- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00118053
Trastuzumab, Docetaxel, and Carboplatin in Treating Women With Stage II, Stage III, or Inflammatory Breast Cancer
A Phase II Trial of Taxotere, Carboplatin and Herceptin in Locally Advanced or Inflammatory Breast Cancer
RATIONALE: Monoclonal antibodies, such as trastuzumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Drugs used in chemotherapy, such as docetaxel and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving trastuzumab together with docetaxel and carboplatin may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving trastuzumab together with docetaxel and carboplatin works in treating women with stage II, stage III, or inflammatory breast cancer.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OBJECTIVES:
Primary
- Determine the antitumor activity of trastuzumab (Herceptin^®), docetaxel, and carboplatin, as measured by tumor response rate, in women with previously untreated HER2/neu-positive stage IIB, IIIA, IIIB, or IIIC or inflammatory breast cancer.
Secondary
- Determine the pathological complete response in patients treated with this regimen.
- Determine the disease-free survival of patients treated with this regimen.
- Determine the toxicity of this regimen in these patients.
- Determine pathologic and molecular markers for predicting efficacy of this regimen in these patients.
OUTLINE: This is a non-randomized, multicenter study.
- Course 1 (days 1-28): Patients receive trastuzumab (Herceptin^®) IV over 30-90 minutes on days 1, 8, 15, and 22 and docetaxel IV over 1 hour and carboplatin IV over 30-60 minutes on day 8.
- Course 2-6: Patients receive trastuzumab IV over 30 minutes on days 1, 8, and 15 during courses 2-5 and on days 1, 8, 15, and 22 during course 6. Patients also receive docetaxel IV over 1 hour and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 21 days for 5 additional courses (6 courses total) in the absence of disease progression or unacceptable toxicity.
Three weeks after completion of course 6, patients undergo restaging. Patients with local operable disease undergo modified radical mastectomy or lumpectomy and axillary node dissection followed by radiotherapy. Patients also receive trastuzumab IV once every 3 weeks for up to 52 weeks of total treatment (including the 6 courses of trastuzumab, docetaxel, and carboplatin) in the absence of disease progression or unacceptable toxicity. Patients who do not have local operable disease continue to receive trastuzumab as above.
PROJECTED ACCRUAL: A total of 13-43 patients will be accrued for this study.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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New Jersey
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East Brunswick, New Jersey, United States, 08816
- Central Jersey Oncology Center, PA - East Brunswick
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Freehold, New Jersey, United States, 07728
- CentraState Medical Center
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Hamilton, New Jersey, United States, 08690
- Cancer Institute of New Jersey at Hamilton
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Montclair, New Jersey, United States, 07042
- Mountainside Hospital Cancer Center
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Morristown, New Jersey, United States, 07962-1956
- Carol G. Simon Cancer Center at Morristown Memorial Hospital
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New Brunswick, New Jersey, United States, 08903
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
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New Brunswick, New Jersey, United States, 08901-1780
- Saint Peter's University Hospital
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Newark, New Jersey, United States, 07103
- UMDNJ University Hospital
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Summit, New Jersey, United States, 07902-0220
- Overlook Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Histologically confirmed breast cancer, meeting 1 of the following stage criteria:
- Stage IIB (T3, N0)
- Stage IIIA (N0-N2)
- Stage IIIB (T4, N0-2)
- Stage IIIC
- Inflammatory breast cancer
- HER2/neu-positive disease by fluorescence in situ hybridization
- Biopsy-accessible tumor
- Measurable disease by physical examination or x-ray
- No stage IV disease
Hormone receptor status:
- Not specified
PATIENT CHARACTERISTICS:
Age
- 18 and over
Sex
- Female
Menopausal status
- Not specified
Performance status
- ECOG 0-2
Life expectancy
- At least 8 weeks
Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm^3
- Platelet count ≥ 100,000/mm^3
Hepatic
Meets 1 of the following criteria:
- SGOT and SGPT ≤ 5 times upper limit of normal (ULN) AND alkaline phosphatase normal
- SGOT and SGPT ≤ 1.5 times ULN AND alkaline phosphatase ≤ 2.5 times ULN
- SGOT and SGPT normal AND alkaline phosphatase ≤ 5 times ULN
- Bilirubin normal
Renal
- Creatinine normal
- No pre-existing clinically significant renal disease that is not related to the malignancy
Cardiovascular
- Ejection fraction ≥ 50% by MUGA
- No pre-existing clinically significant cardiac disease that is not related to the malignancy
- No history of congestive heart failure
Pulmonary
- No pre-existing clinically significant pulmonary disease that is not related to the malignancy
Gastrointestinal
- No severe malnutrition
- No intractable emesis
Neurologic
- No pre-existing clinically significant neurologic disease that is not related to the malignancy
No peripheral neuropathy ≥ grade 2
- No nerve damage from diabetes
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective non-hormonal contraception during and for 4 weeks after completion of study treatment
- No known allergic reaction to study drugs
- No active infection
- No other malignancy except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
- No other pre-existing clinically significant disease that is not related to the malignancy
- No other serious or significant medical condition that would preclude study participation
- No other contraindication to study treatment
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No other concurrent immunotherapy
Chemotherapy
- No prior chemotherapy for the malignancy
- No other concurrent chemotherapy
Endocrine therapy
- No concurrent hormonal therapy for the malignancy
Radiotherapy
- No concurrent radiotherapy
Surgery
- No concurrent surgery for the malignancy
Other
- More than 2 weeks since prior and no concurrent herbal remedies or aspirin-containing products
- No other concurrent investigational or commercial agents or therapies for the malignancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Docetaxel, Carboplatin and Trastuzumab
A total of six cycles of TCH [(Taxotere® (75 mg/m2) + Carboplatin (AUC = 6) + Herceptin® (2 mg/kg weekly after a 4 mg/kg load on Day 1)] will be administered every 3 weeks.Three weeks after receiving the sixth cycle of TCH, all patients will be restaged.
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Other Names:
Other Names:
Modified radical mastectomy or lumpectomy and axillary node dissection
Whole breast or chest wall irradiation (as determined by radiologist)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Antitumor Activity as Measured by Response Rate
Time Frame: 5 years
|
5 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Pathological Complete Response
Time Frame: 5 years
|
5 years
|
Disease-free Survival
Time Frame: 10 years
|
10 years
|
Pathologic and Molecular Markers for Predicting Efficacy
Time Frame: 5 years
|
5 years
|
Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Breast Diseases
- Breast Neoplasms
- Inflammatory Breast Neoplasms
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Immunological
- Docetaxel
- Carboplatin
- Trastuzumab
Other Study ID Numbers
- 040412;CDR0000433511
- P30CA072720 (U.S. NIH Grant/Contract)
- CINJ-040412 (Other Identifier: Cancer Institute of New Jersey)
- 0220045191 (Other Identifier: UMDNJ-RWJMS IRB)
- CINJ-NJ1104 (Other Identifier: Cancer Institute of New Jersey)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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