Randomized Phase II Trial Induction Therapy for Early Stage Breast Cancer
Randomized Phase II Trial of Sequential Docetaxel Followed by Capecitabine Versus Concomitant, Dose-Dense Docetaxel/Capecitabine as in Induction Therapy for Early Stage Breast Cancer
연구 개요
상세 설명
The purpose of this study is to identify new chemotherapy treatment regimens with better response rates and to find out if the combination of docetaxel and capecitabine can shrink the size of breast tumors and preserve the breast.
Induction chemotherapy offers the possibility of less surgery and determines tumor sensitivity in vivo. Previous trials have demonstrated that complete pathologic response in the breast at surgery corresponds with improved outcome. Additionally, we will correlate specific molecular markers in the breast tumors before and after chemotherapy, with response to treatment. Expression of these molecular markets may be used in the future to predict the likelihood of response to chemotherapy given post-operatively.
연구 유형
등록 (실제)
단계
- 2 단계
연락처 및 위치
연구 장소
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Georgia
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Atlanta, Georgia, 미국, 30303
- Grady Memorial Hospital
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Atlanta, Georgia, 미국, 30322
- Emory University Winship Cancer Institute
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Atlanta, Georgia, 미국, 30308
- Emory Crawford Long Hospital
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Augusta, Georgia, 미국, 30901
- Augusta Oncology Associates, PC 1348 Walton Way, Ste. 4300
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Augusta, Georgia, 미국, 30909
- Augusta Oncology Associates, PC 3696 Wheeler Road
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Austell, Georgia, 미국, 30106
- WellStar Health System-Georgia Cancer Specialists
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Austell, Georgia, 미국, 30106
- WellStar Health System-Northwest Georgia Oncology Center, PC
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Carrollton, Georgia, 미국, 30117
- WellStar Health System-Northwest Georgia Oncology Center, PC
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Columbus, Georgia, 미국, 31904
- John B. Amos Cancer Center
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Duluth, Georgia, 미국, 30096
- Suburban Hematology-Oncology Associates, PC
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East Point, Georgia, 미국, 30344
- South Atlanta Hematology-Oncology Group
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Lawrenceville, Georgia, 미국, 30045
- Suburban Hematology-Oncology Associates, PC
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Macon, Georgia, 미국, 31201
- Central Georgia Cancer Care, PC
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Marietta, Georgia, 미국, 30060
- WellStar Health System-Georgia Cancer Specialists
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Marietta, Georgia, 미국, 30060
- WellStar Health System-Northwest Georgia Oncology Center, PC
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Riverdale, Georgia, 미국, 30274
- South Atlanta Hematology-Oncology Group
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Snellville, Georgia, 미국, 30078
- Suburban Hematology-Oncology Associates, PC
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Stockbridge, Georgia, 미국, 30281
- South Atlanta Hematology-Oncology Group
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Warner Robins, Georgia, 미국, 31093
- Central Georgia Cancer Care, PC
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Histologically or cytologically confirmed breast carcinoma.
- Early stage breast cancer (stage 1, 2, 3).
- No evidence of disease outside the breast or chest wall, except ipsilateral axillary lymph nodes.
- 18 years of age or older.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Exclusion Criteria:
- Prior chemotherapy, hormonal therapy, biologic therapy or radiation therapy for breast cancer.
- Major surgery within 28 days of study entry.
- Evidence of central nervous system (CNS) metastases.
- Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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활성 비교기: Sequential Therapy
Docetaxel will be given at 100mg/m^2 intravenous Day 1 every 3 weeks for 4 cycles followed by capecitabine 1000 mg/m^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) (total 24 weeks).
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Sequential Therapy: Docetaxel will be given at 100 mg/m^2 Intravenously (IV)Day 1 every 3 weeks for 4 cycles. Concurrent Therapy: Docetaxel will be given at 50 mg/m^2 IV Day 1.
Sequential Therapy: administration of capecitabine 1000 mg/m^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) Concurrent Therapy: capecitabine 1000 mg/m^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).
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활성 비교기: Concurrent Therapy
Docetaxel will be given at 50mg/m^2 Intravenous Day1 concomitantly with capecitabine 1000 mg/m^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).
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Sequential Therapy: Docetaxel will be given at 100 mg/m^2 Intravenously (IV)Day 1 every 3 weeks for 4 cycles. Concurrent Therapy: Docetaxel will be given at 50 mg/m^2 IV Day 1.
Sequential Therapy: administration of capecitabine 1000 mg/m^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) Concurrent Therapy: capecitabine 1000 mg/m^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Number of Participants With Complete Pathologic Response Rate to Pre-operative Treatment in Arm A (Docetaxel for 4 Cycles Followed by Capecitabine for 4 Cycles) or Arm B (Docetaxel + Capecitabine for 8 Cycles) in Patients With Early Stage Breast Cancer.
기간: 1 year
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Pathologic complete response (pCR): Absence of invasive breast cancer in the breast. Overall Clinical Response=Complete response(CR-complete disappearance of all measurable malignant disease)+partial response(PR-reduction by at least 30%) Stable disease (SD): No decrease or <25% increase in the sum of the products of the longest perpendicular diameters of all measurable lesions. Progressive disease (PD): A 20% or greater increase in a single lesion, OR reappearance of any lesion which has disappeared, OR clear worsening of any evaluable disease OR appearance of any new lesion/site. |
1 year
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Long Term Follow up Data on Recurrence and Survival
기간: 2 years
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Number of Patients remained alive and relapse free
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2 years
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공동 작업자 및 조사자
스폰서
수사관
- 수석 연구원: Amelia Zelnak, MD, Emory University Winship Cancer Institute
간행물 및 유용한 링크
일반 간행물
- Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.
- Zelnak AB, Styblo TM, Rizzo M, Gabram SG, Wood WC, Harichand-Herdt S, Kim S, Liu Y, O'Regan RM; Georgia Center for Oncology Research and Education. Final results from phase II trial of neoadjuvant docetaxel and capecitabine given sequentially or concurrently for HER2-negative breast cancers. Clin Breast Cancer. 2013 Jun;13(3):173-9. doi: 10.1016/j.clbc.2012.12.004. Epub 2013 Jan 16.
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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