Sequential vs Upfront Intensified Neoadjuvant Chemotherapy in Patients With Large Resectable or Locally Advanced Breast Cancer.

NCT ID: NCT00314977

Last Updated: 2010-03-18

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

2 different treatment schedules may be used for neoadjuvant chemotherapy in breast cancer using adriamycin, cyclophosphamide and taxotere. The most optimal sequence- concurrent or sequential- is however unclear. The aim of the study is to compare the efficacy and tolerability of neoadjuvant chemotherapy with AC followed by T(adriamycin, cyclophosphamide, taxotere) versus TAC ( with upfront T) in patient with large resectable or locally advanced breast cancer.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Breast Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

A

Cycles 1-4 q 3 weeks: doxorubicin plus cyclophosphamide Cycles 5-8 q 3 weeks: docetaxel

Group Type EXPERIMENTAL

Doxorubicin

Intervention Type DRUG

doxorubicin (arm A:60 mg/m2) and arm B: 50 mg/m2)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide: (arm A; 6000 mg/m2) an (arm B: 500 mg/m2)

Docetaxel

Intervention Type DRUG

Docetaxel: (arm A: 100 mg/m2) and (arm B: 75 mg/m2)

B

Cycles 1-6 q 3 weeks: doxorubicin, cyclophosphamide and docetaxel

Group Type EXPERIMENTAL

Doxorubicin

Intervention Type DRUG

doxorubicin (arm A:60 mg/m2) and arm B: 50 mg/m2)

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide: (arm A; 6000 mg/m2) an (arm B: 500 mg/m2)

Docetaxel

Intervention Type DRUG

Docetaxel: (arm A: 100 mg/m2) and (arm B: 75 mg/m2)

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Doxorubicin

doxorubicin (arm A:60 mg/m2) and arm B: 50 mg/m2)

Intervention Type DRUG

Cyclophosphamide

Cyclophosphamide: (arm A; 6000 mg/m2) an (arm B: 500 mg/m2)

Intervention Type DRUG

Docetaxel

Docetaxel: (arm A: 100 mg/m2) and (arm B: 75 mg/m2)

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

hydroxyldaunorubicin adriamycin Cytoxan Neosar Revimmune Taxotere

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Women presenting with large resectable or locally advanced breast cancer (T2 ≥3 cm, T3, or T4, and/or LN positive)
* Measurable disease (breast and/or lymph nodes)
* No prior surgery other than biopsy and no prior chemotherapy or radiation therapy
* Age ≥18 years and age ≤70 years
* Karnofsky Performance score ≥70%
* Estrogen and/or progesterone receptor analysis performed on the primary tumour in the biopsy material
* In case the tumor is ER/PgR ³ 50% positive, (neo)adjuvant hormonal therapy in stead of chemotherapy should be considered (e.g. in TEAM II study)
* Her2/neu receptor analysis performed on the primary tumour in the biopsy material
* Adequate bone marrow function (within 14 days prior to registration): WBC ≥3.0 x 109/l, neutrophils ≥1.5 x 109/l, platelets ≥100 x 109/l
* Adequate liver function (within 4 weeks prior to start treatment): bilirubin ≤1.5 x upper limit of normal (UNL) range, ALAT and/or ASAT ≤2.5 x UNL, Alkaline Phosphatase ≤5 x UNL
* Adequate renal function (within 4 weeks prior to start treatment): the calculated creatinine clearance should be ≥50 mL/min
* Patients must be accessible for treatment and follow-up
* Written informed consent according to the local Ethics Committee requirements

Exclusion Criteria

* Patients with advanced pulmonary disease of any cause (oxygen dependent)- Peripheral neuropathy \> grade 2 whatever the cause
* Serious other diseases as recent myocardial infarction, clinical signs of cardiac failure or clinically significant arrythmias
* Evidence of distant metastases (M1)
* Patients with a history of breast cancer
* Patients with a history of another malignancy (except basal cell skin carcinoma and carcinoma-in-situ of the uterine cervix) within 5 years of study entry- Pregnant or lactating women, or potentially fertile women not using adequate contraception
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Sanofi

INDUSTRY

Sponsor Role collaborator

Amgen

INDUSTRY

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Maastricht University Medical Center

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

V.C.G. Tjan-Heijnen

Role: PRINCIPAL_INVESTIGATOR

AZM Maastricht

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Jeroen Bosch Ziekenhuis

's-Hertogenbosch, , Netherlands

Site Status

Onze Lieve Vrouwe Gasthuis

Amsterdam, , Netherlands

Site Status

Rijnstate Ziekenhuis

Arnhem, , Netherlands

Site Status

Deventer Ziekenhuis

Deventer, , Netherlands

Site Status

Slingeland Hospital

Doetinchem, , Netherlands

Site Status

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status

St. Anna Hospital

Geldrop, , Netherlands

Site Status

St. Jansdal Ziekenhuis

Harderwijk, , Netherlands

Site Status

Atrium Medisch Centrum

Heerlen, , Netherlands

Site Status

Elkerliek Ziekenhuis

Helmond, , Netherlands

Site Status

Spaarne Ziekenhuis

Hoofddorp, , Netherlands

Site Status

Leids Universitair Medisch Centrum (LUMC)

Leiden, , Netherlands

Site Status

Academical Hospital Maastricht (AZM)

Maastricht, , Netherlands

Site Status

St. Antonius Hospital

Nieuwegein, , Netherlands

Site Status

Canisius Wilhelmina Ziekenhuis

Nijmegen, , Netherlands

Site Status

Radboud University Medical Centre

Nijmegen, , Netherlands

Site Status

Waterland Hospital

Purmerend, , Netherlands

Site Status

Maasland Hospital

Sittard, , Netherlands

Site Status

HAGA Ziekenhuis

The Hague, , Netherlands

Site Status

St. Elisabeth Ziekenhuis

Tilburg, , Netherlands

Site Status

Mesos Medisch Centrum

Utrecht, , Netherlands

Site Status

UMC Utrecht

Utrecht, , Netherlands

Site Status

Maxima Medisch Centrum

Veldhoven, , Netherlands

Site Status

Zaans Medical Centre

Zaandam, , Netherlands

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Netherlands

References

Explore related publications, articles, or registry entries linked to this study.

Vriens BEPJ, Vriens IJH, Aarts MJB, van Gastel SM, van den Berkmortel FWPJ, Smilde TJ, van Warmerdam LJC, van Spronsen DJ, Peer PGM, de Boer M, Tjan-Heijnen VCG; Breast Cancer Trialists' Group of the Netherlands (BOOG). Improved survival for sequentially as opposed to concurrently delivered neoadjuvant chemotherapy in non-metastatic breast cancer. Breast Cancer Res Treat. 2017 Oct;165(3):593-600. doi: 10.1007/s10549-017-4364-8. Epub 2017 Jul 3.

Reference Type DERIVED
PMID: 28674765 (View on PubMed)

Vriens BE, de Vries B, Lobbes MB, van Gastel SM, van den Berkmortel FW, Smilde TJ, van Warmerdam LJ, de Boer M, van Spronsen DJ, Smidt ML, Peer PG, Aarts MJ, Tjan-Heijnen VC; INTENS Study Group. Ultrasound is at least as good as magnetic resonance imaging in predicting tumour size post-neoadjuvant chemotherapy in breast cancer. Eur J Cancer. 2016 Jan;52:67-76. doi: 10.1016/j.ejca.2015.10.010. Epub 2015 Nov 30.

Reference Type DERIVED
PMID: 26650831 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

IKO 2005-01 / BOOG 2007-02

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.