Neoadjuvant Chemotherapy for Operable Premenopausal Breast Cancer Patients

NCT ID: NCT01503905

Last Updated: 2016-05-24

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

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2021-12-31

Brief Summary

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The current study is a multicentre, randomized, open (unblended), prospective clinical trial which is sponsored by the researchers. The trial is designed to compare the effectiveness between docetaxel plus epirubicin, and docetaxel plus epirubicin plus cyclophosphamide as neoadjuvant chemotherapy for operable premenopausal breast cancer patients, and also to compare the outcomes associated with chemo-induced amenorrhea between the two neoadjuvant chemotherapies. The investigators will randomly assign 600 premenopausal female patients with operable breast cancer to receive four cycles of docetaxel and epirubicin (TE); or four cycles of docetaxel, epirubicin, and cyclophosphamide (TEC). After every two cycles of neoadjuvant chemotherapy, the investigators will estimate the effectiveness of therapy. Patients will undergo modified radical mastectomy or breast-conserving surgery after four cycles of neoadjuvant chemotherapy, and then receive postoperative chemotherapy (two cycles), radiation therapy, herceptin targeted therapy or hormone therapy according to the NCCN (2011) guideline. The follow-up will be ten years after surgeries. The primary aim is to examine whether the docetaxel and epirubicin (TE) will be as effective as the docetaxel, epirubicin, and cyclophosphamide (TEC) (pCR rate, cCR rate, PR rate, SD rate, progression-free survival (PFS) and overall survival (OS)). The secondary aim is to correlate chemo (TE/TEC)-induced amenorrhea with outcomes in premenopausal women.

Detailed Description

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Conditions

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Breast Cancer Nos Premenopausal

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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Docetaxel plus epirubicin

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

75mg/m2, iv injection, day1, every 21 days

epirubicin

Intervention Type DRUG

80mg/ m2, iv injection, day1, every 21 days

Modified radical mastectomy or breast-conserving Surgery

Intervention Type PROCEDURE

Two weeks after four cycles of neoadjuvant chemotherapy

Docetaxel (post-operative)

Intervention Type DRUG

Two weeks after surgery,75mg/m2, iv injection, day1, every 21 days, 4 cycles totally.

Epirubicin (post-operative)

Intervention Type DRUG

Two weeks after surgery, 80mg/m2,iv injection, day1, every 21 days, 4 cycles totally

Radiation therapy

Intervention Type RADIATION

Two weeks after post-operative chemotherapy, perform radiation therapy based on 2011 NCCN guideline.

Herceptin (post-operative)

Intervention Type DRUG

Perform herceptin therapy (one year) based on 2011 NCCN guideline if the pathological test of the operative tumor sample showed HER2 positive.

Tamoxifen (post-operative)

Intervention Type DRUG

After radiation therapy, totally five years. Perform hormone therapy based on 2011 NCCN guideline if the tumor is ER/PR positive.

docetaxel plus epirubicin plus cyclophosphamide

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

75mg/m2, iv injection, day1, every 21 days

epirubicin

Intervention Type DRUG

80mg/ m2, iv injection, day1, every 21 days

cyclophosphamide

Intervention Type DRUG

500 mg/m2, iv injection, day1, every 21 days

Modified radical mastectomy or breast-conserving Surgery

Intervention Type PROCEDURE

Two weeks after four cycles of neoadjuvant chemotherapy

Docetaxel (post-operative)

Intervention Type DRUG

Two weeks after surgery,75mg/m2, iv injection, day1, every 21 days, 4 cycles totally.

Epirubicin (post-operative)

Intervention Type DRUG

Two weeks after surgery, 80mg/m2,iv injection, day1, every 21 days, 4 cycles totally

Cyclophosphamide (post-operative)

Intervention Type DRUG

Two weeks after surgery, 500mg/m2, iv injection, day1, every 21 days, 4 cycles totally.

Radiation therapy

Intervention Type RADIATION

Two weeks after post-operative chemotherapy, perform radiation therapy based on 2011 NCCN guideline.

Herceptin (post-operative)

Intervention Type DRUG

Perform herceptin therapy (one year) based on 2011 NCCN guideline if the pathological test of the operative tumor sample showed HER2 positive.

Tamoxifen (post-operative)

Intervention Type DRUG

After radiation therapy, totally five years. Perform hormone therapy based on 2011 NCCN guideline if the tumor is ER/PR positive.

Interventions

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Docetaxel

75mg/m2, iv injection, day1, every 21 days

Intervention Type DRUG

epirubicin

80mg/ m2, iv injection, day1, every 21 days

Intervention Type DRUG

cyclophosphamide

500 mg/m2, iv injection, day1, every 21 days

Intervention Type DRUG

Modified radical mastectomy or breast-conserving Surgery

Two weeks after four cycles of neoadjuvant chemotherapy

Intervention Type PROCEDURE

Docetaxel (post-operative)

Two weeks after surgery,75mg/m2, iv injection, day1, every 21 days, 4 cycles totally.

Intervention Type DRUG

Epirubicin (post-operative)

Two weeks after surgery, 80mg/m2,iv injection, day1, every 21 days, 4 cycles totally

Intervention Type DRUG

Cyclophosphamide (post-operative)

Two weeks after surgery, 500mg/m2, iv injection, day1, every 21 days, 4 cycles totally.

Intervention Type DRUG

Radiation therapy

Two weeks after post-operative chemotherapy, perform radiation therapy based on 2011 NCCN guideline.

Intervention Type RADIATION

Herceptin (post-operative)

Perform herceptin therapy (one year) based on 2011 NCCN guideline if the pathological test of the operative tumor sample showed HER2 positive.

Intervention Type DRUG

Tamoxifen (post-operative)

After radiation therapy, totally five years. Perform hormone therapy based on 2011 NCCN guideline if the tumor is ER/PR positive.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. The patients signed the written informed consent.
2. The patients present with operable breast cancers that were diagnosed by histopathology and have no distant metastasis.
3. The patients have no history of anti-cancer therapies including chemotherapy, radiation therapy, hormone therapy and surgical therapy.
4. The patients have normal cardiac functions by echocardiography.
5. The patients' ECOG scores are ≤ 0-2.
6. The age of patient is ≥ 18 years old; And the patients are premenopausal females.
7. The patients are disposed to practice contraception during the whole trial.
8. The results of patients' blood tests are as follows:

* Hb ≥ 90 g/L
* WBC ≥ 4.0×109/L
* Plt ≥ 100×109/L
* Neutrophils ≥ 1.5×109/L
* ALT and AST ≤ triple of normal upper limit.
* TBIL ≤ 1.5 times of normal upper limit.
* Creatinine ≤ 1.25 times of normal upper limit.

Exclusion Criteria

1. The patients have other cancers at the same time or have the history of other cancers in recent five years, excluding the controlled skin basal cell carcinoma or skin squamous cell carcinoma or carcinoma in situ of cervix.
2. The patients have active infections that were not suitable for chemotherapy.
3. The patients have severe non-cancerous diseases.
4. The patients are undergoing current administration of anti-cancer therapies, or are attending some other clinical trails.
5. The patients whose breast cancers are HER2 positive and choose to undergo the neoadjuvant chemotherapy that includes herceptin regimen.
6. The patients are pregnant or lactational, or they refuse to practice contraception during the whole trial.
7. The patients are in some special conditions that they can't understand the written informed consent, such as they are demented or hawkish.
8. The patients have allergic history of the chemotherapeutic agents.
9. The patients have bilateral breast cancers.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Fengxi Su

Director of Department of Breast Tumor Centre

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fengxi Su, M.D.

Role: STUDY_CHAIR

Sun Yat-Sen Memerial Hospital of Sun Yat-Sen University

Locations

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The first People's Hospital of Foshan

Foshan, Guangdong, China

Site Status RECRUITING

Guangdong Women and Children Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangzhou Army General Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-Sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Tumor Hospital of Guangzhou

Guangzhou, Guangdong, China

Site Status RECRUITING

The Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangzhou Women and Children Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

The first People's Hospital of Guangzhou

Guangzhou, Guangdong, China

Site Status RECRUITING

The Second Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Zhujiang Hospital of Nanfang Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Nanfang Hospital of Nanfang Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

The First Affiliated Hospital of Jinan University

Guangzhou, Guangdong, China

Site Status RECRUITING

The Third Affiliated Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Shenzhen People's Hospital

Shenzhen, Guangdong, China

Site Status RECRUITING

The first Affiliated Hospital of Shenzhen University

Shenzhen, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Fengxi Su, M.D.

Role: CONTACT

86-20-34071156

Facility Contacts

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Jie Yang

Role: primary

86-13902805191

Antai Zhang

Role: primary

86-13925115929

Chenfang Zhang

Role: primary

86-13889908978

Siyu Wang

Role: primary

86-18688464714

Zhuanghong Wu

Role: primary

86-13602722502

Hongsheng Li

Role: primary

86-13725111258

Pengxi Liu

Role: primary

86-13560333752

Fengxi Su

Role: primary

Hongmin Ma

Role: primary

86-13922723808

Li Zhao

Role: primary

Lehong Zhang

Role: primary

86-13719150959

Aiguo Wu

Role: primary

Changsheng Ye

Role: primary

86-13802954097

Ningxia Wang

Role: primary

Renbin Liu

Role: primary

86-13570073298

Dongxian Zhou

Role: primary

86-13510363636

Xianming Wang

Role: primary

86-13500056238

Other Identifiers

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BCSCO001

Identifier Type: -

Identifier Source: org_study_id

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