Evaluation of Sequencing of Anthracyclines and Taxanes for Locally Advanced HER2-negative Breast Cancer

NCT ID: NCT04540692

Last Updated: 2024-06-04

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

444 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-12

Study Completion Date

2030-08-31

Brief Summary

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Phase III randomized clinical trial evaluating the sequencing of anthracyclines and taxanes in neoadjuvant therapy for locally advanced HER2-negative breast cancer.

Detailed Description

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Multicenter, phase III, open-label, randomized clinical trial, which will include 494 patients randomized to two neoadjuvant chemotherapy arms. The treatment protocol will be the same in both groups, only the regimens sequences will be evaluated: starting with anthracycline versus taxane, with or without carboplatin for patients with triple negative subtype. The chemotherapy regimen will follow the institution's routine, which includes the use of CA in the anthracyclical phase and, in the taxane phase, the use of docetaxel every 21 days or weekly paclitaxel. The rest of the treatment (surgery, radiotherapy, hormone therapy) will not be part of the study and will be carried out according to institutional guidelines.

Conditions

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Breast Cancer

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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Start with Cyclophosphamide + Doxorrubicin

Patients will receive the following treatment schedule: Doxorubicin 60mg/m²; Cyclophosphamide 600mg/m² intravenously every 21 days for 3 cycles, followed by docetaxel 75-100mg/m2 intravenously every 21 days for 4 cycles or weekly paclitaxel 80mg/m2 for 12 weeks.

Group Type ACTIVE_COMPARATOR

Cyclophosphamide + Doxorrubicin

Intervention Type DRUG

Treatment will start with Doxorubicin 60mg/m²; Cyclophosphamide 600mg/m² intravenously every 21 days for 3 cycles

Start with Docetaxel or Paclitaxel

Patients will receive the following treatment schedule: Docetaxel 75-100mg/m² intravenously every 21 days for 4 cycles or weekly paclitaxel 80mg/m² for 12 weeks, followed by Doxorubicin 60mg/m²; Cyclophosphamide 600mg/m² intravenously every 21 days, for 3 cycles.

Group Type EXPERIMENTAL

Docetaxel or Paclitaxel

Intervention Type DRUG

Treatment will start with Docetaxel 75-100mg/m² intravenously every 21 days for 4 cycles or weekly paclitaxel 80mg/m² for 12 weeks

Interventions

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Docetaxel or Paclitaxel

Treatment will start with Docetaxel 75-100mg/m² intravenously every 21 days for 4 cycles or weekly paclitaxel 80mg/m² for 12 weeks

Intervention Type DRUG

Cyclophosphamide + Doxorrubicin

Treatment will start with Doxorubicin 60mg/m²; Cyclophosphamide 600mg/m² intravenously every 21 days for 3 cycles

Intervention Type DRUG

Other Intervention Names

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Taxotere or Taxol Citoxan + Rubidox

Eligibility Criteria

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Inclusion Criteria

* Female participants, with at least 18 years old on the day of signing the free and informed consent;
* Invasive breast carcinoma stage III (RH positive) or IIB/III (RH negative), according to TNM 8th edition; Histologically confirmed diagnosis of invasive breast carcinoma (with any histology), HER-2 negative;
* The participant (or legally acceptable representative, if applicable) provides written informed consent for the study;
* The participant must agree to use a contraceptive as detailed in Appendix B of this protocol during the treatment period and for at least 120 days after the last dose of the study treatment;
* Have a functional capacity according to the Eastern Cooperative Oncology Group (ECOG) from 0 to 2. The evaluation of the ECOG must be carried out within 7 days before the inclusion date.
* Have adequate organic function. The samples must be collected within 60 days before the start of the study treatment;
* Have adequate cardiac function as assessed by echocardiogram or MUGA performed up to 60 days before the start of treatment under study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Grupo Brasileiro de Estudos do Câncer de Mama (GBECAM)

UNKNOWN

Sponsor Role collaborator

Latin American Cooperative Oncology Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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José Bines

Role: PRINCIPAL_INVESTIGATOR

Grupo Brasileiro de Estudos do Câncer de Mama (GBECAM)

Locations

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Hospital Evangélico de Cachoeiro de Itapemirim - Centro de Pesquisas Clínicas em Oncologia (CPCO)

Cachoeiro de Itapemirim, Espírito Santo, Brazil

Site Status RECRUITING

Santa Casa de Misericórdia da Bahia - Hospital Santa Izabel

Salvador, Estado de Bahia, Brazil

Site Status RECRUITING

Centro de Pesquisa do Hospital Araújo Jorge

Goiânia, Goiás, Brazil

Site Status RECRUITING

ICTR - Instituto do Câncer e Transplante de Curitiba

Curitiba, Paraná, Brazil

Site Status RECRUITING

HUEM/CEON - Hospital Universitário Evangélico Mackenzie

Curitiba, Paraná, Brazil

Site Status RECRUITING

Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Site Status RECRUITING

IMIP - Instituto de Medicina Integral Professor Fernando Figueira

Recife, Pernambuco, Brazil

Site Status RECRUITING

Hospital Universitário Oswaldo Cruz (UNIPECLIN)

Recife, Pernambuco, Brazil

Site Status RECRUITING

HINJA - Hospital Jardim Amália

Volta Redonda, Rio de Janeiro, Brazil

Site Status RECRUITING

HCPA - Hospital de Clinicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

CEPON - Centro de Pesquisas Oncológicas

Florianópolis, Santa Catarina, Brazil

Site Status RECRUITING

Hospital de Amor de Barretos

Barretos, São Paulo, Brazil

Site Status RECRUITING

UNESP - Faculdade de Medicina da Universidade Estadual Paulista (UPECLIN)

Botucatu, São Paulo, Brazil

Site Status RECRUITING

Faculdade de Ciências Médicas da Unicamp

Campinas, São Paulo, Brazil

Site Status RECRUITING

Hospital de Amor Jales - Hospital de Câncer de Barretos

Jales, São Paulo, Brazil

Site Status RECRUITING

INCA - Instituto Nacional de Câncer

Rio de Janeiro, , Brazil

Site Status RECRUITING

ICESP - Instituto do Câncer do Estado de São Paulo

São Paulo, , Brazil

Site Status RECRUITING

IBCC Oncologia - Núcleo de Pesquisa São Camilo

São Paulo, , Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Diana Rostirolla

Role: CONTACT

+55 51 3384 5334

Laura Voelcker

Role: CONTACT

+55 51 3384-5334

Other Identifiers

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LACOG 0419

Identifier Type: OTHER

Identifier Source: secondary_id

GBECAM 0419

Identifier Type: -

Identifier Source: org_study_id

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