Breast Cancer, Cancer
Conditions
Keywords
HER2 positive
Brief summary
In the REaCT-Vascular Access Trastuzumab study (REaCT-VA), the investigator will use a novel method to allow comparisons of established standard of care vascular access strategies using the integrated consent model as part of a pragmatic clinical trial. The investigator wishes to address a non-pharmacologic issue regarding standard of care vascular access devices. Peripherally inserted central catheters (PICC lines) versus subcutaneously implanted devices (PORTs).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed primary breast cancer * Planned to start trastuzumab based neo/adjuvant therapy: FEC-DH or AC-DH, or; dose-dense AC-TH, or docetaxel/cyclophosphamide/trastuzumab or docetaxel/carboplatin/trastuzumab, or weekly paclitaxel with trastuzumab. * ≥19 years of age * Able to provide verbal consent
Exclusion criteria
• Contraindication to central line placement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accrual rates | one year | Percentage of patients who receive (neo)adjuvant IV systemic therapy with trastuzumab compared to the number of participants who agree to randomization. |
| Patient compliance | One year | Percentage of participants who are randomized who accept randomization will be calculated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physician engagement | One year | Percentage of medical oncologists who have agreed to participate in the trial compared to the percentage who approached patients regarding the trial. |
| Rates of events | One year | Rates of documented thrombotic events, need for anticoagulation, line infections, phlebitis, and extravasations during systemic therapy. |
Countries
Canada