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临床试验/EUCTR2006-006494-24-FR
EUCTR2006-006494-24-FR进行中(未招募)1 期

Randomized, open label, multicentric phase III trial evaluating the benefit of a sequential regimen associating FEC100 and Ixabepilone in adjuvant treatment of non metastatic, poor prognosis breast cancer defined as triple-negative tumor (HER2 negative - ER negative - PR negative) or HER2 negative and PR negative tumor; in node positive or node negative patients. - TavIx

Fédérationa Nationale des Centres de Lutte Contre le Cancer0 个研究点目标入组 2,500 人开始时间: 2007年3月26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
2,500

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

入选标准

  • - Women aged from 18 to 70 years,
  • - Histologically proven invasive unilateral breast cancer (regardless of the type),
  • - Initial clinical condition compatible with complete initial resection,
  • - No residual macro or microscopic tumor after surgical excision,
  • - Beginning of chemotherapeutic treatment no later than day 42 after the initial surgery,
  • - Node positive disease (positive sentinel node or positive axillary clearance) (N+)
  • or node negative disease (N-) with the following criteria : SBR II / III and pT>20mm,
  • - Patient presenting one of the following criteria :
  • - for N+ patients: triple negative tumor [HER2 negative and ER negative and PR negative] or [HER2 negative and PR negative status],
  • - for N- patients: triple negative tumor only [HER2 negative and ER negative and PR negative]
  • HER 2 negativity is defined as IHC 0, or IHC 1+, or [IHC 2+ and FISH or CISH negative].
  • Hormonal receptor (progesterone and estrogen receptors) negativity is defined as a rate <10% in immunohistochemistry.
  • All tumors will be centrally analysed before randomization by a regional web of reference pathologists to assess final diagnosis of HER2 expression and hormonal receptor status.
  • - No clinically or radiologically detectable metastases (M0),
  • - No peripheral neuropathy > 1,
  • - WHO Performance status (ECOG) of 0 or 1,
  • - Adequate recovery from recent surgery (at least one week must have elapsed from the time of a minor surgery (excluding breast biopsy); at least three weeks for major surgery),
  • - Adequate hematological function (neutrophil count = 2x109/l,
  • platelet count = 100x 109/l, Hemoglobin > 9g/dl),
  • - Adequate hepatic function: ASAT and ALAT = 1.5 ULN, alkaline phosphatase = 2.5 ULN, total bilirubin = 1.5 ULN,
  • - Adequate renal function: serum creatinine = 1.5 ULN,
  • - Patients accepting contraception intake during the overall length of treatment if of childbearing potential,
  • - Adequate cardiac function, LEVF value > 50% by Muga scan or echocardiography,
  • - Signed written informed consent.
  • 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

  • - Bilateral breast cancer or patient with controlateral DCIS,
  • - Any metastatic impairment, including homolateral sub-clavicular node involvement, regardless of its type,
  • - Any tumor = T4a (UICC1987) (cutaneous invasion, deep adherence, inflammatory breast cancer),
  • - HER2 overexpression defined as [IHC 3+] or [IHC 2+ and FISH or CISH positive],
  • - Any clinically or radiologically suspect and non-explored damage to the controlateral breast,
  • - Any chemotherapy, hormonal therapy or radiotherapy before surgery,
  • - Concomittant treatment with the following strong inhibitors of CYP3A4 from 72 hours prior to the initiation of study therapy until end of treatment with ixabepilone or docetaxel: amiodarone, clarithromycin, amprenavir, delavirdine, voriconazole erythromycin, fluconazole, itraconazole, ketoconazole, indinavir, nelfinavir, ritonavir, and saquinavir.
  • - Previous cancer (excepted cutaneous baso-cellular epithelioma or uterin pheripheral ephitelioma) in the preceding 5 years, including invasive controlateral breast cancer,
  • - Patients already included in another therapeutic trial involving an experimental drug,
  • - Patients with other concurrent severe and/or uncontrolled medical disease or infection which could compromise participation in the study,
  • - LEVF < 50% (MUGA scan or echocardiography),
  • - Clinically significant cardiovascular disease (e.g. unstable angina, congestive heart failure, uncontrolled hypertension (>150/90), myocardial infaction or cerebral vascular accidents) within 6 months prior to randomization,
  • - Known prior severe hypersensitivity reactions to agents containing Cremophor EL,
  • - Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and up to 8 weeks after treatment completion,
  • - Women who are pregnant or breastfeeding. Adequate birth control measures should be taken during study treatment phase,
  • - Women with a positive pregnancy test en enrollment or prior to study drug administration,
  • - Patients with any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial,
  • - Individual deprived of liberty or placed under the authority of a tutor.

研究者

发起方
Fédérationa Nationale des Centres de Lutte Contre le Cancer

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