Combination Chemotherapy in Treating Women With Stage II or Stage III Breast Cancer

NCT ID: NCT00005581

Last Updated: 2013-12-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-06-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which regimen of chemotherapy is more effective for breast cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of two regimens of combination chemotherapy in treating women who have stage II or stage III breast cancer.

Detailed Description

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OBJECTIVES: I. Compare overall survival and disease free survival after adjuvant chemotherapy with epirubicin plus paclitaxel versus cyclophosphamide, epirubicin, and fluorouracil in women with stage IIA, IIB, or III breast cancer. II. Compare quality of life in these women with these treatment regimens.

OUTLINE: This is a randomized, multicenter study. Patients are randomized to one of two treatment arms within 35 days of surgery. Arm I: Patients receive epirubicin IV followed by paclitaxel IV over 3 hours on day 1. Treatment repeats every 21 days for 4 courses. Arm II: Patients receive cyclophosphamide IV, epirubicin IV, and fluorouracil IV on day 1. Treatment repeats every 21 days for 6 courses. Treatment continues in the absence of disease progression or unacceptable toxicity. Patients who are postmenopausal, or premenopausal and hormone receptor positive, receive tamoxifen orally once a day for 5 years starting on day 1. Patients receive radiotherapy to residual breast after 4 courses of chemotherapy. Quality of life is assessed. Patients are followed every 3 months for 3 years, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: Approximately 1,000 patients will be accrued for this study over 5 years.

Conditions

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Breast Cancer

Keywords

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stage II breast cancer stage IIIA breast cancer stage IIIB breast cancer

Study Design

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Allocation Method

RANDOMIZED

Primary Study Purpose

TREATMENT

Interventions

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cyclophosphamide

Intervention Type DRUG

epirubicin hydrochloride

Intervention Type DRUG

fluorouracil

Intervention Type DRUG

paclitaxel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Histologically confirmed stage IIA, IIB, or III breast cancer treated with radical surgery (e.g., mastectomy, quadrantectomy, tumorectomy) and axillary lymph node dissection Positive axillary lymph nodes No more than 9 metastatic lymph nodes No distant metastases or local or locoregional disease No more than 5 weeks between surgery and beginning of study Hormone receptor status: Not specified

PATIENT CHARACTERISTICS: Age: 70 and under Sex: Female Menopausal status: Not specified Performance status: ECOG 0 Life expectancy: Not specified Hematopoietic: WBC at least 3,000/mm3 Absolute neutrophil count at least 2,000/mm3 Platelet count at least 100,000/mm3 Hepatic: Transaminases, alkaline phosphatase, and gamma glutamyltransferase no greater than 1.5 times upper limit of normal Renal: Not specified Cardiovascular: No heart disease that precludes use of anthracyclines (i.e., myocardial infarction, uncontrolled angina pectoris, uncontrolled arrhythmias, or valve disease) Other: No concurrent pathology that precludes use of antineoplastic drugs No mental retardation or psychiatric disease that precludes study No other current or prior malignancy within the past 10 years except squamous or basal cell skin cancer or carcinoma in situ of the cervix Not pregnant or nursing Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior chemotherapy Endocrine therapy: No prior antineoplastic hormonal therapy Radiotherapy: No postoperative radiotherapy except to residual breast Surgery: See Disease Characteristics
Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

OTHER

Sponsor Role lead

Principal Investigators

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Riccardo Rosso, MD

Role: STUDY_CHAIR

IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy

Locations

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Ospedale San Lazzaro

Alba, , Italy

Site Status

Ospedale Civile di Asti

Asti, , Italy

Site Status

Ospedale Oncologico A. Businco

Cagliari, , Italy

Site Status

Santo Spirito Hospital

Casale Monferato, , Italy

Site Status

Ospedale Santa Croce

Cuneo, , Italy

Site Status

Ospedale Galliera Oncologia

Genoa, , Italy

Site Status

Istituto Nazionale per la Ricerca sul Cancro

Genoa, , Italy

Site Status

Ospendale S. Andrea EST

La Spezia, , Italy

Site Status

Ospedale Civile di Livorno

Livorno, , Italy

Site Status

Carlo Poma Hospital

Mantova, , Italy

Site Status

Azienda USSL NO 8

Merate, , Italy

Site Status

Instituto Scientifico H.S. Raffaele

Milan, , Italy

Site Status

Ospedale Santa Croce

Moncalieri, , Italy

Site Status

I.R.C.C.S. Policlinico San Matteo

Pavia, , Italy

Site Status

Ospedale St. Santa Chiara

Pisa, , Italy

Site Status

USL NO 1

Sanremo, , Italy

Site Status

Azienda U.S.L. 1 - Sassari

Sassari, , Italy

Site Status

Ospedale S. Paolo

Savona, , Italy

Site Status

Osp. Civile USL 18

Sestri Lev., , Italy

Site Status

Ospedale Sant Anna

Torino, , Italy

Site Status

Ospedale Evangelico Valdese

Torino, , Italy

Site Status

OIRM - Sant Anna

Torino, , Italy

Site Status

Ospedale Mauriziano Umberto I

Torino, , Italy

Site Status

Ospedale Maggiore dell' Universita

Trieste, , Italy

Site Status

Ospedale Molinette

Turin, , Italy

Site Status

Countries

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Italy

Other Identifiers

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INRC-GONO-MIG-5

Identifier Type: -

Identifier Source: secondary_id

NCI-V99-1562

Identifier Type: -

Identifier Source: secondary_id

CDR0000067266

Identifier Type: -

Identifier Source: org_study_id