Neo-adjuvant Gemcitabine, Epirubicin, ABI-007 (GEA) in Locally Advanced or Inflammatory Breast Cancer

NCT ID: NCT00193206

Last Updated: 2021-11-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2009-05-31

Brief Summary

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In this trial we will evaluate ABI-007 with gemcitabine and epirubicin, utilizing the biweekly pegfilgrastim support, in order to further improve upon the effectiveness and favorable toxicity of this triplet.

Detailed Description

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Upon determination of eligibility, patients will be receive both induction neo-adjuvant regimen and a postoperative adjuvant regimen:

Induction Neo-adjuvant: Epirubicin + Gemcitabine + ABI-007 + Pegfilgrastim

Postoperative Adjuvant: Gemcitabine + ABI-007 + Pegfilgrastim

Upon completion of chemotherapy, all ER and/or PR+ patients will receive Tamoxifen or an aromatase inhibitor at physician discretion.

Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

Patients were treated with 6 doses of neoadjuvant gemcitabine 2000 mg/m2, epirubicin 50 mg/m2, and albumin-bound paclitaxel 175 mg/m2 intravenously administered at 14-day intervals. Following neoadjuvant chemotherapy, patients underwent either mastectomy or breast conservation surgery; pathologic response to treatment was assessed. Postoperatively, patients received 4 doses of gemcitabine 2000 mg/m2 with albumin-bound paclitaxel 220 mg/m2 at 14-day intervals. Pegfilgrastim 6 mg was administered subcutaneously on day 2 following each dose of chemotherapy.

Group Type EXPERIMENTAL

Gemcitabine

Intervention Type DRUG

Gemcitabine 2000 mg/m2 IV D1 q 14 days x 6 cycles

Epirubicin

Intervention Type DRUG

Epirubicin 50 mg/m2 D1 q 14 days x 6 cycles

Albumin-bound Paclitaxel

Intervention Type DRUG

ABI-007 175 mg/m2 D1 q 14 days x 6 cycles

Interventions

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Gemcitabine

Gemcitabine 2000 mg/m2 IV D1 q 14 days x 6 cycles

Intervention Type DRUG

Epirubicin

Epirubicin 50 mg/m2 D1 q 14 days x 6 cycles

Intervention Type DRUG

Albumin-bound Paclitaxel

ABI-007 175 mg/m2 D1 q 14 days x 6 cycles

Intervention Type DRUG

Other Intervention Names

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Systemic therapy Gemzar Systemic therapy Ellence Systemic therapy ABI-007 Abraxane

Eligibility Criteria

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Inclusion Criteria

To be included in this study, you must meet the following criteria:

* Locally advanced/inflammatory adenocarcinoma of the breast
* 18 years of age or older
* Normal heart function
* Able to perform activities of daily living with minimal assistance
* No prior chemotherapy for breast cancer
* Adequate bone marrow, liver and kidney function
* No evidence or history of significant cardiovascular abnormalities
* Sentinel node or axillary dissection
* Sign an informed consent form

Exclusion Criteria

You cannot participate in this study if any of the following apply to you:

* Pregnant or breast feeding
* History of heart disease with congestive heart failure
* Heart attack within the previous 6 months
* Prior chemotherapy or hormone therapy for breast cancer
* History of active uncontrolled infection
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Celgene Corporation

INDUSTRY

Sponsor Role collaborator

SCRI Development Innovations, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Denise A. Yardley, MD

Role: PRINCIPAL_INVESTIGATOR

SCRI Development Innovations, LLC

Locations

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Florida Cancer Specialists

Fort Myers, Florida, United States

Site Status

Integrated Community Oncology Network

Jacksonville, Florida, United States

Site Status

Watson Clinic Center for Cancer Care and Research

Lakeland, Florida, United States

Site Status

Florida Hospital Cancer Institute

Orlando, Florida, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Consultants in Blood Disorders and Cancer

Louisville, Kentucky, United States

Site Status

Hematology Oncology Life Center

Alexandria, Louisiana, United States

Site Status

Mercy Hospital

Portland, Maine, United States

Site Status

Oncology Hematology Care

Cincinnati, Ohio, United States

Site Status

Spartanburg Regional Medical Center

Spartanburg, South Carolina, United States

Site Status

Chattanooga Oncology and Hematology Associates

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Peninsula Cancer Institute

Newport News, Virginia, United States

Site Status

Countries

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United States

References

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Yardley DA, Zubkus J, Daniel B, Inhorn R, Lane CM, Vazquez ER, Naot Y, Burris HA 3rd, Hainsworth JD. A phase II trial of dose-dense neoadjuvant gemcitabine, epirubicin, and albumin-bound paclitaxel with pegfilgrastim in the treatment of patients with locally advanced breast cancer. Clin Breast Cancer. 2010 Oct 1;10(5):367-72. doi: 10.3816/CBC.2010.n.048.

Reference Type BACKGROUND
PMID: 20670921 (View on PubMed)

Other Identifiers

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SCRI BRE 73

Identifier Type: -

Identifier Source: org_study_id

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