Status:

UNKNOWN

Efficacy and Safety Study of Trastuzumab, Paclitaxel and Carboplatin on HER2+ Preoperative Breast Cancer

Lead Sponsor:

Fudan University

Collaborating Sponsors:

Hoffmann-La Roche

Conditions:

Breast Cancer

Eligibility:

FEMALE

18-70 years

Phase:

PHASE2

Brief Summary

To compare the efficacy in terms of the pathological complete response rate (pCR) to preoperative administration of qw or q3w Paclitaxel, Carboplatin and Trastuzumab (PCH)

Detailed Description

Currently Herceptin has moved to Neoadjuvant treatment combined with chemotherapy. Paclitaxel and Carboplatin are two of the best partners with high pCR. The significant efficacy and good safety profi...

Eligibility Criteria

Inclusion

  • Women aged equals to or more than 18 years and no more than 70 years with life expectancy more than 12 months
  • Histologically confirmed invasive breast cancer (excluding inflammatory breast cancer) by core needle biopsy, T2N1 or local advanced breast cancer, with no evidence of metastasis
  • HER2 positive confirmed by FISH/CISH+ or IHC 3+
  • With no history of cancer other than in situ uterine cervix cancer or skin basal cell carcinoma
  • Adequate hematopoietic function: Neutrophil larger than 1.5\*109/L; Hb larger than 100g/L; PLT larger than 100\*109/L
  • Adequate hepatic and renal function
  • serum AST less than 60U/L
  • Total bilirubin less than 1.5 ULN
  • serum creatinine less than 110umol/L
  • BUN less than 7.1mmol/L
  • LVEF 55% by MUGA scan or echocardiography
  • Adequate coagulation function
  • ECOG PS 0-1
  • Willing to take biopsy before surgery and during chemotherapy and willing to take pre-operative chemotherapy and related treatment
  • Women of child-bearing potential must have a negative pregnancy test (urine or serum) within 7 days of drug administration and agree to take an adequate contraceptive measure
  • Signed written informed consent; Able to comply with the protocol

Exclusion

  • Prior systemic or loco-regional treatment of breast cancer, including chemotherapy
  • Metastatic breast cancer
  • Patients with medical conditions that renders them intolerant to neoadjuvant therapy and related treatment, including uncontrolled pulmonary disease, Diabetes Mellitus, severe infection, active peptic ulcer, Coagulation disorder, connective tissue disease or myelo-suppressive disease
  • History of congestive heart failure, uncontrolled or symptomatic angina pectoris, arrhythmia or myocardial infarction; poorly controlled hypertension (Systolic BP more than 180mmHg or Diastolic BP more than 100mmHg)
  • grade 1 peripheral neuropathy from any cause
  • Patient is pregnant or nursing
  • Not willing to take pre-operative biopsy or neo-adjuvant therapy
  • Patients with psychiatric disorder or other disease leading to incompliance to the therapy
  • Known hypersensitivity to any ingredient of the regimen
  • Treatment with any investigational drug within 30 days before the beginning of treatment with study drug

Key Trial Info

Start Date :

August 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2015

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT01170143

Start Date

August 1 2009

End Date

December 1 2015

Last Update

July 27 2010

Active Locations (1)

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1

Cancer Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China, 200032