Risk Node-Negative,
HER2-Negative Breast Cancer Patients
This study will compare the use of standard chemotherapy +/-
Bevacizumab, a VEGF inhibitor, to treat women with node-positive
or high-risk node-negative, HER2-negative breast cancer. (07-132)
Trial for HER2+ Metastatic Breast Cancer
with Abraxane and Lapatinib
This is an open-label, single-arm, multi-center, phase II
study to determine the activity of nabpaclitaxel plus Lapatinib
in the first and second-line setting in women with ErbB2 over-expressing
metastatic breast cancer. Study participants will receive
Nab-Paclitaxel intravenously on day 1, 8, 15 every 28 days
plus Lapatinib daily on a continuous basis. (LPT 111111)
Treatment for Hormone Receptor Positive,
HER2- Negative Post-Menopausal Metastatic Breast Cancer
This study is first/second line treatment for metastatic breast
cancer. On Arm 1, patients receive Letrozole 2.5mg by mouth
every day plus Dasatinib 100mg by mouth every day, arm 1B
if Dasatinib dropped due to toxicity. On Arm 2, patients receive
single-agent Letrozole 2.5mg by mouth every day. Patients
who progress on Arm 2 will move to Arm 2B, which adds Dasatinib
to Letrozole. (06-185)
Fulvestrant w/ or without Dasatinib
in Men and Postmenopausal Women who have Hormone Receptor-Positive
Advanced Breast Cancer Previously Treated with an Aromatase
Inhibitor
Phase II, randomized trial of Fulvestrant is a pure estrogen
receptor antagonist that degrades the estrogen receptor. Dasatinib
is a multi-tyrosine kinase inhibitor including the Src family
kinases. Src is involved in both primary tumor growth and
especially migration, invasion and metastasis. Dastinib has
also shown to decrease bone resorption in clinical trials
(06-030)
Gemcitabine/Carboplatin, with or without
BSI-201, in Patients with ER, PR, and HER2-Negative Metastatic
Breast Cancer
A phase II, multi-center, open-label, randomized trial. BSI-201
is a PARP inhibitor, a novel therapeutic strategy where DNA
repair is compromised. This drug targets & inhibits PARP,
which plays a central role in tumor survival by regulating
DNA repair, cell proliferation and by controlling gene transcription.
(09-008)
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GASTROINTESTINAL
CANCER
FOLFIRI + Pantiumumab or FOLFIRI +
Bevacizumab in Metastatic Colorectal Cancer
This is a study for patients with metastatic adenocarcinoma
of the colon or rectum who have failed their first line treatment
containing Flouropyrimidine and Oxaliplatin based chemotherapy
with Bevacizumab. They must have at least one uni-dimensionally
measurable lesion and adequate hematologic, renal, hepatic
and metabolic function. They will be treated with either FOLFIRI
(leuvcovorin, fluorouracil and irinotecan) plus Panitumumab
or FOLFIRI plus Bevacizumab. (07-141)
Docetaxel + Oxaliplatin +/- Cetuximab
This phase II study will look at the efficacy and safety
of combining Cetuximab, an EGFR1 inhibitor, with standard
chemotherapy for metastatic gastric cancer. (06-063)
Study with FOLFIRI + Study Drug for
KRAS-Mutant Metastatic Colorectal Cancer
This is a double-blind, placebo-controlled study evaluating
the safety and efficacy of FOLFIRI (leuvcovorin, fluorouracil
and irinotecan) in combination with AMG 479 or AMG 655 vs
FOLFIRI for second-line treatment of KRAS-mutant metastatic
colorectal carcinoma. (08-137)
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GENITOURINARY CANCER
Pazopanib vs Sunitinib for Patients
with Metastatic Renal Cell Carcinoma
This study is for those with a diagnosis of renal cell carcinoma
with clear-cell component histology who have received no prior
systemic therapy for advanced or metastatic RCC. There are
two arms: Pazopanib 800mg PO QD or Sunitinib 50 mg PO QD.
(08-060)
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LYMPHOMA/MEYLOMA
Velcade Plus Either Dexamethasone,
Dexamethasone + Thalidomie or Melphalan + Prednisone for First-Line
Treatment of Multiple Myeloma
This is a study for myeloma patients who are not candidates
for high-dose chemotherapy. Patients are randomized to receive
either Velcade + Thalidomide + Dexamethasone OR Velcade +
Dexamethasone OR Velcade + Melphalan + Prednisone for 8 cycles
of 21 days each. This is followed by maintenance Velcade.
(06-108)
Faster Infusion of Rituximab for Patients
with Non-Hodgkin’s Lymphoma
Phase III, multicenter study of Rituximab at a faster
infusion time in patients with previously untreated diffuse
large B cell of follicular non-hodgkin’s lymphoma. (U4391g)
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LUNG
Study with Tarceva for Patients with
Stage IB-IIIA Non-Small Cell Lung Cancer
This is a multi-center, randomized, double-blind, placebo-controlled,
phase III study of Tarceva (erlotinib) following complete
tumor resection with or without adjuvant chemotherapy in patients
with stage IB-IIIA non-small cell lung cancer who have EGFR-positive
tumors. (06-026)
Talactoferrin vs Placebo Study for Patients
with Stage IIIB or IV Non-Small Cell Lung Cancer Who Have
Failed at Least Two Prior Systemic Regimens
This metastatic, 3rd line treatment uses Talactoferrin
1.5g pill taken twice a day or placebo pill at a 2:1 ratio.
It includes 12 weeks on study drug with a two week rest for
up to five 14-week cycles (70 weeks). (07-057)
Sunitinib for NSCLC in Patients with
an age greater than 70
A phase II trial. Sunitinib (SU11248) is an oral, multi-targeted
tyrosine kinase inhibitor with anti-angiogenic, and anti-tumor
activities due to selective inhibition of several receptor
tyrosine kinases. Activation of gene pathways by hypoxia,
such as vascular endothelial growth factor (VEGF) and epidermal
growth factor (EGF), are common in solid tumors. These genes
are implicated in tumor angiogenesis and proliferation. (06-135)
Pemetrexed / Carboplatin / Bevacizumab
vs Taxol / Carboplatin / Bevacizumab
Study compares efficacy and safety of substituting
Pemetrexed, a pryimidine-based folate analog, for Taxol (standard
of care). (08-044)
CP-751,871 in Combination with Paclitaxel and Carboplatin
vs Paclitaxel and Carboplatin in NSCLC
A randomized, open-label, phase II study that will
determine the safety and efficacy of standard chemotherapy
in combination with CP-751,871, an IGF-1R (Insulin growth
factor receptor) inhibitor. The Insulin-like Growth Factor
(IGF) pathway is a fundamental mechanism of cell growth and
survival. Evidence from preclinical and clinical studies suggests
that signaling through IGF-1R-mediated pathways regulates
multiple processes of cancer initiation, progression, and
in some instances, resistance to therapy. Tumor cells appear
to rely on the IGF-1R signaling pathway as a pro-survival
and anti-apoptotic mechanism that: facilitates malignant transformation,
causes growth and progression of established tumors, enhances
tumor invasion and metastasis and contributes to resistance
to therapy by providing an escape pathway for tumor cells.
(08-005)
Darbepoetin Alfa for Anemia in Patients
with Advanced Non-Small Cell Lung Cancer receiving Multi-cycle
Chemotherapy
A randomized, double-blind, placebo-controlled study
to evaluate the long-term safety and efficacy of Darbepoetin
Alfa administered at 500 mg once every three weeks in anemic
subjects. Darbepoetin is an erythropoiesis stimulating agent
that is commonly used to treat anemia in patients receiving
chemotherapy. This study will focus on the long-term efficacy
and safety of the drug used in the Q3 weeks schedule. (08-035)
Trial Designed to Evaluate the Preliminary Activity and Safety
of Treatment with MetMAb + Erlotinib vs Placebo + Erlotinib
in Non-Small Cell Lung Cancer Patients
A study for people with recurrent or progressive lung
cancer who have had at least one chemotherapy containing regimen
for stage IIIB/IV disease. Patients who receive neo-adjuvant
and/or adjuvant therapy for stage I-IIIA disease prior to
their first-line regimen for stage IIIB/IV disease are eligible.
At least one of the chemotherapy regimens must have been platinum-based.
Patients will receive either MetMAb plus Erlotinib or Erlotinib
plus placebo. (MetMAb)
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MELANOMA
Treatment with OncoVEX/GM-CSF vs Subcutaneously
Administered GM-CSF in Previously Treated Melanoma Patients
with Resectable Stage IIIB, IIIC and Stage IV Disease
This is a multi-national, open-label, randomized phase III
study to assess OncoVEX GM-CSF monotherapy or control in patients
with unresectable, stage IIIB/C or IV Melanoma. Patients entering
this study must have received at least on prior therapy for
active disease (radiation, isolated lim perfusion, chemotherapy
or biotherapy). (BioVex)
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MISC
Registry Trial for “Iron Overload”
Patients
This is a registry trial for Myelodysplastic Syndrome. It
collects data at baseline and every six months for up to five
years, investigating iron chelation and the impact on endocrine,
cardiac, hepatic, hematologic, renal, ocular and auditory
function. There are not any drugs, scans, lab work, etc required
by the study. (07-168)
Study for Patients with Hepatocellular
Carcinoma That Will Be Starting Nexavar
This is a study for patients with unresectable hepatocellular
carcinoma who are candidates for systemic therapy and for
whom a decision to treat with Nexavar has been made but not
yet started. The treatment with Nexavar will comply with the
recommendations written in the local product information,
but the decision on the duration and dose of treatment is
solely at the discretion of the prescribing physician. (08-142)
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