Study on the Neoadjuvant Use of Chemotherapy and Celecoxib Therapy in Patients With Invasive Breast Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00135018
Recruitment Status : Completed
First Posted : August 25, 2005
Last Update Posted : May 24, 2012
Information provided by:
Organisation for Oncology and Translational Research

Brief Summary:
This study will investigate whether cyclooxygenase inhibition with celecoxib will add any benefit to preoperative chemotherapy alone for breast cancer patients.

Condition or disease Intervention/treatment Phase
Breast Cancer Drug: celecoxib and chemotherapy Phase 2

Study Type : Interventional  (Clinical Trial)
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Study on the Neoadjuvant Use of Chemotherapy and Celecoxib Therapy in Patients With Invasive Breast Cancer
Study Start Date : February 2006
Actual Primary Completion Date : December 2011
Actual Study Completion Date : May 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer
Drug Information available for: Celecoxib
U.S. FDA Resources

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • The patient must be free of psychiatric or addictive disorders and mentally able to follow prescription instructions and able to give written informed consent. The patient must consent to be in the study and must sign an approved consent form conforming to institutional guidelines.
  • The patient must be aged 18 years or older.
  • The diagnosis of invasive adenocarcinoma of the breast must be confirmed by core or Tru-cut biopsy and the interval between initial histological diagnosis of breast cancer and registration must not be more than 1 month.
  • The primary tumor within the breast must be palpable and measurable on clinical examination and ultrasound, and must be confined to one breast. For patients with clinically negative axillary nodes, the primary tumor size must be between 2 to 7 cm. For patients with clinically positive axillary nodes, any primary tumor size up to 7 cm is acceptable (T2-3, N0, M0 or T1-3, N1, M0).
  • ECOG performance status of 0-1 or a corresponding Karnofsky performance status of at least 70.
  • Within one month prior to the time of registration, the patient must have had the following: history, physical examination, blood tests, tumor estrogen and progesterone receptor status assessment, chest X-ray, bone scan, abdominal ultrasound, bilateral mammogram, and electrocardiogram (ECG).
  • Hematology parameters: white blood cell (WBC) at least 2500/mm3; neutrophil count at least 2,000/mm3; platelet count at least 100,000/mm3; and hemoglobin at least 10g/dL. Other laboratory parameters: total serum bilirubin not exceeding 2 times institutional upper limit of normal (ULN); AST not exceeding 2 times ULN; ALT not exceeding 2 times ULN; alkaline phosphatase not exceeding 2 times ULN; and serum creatinine not exceeding 2 times ULN. In borderline cases, inclusion into the study is left to the judgment of the principal investigator.
  • The patient must have adequate ventricular function with left ventricular ejection fraction (LVEF) not less than 55% by echocardiogram scan.
  • Patients with prior non-breast malignancies are eligible if they have been disease free for more than 5 years and if they have not received any chemotherapy, immunotherapy, hormonal therapy or radiation therapy within the last 5 years. Patients with curatively treated non-melanoma skin cancer and carcinoma in situ of the cervix are eligible even if diagnosed within the last 5 years prior to registration.
  • Patients receiving any sex hormonal therapy e.g., birth control pills, ovarian hormonal replacement therapy, etc., are eligible if such therapy is discontinued 1 month prior to registration.

Exclusion Criteria:

  • Male patients
  • Patients with distant metastasis, including skin involvement beyond the breast area. Patients with ulceration, erythema and infiltration of the skin (complete fixation), inflammatory breast cancer or peau d'orange (edema) of any magnitude. (Tethering or dimpling of the skin or nipple inversion should not be interpreted as skin infiltration and patients with these conditions are eligible.)
  • Patients with ipsilateral lymph nodes that are clinically fixed to one another or to other structures (N2 disease).
  • Patients with a mass in the opposite breast, which is suspicious for malignancy, unless there is biopsy proof that the mass is not malignant.
  • Patients with multiple, bilateral breast cancer or suspicious palpable nodes in the contralateral axilla or patients with palpable supraclavicular or infraclavicular nodes, unless there is biopsy proof that the nodes are not involved with malignancy.
  • Postmenopausal patients with both positive estrogen and progesterone receptor status and negative lymph node involvement.
  • Pregnant women or women with suspected pregnancy at the time of registration and lactating women are not eligible for the study.
  • Patients with prior history of invasive breast cancer; patients with ipsilateral new cancer/recurrence after treatment of in-situ breast cancer; or patients who have received prior therapy for breast cancer, including chemotherapy, immunotherapy, hormonal therapy or radiation therapy.
  • Patients who have received any prior anthracycline or docetaxel therapy for any malignancy.
  • Patients with serious cardiac illness or medical conditions including, but not confined to:

    • History of documented congestive heart failure (CHF);
    • High-risk uncontrolled arrhythmias;
    • Angina pectoris requiring antianginal medication;
    • Clinically significant valvular heart disease;
    • Evidence of transmural infarction on ECG; or
    • Poorly controlled hypertension (e.g. systolic > 180mmHg or diastolic greater than 100mmHg).
  • Patients with any abnormalities in the ECG, e.g., ventricular hypertrophy, even if they demonstrate adequate ventricular function by echocardiogram.
  • Patients with active or chronic documented infection at the time of registration.
  • Patients with pre-existing peripheral neuropathy (grade 2 or greater according to National Cancer Institute Adverse Event [NCI AE] v 3.0) and patients under risk of developing peripheral neuropathy, i.e., poorly controlled diabetes mellitus.
  • Patients with rheumatic disease and patients under cyclooxygenase-2 inhibitor medication.
  • Patients who are hepatitis B and/or hepatitis C carriers.
  • Patients with known hypersensitivity or contraindication to any study or pre- medications or products formulated in polysorbate 80.
  • Patients judged by the investigator to be unfit to be enrolled into the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00135018

Hong Kong
UNIMED Medical Institute
Hong Kong, Hong Kong
Sponsors and Collaborators
Organisation for Oncology and Translational Research
Principal Investigator: Louis WC Chow UNIMED Medical Institute Identifier: NCT00135018     History of Changes
Other Study ID Numbers: FEC-DOC-CXB-A3
First Posted: August 25, 2005    Key Record Dates
Last Update Posted: May 24, 2012
Last Verified: May 2012

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases
Cyclooxygenase 2 Inhibitors
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Inflammatory Agents
Antirheumatic Agents