Breasr cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Patients with breast cancer 2)triple negative typr 3)StageI-IIIB 4)Curable by neoadjuvant chemotherapy ans surgery 5)cases with measurable lesion 6)age20-69 at registration 7)PS(ECOG)0-1 8)No therapy before registration 9)LVEF>50% by UCG 10)WBC>3000/mm3 Neutrophil>1500/mm3 Platelet<10,000/mm3 Hb>9.0g/dL AST(GOT)<ULNx3 ALT(GPT)<ULNx3 T-Bil<2mg/dL Cr<2mg/dL 11)informed consent obtained from IC 12)To evaluate lymph node, not only CT/PET/US, but sentinel node biopsy/cytligy may be preferable.
Exclusion criteria
Exclusion criteria: 1)inflammamatory and/or bilateral breast cancer 2)Duplicated/sunchromus/metachromus cancer(DFS less than 5y) 3)Severe complication(cardiovascular, lung, liver disease, homorragic ulcer etc.) 4)febrile, suspicious for infection 5)Intedstitial pneumonia oe pulmonary fibrosis by chest-X/CT 6)Active systhemic infection()HBV,HCV,HIC etc.) 7)Severe allergy to drug 8)Pregnancy,Lactation 9)Uncontrollable mental disease 10)Not suitable for thes study judged by physician/Surgeon
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pCR rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Response rate Pathological evaluation Breast conserving rate Safety(change of LVEF,Febrile neutropenia,CIPN,Pneumocystis pneumonia) Relative dose intensity Aduvant therapy DFS OS Evaluation of TILs/PD-L1 in biopsy samples Analysis of tumor-related factors in urine and blood(Pre,after 4*dose-dense AC or EC, after*4 dose-dense paclitaxel) | — |
Countries
Japan
Contacts
Gifu University Graduate School of Medicine Department of Surgical Oncology