Randomized Phase II Trial Induction Therapy for Early Stage Breast Cancer

NCT ID: NCT00209092

Last Updated: 2015-03-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2012-10-31

Brief Summary

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The purpose of this study is to find out if the combination of docetaxel and capecitabine can shrink the size of breast tumors and preserve the breast.

Detailed Description

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The purpose of this study is to identify new chemotherapy treatment regimens with better response rates and to find out if the combination of docetaxel and capecitabine can shrink the size of breast tumors and preserve the breast.

Induction chemotherapy offers the possibility of less surgery and determines tumor sensitivity in vivo. Previous trials have demonstrated that complete pathologic response in the breast at surgery corresponds with improved outcome. Additionally, we will correlate specific molecular markers in the breast tumors before and after chemotherapy, with response to treatment. Expression of these molecular markets may be used in the future to predict the likelihood of response to chemotherapy given post-operatively.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sequential Therapy

Docetaxel will be given at 100mg/m\^2 intravenous Day 1 every 3 weeks for 4 cycles followed by capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) (total 24 weeks).

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

Sequential Therapy: Docetaxel will be given at 100 mg/m\^2 Intravenously (IV)Day 1 every 3 weeks for 4 cycles.

Concurrent Therapy: Docetaxel will be given at 50 mg/m\^2 IV Day 1.

Capecitabine

Intervention Type DRUG

Sequential Therapy: administration of capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) Concurrent Therapy: capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).

Concurrent Therapy

Docetaxel will be given at 50mg/m\^2 Intravenous Day1 concomitantly with capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

Sequential Therapy: Docetaxel will be given at 100 mg/m\^2 Intravenously (IV)Day 1 every 3 weeks for 4 cycles.

Concurrent Therapy: Docetaxel will be given at 50 mg/m\^2 IV Day 1.

Capecitabine

Intervention Type DRUG

Sequential Therapy: administration of capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) Concurrent Therapy: capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).

Interventions

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Docetaxel

Sequential Therapy: Docetaxel will be given at 100 mg/m\^2 Intravenously (IV)Day 1 every 3 weeks for 4 cycles.

Concurrent Therapy: Docetaxel will be given at 50 mg/m\^2 IV Day 1.

Intervention Type DRUG

Capecitabine

Sequential Therapy: administration of capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-14 every 3 weeks for 4 cycles (total 8 cycles) Concurrent Therapy: capecitabine 1000 mg/m\^2 twice a day by mouth Day 1-7 every 2 weeks for 8 cycles (total 16 weeks).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed breast carcinoma.
* Early stage breast cancer (stage 1, 2, 3).
* No evidence of disease outside the breast or chest wall, except ipsilateral axillary lymph nodes.
* 18 years of age or older.
* Final eligibility for a clinical trial is determined by the health professionals conducting the trial.

Exclusion Criteria

* Prior chemotherapy, hormonal therapy, biologic therapy or radiation therapy for breast cancer.
* Major surgery within 28 days of study entry.
* Evidence of central nervous system (CNS) metastases.
* Final eligibility for a clinical trial is determined by the health professionals conducting the trial.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Georgia Center for Oncology Research & Education

OTHER

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role collaborator

Emory University

OTHER

Sponsor Role lead

Responsible Party

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Amelia Zelnak

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amelia Zelnak, MD

Role: PRINCIPAL_INVESTIGATOR

Emory University Winship Cancer Institute

Locations

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Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

Emory Crawford Long Hospital

Atlanta, Georgia, United States

Site Status

Emory University Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Augusta Oncology Associates, PC 1348 Walton Way, Ste. 4300

Augusta, Georgia, United States

Site Status

Augusta Oncology Associates, PC 3696 Wheeler Road

Augusta, Georgia, United States

Site Status

WellStar Health System-Georgia Cancer Specialists

Austell, Georgia, United States

Site Status

WellStar Health System-Northwest Georgia Oncology Center, PC

Austell, Georgia, United States

Site Status

WellStar Health System-Northwest Georgia Oncology Center, PC

Carrollton, Georgia, United States

Site Status

John B. Amos Cancer Center

Columbus, Georgia, United States

Site Status

Suburban Hematology-Oncology Associates, PC

Duluth, Georgia, United States

Site Status

South Atlanta Hematology-Oncology Group

East Point, Georgia, United States

Site Status

Suburban Hematology-Oncology Associates, PC

Lawrenceville, Georgia, United States

Site Status

Central Georgia Cancer Care, PC

Macon, Georgia, United States

Site Status

WellStar Health System-Georgia Cancer Specialists

Marietta, Georgia, United States

Site Status

WellStar Health System-Northwest Georgia Oncology Center, PC

Marietta, Georgia, United States

Site Status

South Atlanta Hematology-Oncology Group

Riverdale, Georgia, United States

Site Status

Suburban Hematology-Oncology Associates, PC

Snellville, Georgia, United States

Site Status

South Atlanta Hematology-Oncology Group

Stockbridge, Georgia, United States

Site Status

Central Georgia Cancer Care, PC

Warner Robins, Georgia, United States

Site Status

Countries

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United States

References

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Zelnak AB, Styblo TM, Rizzo M, Gabram SG, Wood WC, Harichand-Herdt S, Kim S, Liu Y, O'Regan RM; Georgia Center for Oncology Research and Education. Final results from phase II trial of neoadjuvant docetaxel and capecitabine given sequentially or concurrently for HER2-negative breast cancers. Clin Breast Cancer. 2013 Jun;13(3):173-9. doi: 10.1016/j.clbc.2012.12.004. Epub 2013 Jan 16.

Reference Type RESULT
PMID: 23332349 (View on PubMed)

Hoon SN, Lau PK, White AM, Bulsara MK, Banks PD, Redfern AD. Capecitabine for hormone receptor-positive versus hormone receptor-negative breast cancer. Cochrane Database Syst Rev. 2021 May 26;5(5):CD011220. doi: 10.1002/14651858.CD011220.pub2.

Reference Type DERIVED
PMID: 34037241 (View on PubMed)

Other Identifiers

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1114-2003

Identifier Type: -

Identifier Source: org_study_id

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