UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001298
Receipt number R000001577
Scientific Title Phase II study of exemestane with doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP) as primary systemic chemotherapy for hormone-sensitive and HER2-negative postmenopausal breast cancer (SBCCSG-13 EAPAC)
Date of disclosure of the study information 2008/08/05
Last modified on 2018/12/18 19:55:59

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Basic information

Public title

Phase II study of exemestane with doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP) as primary systemic chemotherapy for hormone-sensitive and HER2-negative postmenopausal breast cancer (SBCCSG-13 EAPAC)

Acronym

Phase II study of exemestane with doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP) as primary systemic chemotherapy for hormone-sensitive and HER2-negative postmenopausal breast cancer (SBCCSG-13 EAPAC)

Scientific Title

Phase II study of exemestane with doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP) as primary systemic chemotherapy for hormone-sensitive and HER2-negative postmenopausal breast cancer (SBCCSG-13 EAPAC)

Scientific Title:Acronym

Phase II study of exemestane with doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP) as primary systemic chemotherapy for hormone-sensitive and HER2-negative postmenopausal breast cancer (SBCCSG-13 EAPAC)

Region

Japan


Condition

Condition

Postmenopausal breast cancer

Classification by specialty

Endocrinology and Metabolism Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to investigate the rate of pathologically complete response (pCR) by administering doxorubicin hydrochloride (ADM) and paclitaxel (PTX) therapy and then weekly PTX (wP) as combination preoperative chemotherapy following a stable disease (SD) effect of exemestane in patients with postmenopausal hormone-sensitive HER2-negative breast cancer, and the efficacy and safety of this treatment regimen.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Pathological response rate

Key secondary outcomes

Clinical response rate, recurrence-free survival time, total survival time, rate of occurrence of adverse events, breast-conservation rate, treatment completion rate, biomarkers


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Exemestane (25 mg Tablet) is orally administered once a day every day. Doxorubicin plus paclitaxel (AP) followed by weekly paclitaxel (wP).

Interventions/Control_2


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

20 years-old <=

Age-upper limit

65 years-old >=

Gender

Female

Key inclusion criteria

1. Patients histologically diagnosed with unilateral primary breast cancer. (Inflammatory breast cancer will be excluded.)
2. Patients whose tumor is 2 cm or more in diameter or who are axillary lymph node metastasis positive.
3. Patients whose primary lesion is immunohistochemically estrogen receptor (ER)-positive (10% or more staining) and
4. does not over-express HER2 (Herceptest score 0 or 1+, or in the case of 2+, FISH test signal ratio less than 2.0)
5. Patients who have not received endocrine therapy or chemotherapy for breast cancer
6. Patients who are menopausal and 20 to 65 years of age
7. Patients whose general condition is (ECOG Performance Status [PS]) 0 or 1
8. Patients from whom informed consent has been obtained in writing
9. Patients who have not undergone surgery
Patients whose major organ function has been maintained as indicated by the following:
1) WBC count &#61619;3000/mm3 or neutrophil count &#61619;1500/mm3
2) Hemoglobin &#61619;9.0 g/dL
3) Platelet count &#61619;100,000 mm3
4) AST and ALT No more than 2.5 times the upper limit of normal values at the institution
5) Total bilirubin &#61619;1.5 g/dL
6) ECG Normal (patients with no heart disease or serious arrhythmias)

Key exclusion criteria

1. Synchronous bilateral breast cancer
2. Patients with a serious complication
3. Patients who have a heart disease, such as ischemic heart disease, arrhythmias, etc., that require treatment (left ventricular hypertrophy associated with hypertension or mild left ventricle loading, mild right bundle branch block, etc., eligible for registration), and patients who have a history of myocardial infarction that occurred within the past 6 months
4. Patients with diabetes that is difficult to control, as a complication
5. Patients suspected of having an infection
6. Patients with a past history of serious hypersensitivity or patients with a history of hypersensitivity to the drugs used in this study or preparations containing polyoxyethylene castor oil (Cremophor EL&#61650;) (cyclosporine injection, etc.)
7. Patients who are pregnant or breast feeding
8.Patients who for any other reason are judged to be unsuitable by the physician in charge

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kenichi Inoue

Organization

Saitama Cancer Center

Division name

Breast Oncology

Zip code


Address

818 Komuro Ina Kitaadachi, Saitama 362-0806

TEL

048-722-1111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Toshihiro Kai

Organization

Saitama Breast Cancer Clinical Study Group (SBCCSG)

Division name

Executive office(c/o: Shin-toshin Ladies MammoClinic)

Zip code


Address

3F, Capital Bldg. 4-261-1, Kishiki-cho, Omiya-ku, Saitama-City 330-0843, Saitama Prefecture

TEL

048-600-1722

Homepage URL

http://www.sbccsg.org/

Email

toshikai@sbccsg.org


Sponsor or person

Institute

Saitama Breast Cancer Clinical Study Group (SBCCSG)

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 08 Month 05 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


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

No longer recruiting

Date of protocol fixation

2008 Year 05 Month 01 Day

Date of IRB


Anticipated trial start date

2008 Year 05 Month 20 Day

Last follow-up date

2019 Year 04 Month 01 Day

Date of closure to data entry

2019 Year 06 Month 01 Day

Date trial data considered complete

2019 Year 08 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2008 Year 08 Month 04 Day

Last modified on

2018 Year 12 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001577


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name