- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00563953
Caelyx as Primary Treatment for Patients With Breast Cancer and a History of Heart Disease and/or Age Over 65 Years (CAPRICE)
A Phase II, Open-Label, Multicenter Clinical Trial of Pegylated Liposomal Doxorubicin (Caelyx®) as Primary Treatment for Patients With Breast Cancer and a History of Heart Disease or Age Over 65 Years.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is a phase II, uncontrolled, open label, multicenter study of a primary chemotherapy regimen consisting of four cycles of liposomal pegylated doxorubicine 35 mg/m² IV plus cyclophosphamide 600 mg/m² on Day 1 every 4 weeks followed by paclitaxel 80 mg/m²/week for 12 weeks before surgery in breast cancer patients at risk of developing anthracycline-induced cardiotoxicity.
Surgery (tumorectomy, quadrantectomy, or mastectomy plus lymphadenectomy) will be performed 2 to 5 weeks after the last primary chemotherapy infusion.
Patients with > 10% of hormone receptor-positive cells will receive appropriate hormone therapy according to menopausal status.
Patients treated with breast-conserving surgery will receive radiation therapy to the mammary gland.
Patients with T4 tumors or significant axillary involvement (≥ ypN2) will receive radiation therapy to the breast or chest wall and to the lymph node chains.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Barcelona, Spanien, 08025
- Hospital de la Santa Creu i Sant Pau
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Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron
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Lleida, Spanien, 25198
- Hospital Universitari Arnau de Vilanova
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Murcia, Spanien, 30008
- Hospital Universitario Morales Meseguer
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Barcelona
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L'Hospitalet de Llobregat, Barcelona, Spanien, 08907
- Institut Català d'Oncologia
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Illes Balears
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Palma de Mallorca, Illes Balears, Spanien, 07198
- Hospital Son Llatzer
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Tarragona
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Reus, Tarragona, Spanien, 42301
- Hospital Universitario Sant Joan de Reus
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically confirmed invasive breast cancer (tumor > 2 cm).
- Estrogen receptor-negative or -weakly positive tumors (less than 50% of cells), as evaluated using IHC.
- Risk factors for developing anthracycline-induced cardiomyopathy.
Exclusion Criteria:
- Severe heart failure (NYHA Class III or IV) .
- Metastatic disease.
- LVEF < 45%.
- Pregnant or breast-feeding patients.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
---|---|
Eksperimentel: 1
Primary chemotherapy regimen consisting of four cycles of pegylated-liposomal doxorubicine at 35 mg/m² IV plus CPM 600 mg/m² on Day 1 every 4 weeks followed by paclitaxel 80 mg/m²/week for 12 weeks before surgery.
|
Four cycles of liposomal pegylated doxorubicine at 35 mg/m² IV combined with cyclophosphamide at 600 mg/m² on Day 1 every 4 weeks, and followed by paclitaxel 80 mg/m²/week for 12 weeks before surgery.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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Pathological complete response (pCR). pCR is defined as the absence of invasive cancer in the surgical breast specimen. This definition includes evidence of carcinoma in situ only.
Tidsramme: At surgery.
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At surgery.
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Sekundære resultatmål
Resultatmål |
Tidsramme |
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Clinical response rate (complete plus partial responses). Clinical response will be assessed by imaging using the WHO criteria.
Tidsramme: Before and after treatment with paclitaxel.
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Before and after treatment with paclitaxel.
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Breast-conserving surgery: tumorectomy or quadrantectomy with or without lymphadenectomy versus mastectomy.
Tidsramme: At surgery.
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At surgery.
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Axillary node involvement after primary chemotherapy.
Tidsramme: At surgery.
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At surgery.
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Left ventricular ejection fraction measured by echocardiography or MUGA.
Tidsramme: At baseline, every 2 doxorubicine cycles and before surgery.
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At baseline, every 2 doxorubicine cycles and before surgery.
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Cardiac sign/symptom questionnaire.
Tidsramme: At baseline, every 2 doxorubicine cycles and before surgery.
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At baseline, every 2 doxorubicine cycles and before surgery.
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Relapse-free survival at 5 years after surgery and overall survival at 5 years after study entry.
Tidsramme: Until 5 years after surgery.
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Until 5 years after surgery.
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Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Studiestol: Miguel Gil, MD, Institut Català d'Oncologia
Publikationer og nyttige links
Generelle publikationer
- Gil-Gil MJ, Bellet M, Morales S, Ojeda B, Manso L, Mesia C, Garcia-Martinez E, Martinez-Janez N, Mele M, Llombart A, Pernas S, Villagrasa P, Blasco C, Baselga J. Pegylated liposomal doxorubicin plus cyclophosphamide followed by paclitaxel as primary chemotherapy in elderly or cardiotoxicity-prone patients with high-risk breast cancer: results of the phase II CAPRICE study. Breast Cancer Res Treat. 2015 Jun;151(3):597-606. doi: 10.1007/s10549-015-3415-2. Epub 2015 May 16.
- Gil MJ, Bellet MC, Llombart, Ojeda B, Manso L, Mesia C, Morales S, García-Martinez H, Martínez N, Melé M, Fernández-Ortega A, Baselga J. Pegylated Liposomal Doxorubicin (PLD) as Primary Treatment in Estrogen Receptor (ER) and HER2 Poor Breast Cancer and Risk of Developing Cardiotoxicity or Elderly Patients (pt). Results from the Phase II CAPRICE Study. Cancer Research 71(24 Suppl.): 403s, 2011.(CTRC-AACR San Antonio Breast Cancer Symposium)
- Gil-Gil MJ, Bellet M, Bergamino M, Morales S, Barnadas A, Manso L, Saura C, Fernandez-Ortega A, Garcia-Martinez E, Martinez-Janez N, Mele M, Villagrasa P, Celiz P, Perez Martin X, Ciruelos E, Pernas S. Long-Term Cardiac Safety and Survival Outcomes of Neoadjuvant Pegylated Liposomal Doxorubicin in Elderly Patients or Prone to Cardiotoxicity and Triple Negative Breast Cancer. Final Results of the Multicentre Phase II CAPRICE Study. Front Oncol. 2021 Jul 9;11:645026. doi: 10.3389/fonc.2021.645026. eCollection 2021.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- SOLTI0702
- 2007-001428-11 (EudraCT nummer)
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