Unique ID issued by UMIN | UMIN000000651 |
---|---|
Receipt number | R000000780 |
Scientific Title | Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2 |
Date of disclosure of the study information | 2007/03/23 |
Last modified on | 2012/03/26 12:04:52 |
Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2
Phase II study of Neoadjuvant Chemotherapy / Tmab for HER2-positive BC
Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2
Phase II study of Neoadjuvant Chemotherapy / Tmab for HER2-positive BC
Japan |
Breast Cancer
Hematology and clinical oncology | Breast surgery |
Malignancy
YES
To determine more effective regimen which will show higher pathological complete response rate (pCR) by comparison between CEF(CPA/EPI/5-FU) followed by Trastuzumab / weekly paclitaxel and CEF followed by Trastuzumab / tri-weekly docetaxel in neoaduvant setting for primary breast cancer with overexpression of HER2.
Safety,Efficacy
Exploratory
Explanatory
Phase II
Pathological CR (pCR) rate
Definition: no evidence of residual cancer in axillary lymph node and no evidence of residual invasive cancer in breast
Disease-Free Survival
Adverse Events in neoadjuvant therapy
PK study of Neoadjuvant Trastuzumab
(10 patients of each arm)
To evaluate predictive factors of pCR by cDNA array
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Medicine |
CPA/EPI/5-FU(500/100/500)/q3wks x 4 followed by paclitaxel(80)/qwk x 12/Trastuzumab/q3wks x 4
CPA/EPI/5-FU(500/100/500) x 4 followed by docetaxel (75)/q3wks x 4/Trastuzumab/q3wks x 4
18 | years-old | <= |
65 | years-old | >= |
Female
1. Histologically confirmed invasive, but non-
inflammatory carcinoma of the breast
confirmed by core-needle biopsy
2. Clinical stage II to IIIA and satisfy criteria
as below
Tumor size: Less than 2cm and axillary node
positive diagnosed by ultrasound
or
Tumor size: More than 2cm diagnosed by
ultrasound
3. In multifocal tumor on the ipsilateral
breast, at least one tumor satisfies
criteria 2.
4. Case with simultaneous cancer on the both
breasts, or metachronous breast cancer,
is excluded
5. Overexpression of HER2 by IHC 3+ or
FISH +
6. Hormone-sensitivity of primary tumor is no
object
7. PS (ECOG) 0-2
8. Adequate organ function as below
[Bone marrow]
White blood cell count >= 3,000/uL,
or
granulocyte count >= 1,500/uL
Platelet count >= 100,000/uL
[Liver function]
AST and ALT <= 60IU/L
Total Bilirubin <= 1.5mg/dL
[Renal function]
Serum creatinine <= 1.5mg/dL
[Cadiac function]
(1) ECG normal or minor abnormality with
no-need of treatment
(2) No history of ischemic cardiac disease, or
cardiomyopathy
(3) Ejection fraction more than 60% by
ultrasound
9. Written informed consent
1. Pregnant and nursing
2. Concomitant infectious disease
3. History of hypersensitivity to Cremophor EL(polyoxethylated castor oil) or polysorbate
4. Interstitual pneumonia or lung fibrosis
5. Hepatitis Virus B antigen positive
6. Diabetes Mellitus with uncontrolled status or insulin-therapy
7. Difficulty to participate because of mental disorder
8. Simultaneous double-cancer (exclude carcinoma in situ)
100
1st name | |
Middle name | |
Last name | Masashi Ando, MD |
National Cancer Center Hospital
Department of breast, first outpatient division
Tsukiji 5-1-1, Chuo-ku, Tokyo, Japan
03-3542-2511
1st name | |
Middle name | |
Last name | Masashi Ando, MD |
National Cancer Center Hospital
Department of breast, first outpatient division
Tsukiji 5-1-1, Chuo-ku, Tokyo, Japan
03-3542-2511
Herceptin_trial_office@ml.res.ncc.go.jp
Office for cordination of Herceptin trial
Ministry of Health, Labour and Welfare
Japan
YES
18-3806
PMDA
2007/3/12
2007 | Year | 03 | Month | 23 | Day |
Published
http://www.sciencedirect.com/science/article/pii/S1526820911002047
Completed
2006 | Year | 12 | Month | 04 | Day |
2007 | Year | 03 | Month | 01 | Day |
2009 | Year | 03 | Month | 01 | Day |
2009 | Year | 04 | Month | 01 | Day |
2009 | Year | 05 | Month | 01 | Day |
2009 | Year | 07 | Month | 01 | Day |
2007 | Year | 03 | Month | 23 | Day |
2012 | Year | 03 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000780