UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000651
Receipt number R000000780
Scientific Title Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2
Date of disclosure of the study information 2007/03/23
Last modified on 2012/03/26 12:04:52

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Basic information

Public title

Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2

Acronym

Phase II study of Neoadjuvant Chemotherapy / Tmab for HER2-positive BC

Scientific Title

Randomized Phase II Study of Neoadjuvant Chemotherapy and Trastuzumab (Herceptin) for Operable Breast Cancer with Overexpression of HER2

Scientific Title:Acronym

Phase II study of Neoadjuvant Chemotherapy / Tmab for HER2-positive BC

Region

Japan


Condition

Condition

Breast Cancer

Classification by specialty

Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To determine more effective regimen which will show higher pathological complete response rate (pCR) by comparison between CEF(CPA/EPI/5-FU) followed by Trastuzumab / weekly paclitaxel and CEF followed by Trastuzumab / tri-weekly docetaxel in neoaduvant setting for primary breast cancer with overexpression of HER2.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase II


Assessment

Primary outcomes

Pathological CR (pCR) rate
Definition: no evidence of residual cancer in axillary lymph node and no evidence of residual invasive cancer in breast

Key secondary outcomes

Disease-Free Survival
Adverse Events in neoadjuvant therapy
PK study of Neoadjuvant Trastuzumab
(10 patients of each arm)
To evaluate predictive factors of pCR by cDNA array


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

CPA/EPI/5-FU(500/100/500)/q3wks x 4 followed by paclitaxel(80)/qwk x 12/Trastuzumab/q3wks x 4

Interventions/Control_2

CPA/EPI/5-FU(500/100/500) x 4 followed by docetaxel (75)/q3wks x 4/Trastuzumab/q3wks x 4

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

65 years-old >=

Gender

Female

Key inclusion criteria

1. Histologically confirmed invasive, but non-
inflammatory carcinoma of the breast
confirmed by core-needle biopsy
2. Clinical stage II to IIIA and satisfy criteria
as below
Tumor size: Less than 2cm and axillary node
positive diagnosed by ultrasound
or
Tumor size: More than 2cm diagnosed by
ultrasound
3. In multifocal tumor on the ipsilateral
breast, at least one tumor satisfies
criteria 2.
4. Case with simultaneous cancer on the both
breasts, or metachronous breast cancer,
is excluded
5. Overexpression of HER2 by IHC 3+ or
FISH +
6. Hormone-sensitivity of primary tumor is no
object
7. PS (ECOG) 0-2
8. Adequate organ function as below
[Bone marrow]
White blood cell count >= 3,000/uL,
or
granulocyte count >= 1,500/uL
Platelet count >= 100,000/uL
[Liver function]
AST and ALT <= 60IU/L
Total Bilirubin <= 1.5mg/dL
[Renal function]
Serum creatinine <= 1.5mg/dL
[Cadiac function]
(1) ECG normal or minor abnormality with
no-need of treatment
(2) No history of ischemic cardiac disease, or
cardiomyopathy
(3) Ejection fraction more than 60% by
ultrasound
9. Written informed consent

Key exclusion criteria

1. Pregnant and nursing
2. Concomitant infectious disease
3. History of hypersensitivity to Cremophor EL(polyoxethylated castor oil) or polysorbate
4. Interstitual pneumonia or lung fibrosis
5. Hepatitis Virus B antigen positive
6. Diabetes Mellitus with uncontrolled status or insulin-therapy
7. Difficulty to participate because of mental disorder
8. Simultaneous double-cancer (exclude carcinoma in situ)

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masashi Ando, MD

Organization

National Cancer Center Hospital

Division name

Department of breast, first outpatient division

Zip code


Address

Tsukiji 5-1-1, Chuo-ku, Tokyo, Japan

TEL

03-3542-2511

Email



Public contact

Name of contact person

1st name
Middle name
Last name Masashi Ando, MD

Organization

National Cancer Center Hospital

Division name

Department of breast, first outpatient division

Zip code


Address

Tsukiji 5-1-1, Chuo-ku, Tokyo, Japan

TEL

03-3542-2511

Homepage URL


Email

Herceptin_trial_office@ml.res.ncc.go.jp


Sponsor or person

Institute

Office for cordination of Herceptin trial

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

18-3806

Org. issuing International ID_1

PMDA

Study ID_2


Org. issuing International ID_2


IND to MHLW

2007/3/12


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 03 Month 23 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.sciencedirect.com/science/article/pii/S1526820911002047

Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 12 Month 04 Day

Date of IRB


Anticipated trial start date

2007 Year 03 Month 01 Day

Last follow-up date

2009 Year 03 Month 01 Day

Date of closure to data entry

2009 Year 04 Month 01 Day

Date trial data considered complete

2009 Year 05 Month 01 Day

Date analysis concluded

2009 Year 07 Month 01 Day


Other

Other related information



Management information

Registered date

2007 Year 03 Month 23 Day

Last modified on

2012 Year 03 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000780


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name