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Neoadjuvant Treatment of Triple Negative Breast Cancer Patients With Docetaxel and Carboplatin to Assess Anti-tumor Activity

This study is currently recruiting participants.
See Contacts and Locations
Verified June 2017 by Washington University School of Medicine
Sponsor:
Information provided by (Responsible Party):
Washington University School of Medicine
ClinicalTrials.gov Identifier:
NCT02124902
First received: April 24, 2014
Last updated: June 8, 2017
Last verified: June 2017
  Purpose
This is a single arm open label phase II study in women with clinical stage 2 or 3 triple negative breast cancer to assess the anti-tumor activity (in terms of pathologic complete response rate) of neoadjuvant docetaxel in combination with carboplatin. Patient derived xenografts will also be developed simultaneously for the purposes of genoproteomic analysis.

Condition Intervention Phase
Triple Negative Breast Neoplasms Drug: Docetaxel Drug: Carboplatin Phase 2

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: No masking
Primary Purpose: Treatment
Official Title: A Co-clinical Trial in Triple Negative Breast Cancer Patients With Genoproteomic Discovery

Resource links provided by NLM:


Further study details as provided by Washington University School of Medicine:

Primary Outcome Measures:
  • Pathological Complete Response (pCR) rate [ Time Frame: 5 months ]
    pCR rate will be calculated with 95% CI and will be tested against the reference pCR rate of 35% with standard chemotherapy


Estimated Enrollment: 70
Actual Study Start Date: July 7, 2014
Estimated Study Completion Date: June 30, 2018
Estimated Primary Completion Date: June 30, 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Neoadjuvant docetaxel and carboplatin Drug: Docetaxel
Other Name: Docefrez®, Taxotere®
Drug: Carboplatin
Other Name: Paraplatin, Paraplatin-AQ

  Eligibility

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

Inclusion Criteria:

  • Newly diagnosed clinical stage II or III breast cancer with complete surgical excision of the breast cancer after neoadjuvant chemotherapy as the treatment goal.
  • Patients with PR+ tumors are allowed.
  • HER2 negative by FISH or IHC staining 0 or 1+.
  • ER less than Allred score of 3 or less than 1% positive staining cells in the invasive component of the tumor
  • Tumor size at least 2cm in one dimension by clinical or radiographic exam (WHO criteria). Patients with palpable lymph nodes may be enrolled regardless of tumor size.
  • At least 18 years of age.
  • ECOG performance status ≤ 2
  • Normal bone marrow and organ function as defined below:

    • Leukocytes ≥ 3,000/mcL
    • Absolute neutrophil count ≥ 1,500/mcl
    • Platelets ≥ 100,000/mcl
    • Serum bilirubin within (or under ) normal limits (OR total bilirubin ≤ 3.0 x IULN with direct bilirubin within normal range in patients with well documented Gilbert Syndrome)
    • AST(SGOT)/ALT(SGPT) within (or under ) normal limits
    • Creatinine clearance ≥ 60 mL/min/1.73 m2
  • Patients may be pre- or post-menopausal. Women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control, abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she must inform her treating physician immediately.
  • Ability to understand and willingness to sign an IRB approved written informed consent document (or that of legally authorized representative, if applicable).
  • If consenting to participate in the optional PET/MR imaging sub-study, the patient must be able to tolerate PET/MRI with intravenous contrast administration and must complete the applicable MRI screening evaluation form

Exclusion Criteria:

  • Prior systemic therapy for the indexed breast cancer.
  • A history of other malignancy ≤ 5 years previous with the exception of basal cell or squamous cell carcinoma of the skin which were treated with local resection only or carcinoma in situ of the cervix.
  • Patients with bilateral or inflammatory breast cancer.
  • Currently receiving any other investigational agents.
  • A history of allergic reactions attributed to compounds of similar chemical or biologic composition to docetaxel or carboplatin.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Pregnant and/or breastfeeding. Patient must have a negative serum pregnancy test within 7 days of study entry if premenopausal.
  • Known HIV-positivity.
  • Sentinel lymph node biopsy
  • For patients who agree to participate in PET/MR imaging:

    • renal insufficiency (glomerular filtration rate (GFR) < 30 mL/min/1.73 m2) measured within the past 60 days which precludes safe administration of the contrast agent
    • on dialysis
    • prior allergic reaction to gadolinium-based MR contrast agents
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02124902

Contacts
Contact: Foluso Ademuyiwa, M.D., MPH 314-362-7201 bisiademuyiwa@wustl.edu

Locations
United States, Missouri
Washington University School of Medicine Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Foluso Ademuyiwa, M.D., MPH    314-362-7201    bisiademuyiwa@wustl.edu   
Sub-Investigator: Cynthia Ma, M.D., Ph.D.         
Sub-Investigator: Ron Bose, M.D., Ph.D.         
Sub-Investigator: Michael Naughton, M.D.         
Sub-Investigator: Rama Suresh, M.D.         
Sub-Investigator: Souzan Sanati, M.D.         
Sub-Investigator: Julie Margenthaler, M.D.         
Sub-Investigator: Rebecca Aft, M.D., Ph.D.         
Sub-Investigator: Amy Cyr, M.D.         
Sub-Investigator: Timothy Eberlein, M.D.         
Sub-Investigator: William Gillanders, M.D.         
Sub-Investigator: Mathew Cherian, M.D.         
Sub-Investigator: Ashley Frith, M.D.         
Sub-Investigator: Leonel Hernandez Aya, M.D.         
Sub-Investigator: Peter Oppelt, M.D.         
Sub-Investigator: Caron Rigden, M.D.         
Sub-Investigator: Haeseong Park, M.D.         
Sub-Investigator: Katherine Weilbaecher, M.D.         
Sponsors and Collaborators
Washington University School of Medicine
Investigators
Principal Investigator: Foluso Ademuyiwa, M.D., MPH Washington University School of Medicine
  More Information

Additional Information:
Responsible Party: Washington University School of Medicine
ClinicalTrials.gov Identifier: NCT02124902     History of Changes
Other Study ID Numbers: 201404107
Study First Received: April 24, 2014
Last Updated: June 8, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No

Additional relevant MeSH terms:
Breast Neoplasms
Triple Negative Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Docetaxel
Carboplatin
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on July 25, 2017