UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007751
Receipt number R000009127
Scientific Title Evaluation of Efficacy and Safty of Neo-adjuvant Chemo-endocrine Therapy in Luminal B(HER2-negative) Breast Cancer: A Prospective Multi-institutional Study
Date of disclosure of the study information 2012/04/13
Last modified on 2020/04/19 12:53:29

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Basic information

Public title

Evaluation of Efficacy and Safty of Neo-adjuvant Chemo-endocrine Therapy in Luminal B(HER2-negative) Breast Cancer: A Prospective Multi-institutional Study

Acronym

Evaluation of Efficacy and Safty of Neo-adjuvant Chemo-endocrine Therapy in Luminal B(HER2-negative) Breast Cancer: A Prospective Multi-institutional Study

Scientific Title

Evaluation of Efficacy and Safty of Neo-adjuvant Chemo-endocrine Therapy in Luminal B(HER2-negative) Breast Cancer: A Prospective Multi-institutional Study

Scientific Title:Acronym

Evaluation of Efficacy and Safty of Neo-adjuvant Chemo-endocrine Therapy in Luminal B(HER2-negative) Breast Cancer: A Prospective Multi-institutional Study

Region

Japan


Condition

Condition

Luminal B (HER2-negative) primary breast cancer

Classification by specialty

Hematology and clinical oncology Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of efficacy and safty of Neo-adjuvant chemo-endocrine therapy in Luminal B (HER2-negative) breast cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

pathological complete response rate

Key secondary outcomes

clinical response rate
adverse events
histological therapeutic effect
breast conserving rate
Health related quality of life


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


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

After 12 cycles of weekly paclitaxel followed by 4 cycles of AC (or EC), surgical resection is carried out.

Interventions/Control_2

After 12 cycles of weekly paclitaxel plus anastrozole followed by 4 cycles of AC (or EC) plus anastrozole, surgical resection is carried out.
(If patient is premenopausal, LH-RH agonist is added.)

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


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1)Female patients with histologically confirmed invasive breast cancer
2)Any T-Stage
3)HER2-negative
4)Either ER -positive or PgR-positive
5)Either Ki67-LI>=14% and NG>=2 or NG=3 regardless of Ki67-LI
6)No significant abnormal EKG
7)No prior treatment for breast cancer
8)No history of breast cancer and no synchronous bilateral breast cancer
9)ECOG PS 0-1
10)Sufficient organ function confirmed with following major examination
WBC>=3000/mm3
Plt>=100000/mm3
Hb>=9.0g/dL
T-Bil<=1.5mg/dL
AST,ALT<=2.5 times ULN
Cre<=1.5mg/dL
No concurrent treatment for cerebral infarction at the registration.
No history of myocardial infarction and congestive heart failure.
No need for treatment of ischemic heart disease and valvular disorder
11)No distant metastasis
12)Written informed consent

Key exclusion criteria

1)Serious drug hypersensitivity
2)Pregnant or lactation women, or women with suspected pregnancy
3)Other any cancer
4)Other severe complications
5)Severe mental disorders
6)Active bleeding of digestive tract
7)Serious myeloablation,renal insufficciency,liver failure
8)Massive hydrothorax or ascites
9)Diarrhea
10)Active infection
11)Under treatment with continuous systemic steroid, estrogen or selective estrogen receptor modulators
12)Active participant in any other clinical trial for breast cancer
13)Not suitable for participating in the study for any other reason

Target sample size

94


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Ogura

Organization

Hamamatsu University School of Medicine

Division name

First Department of Surgery

Zip code

431-3192

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu-shi, Shizuoka, Japan

TEL

053-435-2276

Email

h.ogura@hama-med.ac.jp


Public contact

Name of contact person

1st name Ryoichi
Middle name
Last name Matsunuma

Organization

Hamamatsu University School of Medicine

Division name

First Department of Surgery

Zip code

431-3192

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu-shi, Shizuoka, Japan

TEL

053-435-2276

Homepage URL


Email

r-matsu@hama-med.ac.jp


Sponsor or person

Institute

Hamamatsu Breast Cancer Team

Institute

Department

Personal name



Funding Source

Organization

Hamamatsu University School of Medicine

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

Hamamatsu University School of Medicine IRB

Address

1-20-1 Handayama, Higashi-ku, Hamamatsu-shi, Shizuoka, Japan

Tel

053-435-2680

Email

rinri@hama-med.ac.jp


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

2012 Year 04 Month 13 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-bin/icdr/ctr_up_reg_f5.cgi

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/32144735

Number of participants that the trial has enrolled

70

Results

In patients with luminal B-like breast cancer, the pCR, clinical response rate, toxicity, and HRQOL with the concomitant administration of endocrine therapy and chemotherapy were not superior to chemotherapy alone in the preoperative setting.

Results date posted

2020 Year 04 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Refer to "Breast Cancer. 2020 Mar 6. doi: 10.1007/s12282-020-01077-0".

Participant flow

Refer to "Breast Cancer. 2020 Mar 6. doi: 10.1007/s12282-020-01077-0".

Adverse events

Refer to "Breast Cancer. 2020 Mar 6. doi: 10.1007/s12282-020-01077-0".

Outcome measures

Refer to "Breast Cancer. 2020 Mar 6. doi: 10.1007/s12282-020-01077-0".

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 02 Month 01 Day

Date of IRB

2012 Year 03 Month 26 Day

Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date

2017 Year 04 Month 01 Day

Date of closure to data entry

2017 Year 04 Month 01 Day

Date trial data considered complete

2017 Year 04 Month 01 Day

Date analysis concluded

2017 Year 04 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 04 Month 13 Day

Last modified on

2020 Year 04 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009127


Research Plan
Registered date File name
2020/04/19 HBCT臨床試験 プロトコール ver1.2.2.doc

Research case data specifications
Registered date File name

Research case data
Registered date File name