Status:

COMPLETED

Secondary Adjuvant Treatment for Patients With Isolated Tumor Cells in Bone Marrow

Lead Sponsor:

Oslo University Hospital

Collaborating Sponsors:

University of Tromso

Helse Stavanger HF

Conditions:

Breast Cancer

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to identify patients with persisting tumor cells after standard epirubicin-containing treatment to test a non-cross resistant chemotherapy regimen (docetaxel) for these pa...

Detailed Description

The presence of disseminating (or isolated) tumor cells (DTC/ITC) in bone marrow (BM) after completion of adjuvant chemotherapy for breast cancer is associated with poor prognosis. Methods for detecti...

Eligibility Criteria

Inclusion

  • Breast cancer with node positive disease or high risk node negative disease (pT1c/T2GII-IIIN0, pT3N0, cT3N0). Patients \< 35 years with pT1a-bN0G2-3.
  • Primary surgery for breast cancer completed
  • Completed 6 cycles of adjuvant (or neoadjuvant) chemotherapy containing anthracycline
  • Age ≥ 18 and \< 70 years
  • Eastern Cooperative Oncology Group or WHO performance status \< 2
  • Written informed consent prior to beginning protocol specific procedures
  • Laboratory requirements (within 5 weeks prior to end of radiation treatment or within 5 weeks prior to completion of baseline examinations):
  • Neutrophils ≥ 1.1 10\^9/l, Platelets ≥ 100 10\^9/l, Hemoglobin ≥ 10 g/dl, ASAT and ALAT ≤ x 2.5 UNL (If ALP \> 2.5 ≤ x 5 UNL, then ASAT and ALAT ≤ x 1.5 UNL), ALP ≤ x 5 UNL (If ASAT and ALAT \> 1.5 ≤ x 2.5 UNL, then ALP ≤ 2.5 x UNL), Creatinine ≤ 175 umol/l
  • Completed staging analysis including chest X-ray, bone scintigraphy or MRI, liver ultrasound or liver CT scan

Exclusion

  • Other (than breast carcinoma) earlier or concomitant carcinoma, except for skin and in situ cervix cancer
  • M1 breast cancer or locoregional recurrence of previously diagnosed breast cancer.
  • Earlier treatment with paclitaxel or docetaxel.
  • Pre-existing motor or sensory neurotoxicity of a severity ≥ grade 2 by NCI criteria (see appendix II)
  • Cardiac disease with symptoms classified as NYHA ≥ 2
  • Definite contraindications for the use of corticosteroids
  • Concurrent treatment with other experimental drugs
  • Concurrent treatment with any other anti-cancer therapy (except for endocrine therapy and trastuzumab)
  • Pregnancy

Key Trial Info

Start Date :

October 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2022

Estimated Enrollment :

1128 Patients enrolled

Trial Details

Trial ID

NCT00248703

Start Date

October 1 2003

End Date

April 1 2022

Last Update

April 22 2022

Active Locations (1)

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1

RRHF

Oslo, Norway, 0027