An IDBBC Single Arm Phase II Trial Evaluating The Activity Of Iressa (ZD1839) In Metastatic Breast Cancer Patients Pretreated With An Antiestrogen And A Non-Steroidal Aromatase Inhibitor (Anastrozole Or Letrozole)
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Histologically confirmed breast cancer
- Radiological and/or clinical evidence of metastatic disease
- Progressive disease after prior therapy with an antiestrogen (e.g., tamoxifen or
faslodex) and a nonsteroidal aromatase inhibitor (e.g., anastrozole or letrozole) in
the adjuvant and/or metastatic setting* NOTE: *Endocrine therapy must be the last
treatment before study entry
- Unidimensionally measurable disease
- No rapidly progressive visceral metastases
- No uncontrolled CNS metastases
- Hormone receptor status:
- Estrogen receptor and/or progesterone receptor positive
PATIENT CHARACTERISTICS:
Age
- 18 and over
Sex
- Not specified
Menopausal status
- Postmenopausal, defined as any of the following:
- Natural menopause with at least 1 year since last menses
- Radiation-induced oophorectomy with last menses more than 1 year ago
- Chemotherapy-induced menopause with 1 year since last menses and serum
follicle-stimulating hormone, luteinizing hormone, and plasma estradiol levels
in the postmenopausal range
- Surgical castration
Performance status
- ECOG 0-2
Life expectancy
- Not specified
Hematopoietic
- Not specified
Hepatic
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- Transaminases no greater than 2.5 times ULN
- No severe or uncontrolled hepatic disease
Renal
- No severe or uncontrolled renal disease
Cardiovascular
- No severe or uncontrolled cardiac disease
Pulmonary
- No severe or uncontrolled respiratory disease
- No evidence of clinically active interstitial lung disease
- Asymptomatic chronic stable radiographic changes allowed
Other
- No other malignancy within the past 5 years except adequately treated carcinoma in
situ of the cervix, contralateral breast cancer, or nonmelanoma skin cancer
- No psychological, familial, sociological, or geographical condition that would
preclude study compliance and follow-up
- No other severe or uncontrolled systemic disease
- No known hypersensitivity to any excipients of gefitinib
- No unresolved chronic toxicity greater than grade 2
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No concurrent biologic agents
Chemotherapy
- No more than 1 prior chemotherapy regimen for metastatic breast cancer
- No concurrent chemotherapy
Endocrine therapy
- See Disease Characteristics
- No concurrent hormonal therapy
Radiotherapy
- Prior radiotherapy allowed
- No concurrent radiotherapy to any metastatic site
Surgery
- No surgery within 4 days after study drug administration
Other
- No prior epidermal growth factor receptor inhibitor therapy
- More than 30 days since prior investigational drugs
- No concurrent use of any of the following:
- Phenytoin
- Carbamazepine
- Rifampin
- Phenobarbital
- Hypericum perforatum (St. John's Wort)
- No concurrent systemic retinoids
- No other concurrent investigational drugs or treatments
- No other concurrent anticancer treatments
- Concurrent bisphosphonates for the treatment and prevention of bony metastases are
allowed provided therapy was initiated before study enrollment* NOTE:
*Bisphosphonates may be initiated during study participation for the treatment of
hypercalcemia only