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Preoperative Treatment of Breast Cancer With Two Different Sequential Treatment Regimens

Phase 2
Completed
Conditions
Breast Cancer
Interventions
Registration Number
NCT00149214
Lead Sponsor
Eli Lilly and Company
Brief Summary

An open-label randomized Phase II study in order to explore two different sequential anthracycline-based neoadjuvant treatment regimens in female patients with primary, operable breast cancer (T2-T4/N0-2/M0).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
257
Inclusion Criteria
  • Histologically confirmed diagnosis of primary early breast cancer, tumor size greater than or equal to 2 centimeters (cm), of Stages T2-T4/N0-2.
  • Performance status 0-2 Eastern Cooperative Oncology Group (ECOG).
  • Adequate organ function (bone marrow, hepatic, renal, cardiac).
Exclusion Criteria
  • Prior anthracyclines as part of prior anticancer therapy.

  • Concurrent antitumor therapy.

  • Second primary malignancy.

  • Serious concomitant systemic disorder.

  • Pre-existing sensorial or motor neuropathy

    • Grade 1.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
B: Cyclophosphamide Plus Doxorubicin, Followed by Docetaxeldoxorubicin-
A: Pemetrexed Plus Doxorubicin, Followed by Docetaxelpemetrexed-
A: Pemetrexed Plus Doxorubicin, Followed by Docetaxeldocetaxel-
A: Pemetrexed Plus Doxorubicin, Followed by Docetaxeldoxorubicin-
B: Cyclophosphamide Plus Doxorubicin, Followed by Docetaxelcyclophosphamide-
B: Cyclophosphamide Plus Doxorubicin, Followed by Docetaxeldocetaxel-
Primary Outcome Measures
NameTimeMethod
Number of Participants With a Pathological Complete Responsesurgery after eight 21-day cycles of chemotherapy

pathological assessment of tissue removed during surgery to determine if tumor tissue is still present after chemotherapy

Secondary Outcome Measures
NameTimeMethod
Number of Participants With a Clinical Tumor Response After the First Sequence of ChemotherapyCycles 1-4 (21-day cycles)

The number of participants with a clinical tumor response based on measurement of tumor size after the first sequence of chemotherapy, without a second confirmatory tumor measurement, per protocol.

Number of Participants With a Clinical Tumor Response After the Second Sequence of ChemotherapyCycles 5-8 (21-day cycles)

The number of participants with a clinical tumor response based on measurement of tumor size after the second sequence of chemotherapy, without a second confirmatory tumor measurement required, per protocol.

Number of Patients With Histologically Negative Axillary Lymph Node Status at Surgerysurgery after eight 21-day cycles of chemotherapy

Histologically negative is defined as no malignant cells present in the axillary lymph nodes during surgery.

Disease-free Survivalbaseline through post surgery, follow-up for 3 years post-surgery (up to 5.2 years after randomization)

Disease-free survival is defined as the time from date of study enrollment (randomization) to first date of progressive disease (PD) or death from any cause. PD per Response Evaluation Criteria In Solid Tumors (RECIST) criteria is at least a 20% increase in the sum of longest diameter (LD) of target lesions taking as references the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. For patients not known to have died as of the data cut-off date and who do not have progressive disease, disease-free survival was censored at the last contact date.

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

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Valencia, Spain

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