Breast Cancer Clinical Trial
Official title:
A Randomized Study of Preoperative Chemotherapy or Postoperative Chemotherapy for Early Triple Negative or Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Operable Breast Cancer
The investigators research aim to explores the optimal comprehensive treatment for TNBC and her2 positive breast cancer by comparing the efficacy of neoadjuvant with that of adjuvant treatment in improvement of RFS.
Neoadjuvant Chemotherapy (NCT) is a standard treatment of patients who hope
breast-conserving therapy (BCT) with locally advanced inoperable breast cancer or large
tumor size. it is beneficial to degrading the tumor stage, increasing the rate of surgical
resection or the BCT.People who are pathological complete response (pCR) after NCT have an
improvement in disease-free survival (DFS) and overall survival (OS), as well as better
prognosis. Currently, breast cancer are entering into the era of molecular classification.
Different molecular subtype of breast cancer showed a significant difference in prognosis;
triple negative breast cancer (TNBC) and Her2 positive breast cancer are clinically relevant
terms referring to a specific subtype of breast cancer with high malignant characteristics,
early recurrence and metastasis, but sensitive to primary chemotherapy, proportion of which
are 15% and 20% respectively. A meta analysis shows that TNBC and her2 positive breast
cancer have a higher pCR than Luminal A/B, and the increasing in pCR rate means improvement
in survival.
The investigators previous study indicates that paclitaxel plus carboplatin with or without
trastuzumab can improve pCR and prolong RFS in TNBC and her2 positive breast cancer
Comparing to adjuvant chemotherapy.
The investigators research aim to explores the optimal comprehensive treatment for TNBC and
her2 positive breast cancer by comparing the efficacy of neoadjuvant with that of adjuvant
treatment in improvement of RFS.
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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