Breast Cancer Clinical Trial
Official title:
A Phase II Neoadjuvant Trial of Sequential Doxorubicin and Docetaxel for the Treatment of Stage III Breast Cancer Measuring STAT Activation as a Predictor of Response to Therapy
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of doxorubicin and docetaxel in treating
women who have stage III breast cancer.
OBJECTIVES:
- Evaluate the clinical and pathological response rate of sequential doxorubicin and
docetaxel chemotherapy in the neoadjuvant treatment of women with stage III breast
cancer.
- Measure signal transducer and activator of transcription (STAT) activation before and
after this neoadjuvant chemotherapy regimen in this patient population.
- Correlate response to chemotherapy with STAT activation before and after this
neoadjuvant chemotherapy regimen in these patients.
- Determine how other potential predictors of response correlate with STAT activation by
measuring Bcl-2, Bcl-xL, Bax protein levels, tyrosine kinase levels, growth rate of the
tumor, and apoptotic index before and after this neoadjuvant chemotherapy regimen in
these patients.
- Correlate response to chemotherapy with levels of STAT activation in association with
the presence of Bcl-2 proteins and tyrosine kinases, growth rate of the tumor, and
apoptotic index in these patients.
- Evaluate the toxicity of this neoadjuvant chemotherapy regimen given in a dose-dense
fashion in these patients.
OUTLINE: Patients receive doxorubicin IV on day 1 every 2 weeks for 3 courses. After 3 weeks
of rest, patients receive docetaxel IV over 1 hour on day 1 every 2 weeks for 3 courses.
Filgrastim (G-CSF) is administered subcutaneously on days 3-10 of each doxorubicin and
docetaxel course. Within 6 weeks of completion of neoadjuvant chemotherapy, patients undergo
surgery with mastectomy or lumpectomy and axillary lymph node dissection.
PROJECTED ACCRUAL: A total of 45 patients will be accrued for this study within 5 years.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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