A Prospective, Single-Arm Study to Evaluate the Efficacy and Safety of Zoladex 3.6mg Combined With CEF Chemotherapy as Neo-Adjuvant Therapy in Hormone Responsive, Premenopausal, Operable Breast Cancer
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Purpose
It has been found that many breast cancers are hormone dependent and that hormonal therapy by estrogen suppression such as ovarian ablation, tamoxifen and aromatase inhibitor has proven beneficial in both adjuvant and neoadjuvant settings. Zoladex, a kind of luitinizing hormone releasing hormone analogue, can offer efficient estrogen suppression as well. It can induce reversible amenorrhea and the clinical effect is similar to ovarian ablation. Some studies have demonstrated the efficacy of zoladex in treating pre and perimenopausal hormone dependent breast cancer in both adjuvant and metastatic settings. Few data is available on Zoladex in neoadjuvant treatment for breast cancer In our departments, neoadjuvant CEF regimen is of general practice, and a preliminary study is designed to investigate whether adding Zoladex into neoadjuvant CEF could further improve results in hormone responsive breast cancer.
| Condition | Intervention |
|---|---|
|
Breast Cancer |
Drug: Zoladex |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | A Prospective, Single-Arm Study to Evaluate the Efficacy and Safety of Zoladex 3.6mg Combined With CEF Chemotherapy as Neo-Adjuvant Therapy in Hormone Responsive, Premenopausal, Operable Breast Cancer |
- To evaluate the efficacy of concurrent Zoladex and CEF as neoadjuvant regimen in terms of: ORR(CR+PR) and PCR
- To evaluate the efficacy of concurrent Zoladex and CEF as neoadjuvant regimen in terms of: CBR, downstaging rates in tumor size and axillary lymph node -To evaluate the safety of concurrent Zoladex and CEF as neoadjuvant regimen
| Study Start Date: | April 2007 |
| Estimated Study Completion Date: | March 2009 |
It has been found that many breast cancers are hormone dependent and that hormonal therapy by estrogen suppression such as ovarian ablation, tamoxifen and aromatase inhibitor has proven beneficial in both adjuvant and neoadjuvant settings. Zoladex, a kind of luitinizing hormone releasing hormone analogue, can offer efficient estrogen suppression as well. It can induce reversible amenorrhea and the clinical effect is similar to ovarian ablation. Some studies have demonstrated the efficacy of zoladex in treating pre and perimenopausal hormone dependent breast cancer in both adjuvant and metastatic settings. Few data is available on Zoladex in neoadjuvant treatment for breast cancer In our departments, neoadjuvant CEF regimen is of general practice, and a preliminary study is designed to investigate whether adding Zoladex into neoadjuvant CEF could further improve results in hormone responsive breast cancer.
Eligibility| Ages Eligible for Study: | 25 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Provision of informed consent
- Pathological confirmation of breast cancer
- Tumor stage(TNM):T2-4bN0-3M0
- ER(+) and/or PR(+).
- Premenopausal woman.
- Age≥40 years
- Measurable disease as per RECIST criteria
- Karnofsky≥70
Labratory criteria:
- PLT≥100*109/L
- WBC≥4000/mm3
- HGB≥10g/dl
- ALT and AST<2*ULN
Exclusion Criteria:
- Presence of metastatic disease.
- Inflammatory breast cancer.
- Bilateral breast cancer.
- previous chemotherapy or hormonal therapyfor current breast neoplasm.
- other malignant tumor (concurrent or previous).
- Pregnant woman.
- Hypersensitive to any drug in CEF regimen or any ingredient of Zoladex.
- Any severe systemic disease contraindicating chemotherapy.
Contacts and Locations| Contact: ZHANG SHENG, DOCTOR | 86-022-23340123 ext 2901 |
| China, Tianjin | |
| Tianjin Cancer Hospital | Recruiting |
| Tianjin, Tianjin, China, 300060 | |
| Contact: ZHANG SHENG, DOCTOR 86-022-23340123 ext 2901 | |
| Contact: ZHANG SHENG, DORTOR 86-022-23340123 ext 2901 | |
| Principal Investigator: ZHANG JIN, PROFESSOR | |
| Principal Investigator: | ZHNAG JIN, PROFESSOR | TIANJIN CANCER HOSPITAL |
| Principal Investigator: | ZHANG JIN, PROFESSOR | TAINJIN CANCER HOSPITAL |
More Information
No publications provided by Tianjin Medical University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00488722 History of Changes |
| Other Study ID Numbers: | jzhang |
| Study First Received: | June 19, 2007 |
| Last Updated: | June 25, 2007 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Tianjin Medical University:
|
To observe the biological changes under concurrent Zoladex and CEF as neoadjuvant regimen with respect to the ER,PR,cerbB-2 status before and after therapy |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
Goserelin Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013