Status:

COMPLETED

A Prospective Study to Evaluate FDG-PET, Breast MRI, and Breast Ultrasonography in Monitoring Tumour Responses in Patients With Locally Advanced Breast Cancer (LABC) Undergoing Neoadjuvant Chemotherapy

Lead Sponsor:

Ontario Clinical Oncology Group (OCOG)

Collaborating Sponsors:

Juravinski Cancer Centre Foundation

Conditions:

Locally Advanced Breast Cancer

Eligibility:

FEMALE

18+ years

Brief Summary

The overall goal of this study is to determine how FDG-PET, breast MRI and breast ultrasound can be incorporated into the assessment of treatment responses in women with LABC undergoing neoadjuvant ch...

Detailed Description

Locally advanced breast cancer (LABC) is usually treated with neoadjuvant chemotherapy followed by surgery and radiation. At present, monitoring of tumour responses to chemotherapy is primarily carrie...

Eligibility Criteria

Inclusion

  • Histologic proof of breast cancer (invasive ductal or lobular carcinoma - not breast sarcoma or lymphoma)
  • Patients having a clinical diagnosis of locally advanced breast cancer (T3 or T4, or N2 according to TNM classification) including inflammatory breast cancer.
  • Patients must be able to undergo neoadjuvant chemotherapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 sufficient to undergo chemotherapy

Exclusion

  • Previously treated cancer other than nonmelanotic skin cancer or carcinoma in situ of the cervix, unless disease-free for 5 years or greater.
  • Evidence of metastatic disease (found on chest X-ray, liver ultrasound or bone scan).
  • Previous chemotherapy or hormonal therapy for breast cancer.
  • Active infection or other significant illnesses which could hamper their ability to tolerate chemotherapy
  • Significant concurrent medical problems (e.g. uncontrolled diabetes, active cardiac disease, severe chronic obstructive pulmonary disease) making the patient unfit for surgery.
  • Any condition that could interfere with their ability to provide informed consent such as dementia or severe cognitive impairment.
  • Pregnant or lactating females (e.g. positive serum B-hCG pregnancy test).
  • Unable to lie supine for imaging with PET.
  • Inadequate hematologic, renal and liver function as measured by CBC (WBC \< 4.0 x 109, Hb \< 100 g/L, plt count \< 100 x 109), and abnormal hepatic transaminases (AST, ALT, GGT, alkaline phosphatase \> 2x normal), elevated total bilirubin, and elevated serum creatinine (Cr \> 110 micromol/L).
  • Any contraindication to undergoing MRI or PET.

Key Trial Info

Start Date :

January 1 2006

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 1 2010

Estimated Enrollment :

49 Patients enrolled

Trial Details

Trial ID

NCT00788489

Start Date

January 1 2006

End Date

April 1 2010

Last Update

October 4 2011

Active Locations (1)

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Juravinski Cancer Centre

Hamilton, Ontario, Canada, L8V 5C2