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To Evaluate the Efficacy and Safety of Capecitabine Prior to Surgery in Women With Breast Cancer

2016年7月25日 更新者：Hoffmann-La Roche

An Open-Label, Multicenter, Randomized, Phase II Study to Evaluate the Efficacy and Safety of Two Combination Dose Regimens: Capecitabine + Epirubicin + Cyclophosphamide (CEX) Versus 5-FU + Epirubicin + Cyclophosphamide (FEC 100) as Neoadjuvant Therapy in Females Presenting With Operable Breast Cancer

This study will evaluate the efficacy and safety of treatment with oral capecitabine or intravenous (IV) 5-fluorouracil (5-FU), in combination with epirubicin and cyclophosphamide, prior to surgery in participants with breast cancer. The participants will receive 4 cycles of neoadjuvant Capecitabine + Epirubicin + Cyclophosphamide (CEX) or 5-FU + Epirubicin + Cyclophosphamide (FEC 100) chemotherapy during first treatment period (Period 1, Days 1-85). After 4-6 weeks of the fourth cycle of neoadjuvant chemotherapy (Day 120 +/- 7 days), breast surgery with regional lymph node dissection will be performed, followed within a maximum of 6 weeks by the second treatment period (Period 2, Days 1 to 85) when participants in both study arms will receive 4 cycles of adjuvant docetaxel 100 milligrams per meter square (mg/m^2) by IV infusion on Day 1 of each 21-day cycle. Upon completion of the second treatment period, participants will enter the post-treatment follow-up period which will last for 5 years from the initial date of participant randomization. During this period participants will be evaluated once a year on the anniversary date of randomization.

研究概览

地位

完全的

条件

干预/治疗

研究类型

介入性

注册 (实际的)

182

阶段

  • 阶段2

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 法国
      • Bayonne、法国、64100
      • Beziers、法国、34500
      • Bourg En Bresse、法国、01012
      • Colmar、法国、68024
      • Dijon、法国、21079
      • Hyeres、法国、83400
      • La Tronche、法国、38700
      • Le Mans、法国、72037
      • Limoges、法国、87042
      • Lyon、法国、69437
      • Marseille、法国、13385
      • Montbeliard、法国、25209
      • Montfermeil、法国、93370
      • Nice、法国、06189
      • Nimes、法国、30029
      • Paris、法国、75181
      • Pierre Benite、法国、69310
      • Saint Herblain、法国、44805
      • Strasbourg、法国、67010
      • Toulouse、法国、31059
      • Vannes、法国、56001

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 70年 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

女性

描述

Inclusion Criteria:

  • Females with a unilateral, non-inflammatory, non-multicentric, non-metastatic breast adenocarcinoma, not considered candidates for conservative management, and whose diagnosis had been histologically confirmed as T2-3, N0-1, M0 according to the tumor-nodes-metastasis (TNM) classification
  • Clinically or radiologically measurable lesion (in 2 dimensions)
  • Eastern Cooperative Oncology Group (ECOG) performance Status less than equal to (<=) 1

Exclusion Criteria:

  • Females presenting with brain metastases or a neurological or psychiatric disorder which could interfere with proper treatment compliance
  • Previous radiotherapy, chemotherapy, or hormonal therapy for breast cancer
  • Previous history of a malignancy in last 5 years other than cutaneous basal cell carcinoma or carcinoma in situ of the uterine cervix
  • Serious concomitant infection
  • Pregnant or lactating females

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
有源比较器：5-Fluorouracil + Epirubicin + Cyclophosphamide
Neoadjuvant treatment (Period 1): Participants will receive 4 cycles (cycle length = 21 days) of 5-FU + epirubicin + cyclophosphamide. Surgery will be performed 5 (+/- 1) weeks after the last cycle. Adjuvant treatment (Period 2): Participants will receive 4 cycles (cycle length = 21 days) of docetaxel.
药品：5-Fluorouracil
5-FU will be administered at 500 mg/m^2 by short IV infusion on Day 1 of each 21-day cycle during neoadjuvant treatment period for 4 cycles.
药品：Cyclophosphamide
Cyclophosphamide will be administered at 500 mg/m^2 by short IV infusion on Day 1 of each 21-day cycle for 4 cycles during neoadjuvant treatment period.
药品：Docetaxel
Docetaxel will be administered at 100 mg/m^2 by IV infusion on Day 1 of each 21-day cycle for 4 cycles during adjuvant treatment period.
药品：Epirubicin
Epirubicin will be administered at 100 mg/m^2 by short IV infusion on Day 1 of each 21-day cycle for 4 cycles during neoadjuvant treatment period.
实验性的：Capecitabine + Epirubicin + Cyclophosphamide
Neoadjuvant treatment (Period 1): Participants will receive 4 cycles (cycle length = 21 days) of capecitabine + epirubicin + cyclophosphamide. Surgery will be performed 5 (+/- 1) weeks after the last cycle. Adjuvant treatment (Period 2): Participants will receive 4 cycles (cycle length = 21 days) of docetaxel.
药品：Cyclophosphamide
Cyclophosphamide will be administered at 500 mg/m^2 by short IV infusion on Day 1 of each 21-day cycle for 4 cycles during neoadjuvant treatment period.
药品：Docetaxel
Docetaxel will be administered at 100 mg/m^2 by IV infusion on Day 1 of each 21-day cycle for 4 cycles during adjuvant treatment period.
药品：Epirubicin
Epirubicin will be administered at 100 mg/m^2 by short IV infusion on Day 1 of each 21-day cycle for 4 cycles during neoadjuvant treatment period.
药品：Capecitabine
Capecitabine will be administered at 900 mg/m^2 orally twice daily on Days 1-14 of each 21-day cycle for 4 cycles during neoadjuvant treatment period.
其他名称：
  • 希罗达

研究衡量的是什么？

主要结果指标

结果测量
大体时间
Percentage of participants with pathological complete tumor response Assessed by Expert Blinded Independent Review according to the Sataloff classification\n
大体时间：Day 120 +/- 7 days
Day 120 +/- 7 days

次要结果测量

结果测量
大体时间
Percentage of participants with pathological complete tumor response Assessed by Investigator according to the Sataloff classification
大体时间：Day 120 +/- 7 days
Day 120 +/- 7 days
Percentage of participants with breast conserving surgery
大体时间：Day 120 +/- 7 days
Day 120 +/- 7 days
Percentage of participants with objective clinical response, assessed by World Health Organization (WHO) criteria
大体时间：Week 15
Week 15
Percentage of participants with clinical response, assessed by WHO criteria
大体时间：Week 15
Week 15
Percentage of participants with disease progression, assessed by WHO criteria
大体时间：Baseline up to 29 +/- 1 weeks
Baseline up to 29 +/- 1 weeks
Percentage of participants with abnormalities in bilateral mammography
大体时间：Day 85
Day 85
Percentage of participants who died
大体时间：Baseline up to 29 +/- 1 weeks
Baseline up to 29 +/- 1 weeks
Percentage of participants with abnormal left ventricular ejection fraction (LVEF)
大体时间：Days 1-85
Days 1-85
Percentage of participants with abnormal liver ultrasound
大体时间：Days 1-85
Days 1-85
Percentage of participants with abnormal Chest X-Ray
大体时间：Days 1-85
Days 1-85
Overall survival
大体时间：Baseline up to 5 years
Baseline up to 5 years
Disease free survival, according to WHO criteria
大体时间：Baseline up to 5 years
Baseline up to 5 years

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Hoffmann-La Roche

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2004年3月1日

初级完成 (实际的)

2011年12月1日

研究完成 (实际的)

2011年12月1日

研究注册日期

首次提交

2016年7月25日

首先提交符合 QC 标准的

2016年7月25日

首次发布 (估计)

2016年7月27日

研究记录更新

最后更新发布 (估计)

2016年7月27日

上次提交的符合 QC 标准的更新

2016年7月25日

最后验证

2016年7月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • ML16986

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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