Locally Advanced HER2-positive Breast Cancer
Conditions
Keywords
Metronimic chemotherapy, Locally Advanced HER2-positive Breast Cancer
Brief summary
The purpose of this study is to evaluate the safety, effectiveness and cost-effectiveness of metronomic chemotherapy combined with trastuzumab as neoadjuvant therapy for locally advanced HER2-positive breast cancer.
Interventions
1. Paclitaxel 100mg/m2 once a week for 8 weeks concomitant to trastuzumab 4mg/kg dose attack after 2mg/kg once a week for 8 weeks followed by; 2. Doxorrubicin 24mg/m2 once a week concomitantly with oral cyclophosphamide 100mg/day (flat dose) concomitantly with trastuzumab 2mg/kg for 9 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of locally advanced breast cancer * T \> 2 cm (any N), or any T and positive node(needle biopsy is required if tumor size is less than 2cm) * Non-metastatic disease confirmed by computerized tomography and bone scan * HER2 positive by IHC (+++) and/or Fish (+) according to international definitions (ASCO 2007) * Normal left ventricular ejection fraction (LVEF) * Indication of preoperative chemotherapy * multifocal tumors acceptable provided that the largest tumor is Her2-positive * ECOG 0-1
Exclusion criteria
* Another malignancy within the last 5 years (except curatively treated skin carcinoma, in situ cervix carcinoma, in situ ductal carcinoma of the breast, or in situ lobular carcinoma of the breast) * Clinically significant comorbidities such as cardiovascular diseases, COPD, renal or liver impairment, psychiatric disorders * LVEF value below institutional limits of normal range * Detected or suspected distant metastasis * Neutrophils lower than 1,500/µL, platelets lower than 100,000/µL, hemoglobin lower than 10 g/dL, AST higher than 2.5x upper limit of normal (ULN), total bilirubin higher than ULN, alkaline phosphatase more than 1.5x ULN
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| INCIDENCE OF FEBRILE NEUTROPENIA | 18 weeks | INCIDENCE OF FEBRILE NEUTROPENIA WITH METRONOMIC SCHEDULE WILL BE NO HIGHER THAN 10% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| TUMOR SIZE | From the beginning of treatment until surgery, disease progression or death | Efficacy will be assessed by: 1. Tumor measurements using MRI of the Breast 2. Pathologic complete response 3. Progression-free survival 4. Overall survival |
Countries
Brazil