TraStuzumAb-Radiotherapy : Impact on the Cerebral Prevention (TSARINE)
Interest of the Prophylactic Cerebral Radiotherapy in the Metastatic Breast Cancer Expressing HER2/NEU Treated by Trastuzumab
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Angers, France, 49933
- Centre Paul Papin
-
Boulogne-sur-Mer, France, 62200
- Centre Hospitalier
-
Caen, France, 14052
- Centre Maurice TUBIANA
-
Caen, France, 14076
- Centre G-François Baclesse
-
Dechy, France, 59187
- Centre Léonard de Vinci
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Forcilles-attilly, France, 77150
- Centre Médical de Forcilles
-
Le Havre, France, 76600
- Clinique des Ormeaux- Vauban
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Lille, France, 59020
- Centre Oscar Lambret
-
Lille, France, 59000
- Centre Bourgogne
-
Limoges, France, 87042
- CHU Dupuytren
-
Montpellier, France, 34000
- Clinique Clinique Clementville
-
Mougins, France, 06250
- Centre Azuréen de Cancérologie
-
Mulhouse, France, 68100
- Centre Hospitalier de Mulhouse
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Nantes, France, 44202
- Centre Catherine de Sienne
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Neuilly-sur-Seine, France, 92200
- Clinique Hartmann
-
Nice, France, 06189
- Centre Antoine Lacassagne
-
Nîmes, France, 30907
- Centre Médical ONCOGARD
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Paris, France, 75020
- Hopital Tenon
-
Perpignan, France, 66000
- Centre Catalan d'Oncologie
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Pierre-Bénite, France, 69495
- Centre Hospitalier Lyon Sud
-
Saint-Cloud, France, 92210
- Centre René Huguenin
-
Saint-Nazaire, France, 44600
- Centre Etienne DOLET
-
Sarcelles, France, 95200
- Centre de Cancerologie Paris Nord
-
Toulouse, France, 31400
- Oncorad Garonne
-
Vandœuvre-lès-Nancy, France, 54511
- Centre Alexis Vautrin
-
Villejuif, France, 94805
- Institut Gustave Roussy
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with breast cancer, expressing HER2-NEU (score +++ in ICH or ++ and amplification on FISH or CISH, SISH)
- Visceral metastasis, only or multiple
- First line metastasis treatment by Trastuzumab in association with chemotherapy
- Good general conditions: OMS=<2 or Karnofsky >=70%
- Age > 18 years and < 70 years
- Life expectancy >=3 mois
- No Trastuzumab since more of 6 months
- No cerebral metastasis (MRI)
- Efficacy contraception for women with genital capacities
- Consent signed by the patient
Exclusion Criteria
- Contraindication to IRM
- Psychiatric decease
- Prior cerebral radiotherapy,
- Geographical constraint, compromising the fallow of patients
- Infectious or other serious pathology, likely to stop the treatment
- Positive serology (HIV, hBC, hBS)
- Inclusion in an other clinical trial or in the 4 weeks before th inclusion
- Pregnant or breastfeeding women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Arm A
Without cerebral prophylactic radiation
|
Weekly, 2mg/kg of corporal weight
Other Names:
other chemotherapy is possible to associate with Trastuzumab as well as a change of chemotherapy protocol is possible while maintening Trastuzumab 8 weeks is required between last injection of chemotherapy and first radiotherapy session
|
|
Experimental: Arm B
With cerebral prophylactic radiation
|
Weekly, 2mg/kg of corporal weight
Other Names:
other chemotherapy is possible to associate with Trastuzumab as well as a change of chemotherapy protocol is possible while maintening Trastuzumab 8 weeks is required between last injection of chemotherapy and first radiotherapy session
24Gy, 12 fractions of 2 Gy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
free of cerebral metastasis survival
Time Frame: 5 years
|
5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
survival (overall and free visceral progression)
Time Frame: 5 years
|
5 years
|
|
|
evaluate neurological, haemorrhagic, skin toxicities
Time Frame: During study
|
weekly during radiotherapy and 2 weeks after radiotherapy
|
During study
|
|
neurological toxicities
Time Frame: During study
|
|
During study
|
|
P105 value
Time Frame: prior to trastuzumab, after 3 months, 6 months, 12 months, 18 months, 24 months, 36 months
|
Blood sample
|
prior to trastuzumab, after 3 months, 6 months, 12 months, 18 months, 24 months, 36 months
|
|
quality of life
Time Frame: before treatment, after 3 months, 6 months, 12 months, 24 months, 36 months, 48 months, 60 months
|
Questionnaire QLQ-bn20
|
before treatment, after 3 months, 6 months, 12 months, 24 months, 36 months, 48 months, 60 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Yazid BELKACEMI, MD, y-belkacemi@o-lambret.fr
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms by Site
- Neoplasms
- Neoplastic Processes
- Skin Diseases
- Breast Diseases
- Pathological Conditions, Signs and Symptoms
- Skin and Connective Tissue Diseases
- Breast Neoplasms
- Neoplasm Metastasis
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Psychotherapy
- Behavioral Disciplines and Activities
- Psychotherapeutic Processes
- Trastuzumab
- Association
Other Study ID Numbers
Other Study ID Numbers
- TSARINE-0602
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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