Impact of (Neo)Adjuvant Therapy Associating Anthracyclines and Taxanes With or Without Trastuzumab on Skeletal Muscle in Breast Cancer Patients (PROTECT-03)
This is an interventional, prospective and monocentric study. This study includes the evaluation before and after (neo)adjuvant therapy of :
- one group of patients receiving anthracyclines and taxanes
- a second group of patients receiving anthracyclines, taxanes and trastuzumab.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Strasbourg, France, 67033
- Institut de cancérologie Strasbourg Europe
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
For group 1 without trastuzumab :
- Patients must be ≥ 18 years old
- Patients with breast cancer stage I to III
- Patients who will receive (neo)adjuvant anthracyclines and weekly taxane, without trastuzumab
- Patients must have a social security coverage
- Patients able to speak, read and understand French
For group 2 with trastuzumab :
- Patients must be ≥ 18 years old
- Patients with breast cancer grade I to III
- Patients who will receive (neo)adjuvant anthracyclines and weekly taxane, with trastuzumab
- Patients must have a social security coverage
- Patients able to speak, read and understand French
Exclusion Criteria:
- History of cancer
- Previous chemotherapy
- Patients with known chronic pathology (musculoskeletal disorders, autoimmune, vascular or neuromuscular disease)
- Pacemaker implantation
- Contraindication to physical condition evaluation
- Contraindication to local anesthesia required for microbiopsy
- Patients < 18 years old or patients ≥ 18 years old under guardianship, or supervision
- Psychiatric, musculoskeletal or neurologic disorders
- Women that are pregnant or breast-feeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
OTHER: Group 1 without trastuzumab
|
before and after chemotherapy
before and after chemotherapy
|
|
OTHER: Group 2 with trastuzumab
|
before and after chemotherapy
before and after chemotherapy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in vastus lateralis cross-sectional area
Time Frame: Between Week 18 and 24 after chemotherapy
|
Measured from muscle microbiopsy sample
|
Between Week 18 and 24 after chemotherapy
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Alteration of patients body composition
Time Frame: Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Assessment using bio-impedance analysis
|
Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
|
Alteration of patients strength
Time Frame: Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Assessment of maximal isometric muscle strength for knee extensors measured with force sensors.
|
Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
|
Alteration of patients muscle architecture
Time Frame: Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Assessment using muscle ultrasonography
|
Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
|
Alteration of patients quality of life
Time Frame: Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Self-assessment questionnaire Functional Assessment of Cancer Therapy - General (FACT-G) (version 3)
|
Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
|
Evaluation of patient cachexia
Time Frame: Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Questionnaire Functional Assessment of Anorexia/Cachexia Therapy (FAACT) (version 4)
|
Baseline (=before chemotherapy) and Between Week 18 and 24 (=after chemotherapy)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Mallard J, Hucteau E, Hureau TJ, Pagano AF. Skeletal Muscle Deconditioning in Breast Cancer Patients Undergoing Chemotherapy: Current Knowledge and Insights From Other Cancers. Front Cell Dev Biol. 2021 Sep 14;9:719643. doi: 10.3389/fcell.2021.719643. eCollection 2021.
- Mallard J, Hucteau E, Charles AL, Bender L, Baeza C, Pelissie M, Trensz P, Pflumio C, Kalish-Weindling M, Geny B, Schott R, Favret F, Pivot X, Hureau TJ, Pagano AF. Chemotherapy impairs skeletal muscle mitochondrial homeostasis in early breast cancer patients. J Cachexia Sarcopenia Muscle. 2022 Jun;13(3):1896-1907. doi: 10.1002/jcsm.12991. Epub 2022 Apr 4.
- Mallard J, Hucteau E, Bender L, Charlot A, Debrut L, Pflumio C, Trensz P, Schott R, Favret F, Pivot X, Hureau TJ, Pagano AF. Development of skeletal muscle atrophy and intermuscular adipose tissue in patients with early breast cancer treated with chemotherapy. Am J Physiol Cell Physiol. 2022 Oct 1;323(4):C1325-C1332. doi: 10.1152/ajpcell.00373.2022. Epub 2022 Sep 12.
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 (ACTUAL)
First Posted
Study Record Updates
Last Update Posted (ESTIMATE)
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
Other Study ID Numbers
Other Study ID Numbers
- 2020-006
- 2020-A01266-33 (OTHER: IDRCB)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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