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Preoperative Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in HER-2 Positive Breast Cancer

Information source: Dana-Farber Cancer Institute
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Breast Cancer

Intervention: Herceptin (Drug); Navelbine (Drug); Taxotere (Drug); Carboplatin (Drug)

Phase: Phase 2

Status: Completed

Sponsored by: Eric Winer, MD

Official(s) and/or principal investigator(s):
Eric Winer, MD, Principal Investigator, Affiliation: Dana-Farber Cancer Institute

Summary

The purpose of this study is to find out what effects the preoperative combination therapies of herceptin/navelbine or herceptin/taxotere/carboplatin will have on patients with early stage HER-2 positive breast cancer.

Clinical Details

Official title: A Randomized Phase II Study of Preoperative Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Early Stage, HER-2 Positive Breast Cancer

Study design: Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Pathological Complete Response After Preoperative Therapy With Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Patients With HER-2 Positive Early Breast Cancer

Detailed description: Before starting treatment, a clip will be placed via catheter into the tumor bed, so the surgeon can locate the site of the tumor. During clip placement, tissue biopsy will be taken of the tumor. One to two weeks after the first dose of herceptin another biopsy will be performed. Patients will be placed into one of 2 arms.

- Arm 1 receives 12 weeks of herceptin and navelbine. Arm 2 receives 4 cycles of

taxotere/carboplatin/herceptin.

- Arm 2 participants will also receive neulasta (growth factor support) on day 2 of each

cycle. Phase A of Arm 1 is one dose of herceptin followed by an MRI of the affected breast and a second biopsy 1-2 weeks following this dose. Phase B of Arm 1 begins on week 3 and ends on week 14 and involves weekly injections of herceptin and navelbine. Surgery will take place a minimum of 3 weeks after the patients last dose of herceptin and navelbine. Phase A of Arm 2 is one dose of herceptin followed by an MRI of the affected breast and second biopsy 1-2 weeks following this dose. Phase B of Arm 2 begins on week 3 and ends on week 14 and involves herceptin weekly, taxotere and carboplatin every 3 weeks. Surgery will take place a minimum of 3 weeks after the patients last dose of herceptin, taxotere and carboplatin. Blood tests will be performed every 3 weeks during pre-operative treatment and every 6 months after surgery.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patients with stage II or III breast cancer

- HER-2 positive tumors

- Older than 18 years of age

- Eastern Cooperative Oncology Group (ECOG) Performance Status of greater or equal to

1.

- ANC > 1,500/mm3

- Hemoglobin > 9gm/dl

- Platelets > 100,000mm3

- Creatinine < 2mg/dl

- Glucose < 200mg/dl

- Bilirubin < 1. 5 x ULN

Exclusion Criteria:

- Previous treatment with herceptin, taxanes, doxorubicin or other anthracycline-type

therapy, navelbine, or platinum-based therapy.

- Pregnant or breast-feeding women

- Serious illness, or medical or psychiatric condition

- Uncontrolled infections

- Active or severe cardiovascular or pulmonary disease

- Patients with left ventricular ejection fraction < 50%

- Peripheral neuropathy of any etiology that exceeds grade 1

- Prior history of malignancy

- Uncontrolled diabetes

Locations and Contacts

Yale Cancer Center, New Haven, Connecticut 06520, United States

Beth Israel Deaconess Medical Center, Boston, Massachusetts 02115, United States

Dana-Farber Cancer Institute, Boston, Massachusetts 02115, United States

Massachusetts General Hospital, Boston, Massachusetts 02115, United States

Additional Information

Starting date: December 2003
Last updated: March 29, 2013

Page last updated: August 23, 2015

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