Perioperative Chemotherapy After Primary Chemotherapy for Locally Advanced 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: NCT00301548
Recruitment Status : Completed
First Posted : March 13, 2006
Last Update Posted : March 13, 2006
Information provided by:
European Institute of Oncology

Brief Summary:
The role of early timing of adjuvant chemotherapy was postulated to be particularly important for patients with endocrine non-responsive disease. The role of cytotoxicity during the period of breast surgery itself and immediately after (perioperative chemotherapy) remained unknown. We investigated in a randomized trial the role of perioperative chemotherapy in patients treated with a preoperative chemotherapy for locally advanced breast cancer and compare it to the preoperative chemotherapy without additional cytotoxic therapy during and immediately after definitive surgery. Patients with T2-3 N0-2 M0 breast cancer, with both estrogen receptors (ER) and progesterone receptors (PgR) expressed in less than 20% of tumor cells, or with absence of progesterone receptors, received up to 6 courses of primary systemic therapy with epirubicin 25 mg/m2 intravenously (i.v.) on days 1 and 2, cisplatin 60 mg/m2 i.v. on day 1, and 5-fluorouracil 200 mg/m2 i.v. daily as continuous infusion (ECF). Patients achieving a partial or complete remission were randomized to continue the infusion of fluorouracil until 2 weeks after surgery (perioperative treatment arm) or to stop fluorouracil infusion one week before surgery, on day 21 of the sixth cycle (control arm).

Condition or disease Intervention/treatment Phase
Breast Neoplasms Carcinoma Drug: perioperative chemotherapy Phase 2

Study Type : Interventional  (Clinical Trial)
Enrollment : 172 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Primary Chemotherapy Combined With Perioperative Chemotherapy In Operable Breast Cancer
Study Start Date : February 2000
Study Completion Date : June 2005

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer

Primary Outcome Measures :
  1. Reduction in Ki-67 labeling index

Secondary Outcome Measures :
  1. Pathological complete remission rate
  2. Disease-free survival
  3. Toxicity and safety

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients with breast cancer histologically proven > 2 cm, ER and PgR <20% or Any ER and PgR absent (T2,T3 N0-2, M0)
  • No treatment with previous chemotherapy/hormonotherapy
  • Performance status 0-2 (ECOG scale, Appendix 2)
  • Measurable or evaluable lesions
  • Age between 18-70 years
  • No significant intercurrent illness such as diabetes, cardiovascular, renal or neurologic impairments
  • Absence of psychiatric illness
  • WBC > 4,000/mm3; PLTS > 100,000/mm3
  • AST, ALT, LDH, gamma-GT < 2.5 x upper limit of normal and bilirubin < 3 mg/100 ml
  • Informed consent obtained
  • Pregnancy test (in fertile women). An effective contraceptive method must be utilized by fertile women.
  • Baseline examinations (chest X ray, CT scan, ECG etc) performed within one month prior initiation to therapy

Exclusion Criteria:

  • Uncontrolled infection and metabolite disease
  • Distant metastases
  • Active peripheric and/or central neurological disease
  • Active cardiac disease defined as CHF (NYHA III-IV) significant arrhytmias, bilateral bundle branch block or recent (less than 3 months) history of myocardial infarction
  • History of second malignancy (exception in situ carcinoma of the uterine cervix and basal or squamous cell carcinoma of the skin)

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): NCT00301548

Sponsors and Collaborators
European Institute of Oncology
Principal Investigator: Colleoni A Marco, MD European Institute of Oncology