EUCTR2010-024216-34-AT进行中(未招募)1 期
eoadjuvant Endocrine Treatment +/- Bevacizumab in postmenopausal Patients with Operable Primary, HER2-neu negative Breast Cancer (including Lobular Cancer) (I) not suitable for Chemotherapy or (II) unlikely to respond to Chemotherapy
ABCSG (Austrian Breast & Colorectal Cancer Study Group)0 个研究点目标入组 0 人开始时间: 2011年2月2日最近更新:
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- Female
入选标准
- •- Female Patients with histologically diagnosed hormone receptor positive (ER and/or PR positive ), HER2/neu negative (IHC < 2+ or FISH negative) operable breast cancer
- •1. Any condition excluding a patient from chemotherapy but not from endocrine treatment in combination with bevacizumab and therefore allowing patients to enter the study are:
- •(i) biological age
- •(ii) ECOG Performance status =2
- •(iii) normal or reduced hematopoietic reserve, but leukocytes >1,500/µl, platelets >1000,000/ µl and Hb =8 g/dl
- •(iv) Normal or reduced renal function but no necessity for dialysis
- •2. Stage I, II or Stage III (T2-T4a-c, N0-3, M0)
- •3. Postmenopausal status, defined as:
- •a) the patient is amenorrhoeic for > 12 months or
- •b) FSH and estradiol are in postmenopausal range or
- •c) the patient is 61 years of age or older.
- •4. No prior chemotherapy, radiotherapy, or endocrine therapy for invasive or non-invasive breast cancer.
- •5. Normal cardiac function must be confirmed by LVEF (MUGA scan or Echocardiography) within 4 weeks prior to randomization. The result must be above 50% .
- •6. Signed and dated informed consent
- •7. Willingness and ability to comply with treatment and all study related procedures
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range
排除标准
- •Concomitant conditions
- •1. Metastatic disease
- •2. Inflammatory carcinoma (T4d)
- •3. HER2neu positive breast cancer
- •4. Prior treatment for breast cancer
- •5. Active viral, bacterial or fungal infection
- •6. History of solid organ transplantation
- •7. CNS involvement by Breast Cancer or any evidence of spinal cord compression. Brain CT/MRI is only mandatory in case of clinical suspicion of CNS involvement by Breast Cancer
- •8. Prior malignancy (except adequately treated basal cell carcinoma of the skin, in situ cervical cancer, or any other cancer for which the patient has been in remission for at least 5 years)
- •9. Known hypersensitivity to study drug or its ingredients (i.e., hypersensitivity to Polysorbate 20, CHO cell products, or recombinant human antibodies)
- •10. Severe chronic obstructive pulmonary disease with hypoxemia
- •11. thrombosis unless resolved and under adequate control by anticoagulation (see 24)
- •12. Uncontrolled hypertension (>150mmHg and/or a diastolic >100 mmHg) or clinically significant (i.e. active) cardiovascular disease (CVA/stroke within <6 months prior to randomization) myocardial infarction within < 6 months prior to randomization, unstable angina pectoris, congestive heart failure (= NYHA Grade II), or serious cardiac arrhythmia requiring ongoing medication, NYHA = Grade II
- •13. Clinically significant, active peripheral vascular disease, serious non healing wound/ulcer, bone fracture, bleeding diathesis (history or evidence of inherited bleeding diathesis) and/or coagulopathy
- •14. History of active ulcer (within 1 year prior to randomization), abdominal fistula, gastrointestinal perforation, or intraabdominal abscess or concurrent therapy for treatment/prevention of ulcer
- •15. Evidence of any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates use of an investigational drug, or patient at high risk from treatment complications
- •16. Any co-existing medical or psychological condition that would compromise ability to give informed consent
- •17. Uncontrolled diabetes mellitus
- •Current treatment
- •18. Seizures requiring permanent anticonvulsant therapy
- •19. chronic daily treatment with corticosteroids (dose =10 mg/d methylprednisolone or equivalent) with the exception of inhaled steroids
- •20. chronic daily treatment with acetylsalicylic acid (aspirin or analogs >325 mg/day) or clopidrogel (>75 mg/day)
- •21. Major surgery, open biopsy or trauma within 28 days before randomization (fine-needle biopsies of breast tissue or lymph node are not considered major surgery), or the need for major surgery during the course of study treatment (adequate time delay of 6 weeks between last cycle of bevacizumab and surgery is considered in the design of the trial)
- •22. Current or recent (within the 30 days prior to randomization) treatment with another investigational drug or participation in another investigational therapeutic study
- •Laboratory (determined within 7 days prior to day 1 cycle 1)
- •23. Inadequate liver function, defined as:
- •- serum (total) bilirubin >1.5 x the upper limit of normal (ULN) for the institution
- •- AST/SGOT or ALT/SGPT >2,5 x ULN
- •- ALP >2.5 x ULN at baseline
- •24. Patients not receiving anticoagulant medication who have an International Normalized Ratio (INR) >1.5 or an activated partial thromboplastin time (aPTT) >1.5 x ULN within 7 days prior to first study treatment
- •25. Inadequate renal function (Proteinuria), d
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