Status:

AVAILABLE

Efficacy and Safety Study of Neoadjuvant Chemotherapy for Local Advanced Triple Negative Breast Cancer Patients

Lead Sponsor:

Fudan University

Collaborating Sponsors:

Chinese Anti-Cancer Association

Conditions:

Triple Negative Local Advanced Breast Cancer

Eligibility:

FEMALE

18-65 years

Brief Summary

The 10%-15% of breast carcinomas known to be 'triple negative (TN)' (not expressing HRs and not exhibiting overexpression Her2) constitutes 85% of all basal-like tumors, because it is based on three s...

Detailed Description

Eligibilty Female adults(\>18 years old) were eligible if they had histologically or cytologically confirmed stage IIIb or IIIc TNLABC that had not been treated with any systemic treatment. Patients a...

Eligibility Criteria

Inclusion

  • Women aged from 18 to 65 years;
  • Histologically or cytologically proven invasive unilateral breast cancer (regardless of the type);
  • Initial clinical condition compatible with complete initial resection;
  • No residual macro or microscopic tumor after surgical excision;
  • Patient presenting one of the following criteria (reviewed before randomization by referent pathologist):
  • Triple Negative(ER-PR-Her-2-) Hormone receptor negativity is defined as ER\<10%, PR\<10% (IHC), HER2 negativity is defined as IHC 0-1+, or \[IHC 2+ and FISH or CISH negative\].
  • No clinically or radiologically detectable metastases (M0);
  • No peripheral neuropathy \> 1;
  • WHO Performance status (ECOG) of 0 or 1;
  • Adequate hematological function (neutrophil count ³ 2x109/l, platelet count ³ 100x 109/l, Hemoglobin \> 9 g/dl);
  • Adequate hepatic function: ASAT and ALAT £ 1.5 ULN alkaline phosphatases £ 2.5 ULN,total bilirubin £ 1,5 ULN;
  • Adequate renal function: serum creatinine £ 1.5 ULN;
  • Patients accepting contraception intake during the overall length of treatment if of childbearing potential;
  • Adequate cardiac function, LEVF value \> 50% by Muga scan or echocardiography;
  • Signed written informed consent.

Exclusion

  • Bilateral breast cancer or patient with controlateral DCIS;
  • Any metastatic impairment, including homolateral sub-clavicular node involvement,regardless of its type;
  • Any tumor ³ T4a (UICC1987) (cutaneous invasion, deep adherence, inflammatory breast cancer);
  • Luminal A, Luminal B and Her-2 overexpression
  • Any clinically or radiologically suspect and non-explored damage to the controlateral breast;
  • Previous cancer (excepted cutaneous baso-cellular epithelioma or uterine peripheral epithelioma) in the preceding 5 years, including invasive controlateral breast cancer;
  • Patients already included in another therapeutic trial involving an experimental drug;
  • Patients with other concurrent severe and/or uncontrolled medical disease or infection which could compromise participation in the study;
  • LEVF \< 50% (MUGA scan or echocardiography);
  • Clinically significant cardiovascular disease (e.g. unstable angina, congestive heart failure, uncontrolled hypertension (\>150/90), myocardial infarction or cerebral vascular accidents) within 6 months prior to randomization;
  • Known prior severe hypersensitivity reactions to agents in this study
  • Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and up to 8 weeks after treatment completion;
  • 14\) Women who are pregnant or breastfeeding. Adequate birth control measures should be taken during study treatment phase; 15) Women with a positive pregnancy test en enrollment or prior to study drug administration; 16) Patients with any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial; 17) Individual deprived of liberty or placed under the authority of a tutor.

Key Trial Info

Start Date :

Trial Type :

EXPANDED_ACCESS

End Date :

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01216124

Last Update

October 7 2010

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