NL-OMON47438招募中3 期
PALbociclib CoLlaborative Adjuvant Study: A randomized phase III trial of Palbociclib with standard adjuvant endocrine therapy versus standard adjuvant endocrine therapy alone for hormone receptor positive (HR+) / human epidermal growth factor receptor 2 (HER2)-negative early breast cancer - PALLAS
Alliance Foundation Trials (AFT) and Austrian Breast and Colorectal Cancer Study Group (ABCSG)0 个研究点目标入组 30 人开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 30
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
入选标准
- •(1) Signed informed consent obtained prior to any study specific assessments
- •and procedures.
- •(2) Age >=18 years (or per national guidelines).
- •(3) Premenopausal and postmenopausal women or men with Stage II (Stage IIA
- •limited to a max. of 1000 patients) or Stage III early invasive breast cancer
- •per AJCC Breast Cancer Staging version 7 /UICC . Baseline staging to document
- •absence of metastatic disease is not required, however is recommended as
- •determined by institutional practice.
- •(4) Patients with multicentric and/or multifocal and/or bilateral early
- •invasive breast cancer whose histopathologically examined tumors all meet
- •pathologic criteria for ER+ and/or PR+ and HER2-.
- •(5) Patients must have histologically confirmed hormone receptor positive (ER+
- •and/or PR+), HER2-, early invasive breast cancer. ER, PR and HER2 measurements
- •should be performed acc. to institutional guidelines, in a CLIA-approved
- •setting in the US or certified laboratories for Non-US regions. Cut-off values
- •for positive/negative staining should be in accordance with current ASCO/CAP
- •guidelines. Patients with equivocal HER2 in situ hybridization results
- •according to current ASCO/CAP guidelines are eligible, as long as they have not
- •received and are not scheduled to receive anti-HER2 treatment. Testing may
- •occur on diagnostic core or surgical tumor tissue.
- •(6) Patients must have undergone adequate (definitive) breast surgery for the
- •current malignancy.
- •(7) A formalin-fixed paraffin-embedded (FFPE) tumor tissue block must be
- •transmitted to a central sample repository and confirmation of receipt must be
- •available prior to randomization.
- •(8) ECOG performance status 0-1.
- •(9) Patients must be able and willing to swallow and retain oral medication
- •without a condition that would interfere with enteric absorption.
- •(10) Serum or urine pregnancy test must be negative within 7 days of
- •randomization in women of childbearing potential. Pregnancy testing does not
- •need to be pursued in patients who are judged as postmenopausal before
- •randomization, as determined by local practice, or who have undergone bilateral
- •oophorectomy, total hysterectomy, or bilateral tubal ligation. Women of
- •childbearing potential and male patients randomized into treatment Arm A or B
- •must use adequate contraception for the duration of protocol treatment and for
- •6 months after the last treatment with palbociclib if they are in arm A. In
- •addition, patients receiving standard adjuvant endocrine therapy (Arm A and Arm
- •B) should use adequate contraception in accordance with the specific medication
- •requirements (e.g. SmPC).Prior Treatment Specifics
- •(11) Patients may or may not have received neo/adjuvant therapy, but must be
- •after last dose of chemotherapy and/or biologic therapy and must have
- •sufficient resolution of side effects per physician assessment at the time of
- •randomization.
- •(12) Patients may or may not have received breast/axilla/post-mastectomy chest
- •wall radiotherapy, but must be after last dose of radiotherapy and must have
- •sufficient resolution of side effects per physician assessment at the time of
- •randomization.
- •(13) Patients must have sufficient resolution of any surgical side effects from
- •the last surgery per physician assessment with no active wound healing
- •complications at the time of randomization.
排除标准
- •(1) Concurrent therapy with other Investigational Products.
- •(2) Prior therapy with any CDK inhibitor.
- •(3) Patients with Stage I or IV breast cancer are not eligible. Baseline
- •staging to document absence of metastatic disease is not required, however is
- •recommended as determined by institutional practice.
- •(4) History of allergic reactions attributed to compounds of chemical or
- •biologic composition similar to palbociclib.
- •(5) Patients receiving any medications or substances that are potent inhibitors
- •or inducers of CYP3A isoenzymes within 7 days of randomization.
- •(6) Uncontrolled intercurrent illness including, but not limited to, ongoing or
- •active infection, symptomatic congestive heart failure, unstable angina
- •pectoris, cardiac arrhythmia, diabetes, or psychiatric illness/social
- •situations that would limit compliance with study requirements. Ability to
- •comply with study requirements is to be assessed by each investigator at the
- •time of screening for study participation.
- •(7) Pregnant women, or women of childbearing potential without a negative
- •pregnancy test (serum or urine) within 7 days prior to randomization,
- •irrespective of the method of contraception used, are excluded from this study
- •because the effect of palbociclib on a developing fetus is unknown.
- •Breastfeeding must be discontinued prior to study entry.
- •(8) Patients with a history of any malignancy are ineligible except for the
- •following circumstances:
- •Patients with a malignancy history other than invasive breast cancer are
- •eligible if they have been disease-free for at least 5 years and are deemed by
- •the investigator to be at low risk for recurrence of that malignancy.
- •Patients with the following cancers are eligible, even if diagnosed and
- •treated within the past 5 years: ductal carcinoma in situ of the breast,
- •cervical cancer in situ, and non-metastatic non-melanomatous skin cancer.
- •(9) Patients are not eligible if they have previously received endocrine
- •therapy within 5 years prior to diagnosis of the current malignancy. This
- •includes use for prophylactic reasons, including treatment of osteoporosis or
- •cancer prevention with tamoxifen, raloxifene or AI. Patients may concurrently
- •receive bisphosphonates or rank ligand inhibitors while on this study if
- •necessary for treatment or prevention of osteopenia or osteoporosis.
- •(10) Patients on combination antiretroviral therapy, i.e. those who are
- •HIV-positive, are ineligible because of the potential for pharmacokinetic
- •interactions or increased immunosuppression with palbociclib.
- •(11) Patients with clinically significant history of chronic liver disease,
- •including chronic / active viral or other known hepatitis, current alcohol
- •abuse, or cirrhosis, etc.
- •(12) Patients receiving concurrent exogenous hormone therapy (hormone
- •replacement therapy, oral or any other hormonal contraceptives such as hormonal
- •contraceptive coil, etc.) are not eligible but topical vaginal estrogen therapy
- •is allowable.
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