이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

Docetaxel, Epirubicin, and Cyclophosphamide With or Without Trastuzumab in Treating Women With Locally Advanced Breast Cancer That Can Be Removed By Surgery

2010년 11월 6일 업데이트: Technical University of Munich

Evaluation of Response Rate to Pre-Operative Docetaxel + Herceptin Study Part A and Docetaxel Study Part B in Locally Advanced Breast Cancer Patients, Stratified by HER2-Status Trial - PHASE II [(Herceptin Docetaxel Neoadjuvant) HEDON]

RATIONALE: Drugs used in chemotherapy, such as docetaxel, epirubicin, and cyclophosphamide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. 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. Giving chemotherapy with or without monoclonal antibody therapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. Giving these treatments after surgery may kill any tumor cells that remain after surgery.

PURPOSE: This phase II trial is studying how well giving docetaxel, epirubicin, and cyclophosphamide with or without trastuzumab works in treating women with locally advanced breast cancer that can be removed by surgery.

연구 개요

상세 설명

OBJECTIVES:

  • Determine the efficacy of neoadjuvant therapy comprising docetaxel and trastuzumab (Herceptin®) and adjuvant therapy comprising epirubicin hydrochloride, cyclophosphamide, and trastuzumab (Herceptin®) followed by radiotherapy in women with locally advanced, HER2-positive, operable breast cancer.
  • Determine the efficacy of neoadjuvant therapy with docetaxel and adjuvant therapy comprising epirubicin hydrochloride and cyclophosphamide followed by radiotherapy in women with locally advanced, HER2-negative, operable breast cancer.

OUTLINE: This is an open-label, prospective, multicenter study. Patients are stratified according to HER2 status (positive vs negative).

  • Neoadjuvant therapy:

    • Stratum 1 (HER2-positive disease): Patients receive trastuzumab IV over 30-90 minutes on days 1, 8, and 15 and docetaxel IV over 60 minutes on day 1. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity
    • Stratum 2 (HER2-negative disease): Patients receive docetaxel IV alone as in stratum 1.
  • Surgery: All patients undergo surgery in week 19.
  • Adjuvant therapy: Beginning within 2 weeks after surgery, patients receive adjuvant therapy.

    • Stratum 1 (HER2-positive disease): Patients receive trastuzumab IV over 30-90 minutes on days 1, 8, and 15, epirubicin hydrochloride IV over 30 minutes on day 2, and cyclophosphamide IV over 30 minutes on day 2. Treatment repeats every 3 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity. Patients then receive trastuzumab IV alone every 3 weeks until week 52.
    • Stratum 2 (HER2-negative disease): Patients receive epirubicin hydrochloride and cyclophosphamide as in stratum 1.
  • Radiotherapy: Patients who undergo breast conserving surgery or patients who undergo mastectomy with ypN positive lymph nodes (i.e., > 4 positive lymph nodes) or ypT3 tumor (i.e., tumor size > 4 cm) undergo radiotherapy, beginning in approximately week 31 and continuing until up to week 38.
  • Adjuvant endocrine therapy: Patients with estrogen receptor- or progesterone receptor-positive disease receive adjuvant endocrine therapy beginning in approximately week 31. Premenopausal patients ≤ 40 years of age receive goserelin for 2-3 years and tamoxifen citrate for 5 years.Premenopausal patients > 40 years of age receive tamoxifen citrate for 5 years. Postmenopausal patients receive anastrozole for 5 years years.

After completion of study treatment, patients are followed periodically for up to 5 years.

PROJECTED ACCRUAL: A total of 94 patients will be accrued for this study.

연구 유형

중재적

등록 (예상)

94

단계

  • 2 단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

      • Bayreuth, 독일, D 95448
        • Klinikum Bayreuth
      • Cologne, 독일, D-50391
        • Universitaetsfrauenklinik - Koeln
      • Deggendorf, 독일, 94469
        • Klinikum Deggendorf
      • Jena, 독일, D-07743
        • Klinikum der Friedrich-Schiller Universitaet Jena
      • Munich, 독일, D-81675
        • Klinikum Rechts der Isar - Technische Universitaet Muenchen

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

여성

설명

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed primary carcinoma of the breast by core biopsy
  • Solitaire or multifocal disease, defined as tumor manifestations within a quadrant or distance between tumor manifestations measured bilaterally < 4 cm, respectively

    • No multifocal primary tumor, defined as tumor manifestations in different quadrants or distance between tumor manifestations ≥ 4 cm
  • Locally advanced, operable disease

    • Primary tumor ≥ 2 cm by clinical examination or imaging (i.e., mammogram, MRI, or ultrasound)

      • Inflammatory breast cancer with bidimensionally measurable lesion, independent of nodal status, allowed
  • HER2 status meeting 1 of the following criteria:

    • HER2-positive disease

      • 3+ by immunohistochemistry (IHC) and/or positive by fluorescence in situ hybridization (FISH)
    • HER-2 negative disease

      • 0 or 1+ by IHC OR 2+ by IHC and negative by FISH
  • No distant metastases by clinical or imaging diagnosis
  • No prior breast cancer
  • Hormone receptor status not specified

PATIENT CHARACTERISTICS:

  • Female
  • Pre- or post-menopausal
  • ECOG performance status 0-2
  • Platelet count ≥ 100,000/mm^3
  • Neutrophil count ≥ 1,500/mm^3
  • Hemoglobin ≥ 10 g/dL
  • ALT and AST ≤ 1.5 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2.5 times ULN
  • Creatinine ≤ 1.5 times ULN
  • Bilirubin normal (unless due to clearly documented Gilbert's syndrome)
  • Not pregnant or nursing
  • Negative pregnancy test (for premenopausal women or women with a postmenopausal status for < 1 year)
  • Fertile patients must use effective contraception
  • Adequate organ function for cytotoxic chemotherapy
  • No known hypersensitivity reaction to the study agents or incorporated substances
  • No known allergy or severe reactions to trastuzumab or its constituents (for patients with HER2-positive disease)
  • No preexisting motor or sensory neuropathy ≥ grade 2
  • No other invasive malignancy within the past 5 years that would preclude study compliance or affect the interpretation of study results
  • LVEF ≥ 55% by MUGA or echocardiography
  • No other serious illness or medical condition, including any of the following:

    • New York Heart Association class II-IV congestive heart failure
    • History of documented congestive heart failure
    • Unstable angina pectoris
    • Myocardial infarction within the past 12 months
    • Uncontrolled hypertension (i.e., systolic blood pressure [BP] > 180 mm Hg or diastolic BP > 100 mm Hg)
    • Clinically significant valvular heart disease
    • High-risk, uncontrolled arrhythmias
    • Dyspnea at rest due to malignant or other disease
    • Condition that requires supportive oxygen therapy
    • Active serious uncontrolled infections
    • Uncontrolled diabetes

PRIOR CONCURRENT THERAPY:

  • No prior systemic therapy for cancer
  • No prior trastuzumab (Herceptin^®) (for HER2-positive patients)
  • No other concurrent anticancer therapy
  • No other concurrent investigational drugs
  • No concurrent immunosuppressive therapy
  • No concurrent sex hormones
  • No concurrent corticosteroids unless for premedication
  • No concurrent bisphosphonates during active treatment with chemotherapy

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 마스킹: 없음(오픈 라벨)

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
예측 마커의 식별
Rate of pathologic complete remission (pCR) after neoadjuvant therapy comprising docetaxel and trastuzumab (Herceptin®) in women with locally advanced, HER2-positive, operable breast cancer
Rate of pCR after neoadjuvant docetaxel in women with locally advanced, HER2-negative, operable breast cancer
Tolerability of treatment as measured by the nature and frequency of adverse events in women with HER2-positive or HER2-negative disease

2차 결과 측정

결과 측정
Rate of breast conserving therapy versus mastectomy in comparison to preoperative evaluation
Correlation of clinical/sonographical response with pathological response, including lymph node status
Rate of clinical complete remission (cCR) after neoadjuvant therapy comprising docetaxel and trastuzumab in women with locally advanced, HER2-positive, operable breast cancer
Rate of cCR after neoadjuvant docetaxel in women with locally advanced, HER2-negative, operable breast cancer
Disease-free survival after 2.5 and 5 years
Overall-survival after 2.5 and 5 years

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

수사관

  • 연구 의자: Stefan Paepke, MD, Technical University of Munich

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2006년 10월 1일

연구 등록 날짜

최초 제출

2006년 11월 9일

QC 기준을 충족하는 최초 제출

2006년 11월 9일

처음 게시됨 (추정)

2006년 11월 10일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2010년 11월 9일

QC 기준을 충족하는 마지막 업데이트 제출

2010년 11월 6일

마지막으로 확인됨

2008년 9월 1일

추가 정보

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

구독하다