Combination of DLBS1425 With Anthracyclin-based Regimen as a Neoadjuvant Therapy in Subjects With Stage II or III Breast Cancer
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Clinical response as measured by RECIST
研究概览
简要总结
This is a 2-arm, randomized, double-blind, placebo-controlled study aiming to determine the efficacy and safety of DLBS1425 in combination with anthracyclin-based regimen as a neoadjuvant therapy in subjects with previously untreated stage II or III (operable) breast cancer.
The anthracyclin-based regimen in the study will be either CAF/iv and CEF/iv only. The neoadjuvant anthracyclin-based chemotherapy will be given for 3 cycles. The length of each cycle will be 21-28 days.
详细描述
The duration of treatment for each subject will be 63 - 84 days (or 3 cycles). The cycle will be initiated at Day-1 (D1 of the 1st cycle). The subsequent cycles will start on Day-22 (D1 of the 2nd cycle) and Day-43 (D1 of the 3rd cycle). DLBS1425 capsules will be administered orally every day (starting from D1 of each cycle) during the study period. All subjects will be under direct supervision of a medical doctor during the study period.
Clinical and laboratory examinations to evaluate investigational drug's efficacy and safety will be performed at baseline and at the end of every cycle over the study course; whilst breast-CT scan will be performed at baseline and at the end of study course.
In addition, at the end of study, at the discretion of Investigator and subjects' own willingness, subjects with good response to treatment (i.e. RECIST and pathological evaluation are regarded as complete or partial response) may continue their breast-cancer therapy with DLBS1425.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Confirmed stage II or III (operable) primary breast cancer
- •Having radiologically evaluable and measurable lesion(s) of the primary tumor
- •Karnofsky performance status 80 %
- •Normal cardiac function: LVEF > 50 %
- •Adequate hematological function: Hb ≥ 10.0 g/dL, WBC ≥ 3,000/mm3, ANC ≥ 1,500 /mm3, platelet count ≥ 100,000/mm3
- •Adequate liver function: ALT ≤ 2.5 times upper limit of normal, total bilirubin level ≤ 1.5 times upper limit of normal
- •Adequate renal function: serum creatinine ≤ 1.5 times upper limit of normal
- •Able to take oral medication
排除标准
- •Pregnancy or breast feeding subjects
- •History of previous breast cancer (recurrent breast cancer)
- •History of other cancer within the past 5 years
- •Prior systemic treatment for the current breast cancer
- •Prior preoperative topical treatments for the current breast cancer
- •Uncontrolled or serious CVD
- •Known or suspected hypersensitivity to any of the chemotherapeutic agents used in the study
- •Any other serious disease state or medical condition which judged by investigator could interfere with trial participation or trial evaluation
- •Concurrent herbal (alternative) medicines or food supplements suspected to have effect on breast cancer disease within 14 days prior to screening
- •Severe psychological or neurological disorder or dementia that would preclude understanding of the informed consent
- •Participation in any other clinical studies within 30 days prior to screening
研究组 & 干预措施
DLBS1425
干预措施: DLBS1425 (Drug)
Placebo
干预措施: Placebo DLBS1425 (Drug)
结局指标
主要结局
Clinical response as measured by RECIST
时间窗: 63 - 84 days
Best overall response rate defined as proportion of subjects with either complete or partial response, according to the RECIST criteria at the end of study.
次要结局
- Rate of clinical response(21 - 84 days)
- Rate of pathological complete response (after surgery)(7 - 14 days after the last cycle)
- Rate of potential breast-conserving procedure(63-84 days)
- The change level of relevant biomarkers(21 - 84 days)
- Haematology(21-84 days)
- Liver Function(21-84 days)
- Renal Function(21-84 days)
- Cardiac function(63-84 days)
- Adverse Events(1 - 84 days)
- The improvement of quality of life(21 - 84 days)