UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007510
Receipt number R000008864
Scientific Title A phase 2 study of weekly Nab-Paclitaxel followed by FEC (Fluorouracil, Epirubicin, Cyclophosphamide) as primary therapy for operable breast cancer
Date of disclosure of the study information 2012/03/16
Last modified on 2012/12/26 15:18:53

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Basic information

Public title

A phase 2 study of weekly Nab-Paclitaxel followed by FEC (Fluorouracil, Epirubicin, Cyclophosphamide) as primary therapy for operable breast cancer

Acronym

A phase 2 study of weekly Nab-Paclitaxel followed by FEC as primary therapy for operable breast cancer

Scientific Title

A phase 2 study of weekly Nab-Paclitaxel followed by FEC (Fluorouracil, Epirubicin, Cyclophosphamide) as primary therapy for operable breast cancer

Scientific Title:Acronym

A phase 2 study of weekly Nab-Paclitaxel followed by FEC as primary therapy for operable breast cancer

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the efficacy as measured by the pathological complete response (pCR) rate of weekly Nab-paclitaxel followed by FEC for the treatment of operable breast cancer.

Basic objectives2

Others

Basic objectives -Others

Efficacy and safety as measured by the pCR rate for each biological subtype of breast cancer, breast conservation rate, and rate of adverse effects.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Pathological complete response rate.

Key secondary outcomes

Pathological complete response rate by breast cancer subtype,
breast conservation rate,
frequency of adverse effects.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Four courses of weekly Nab-pacltaxel is followed by 4 courses of FEC100.

[Weekly Nab-paclitaxel]
Nab-paclitaxel at a dose of 100mg/m2 is administered on days 1, 8, and 15, of a 28 day cycle, for 4 cycles.

[FEC100]
Fluorouracil at a dose of 500 mg/m2, Epirubicin 100 mg/m2, and Cyclophosphamide 500 mg/m2 respectively, are administered on day 1 of a 21 day cycle, for 4 cycles.

* For HER2 over-expressed cases, trastuzumab is administered weekly during the Nab-paclitaxel phase concurrently.

* For hormone responsive cases, LH-RH angonist and/or aromatase inhibitor use is permitted.

Operation is to be performed within 8 weeks of the last chemotherapy day.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >=

Gender

Female

Key inclusion criteria

1. Pathologically confirmed primary breast cancer.
2. Age 20 or over.
3. Clinical T1-3, N0-2, M0 cases.
4. Curative by primary chemotherapy and surgery.
5. Performance status (ECOG) 0 or 1.
6. Has measurable lesion.
7. With no prior surgery, radiation, chemotherapy, nor hormonal therapy.
8. The below criteria met within 14 days prior to therapy;
(1) WBC between 4,000/mm3 and 12,000/mm3.
(2) Granulocyte count 2,000/mm3 or over.
(3) Platelet count 100,000/mm3 or over.
(4) Hb 9.0 g/dl or over.
(5) Serum total bilirubin 1.5 mg/dL or under.
(6) AST and ALT below 2.5 times the institute upper limit.
(7) Serum creatinine 1.5 mg/dL or under.
(8) Cardiac function: left ventricle ejection fraction 55 % or over by cardiac sonography or MUGA scan.
(9) EKG within normal limits.
9. Written consent obtained from the patient.

Key exclusion criteria

1. Cases with prior history of hypersensitivity reaction to the drugs or solvents (e.g. albumin, paclitaxel) used in this protocol.
2. Bilateral breast cancer cases.
3. Cases with inflammatory breast cancer.
4. Male breast cancer cases.
5. Cases with active secondary malignancy (current secondary malignancy or other malignancy within 5 years) .
6. Cases with conditions with the potential to compromise the planned treatment, such as cases with active infection, diarrhea, intestinal paralysis, intestinal obstruction, uncontrolled diabetes, uncontrolled angina and myocardial infarction within 6 months, heart failure, and other serious conditions.
7. Pregnant or breast feeding cases.
8. Cases with pulmonary fibrosis or interstitial pneumonia.
9. Cases with severe myelodepression, renal or liver dysfunction.
10. Cases in which the treating physician deems inappropriate to be entered into this study for other reasons.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshihiko Kamada

Organization

Nahanishi Clinic

Division name

Division of Surgery

Zip code


Address

2-1-9 Akamine, Naha, Okinawa, Japan

TEL

098-858-5557

Email



Public contact

Name of contact person

1st name
Middle name
Last name Nobumitsu Tamaki

Organization

Nahanishi Clinic

Division name

Division of Surgery

Zip code


Address

2-1-9 Akamine, Naha, Okinawa, Japan

TEL

98-858-5557

Homepage URL


Email



Sponsor or person

Institute

Nahanishi Clinic

Institute

Department

Personal name



Funding Source

Organization

Nahanishi Clinic

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2012 Year 03 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2012 Year 02 Month 27 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2013 Year 02 Month 28 Day

Date of closure to data entry

2013 Year 03 Month 31 Day

Date trial data considered complete

2013 Year 04 Month 30 Day

Date analysis concluded

2013 Year 05 Month 31 Day


Other

Other related information



Management information

Registered date

2012 Year 03 Month 15 Day

Last modified on

2012 Year 12 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008864