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A Prospective, Multicenter, Open-label 12 Week Neoadjuvant Phase II Trial Optimizing Taxane Therapy in Elderly Patients With Low Response

Phase 3
Active, not recruiting
Conditions
Early Primary Breast Cancer
Interventions
Registration Number
NCT02214381
Lead Sponsor
West German Study Group
Brief Summary

Comparison of pre-surgical Myocet/ Cyclophosphamide (MC) q3w followed by either MC or Paclitaxel - depending on early response assessment by ultrasound or by toxicity for elderly non frail primary breast cancer patients with increased risk of relapse.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
80
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Mycet/CyclophosphamidMyocet4 x Myocet 60 mg/m² q3w in combination with 4 x cyclophosphamide 600 mg/m² q3w depending on early response assessment by ultrasound or on toxicity profile.
Mycet/CyclophosphamidCyclophosphamide4 x Myocet 60 mg/m² q3w in combination with 4 x cyclophosphamide 600 mg/m² q3w depending on early response assessment by ultrasound or on toxicity profile.
Myocet/Cyclophosphamide/PaclitaxelCyclophosphamide2 x Myocet 60 mg/m² q3w in combination with 2 x cyclophosphamide 600 mg/m² q3w followed by 6 x paclitaxel 80 mg/m² q1w depending on early response assessment by ultrasound or on toxicity profile.
Myocet/Cyclophosphamide/PaclitaxelPaclitaxel2 x Myocet 60 mg/m² q3w in combination with 2 x cyclophosphamide 600 mg/m² q3w followed by 6 x paclitaxel 80 mg/m² q1w depending on early response assessment by ultrasound or on toxicity profile.
Myocet/Cyclophosphamide/PaclitaxelMyocet2 x Myocet 60 mg/m² q3w in combination with 2 x cyclophosphamide 600 mg/m² q3w followed by 6 x paclitaxel 80 mg/m² q1w depending on early response assessment by ultrasound or on toxicity profile.
Primary Outcome Measures
NameTimeMethod
Comparison of pCR rates in patients with early response and no severe toxicity (Group 1) and in other patients (Group 2).After 5 years of follow-up.
Secondary Outcome Measures
NameTimeMethod
Number of pCR in non-responders to MC.After 5 years of follow-up.
G-CSF use in terms of primary or secondary prophylaxis per patient including occurence febrile neutropenia per patient per cycleAfter 5 years of follow-up.
Toxicity in the 4 x MC versus 2 x MC followed 6 x Pac arm as measured by adverse events.After 5 years of follow-up.
Incidence of febrile neutropenia (FN) after 1 x MC in patients with primary prophylaxis (PP) vs. others.After 5 years of follow-up.

Trial Locations

Locations (2)

Ev. Krankenhaus Bethesda Brustzentrum Niederrhein

🇩🇪

Moenchengladbach, Germany

Breast Center of the University of Munich (LMU) Universitätsfrauenklinik Großhadern

🇩🇪

Munich, Germany

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