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Status
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Recruiting in 22 of 23 locations
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To determine if Accelerated Partial Breast Irradiation, using 3D CRT, is as effective as
Whole Breast Irradiation following breast conserving surgery in women with an new
histological diagnosis of ductal carcinoma in situ only or invasive breast cancer without
evidence of metastatic disease. Effectiveness will be determined by the rate of ipsilateral
breast tumour recurrence.
General objective is to improve the convenience and quality of life of female patients who
receive breast irradiation.
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Recruiting in 13 of 18 locations
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RATIONALE: Sunitinib and sorafenib may stop the growth of tumor cells by blocking some of
the enzymes needed for cell growth and by blocking blood flow to the tumor. Giving sunitinib
or sorafenib after surgery may kill any tumor cells that remain after surgery. It is not yet
known whether sunitinib is more effective than sorafenib or placebo in treating kidney
cancer.
PURPOSE: This randomized phase III trial is studying sunitinib to see how well it works
compared to sorafenib or placebo in treating patients with kidney cancer that has been
removed by surgery.
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Recruiting in 9 of 10 locations
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The purpose of this study is to determine whether survival can be prolonged in patients with castration-resistant prostate cancer who receive dasatinib in addition to docetaxel and prednisone.
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Recruiting in 4 of 4 locations
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RATIONALE: Zoledronate may prevent or decrease skeletal (bone)-related events (such as pain
or fractures) caused by bone metastases and androgen deprivation therapy. It is not yet
known whether treatment with zoledronate is effective in preventing bone-related events in
patients who have prostate cancer and bone metastases.
PURPOSE: This randomized phase III trial is studying how well zoledronate works in
preventing bone-related events in patients who are receiving androgen deprivation therapy
for prostate cancer and bone metastases.
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Recruiting in 3 of 3 locations
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The purpose of this study is to determine if lenalidomide (Revlimid®) is safe and effective as a maintenance therapy at improving further the quality of the response you achieved with your last therapy and at prolonging the duration of your response. This study will compare the effects (good and bad) of lenalidomide with the dummy drug.
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Recruiting in 17 of 22 locations
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RATIONALE: Estrogen can cause the growth of breast cancer cells. Hormone therapy may fight breast cancer by blocking the use of estrogen by the tumor cells or by lowering the amount of estrogen the body makes. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving hormone therapy together with more than one chemotherapy drug (combination chemotherapy) has been shown to reduce the chance of breast cancer recurrence, but the benefit of adding chemotherapy to hormone therapy for women with node-negative, estrogen-receptor positive breast cancer is small. New tests may provide information about which patients are more likely to benefit from chemotherapy. PURPOSE: This randomized phase III trial is trying to find out the best individual therapy for women who have node-negative, estrogen-receptor positive breast cancer by using a special test (Oncotype DX), and whether hormone therapy alone or hormone therapy together with combination chemotherapy is better for women who have an Oncotype DX recurrence score of 11-25.
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Recruiting in 13 of 15 locations
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RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet
known whether single-fraction (single-dose) re-irradiation therapy is as effective as
multiple-fraction (many small doses of radiation therapy) re-irradiation therapy in
relieving bone pain caused by bone metastases.
PURPOSE: This randomized phase III trial is studying single-dose radiation therapy to see if
it works as well as multiple-dose radiation therapy in treating patients previously
irradiated with painful bone metastases.
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Recruiting in 13 of 14 locations
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RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving radiation therapy together with temozolomide may kill more tumor cells. It is not yet known whether radiation therapy and temozolomide are more effective than radiation therapy alone in treating glioblastoma multiforme.
PURPOSE: This randomized phase III trial is studying radiation therapy and temozolomide to see how well they work compared with radiation therapy alone in treating patients with newly diagnosed glioblastoma multiforme.
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Recruiting in 6 of 6 locations
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This study will evaluate the safety of nilotinib in adult patients with imatinib-resistant or -intolerant CML-blast crisis, CML-accelerated phase or CML-chronic phase when treated with nilotinib. Patients will be provided access to nilotinib until the drug is available on the market.
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Recruiting in 3 of 3 locations
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Study of bortezomib administered in combination with vorinostat or placebo in patients with
relapsed or refractory multiple myeloma.
Histone deacetylases (HDAC) facilitate gene transcription by modulating the uncoiling of
chromatin. HDAC function is dysregulated in hematologic and solid malignancies, and this
dysregulation may result in over-expression of oncogenes. Thus, inhibition of HDACs may
result in anti-cancer effects. HDAC inhibitors, like vorinostat, represent a new class of
antitumor agents that have the ability to induce antiproliferative effects including
cyto-differentiation, cell cycle growth arrest or apoptosis in various cancer cell lines.
Several studies have investigated the in vitro antimyeloma activity of vorinostat in
combination with bortezomib and have demonstrated that vorinostat may act synergistically
with bortezomib to modulate tumor cell growth. Mitsiades et al have shown that vorinostat
enhances the sensitivity of bortezomib. Pei et al found that exposure of human multiple
myeloma cell lines & patient-derived multiple myeloma cells to bortezomib and vorinostat
resulted in synergistic interactions as a result of: (1) Interruption of NF-kB & related
signaling pathways (JNK, XIAP, Mcl-1, etc.) (2) Inhibition of Hsp90 (3) Induction of ER
stress signal and (4) acetylation of Dynein/ disruption of aggresome function/formation,
salvage for ubiquitinated proteins. In addition a marked increase in mitochondrial injury,
caspase activation, and apoptosis was also observed.
Bortezomib is indicated for the treatment of patients with multiple myeloma. Two Phase I
dose-ranging studies of a regimen combining vorinostat and bortezomib among patients with
relapsed as well as end-stage, refractory multiple myeloma have been conducted. These
studies enrolled a total of 57 patients. In these studies, administration of vorinostat with
standard doses of bortezomib resulted in responses in 20/45 (44%) evaluable patients (Weber
et al 2007, Badros et al 2007). The purpose of the present study is to definitively evaluate
the clinical activity of vorinostat in combination with bortezomib in patients with multiple
myeloma
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