Breast Cancer
Conditions
Brief summary
This is a Phase II, randomised, double-blind, placebo-controlled study. Subjects with histologically-confirmed oestrogen receptor negative (ER-), progesterone receptor negative (PgR-) primary breast cancer breast cancer will be randomly assigned in a 2:1 ratio to receive ZD1839 250 mg once daily or matching placebo for a total period of 5 weeks. Surgical intervention will take place after 4 weeks (on Day 29) and treatment will continue for 1 week after surgery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically-confirmed ER- and PgR- primary breast cancer * Stage T .5 cm, N0-1, M0 * No previous treatment for breast cancer
Exclusion criteria
* ALT or AST greater than 2.5 times the ULRR * Metastatic disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Estimate the effect of ZD1839 compared with placebo on the change in tumour cell proliferation in patients who have completely ER negative & PgR negative breast cancer | — |
| Aassessment of biomarker Ki-67 in breast cancer tissue at baseline by core biopsy and after 4 weeks on the surgical specimen | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the effect of ZD1839 on HER-2 phosphorylation and other biomarkers in the surgical (endpoint) specimens when compared with the baseline biopsies | — |
| To assess the effect of 4 weeks of ZD1839 on the change in tumour size as assessed by ultrasounds. | — |
| To determine plasma trough concentrations of ZD1839 and correlate these with molecular biomarkers detected in breast cancer tissue. | — |
| To assess the effect of ZD1839 on apoptosis as assessed by TUNEL in the surgical (endpoint) specimens when compared with the baseline biopsies | — |
| To correlate the expression of tissue biomarkers (HER family and epidermal growth factor [EGF] related pathways) in the baseline biopsy sample and in the surgical (endpoint) specimen with the anti-proliferative effect of ZD1839. | — |
Countries
Italy