breast cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female patients aged 18-70 years; 2. ECOG 0-2 points; 3. MR enhancement showed measurable brain parenchymal metastases (>= 1, maximum diameter >= 10 mm); 4. Histologically confirmed breast cancer, primary and/or metastatic HER2 negative expression: immunohistochemical 0 or 1+ or 2+ no amplification of HER2 detected by fluorescence in situ hybridization (FISH); 5. Patients with obvious central nervous system symptoms can be screened for >= 1 week after the end of whole brain radiotherapy or stereotactic radiotherapy, and patients without obvious symptoms above can be screened immediately; 6. Previously received anthracycline or taxane chemotherapy; 7. Can be combined with extracranial metastases (such as liver, lung, bone and lymph node metastasis), but without visceral crisis; 8. Blood routine, liver function, renal function and other evaluations can tolerate treatment (neutrophils >= 1.5 x 10^9/L, platelets >= 100 x 10^9/L, Hb >= 85g/L; ALT = 50ml/min).
Exclusion criteria
Exclusion criteria: 1. Pregnancy and lactation; 2. Those who are known to be severely allergic to fluorouracil or polyoxyethylene (35) castor oil or humanized antibodies; 3. Patients who must use solivudine or its congeners (such as brivudine); 4. Hypertension that cannot be controlled by drugs (systolic blood pressure > 180mmHg, diastolic blood pressure > 110mmHg); 5. Left ventricular ejection fraction < 50%; 6. Active bleeding; 7. Arterial thromboembolism; 8. Pulmonary embolism; 9. Have ever had grade IV peripheral neuropathy; 10. Cancerous meningitis; 11. Brain metastases caused by other primary tumors other than breast cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| objective respoinse rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| intracranial clinical benefit rate;the first progression site;intracranial progression free survival;extracranial progression free survival;overall survival;side effect; | — |
Countries
China
Contacts
Huashan Hospital Affiliated to Fudan University