Phase II Study of Neoadjuvant Chemotherapy Regimen Choice in Breast Cancer
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Purpose
The study purpose is to observe which neoadjuvant chemotherapy regimens is the better for invasive breast cancer. The neoadjuvant chemotherapy regimen is sustained anthracyclines plus taxanes or from anthracyclines plus taxanes to vinorelbine plus cisplatinum.
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
- pathological complete response rate [ Time Frame: one year ] [ Designated as safety issue: No ]
- clinical response rate, safety [ Time Frame: one year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 60 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
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AT
Docetaxel 75 mg/m2, day 1 or paclitaxel 175mg/m2 day 1 plus Epirubicin 75 mg/m2, day 1 or doxorubicine 50mg/m2 day 1 for 6-8 cycles
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AT-NP
docetaxel 75mg/m2,day 1 or paclitaxel 175mg/m2,day 1 plus doxorubicine 50mg/m2,day 1 or epirubicin 75mg/m2, day 1,for3-4 cycles then switch to vinorelbine 25mg/m2, day 1 and day 8 plus cisplatinum 75mg/m2, day 1 for 3-4 cycles
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Detailed Description:
The investigators hope to get preliminary results for the breast cancer patients who are given different neoadjuvant chemothetapy regimens. The patients are randomized two chemotherapy regimens. One is anthracyclines plus taxanes for 6-8 cycles,the other is anthracyclines plus taxanes for 3-4 cycles ,then switch tovinorelbine plus cisplatinum for 3-4 cycles.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
diaganosis of invasive breast cancer, tumor size > 2.0cm by MRI or ultrasound or clinical examination.
Inclusion Criteria:
- Diagnosis of invasive ductal or lobular breast cancer.
- Previously untreated (no chemotherapy or hormonal therapy or radiation therapy) invasive breast cancer.
- no anti-Her2 therapy if HER2 positive ( defined as 3+ IHC or FISH positive)
- Performance Status ECOG <2
- Age > 18 years
- Tumor > 2.0 cm by MRI and/or sonographic or clinical exam measurements.or Karnofsky >50%
Lab test :
Absolute neutrophil count > 1,500/mm3
- Total Bilirubin ≤ 2×ULN
- AST and ALT ≤ 2.5×ULN
- serum creatinine ≤ 1.5×ULN
Exclusion Criteria:
- Pregnant or breast feeding patients are excluded
- stage Ⅳ breast cancer
- History of non-breast malignancies within the 5 years prior to study entry, except for the following: carcinoma in situ of the cervix, carcinoma in situ of the colon,melanoma in situ, and basal cell and squamous cell carcinomas of the skin
- uncontrolled cardiac disease
- Active infection or chronic infection requiring chronic suppressive antibiotics
- History of hypersensitivity reaction to investigating drugs
Contacts and Locations| China, Beijing | |
| Hospital affiliated academy military medical science | Recruiting |
| Beijing, Beijing, China, 100071 | |
| Contact: Tao Wang, MD 8610-66947430 | |
| Contact: Shaohua ZHANG, MD 8610-66947173 | |
| Principal Investigator: Zefei Jiang, MD | |
| Principal Investigator: | Zefei Jiang, MD | Hospital Affiliated Military Medical Science |
More Information
No publications provided
| Responsible Party: | Hospital Affiliated to Military Medical Science, Beijing |
| ClinicalTrials.gov Identifier: | NCT01732939 History of Changes |
| Other Study ID Numbers: | 307BCNeo-01 |
| Study First Received: | October 10, 2012 |
| Last Updated: | November 23, 2012 |
| Health Authority: | China: Food and Drug Administration |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on June 18, 2013