Comparative Analysis of the Efficacies in Neoadjuvant Chemotherapy of Breast Cancer

NCT ID: NCT02613026

Last Updated: 2015-11-24

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2015-02-28

Brief Summary

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The purpose of this study is to compare the short-term and long-term efficacies and the safeties of pirarubicin plus docetaxel(AT group) and pirarubicin plus cyclophosphamide followed by docetaxel(AC-T group) in neoadjuvant chemotherapy of breast cancer.

Detailed Description

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Based on the results of NSABP(National Surgical Adjuvant Breast and Bowel Project) B27 trial, anthracyclines(A) and Taxanes(T) are most commonly recommended in neoadjuvant chemotherapy of breast cancer.

Pirarubicin is one of anthracyclines and by embedding the DNA double stranded, which inhibits DNA replication and RNA synthesis, thereby impedes the rapid growth of cancer cells.

Docetaxel in one of taxanes and by strengthening the tubulin polymerization, inhibiting of microtubule depolymerization and leading to the formation of stable non functional microtubule bundles, which destroys mitosis of tumor cells.

Conditions

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Breast Neoplasms

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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Combined therapy group

pirarubicin 50mg/m2, iv, d1; docetaxel 75mg/m2, div, d1. 21 days were a cycle of treatment, with a total of 4-8 cycles.

Group Type EXPERIMENTAL

Pirarubicin

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Sequential therapy group

cyclophosphamide 600mg/m2, iv, d1; Pirarubicin 60mg/m2, iv, d1, 21 days were a cycle of treatment, with a total of 4 cycles. Then followed by Docetaxel 75- 100mg/m2, div, d1, 21 days were a cycle of treatment, with a total of 4 cycles.

Group Type EXPERIMENTAL

Pirarubicin

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Cyclophosphamide

Intervention Type DRUG

Interventions

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Pirarubicin

Intervention Type DRUG

Docetaxel

Intervention Type DRUG

Cyclophosphamide

Intervention Type DRUG

Other Intervention Names

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Tetrahydropyranyl Adriamycin Taxotere

Eligibility Criteria

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Inclusion Criteria

* histopathologically diagnosed with stage I-III breast cancers;
* clearly confirmed ER, PR and HER2 statuses;
* the state of axillary lymph nodes was determined through the relevant examination steps (puncture or sentinel lymph node biopsy);
* the patients were not treated with neoadjuvant therapy and surgery.

Exclusion Criteria

* the patients whose breasts or axillary lumps had received excision biopsy;
* the patients who had severely abnormal organ functions or who could not tolerate chemotherapy,
* the patients with severe concomitant diseases;
* the patients with heart disease or left ventricular ejection fraction (LVEF) \<50%.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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307 Hospital of PLA

OTHER

Sponsor Role lead

Responsible Party

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Shikai Wu

Chief Physician,Department of Radiotherapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shikai Wu

Role: PRINCIPAL_INVESTIGATOR

307 Hospital of PLA

Locations

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The fourth hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status

Hunan Provincial People's Hospital

Changsha, Hunan, China

Site Status

Xiangya Hospital, Central South University

Changsha, Hunan, China

Site Status

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status

Countries

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China

References

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Kaufmann M, Hortobagyi GN, Goldhirsch A, Scholl S, Makris A, Valagussa P, Blohmer JU, Eiermann W, Jackesz R, Jonat W, Lebeau A, Loibl S, Miller W, Seeber S, Semiglazov V, Smith R, Souchon R, Stearns V, Untch M, von Minckwitz G. Recommendations from an international expert panel on the use of neoadjuvant (primary) systemic treatment of operable breast cancer: an update. J Clin Oncol. 2006 Apr 20;24(12):1940-9. doi: 10.1200/JCO.2005.02.6187.

Reference Type BACKGROUND
PMID: 16622270 (View on PubMed)

Bear HD, Anderson S, Brown A, Smith R, Mamounas EP, Fisher B, Margolese R, Theoret H, Soran A, Wickerham DL, Wolmark N; National Surgical Adjuvant Breast and Bowel Project Protocol B-27. The effect on tumor response of adding sequential preoperative docetaxel to preoperative doxorubicin and cyclophosphamide: preliminary results from National Surgical Adjuvant Breast and Bowel Project Protocol B-27. J Clin Oncol. 2003 Nov 15;21(22):4165-74. doi: 10.1200/JCO.2003.12.005. Epub 2003 Oct 14.

Reference Type BACKGROUND
PMID: 14559892 (View on PubMed)

Mamounas EP, Brown A, Anderson S, Smith R, Julian T, Miller B, Bear HD, Caldwell CB, Walker AP, Mikkelson WM, Stauffer JS, Robidoux A, Theoret H, Soran A, Fisher B, Wickerham DL, Wolmark N. Sentinel node biopsy after neoadjuvant chemotherapy in breast cancer: results from National Surgical Adjuvant Breast and Bowel Project Protocol B-27. J Clin Oncol. 2005 Apr 20;23(12):2694-702. doi: 10.1200/JCO.2005.05.188.

Reference Type BACKGROUND
PMID: 15837984 (View on PubMed)

Other Identifiers

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AT2009

Identifier Type: -

Identifier Source: org_study_id