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Genetic Expression and Prediction of Response to Neoadjuvant Docetaxel or Doxorubicin in Locally Advanced Breast Cancer

Phase 2
Completed
Conditions
Breast Cancer
Interventions
Registration Number
NCT00123929
Lead Sponsor
Hospital San Carlos, Madrid
Brief Summary

After a core biopsy of the tumor is obtained, patients with locally advanced breast cancer are randomized to receive 4 cycles of full dose doxorubicin (75 mg/m2 e3w) or docetaxel (100 mg/m2 e3w). After the fourth cycle, patients are submitted to surgery to ascertain pathological response. They then receive the opposite drug, hormones, Herceptin, and radiation as indicated.

Detailed Description

The aim of the study is to define the genetic signature which predicts the response to single drug doxorubicin versus docetaxel. 250 patients will be included. cDNA microarrays will be produced and the genetic pattern will be correlated with the response to doxorubicin and docetaxel. Secondary aim is the prediction of response by means of IHC determinations (her2, ER, PgR, Ki67, protein TAU), FISH (topoisomerase II alpha, her2) and PCR (topoisomerase II alpha).

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
250
Inclusion Criteria
  • Locally advanced, inoperable breast carcinoma or stage II not amenable to breast preserving surgery (amendment introduced on november 2006)
  • Signed informed consent
Exclusion Criteria
  • Age >75
  • Cardiac disease; LEFT <50%
  • Hyperbilirubinemia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1doxorubicindoxorubicin
2docetaxeldocetaxel
Primary Outcome Measures
NameTimeMethod
correlation of genetic tumoral pattern with response to docetaxel versus doxorubicin2005-2009
Secondary Outcome Measures
NameTimeMethod
response rate to doxorubicin versus docetaxel2005-2013

Trial Locations

Locations (1)

Servicio de Oncologia Medica, Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

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