Trial Outcomes & Findings for Assessing the Response Rate of Neo-adjuvant Taxotere and Trastuzumab in Nigerian Women With Breast Cancer (NCT NCT03879577)
NCT ID: NCT03879577
Last Updated: 2026-01-21
Results Overview
Pathological complete response in the breast is defined as the absence of invasive cells at microscopic examination of the primary tumor and lymph nodes at surgery. Any remaining in-situ lesions are permissible. Participants with invalid/missing pCR assessments will be defined as non-responders.
ACTIVE_NOT_RECRUITING
PHASE2
53 participants
4-6 months
2026-01-21
Participant Flow
Participant milestones
| Measure |
Neoadjuvant Taxotere and Trastuzumab
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Overall Study
STARTED
|
53
|
|
Overall Study
COMPLETED
|
47
|
|
Overall Study
NOT COMPLETED
|
6
|
Reasons for withdrawal
| Measure |
Neoadjuvant Taxotere and Trastuzumab
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Overall Study
Withdrawal by Subject
|
4
|
|
Overall Study
Declined surgery
|
2
|
Baseline Characteristics
Assessing the Response Rate of Neo-adjuvant Taxotere and Trastuzumab in Nigerian Women With Breast Cancer
Baseline characteristics by cohort
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Age, Continuous
|
47.6 years
n=37 Participants
|
|
Sex: Female, Male
Female
|
47 Participants
n=37 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=37 Participants
|
|
Race/Ethnicity, Customized
African/Yoruba
|
32 Participants
n=37 Participants
|
|
Race/Ethnicity, Customized
African/Ibo
|
9 Participants
n=37 Participants
|
|
Race/Ethnicity, Customized
African/Other
|
6 Participants
n=37 Participants
|
|
Region of Enrollment
Nigeria
|
47 participants
n=37 Participants
|
PRIMARY outcome
Timeframe: 4-6 monthsPathological complete response in the breast is defined as the absence of invasive cells at microscopic examination of the primary tumor and lymph nodes at surgery. Any remaining in-situ lesions are permissible. Participants with invalid/missing pCR assessments will be defined as non-responders.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Number of Participants With Complete Pathologic Response (pCR)
|
25 Participants
|
SECONDARY outcome
Timeframe: 4-6 monthsIncidence and severity of adverse drug reactions (AE) and serious adverse drug reactions (SAE) including clinical laboratory values, vital signs, ECGs and dose interruptions.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Number of Participants With Adverse Events
|
47 Participants
|
SECONDARY outcome
Timeframe: From start date of therapy to the date of first documented disease progression or death from any cause, whichever may come first, assessed up to 10 yearsTime from enrollment to disease recurrence or death from any cause.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Up to 10 yearsTime from pathological complete response to disease recurrence or death
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: From start date of therapy to end of neoadjuvant therapy approximately 4 - 6 months from commencement of chemotherapyGlobal health status from EORTC QLQ-C30 instrument. Overall health rating on a scale from 1 (very poor) to 7 (excellent). Higher scores indicate better outcome. Values represent changes from baseline with positive values indicating improvement and negative values indicating worsening.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Analysis of Changes From Baseline Using the Quality of Life (QoL) Instrument: EORTC. Overall Health From Baseline to End of Neoadjuvant Therapy.
|
-0.57 units on a scale
Standard Error 0.17
|
SECONDARY outcome
Timeframe: From start date of therapy to end of neoadjuvant therapy approximately 4 - 6 months from commencement of chemotherapyGlobal quality of life status from EORTC QLQ-C30 instrument. Overall quality of life rating on a scale from 1 (very poor) to 7 (excellent). Higher scores indicate better outcome. Values represent changes from baseline with positive values indicating improvement and negative values indicating worsening.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Analysis of Changes From Baseline Using the Quality of Life (QoL) Instrument: EORTC. Overall Quality of Life From Baseline to End of Neoadjuvant Therapy.
|
-0.49 units on a scale
Standard Error 0.21
|
SECONDARY outcome
Timeframe: From start date of therapy to 6 months post-therapyPopulation: Patient completing 6 months of follow-up.
Global health status from EORTC QLQ-C30 instrument. Overall health rating on a scale from 1 (very poor) to 7 (excellent). Higher scores indicate better outcome. Values represent changes from baseline with positive values indicating improvement and negative values indicating worsening.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=37 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Analysis of Changes From Baseline Using the Quality of Life (QoL) Instrument: EORTC. Overall Health From Baseline to 6 Months Post-therapy.
|
0.14 units on a scale
Standard Error 0.17
|
SECONDARY outcome
Timeframe: From start date of therapy to 6 months post-therapyPopulation: Patient completing 6 months of follow-up
Global quality of life status from EORTC QLQ-C30 instrument. Overall quality of life rating on a scale from 1 (very poor) to 7 (excellent). Higher scores indicate better outcome. Values represent changes from baseline with positive values indicating improvement and negative values indicating worsening.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=37 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Analysis of Changes From Baseline Using the Quality of Life (QoL) Instrument: EORTC. Overall Quality of Life From Baseline to 6 Months Post-therapy.
|
0.22 units on a scale
Standard Error 0.29
|
SECONDARY outcome
Timeframe: From start date of therapy to the date of first documented disease progression or death from any cause, whichever may come first, assessed up to 10 yearsThe various domains of QoL over time and the changes from baseline using the validated (by the European Organization for Research and Treatment of Cancer (EORTC)) QoL instrument (global and breast module).
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 21 daysBlood concentrations of Herceptin SC at multiple time points using the peak exposure
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 21 daysDetermine the pharmacokinetic profile of Herceptin SC given in combination with FEC following poor response to TH
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Through study completion an average of two yearsThe percentage of participants with Heart failure (NYHA Class III or IV or as confirmed by a cardiologist) or a decrease in LVEF of at least 10 EF points from baseline and to below 50%.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
The Cardiac Toxicity Associated With TscH With FEC +scH in Breast Cancer Patients
|
1 Participants
|
SECONDARY outcome
Timeframe: Through study completion an average of two yearsThe percentage of participants with Heart failure (NYHA Class III or IV or as confirmed by a cardiologist) and a decrease in LVEF of at least 10 EF points from baseline and to below 50%.
Outcome measures
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 Participants
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
The Cardiac Toxicity Associated With TscH Without FEC +scH in Breast Cancer Patients
|
0 Participants
|
Adverse Events
Neoadjuvant Taxotere and Trastuzumab
Serious adverse events
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 participants at risk
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
|
4.3%
2/47 • 2 years
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
|
2.1%
1/47 • 2 years
|
|
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
|
2.1%
1/47 • 2 years
|
|
Investigations
Laboratory abnormality
|
2.1%
1/47 • 2 years
|
|
Hepatobiliary disorders
Hepatobiliary disorders - Other, specify
|
2.1%
1/47 • 2 years
|
|
Infections and infestations
Hepatitis viral
|
2.1%
1/47 • 2 years
|
|
Cardiac disorders
Pericardial effusion
|
2.1%
1/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
2.1%
1/47 • 2 years
|
|
Gastrointestinal disorders
Constipation
|
2.1%
1/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
|
2.1%
1/47 • 2 years
|
Other adverse events
| Measure |
Neoadjuvant Taxotere and Trastuzumab
n=47 participants at risk
Docetaxel/taxotere through drip every 3 weeks for four doses for 12 weeks before a repeat breast ultrasound. After breast ultrasound, if the investigator feels the injection is good, surgery will be done.
Herceptin/trastuzumab will be given to patients under the skin of the thigh every 3 weeks for 18 times if they are HER2-positive
Patients with a poor response to docetaxal/herceptin will receive Fluorouracil, Epirubicin Hydrochloride, Cyclophonsphamide (FEC) injection by drip every 3 weeks.
Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Docetaxel: Administered to all patients for a minimum of 4 cycles for 12 weeks.
Herceptin: Administered for 18 cycles every three weeks (52 weeks) for each patient starting at the first day of treatment with docetaxel.
FEC: Only administered to patients who received docetaxel and herceptin and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).
Tamoxifen: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
Letrozole: Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.
LHRH agonist: Administered to all premenopausal patients.
|
|---|---|
|
Skin and subcutaneous tissue disorders
Rash maculo-papular
|
8.5%
4/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Skin hyperpigmentation
|
36.2%
17/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Skin ulceration
|
6.4%
3/47 • 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Sore throat
|
10.6%
5/47 • 2 years
|
|
Gastrointestinal disorders
Stomach pain
|
6.4%
3/47 • 2 years
|
|
Infections and infestations
Upper respiratory infection
|
8.5%
4/47 • 2 years
|
|
Infections and infestations
Vaginal infection
|
6.4%
3/47 • 2 years
|
|
Gastrointestinal disorders
Vomiting
|
36.2%
17/47 • 2 years
|
|
Eye disorders
Watering eyes
|
12.8%
6/47 • 2 years
|
|
Investigations
White blood cell decreased
|
29.8%
14/47 • 2 years
|
|
Investigations
Investigations - Other, specify
|
25.5%
12/47 • 2 years
|
|
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
|
8.5%
4/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
|
59.6%
28/47 • 2 years
|
|
Nervous system disorders
Nervous system disorders - Other, specify
|
14.9%
7/47 • 2 years
|
|
Reproductive system and breast disorders
Reproductive system and breast disorders - Other, specify
|
10.6%
5/47 • 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
|
8.5%
4/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
|
53.2%
25/47 • 2 years
|
|
General disorders
Pain
|
21.3%
10/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Pain in extremity
|
10.6%
5/47 • 2 years
|
|
Cardiac disorders
Palpitations
|
6.4%
3/47 • 2 years
|
|
Nervous system disorders
Paresthesia
|
6.4%
3/47 • 2 years
|
|
Nervous system disorders
Peripheral motor neuropathy
|
10.6%
5/47 • 2 years
|
|
Nervous system disorders
Peripheral sensory neuropathy
|
25.5%
12/47 • 2 years
|
|
Investigations
Platelet count decreased
|
12.8%
6/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Pruritus
|
12.8%
6/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Rash acneiform
|
12.8%
6/47 • 2 years
|
|
Gastrointestinal disorders
Abdominal pain
|
6.4%
3/47 • 2 years
|
|
Investigations
Alanine aminotransferase increased
|
6.4%
3/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Alopecia
|
72.3%
34/47 • 2 years
|
|
Blood and lymphatic system disorders
Anemia
|
29.8%
14/47 • 2 years
|
|
Metabolism and nutrition disorders
Anorexia
|
8.5%
4/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
23.4%
11/47 • 2 years
|
|
Investigations
Blood bilirubin increased
|
8.5%
4/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Bone pain
|
8.5%
4/47 • 2 years
|
|
Reproductive system and breast disorders
Breast pain
|
23.4%
11/47 • 2 years
|
|
Cardiac disorders
Chest pain - cardiac
|
6.4%
3/47 • 2 years
|
|
General disorders
Chills
|
8.5%
4/47 • 2 years
|
|
Gastrointestinal disorders
Constipation
|
8.5%
4/47 • 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Cough
|
21.3%
10/47 • 2 years
|
|
Gastrointestinal disorders
Diarrhea
|
74.5%
35/47 • 2 years
|
|
Nervous system disorders
Dizziness
|
12.8%
6/47 • 2 years
|
|
Gastrointestinal disorders
Dry mouth
|
12.8%
6/47 • 2 years
|
|
Gastrointestinal disorders
Dysphagia
|
12.8%
6/47 • 2 years
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
6.4%
3/47 • 2 years
|
|
General disorders
Edema limbs
|
6.4%
3/47 • 2 years
|
|
Investigations
Ejection fraction decreased
|
6.4%
3/47 • 2 years
|
|
General disorders
Fatigue
|
12.8%
6/47 • 2 years
|
|
Blood and lymphatic system disorders
Febrile neutropenia
|
6.4%
3/47 • 2 years
|
|
General disorders
Fever
|
10.6%
5/47 • 2 years
|
|
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
|
36.2%
17/47 • 2 years
|
|
Nervous system disorders
Headache
|
36.2%
17/47 • 2 years
|
|
Vascular disorders
Hot flashes
|
10.6%
5/47 • 2 years
|
|
Vascular disorders
Hypertension
|
6.4%
3/47 • 2 years
|
|
Metabolism and nutrition disorders
Hypokalemia
|
17.0%
8/47 • 2 years
|
|
General disorders
Infusion site extravasation
|
6.4%
3/47 • 2 years
|
|
General disorders
Injection site reaction
|
8.5%
4/47 • 2 years
|
|
Psychiatric disorders
Insomnia
|
25.5%
12/47 • 2 years
|
|
General disorders
Malaise
|
17.0%
8/47 • 2 years
|
|
Gastrointestinal disorders
Mucositis oral
|
6.4%
3/47 • 2 years
|
|
Skin and subcutaneous tissue disorders
Nail discoloration
|
21.3%
10/47 • 2 years
|
|
Gastrointestinal disorders
Nausea
|
31.9%
15/47 • 2 years
|
|
Investigations
Neutrophil count decreased
|
27.7%
13/47 • 2 years
|
|
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
|
17.0%
8/47 • 2 years
|
|
Cardiac disorders
Cardiac disorders - Other, specify
|
8.5%
4/47 • 2 years
|
|
Eye disorders
Eye disorders - Other, specify
|
19.1%
9/47 • 2 years
|
|
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
|
38.3%
18/47 • 2 years
|
|
General disorders
General disorders and administration site conditions - Other, specify
|
34.0%
16/47 • 2 years
|
|
Infections and infestations
Infections and infestations - Other, specify
|
21.3%
10/47 • 2 years
|
Additional Information
Theodore Karrison (Research Professor)
University of Chicago
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place