Stage II and III triple negative breast cancer patients suitable for preoperative chemotherapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Stage II-III operable triple negative (ER and PR 18. For patients aged 65 or older the G8 geriatric screening test should be > 14 (on a total of 17). - Baseline mammography, US. MR of the breast on clinical indication. - FNA of suspicious axillary lymph node is indicated - Pre-treatment SN biopsy is indicated in clinical N0 - Measurable loco-regional disease - Adequate bone marrow function, defined as o Absolute neutrophil count(ANC) >1500*109/L o Platelet count >100.000*109/L - Adequate liver function defined as o Serum(total) bilirubin 55% - Creatinine clearance > 40 ml/min according to local laboratory standard (MDRD, CDK-epi, Cockroft-Gault, or other established formula to calculate renal function) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 63 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 63
Exclusion criteria
Exclusion criteria: - T4d breast tumor - Bilateral breast cancer - Other invasive cancer in the past except for a localized squamous cell cancer or basal cell of the skin or an in situ squamous cell cancer of the cervix.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: - To determine the rate of pCR in the breast and axilla (ypT0/is, ypN0). Pathological complete response is defined as no presence of invasive residuals in the breast and resected axillary lymph nodes. ;Secondary Objective: - To evaluate the toxicity of the study regimen - To evaluate the drug delivery - To evaluate clinical response rate (RECIST 1.1) by mammography and sonography in breast and axilla. - To evaluate breast-conserving surgery rate - To evaluate progression free survival - To evaluate overall survival - To evaluate the percentage of patients with BRCA1, BRCA2, or CHEK2 mutation in this population. - To evaluate tumor infiltrating lymphocytes on the residual tumor - To do genome analysis on tissue samples;Primary end point(s): - The rate of pCR in the breast and axilla (ypT0/is, ypN0);Timepoint(s) of evaluation of this end point: After surgery when part 1 and 2 of treatment are ended | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Safety - The drug delivery - Clinical response rate - Rate of breast conserving surgery - PFS - OS - Percentage of patients with BRCA1, BRCA2, or CHEK2 mutation in this population - Percentage of tumor infiltrating lymphocytes on residual tumor - Subsequent genomic studies on the tumor and germline DNA's;Timepoint(s) of evaluation of this end point: during and after part 1 and 2 of treatment | — |
Countries
Belgium
Contacts
UZ Brussel