Status:
COMPLETED
Exemestane or Docetaxel-Cytoxan in Low Recurrence Score Cancers
Lead Sponsor:
Emory University
Collaborating Sponsors:
Pfizer
Conditions:
Breast Cancer
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The patients are being asked to take part in this study because they have a hormone receptor-positive breast cancer (contains estrogen and/or progesterone receptors) and their doctor has told them tha...
Detailed Description
The purpose of this study is to assess if chemotherapy using docetaxel and cytoxan (TC) or hormonal therapy using exemestane can shrink the size of your breast tumor and allow you to preserve your bre...
Eligibility Criteria
Inclusion
- Signed informed consent.
- Histologically or cytologically confirmed breast carcinoma.
- Early stage breast cancer (T1c-3, clinically node-negative-3 \[cN0-3\], CM0).
- Pre-treatment biopsy with the following characteristics:
- Hormone receptor-positive cancer as defined as ER and/or progesterone receptor (PR)-positive by standard immunohistochemistry (IHC)
- HER2-negative (HER2 ≤ 2 by IHC; if HER2 2+ by IHC must be fluorescent in situ hybridization \[FISH\] non-amplified)
- Recurrence score \< 25 using Oncotype DX 21-gene recurrence score assay
- Patients must have measurable disease as defined by palpable lesion with both diameters ≥ 1 cm measurable with caliper or a positive mammogram or ultrasound with at least one dimension ≥ 1 cm. Screening mammogram of the contralateral breast must be performed within past 12 months per standard practice guidelines. Clip placement is required for study entry.
- Baseline measurements of the indicator lesions must be recorded on the Patient Registration Form. To be valid for baseline, the measurements must have been made within 14 days of study enrollment if palpable. If not palpable, a mammogram or MRI must be done within 14 days. If palpable, a diagnostic mammogram of the affected breast or MRI must be done within 2 months prior to study enrollment, defined as date of signed, informed consent. If clinically indicated, staging xrays and scans must be done within 28 days of study entry.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2.
- Adequate organ function within 14 days of study entry:
- Bone marrow function: absolute neutrophil count (ANC) ≥ 1500/mm³, Hgb \> 8.0 g/dl and platelet count ≥ 100,000/mm³.
- Hepatic function: total bilirubin \< upper limit of normal (ULN). Serum glutamic oxaloacetic transaminase (SGOT) (AST) or serum glutamic pyruvic transaminase (SGPT) (ALT) and alkaline phosphatase ≤ 1.5 x ULN).
- Renal function: calculated creatinine clearance (CrCl) ≥ 30 mL/min using the Cockcroft Gault equation.
- Patients must be at least 18 years of age.
Exclusion
- Evidence of disease outside the breast or chest wall, except ipsilateral axillary or internal mammary lymph nodes.
- Prior chemotherapy, hormonal therapy, biologic therapy or radiation therapy for breast cancer.
- Pregnant or lactating women are not eligible. Women of childbearing potential must have a negative serum pregnancy test completed within 7 days of study entry, and use an appropriate form of birth control throughout the trial period.
- Medical, psychological or surgical condition which the investigator feels might compromise study participation.
- Patients with history within the last 5 years of previous or current malignancy at other sites with the exception of adequately treated carcinoma in-situ of the cervix or basal or squamous cell carcinoma of the skin. Patients with a history of other malignancies who remain disease free for greater than five years are eligible.
- Evidence of peripheral or sensory neuropathy.
- Patients with a history of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80 are excluded from participation.
- Serious, uncontrolled, concurrent infection(s).
- Clinically significant cardiac disease (e.g. congestive heart failure, symptomatic coronary artery disease and cardiac arrhythmias not well controlled with medication) or myocardial infarction within the last 12 months prior to study entry.
- Major surgery within 28 days of study entry.
- Evidence of central nervous system (CNS) metastases.
Key Trial Info
Start Date :
July 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2015
Estimated Enrollment :
31 Patients enrolled
Trial Details
Trial ID
NCT00941330
Start Date
July 1 2009
End Date
May 1 2015
Last Update
April 10 2017
Active Locations (3)
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1
Grady Memorial Hospital
Atlanta, Georgia, United States, 30303
2
Emory University Hospital Midtown
Atlanta, Georgia, United States, 30308
3
Emory University Winship Cancer Institute
Atlanta, Georgia, United States, 30322