PCI in Advanced Triple Negative Breast Cancer Patients Who Response to 1st Line Chemotherapy

May 30, 2017 updated by: wang shusen

A Phase III Randomized Controlled Trial of Prophylactic Cranial Irradiation in Patients With Advanced Triple Negative Breast Cancer Who Had a Response to First Line Chemotherapy

The purpose of this study is to compare whether prophylactic cranial irradiation in patients with advanced triple negative breast cancer who had a response to first line chemotherapy could prolong brain-metastasis free survival.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This is a phase III, randomized, controlled, open, multicenter clinical trial, designed to assess the efficacy and safety of prophylactic cranial irradiation (PCI) in advanced triple negative breast cancer who response to the first line chemotherapy. Compare the PCI group with the observation group to evaluate brain metastasis-free survival,cumulative risk of brain metastases within 1 year,progression-free survival,overall survival,quality of life measured by the The Europe organization for research and treatment of cancer, Quality of life Questionnaire-cancer 30 (EORTC-QLQ-C30) questionnaire score and function of central nervous measured by the The Europe organization for research and treatment of cancer, Quality of life Questionnaire-brain cancer 20 (EORTC-QLQ-BN20) questionnaire score in women with advanced triple negative breast cancer who response to the first line chemotherapy.

Study Type

Interventional

Enrollment (Anticipated)

326

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • China
    • Guangdong
      • Guangzhou, Guangdong, China, 510060
        • State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  1. Signed informed consent;
  2. Age of 18 to 65 years;
  3. Documented advanced breast cancer, clinical and pathological confirmed;
  4. Immunohistochemical examination:ER<1%+, progestin receptor (PR)<1%+, HER-2 -/+ or HER-2(++)with negative result of FISH;
  5. A response after four to eight cycles of first line chemotherapy;
  6. Life expectancy longer than six months evaluated by investigator;
  7. A performance status of 0 to 2, according to the criteria of the World Health Organization (with a higher score indicating a poorer performance status)
  8. Less than grade 1( Common Terminology Criteria grade version 4.0) of treatment-related toxicities;
  9. Adequate baseline organ function.

Exclusion Criteria:

  1. History of another malignancy.
  2. Pregnancy or gestation
  3. Definite diagnosed of central nervous system (CNS)or leptomeningeal metastases
  4. Serious cardiac illness or medical condition
  5. Known history of related central nervous system or leptomeningeal disease
  6. Cognition impairment or suffering from mental illness
  7. Demand a long-term oral administration of psychotropic drugs
  8. Have a concurrent disease or condition that may interfere with study participation, or any serious medical disorder that would interfere with the subject's safety (for example, active or uncontrolled infection, currently active/requiring anti-viral therapy hepatic or biliary disease)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: PCI group
Receiving prophylactic cranial irradiation after response to first line chemotherapy.
Radiation: prophylactic cranial irradiation
Prophylactic cranial irradiation in patients with advanced triple negative breast cancer who had a response to first line chemotherapy
No Intervention: observation group
Patients in the observation group do not receive prophylactic cranial irradiation after response to first line chemotherapy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
brain metastasis-free survival
Time Frame: eight years
time from randomization to brain metastasis
eight years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
cumulative risk of brain metastases within 1 year
Time Frame: one year
the percent of subjects occurring brain metastases with 1 year
one year
progression-free survival
Time Frame: eight years
time from randomization to disease progression or death(upon which happen earlier)
eight years
overall survival
Time Frame: eight years
time from randomization to death
eight years
life quality score
Time Frame: eight years
quality of life measured by the EORTC-QLQ-C30 questionnaire score
eight years
central nervous function score
Time Frame: eight years
function of central nervous measured by the EORTC-QLQ-BN20 questionnaire score
eight years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

wang shusen

Investigators

  • Study Chair: Shusen Wang, Sun Yat-sen University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

August 1, 2017

Primary Completion (Anticipated)

August 1, 2025

Study Completion (Anticipated)

August 1, 2025

Study Registration Dates

First Submitted

May 5, 2015

First Submitted That Met QC Criteria

May 14, 2015

First Posted (Estimate)

May 19, 2015

Study Record Updates

Last Update Posted (Actual)

June 1, 2017

Last Update Submitted That Met QC Criteria

May 30, 2017

Last Verified

May 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SYSU-5010-TNBC-PCI

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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