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临床试验/EUCTR2018-003553-19-AT
EUCTR2018-003553-19-AT进行中(未招募)1 期

A phase III open-label, multicenter, randomized trial of adjuvant palbociclib in combination with endocrine therapy versus endocrine therapy alone for patients with hormone receptor positive / HER2-negative resected isolated locoregional recurrence of breast cancer - POLAR

International Breast Cancer Study Group (IBCSG)0 个研究点目标入组 400 人开始时间: 2020年1月21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
入组人数
400

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
All

入选标准

  • ? Histologically confirmed invasive breast cancer, defined as first proven ipsilateral local and/or regional recurrence of a primary invasive breast cancer in at least one of the sites below:
  • – Chest wall including mastectomy scar and/or skin
  • – Axillary or internal mammary lymph nodes
  • ? Completion of locoregional therapy:
  • – Completion of gross excision of recurrence within 6 months prior to randomization
  • – Completion of radiotherapy (if given) more than 2 weeks prior to randomization
  • ? Negative or microscopically involved margins
  • ? Female or male aged 18 years or older
  • ? ECOG performance status 0 or 1
  • ? Recurrent tumor must be hormone receptor positive: ER+ and/or PgR+ =1% by IHC
  • ? Recurrent tumor must be HER2-negative (0, 1+, 2+ by IHC and/or ISH/FISH not amplified)
  • Tumor with HER2 status 2+ by IHC must also be negative (not amplified) by ISH/FISH
  • ? Normal hematological, renal, and liver function
  • ? The patient agrees to make tumor (diagnostic core biopsy or surgical specimen of ILRR) available for submission for central pathology review
  • ? Patients must either be planned to initiate, or have already started, endocrine therapy for ipsilateral isolated locoregional recurrence
  • ? Written Informed Consent (IC) prior to randomization
  • 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 200
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 200

排除标准

  • ? Recurrence of any size with direct extension to the chest wall and/or to the skin (ulceration or skin nodules) not surgically removable
  • ? Evidence of distant metastasis as based on conventional staging examinations (physical, chest X-ray or CT, abdominal ultrasound or CT, bone scintigraphy or FDG-PET-CT).
  • ? Bilateral synchromous or metachronous invasive breast cancer (in situ carcinoma of the contralateral breast is allowed)
  • ? Inflammatory breast cancer
  • ? Patients with a history of malignancy, other than invasive breast cancer, with the following exceptions:
  • – Patients diagnosed, treated and disease-free for at least 5 years and deemed by the investigator to be at low risk for recurrence of that malignancy are eligible
  • – Patients with the following malignancies are eligible, even if diagnosed and treated within the past 5 years: ductal carcinoma in situ of the breast; cervical cancer in situ; thyroid cancer in situ; non-metastatic, non-melanomatous skin cancers
  • ? Previous treatment with palbociclib or any other CDK 4/6 inhibitors
  • ? Previous or planned chemotherapy or planned radiotherapy for the ipsilateral isolated locoregional recurrence (radiotherapy is allowed, but must be completed more than 2 weeks prior to randomization)
  • ? Concurrent disease or condition that would make the patient inappropriate for study participation or any serious medical disorder that would interfere with the patient’s safety
  • ? Contraindications or known hypersensitivity to the palbociclib or excipients
  • ? History of extensive disseminated/bilateral or known presence of interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, obliterative bronchiolitis, and pulmonary fibrosis. History of prior radiation pneumonitis is not an exclusion criterion.
  • ? Pregnant or lactating women; lactation has to stop before randomization

研究者

发起方
International Breast Cancer Study Group (IBCSG)

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