Trial Outcomes & Findings for Docetaxel Followed by Surgery in Treating Women With Stage II or Stage III Breast Cancer (NCT NCT00343512)

NCT ID: NCT00343512

Last Updated: 2012-04-27

Results Overview

whether or not patient has pathologic complete response (pCR) to dose dense docetaxel in the neoadjuvant setting (pCR = no residual viable tumor on histologic analysis)

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

34 participants

Primary outcome timeframe

3 month

Results posted on

2012-04-27

Participant Flow

This study enrolled patients from February 2004 to September 2007.

A total of 39 people were consented, one of which was ineligible. Four patients withdrew from the study before beginning treatment.

Participant milestones

Participant milestones
Measure
Therapeutic Intervention
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Overall Study
STARTED
34
Overall Study
COMPLETED
32
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Therapeutic Intervention
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

Docetaxel Followed by Surgery in Treating Women With Stage II or Stage III Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Therapeutic Intervention
n=34 Participants
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=93 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
Age Continuous
47 years
STANDARD_DEVIATION 1 • n=93 Participants
Sex: Female, Male
Female
34 Participants
n=93 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
Region of Enrollment
United States
34 participants
n=93 Participants

PRIMARY outcome

Timeframe: 3 month

whether or not patient has pathologic complete response (pCR) to dose dense docetaxel in the neoadjuvant setting (pCR = no residual viable tumor on histologic analysis)

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=34 Participants
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Number Participants to Achieve Pathologic Complete Response
pCR: Yes
5 participants
Number Participants to Achieve Pathologic Complete Response
pCR: No
29 participants

SECONDARY outcome

Timeframe: Through 30 days after completion of treatment

Not all participants necessarily have an adverse event, thus not everyone will be accounted for in worst-grade toxicities. Likewise, one participant can potentially have more than one event in various grades 1-5 which accounts for the difference in number of patients analyzed and total number in the worst-grade toxicity tables. Tables represent the number of patients with worst-grade toxicity at each of five grades (grade 1, least severe; to grade 5, most severe) following NCI Common Toxicity Criteria

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=12 Participants
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
No. patients with worst-grade toxicity 1
5 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
No. patients with worst-grade toxicity 2
8 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
No. patients with worst-grade toxicity 3
11 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
No. patients with worst-grade toxicity 4
1 participants
Safety Profile Based on Number of Patients With Each Worst-grade Toxicity
No. patients with worst-grade toxicity 5
0 participants

SECONDARY outcome

Timeframe: At screening, 8 weeks and at surgery (within 14-21 days)

Progressive disease (PD): \>=20% increase in sum of longest diameter (LD) of target lesion(s), taking as reference smallest sum LD recorded since treatment started. Complete response (CR): disappearance of all target lesions. Partial response (PR): \>=30% decrease in sum of LD of target lesion(s), taking as reference baseline sum LD. Stable disease (SD): neither sufficient shrinkage to qualify as PR nor sufficient increase to qualify as PD.

Outcome measures

Outcome measures
Measure
Therapeutic Intervention
n=18 Participants
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Tumor Response as Measured by Ultrasound
Progressive Disease
1 participants
Tumor Response as Measured by Ultrasound
Stable Disease
1 participants
Tumor Response as Measured by Ultrasound
Complete Response
5 participants
Tumor Response as Measured by Ultrasound
Partial Response
11 participants

Adverse Events

Therapeutic Intervention

Serious events: 9 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Therapeutic Intervention
n=32 participants at risk
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Blood and lymphatic system disorders
Anemia
3.1%
1/32 • Number of events 1
Metabolism and nutrition disorders
Anorexia
3.1%
1/32 • Number of events 1
Cardiac disorders
Chest Pain
9.4%
3/32 • Number of events 4
Metabolism and nutrition disorders
Dehydration
3.1%
1/32 • Number of events 1
Gastrointestinal disorders
Diarrhea
6.2%
2/32 • Number of events 2
General disorders
Fatigue
12.5%
4/32 • Number of events 5
Blood and lymphatic system disorders
Febrile neutropenia
3.1%
1/32 • Number of events 1
Vascular disorders
Hematoma
3.1%
1/32 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle pain
3.1%
1/32 • Number of events 1
Investigations
Neutrophil count decrease
3.1%
1/32 • Number of events 1
Infections and infestations
Infection
18.8%
6/32 • Number of events 6
Gastrointestinal disorders
Vomiting
6.2%
2/32 • Number of events 2
Musculoskeletal and connective tissue disorders
Weakness
6.2%
2/32 • Number of events 2
Musculoskeletal and connective tissue disorders
pain, right shoulder
3.1%
1/32 • Number of events 1
Investigations
hemoglobin increased
18.8%
6/32 • Number of events 7
General disorders
fever
6.2%
2/32 • Number of events 2
General disorders
edema, arm
3.1%
1/32 • Number of events 1
Respiratory, thoracic and mediastinal disorders
dyspnea
3.1%
1/32 • Number of events 2
Vascular disorders
hypertension
3.1%
1/32 • Number of events 2
Skin and subcutaneous tissue disorders
alopecia
3.1%
1/32 • Number of events 2
Injury, poisoning and procedural complications
bruising
3.1%
1/32 • Number of events 2
Endocrine disorders
hypothyroidism
3.1%
1/32 • Number of events 2
Gastrointestinal disorders
nausea
6.2%
2/32 • Number of events 3
Metabolism and nutrition disorders
hyperglycemia
6.2%
2/32 • Number of events 3
Metabolism and nutrition disorders
hypercholesterolemia
3.1%
1/32 • Number of events 1
Metabolism and nutrition disorders
hypertriglyceridemia
3.1%
1/32 • Number of events 1
Vascular disorders
acute vascular leak syndrome
3.1%
1/32 • Number of events 1
Skin and subcutaneous tissue disorders
nail changes
3.1%
1/32 • Number of events 1
Investigations
alkaline phosphatase increase
3.1%
1/32 • Number of events 1
Nervous system disorders
neuropathy
6.2%
2/32 • Number of events 2
Cardiac disorders
sinus tachacardia
3.1%
1/32 • Number of events 1
Respiratory, thoracic and mediastinal disorders
pneumothorax
3.1%
1/32 • Number of events 1
Investigations
weight loss
3.1%
1/32 • Number of events 1
Respiratory, thoracic and mediastinal disorders
cough
3.1%
1/32 • Number of events 1

Other adverse events

Other adverse events
Measure
Therapeutic Intervention
n=32 participants at risk
Docetaxel 75 mg/m2 IV (1-hour infusion) on day 1 of each cycle (cycle = 2 weeks) x 4 cycles
Immune system disorders
Allergic reaction
6.2%
2/32 • Number of events 7
Respiratory, thoracic and mediastinal disorders
Allergic Rhinitis
6.2%
2/32 • Number of events 2
Investigations
Alkaline Phosphatase
18.8%
6/32 • Number of events 6
Skin and subcutaneous tissue disorders
Alopecia
59.4%
19/32 • Number of events 23
Metabolism and nutrition disorders
ALT, SGPT
15.6%
5/32 • Number of events 5
Metabolism and nutrition disorders
Anorexia
9.4%
3/32 • Number of events 3
Psychiatric disorders
Anxiety
25.0%
8/32 • Number of events 10
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
2/32 • Number of events 2
Metabolism and nutrition disorders
AST, SGOT
6.2%
2/32 • Number of events 2
Blood and lymphatic system disorders
Blood, bone marrow
6.2%
2/32 • Number of events 2
Gastrointestinal disorders
Constipation
6.2%
2/32 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Cough
6.2%
2/32 • Number of events 3
Psychiatric disorders
Depression
15.6%
5/32 • Number of events 6
Gastrointestinal disorders
Diarrhea
9.4%
3/32 • Number of events 3
Eye disorders
Dry eye syndrome
12.5%
4/32 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Dsypnea
18.8%
6/32 • Number of events 6
Gastrointestinal disorders
Dyspepsia, heartburn
9.4%
3/32 • Number of events 3
General disorders
Edema
12.5%
4/32 • Number of events 7
General disorders
Fatigue
68.8%
22/32 • Number of events 25
Vascular disorders
Flushes
25.0%
8/32 • Number of events 9
Metabolism and nutrition disorders
Glucose, serum-high
21.9%
7/32
Investigations
Hemoglobin
43.8%
14/32 • Number of events 15
Vascular disorders
Hemorrhage
15.6%
5/32 • Number of events 5
Infections and infestations
Infection
31.2%
10/32 • Number of events 11
Psychiatric disorders
Insomnia
21.9%
7/32 • Number of events 7
Reproductive system and breast disorders
Irregular menses
25.0%
8/32 • Number of events 8
Blood and lymphatic system disorders
Leukocytes,
6.2%
2/32 • Number of events 2
Psychiatric disorders
Memory impairment
9.4%
3/32 • Number of events 3
Musculoskeletal and connective tissue disorders
Muscle weakness, legs
15.6%
5/32 • Number of events 8
Musculoskeletal and connective tissue disorders
Musculoskelatal stiffness
9.4%
3/32 • Number of events 3
Skin and subcutaneous tissue disorders
Nail changes
53.1%
17/32 • Number of events 17
Gastrointestinal disorders
Nausea
9.4%
3/32 • Number of events 3
Nervous system disorders
Neuropathy
56.2%
18/32 • Number of events 25
General disorders
Pain - breast
15.6%
5/32 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain, bone
15.6%
5/32 • Number of events 5
Musculoskeletal and connective tissue disorders
Pain, extermity limb
28.1%
9/32 • Number of events 9
General disorders
Pain, headache
12.5%
4/32 • Number of events 4
Metabolism and nutrition disorders
Potassium, serum-low
12.5%
4/32 • Number of events 4
Skin and subcutaneous tissue disorders
Pruritus, itching
6.2%
2/32 • Number of events 3
Skin and subcutaneous tissue disorders
Skin dry
25.0%
8/32 • Number of events 9
Skin and subcutaneous tissue disorders
Skin reaction, hand-foot
12.5%
4/32 • Number of events 6
General disorders
Sweating
9.4%
3/32 • Number of events 3
Nervous system disorders
Taste alteration, dysgeusia
31.2%
10/32 • Number of events 10
Gastrointestinal disorders
Vomiting
6.2%
2/32 • Number of events 2
Eye disorders
Watery eye, tearing
31.2%
10/32 • Number of events 11
Investigations
Weight gain
12.5%
4/32 • Number of events 4
Metabolism and nutrition disorders
obesity
6.2%
2/32 • Number of events 2
Investigations
Weight loss
9.4%
3/32 • Number of events 5

Additional Information

Bapsi Chak, M.D.

Vanderbilt-Ingram Cancer Center

Phone: 615-322-2555

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place