Postmenopausal, ER positive and HER2 negative advanced breast cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Advanced breast cancer 2. Stage:IIA, IIB, IIIA 3. Histological confirmed invasive breast cancer by biopsy 4. Estorogen receptor(ER) positive by Immunohistochemistry(IHC; => 10% or Allred score => 3). 5. HER2 negative (IHC: 1+ or 0, or FISH: negative) 6. The patient is aged 65 to 79. 7. One of the following cases 1) Histologic grade: => Grade2 2) tumor size => 5cm 3) lymph node-positive 4) Ki67 => 15% 8. Measurable region 9. Principal organs (bone marrow, heart, liver, kidneys, etc.) are functionally preserved. 1)White blood cell count => 3,000/mm3 or Neutrophil count => 1,500/mm3 2)Platelet count => 100,000/mm3 3)Hemoglobin => 9.0 g/dL 4)AST, ALT <= 1.5 x Upper limit of facility reference 5)Total bilirubin <= 1.25 x Upper limit of facility reference 6)ALP <= 1.25 x Upper limit of facility reference 7)Serum creatinine <= 1.5 x Upper limit of facility reference 10. ECOG preformance status (P.S.): 0 and 1 11. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Prior chemotherapy or endocrine therapy 2. Need for treatment with taxanes and anthracycline drug 3. need of Treatment with hormone therapy alone 4. Medication that may affect the sex hormone status (hormone replacement therapy, raloxifene, etc.) 5. History or complications of uncontrolled hypertension, severe heart disease (heart failure, ischemic heart disease, endocarditis, valvular heart disease, pericarditis, and congenital heart disease) 6. Active double cancer 7. Inflammatory breast cancer 8. Bilateral breast cancer 9. Medication of investigational new drug 10. Cases in which study participation is considered difficult due to the coexistence of psychosis or psychiatric symptoms 11. Cases considered ineligible by the attending physician for other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall Response Rate: ORR | — |
Secondary
| Measure | Time frame |
|---|---|
| Pathological Complete Response: pCR Safety Breast Conserving Rate: BCR Disease-free Survival: DFS | — |
Countries
Japan
Contacts
Japan Breast Cancer Research Group (JBCRG) Head Office