Breast Cancer Clinical Trial
Official title:
Phase II Study of Neoadjuvant Pegylated Liposomal Doxorubicin and Docetaxel in Locally Advanced Operable Breast Cancer
RATIONALE: Drugs used in chemotherapy, such as liposomal doxorubicin and docetaxel, work in
different ways to stop the growth of tumor cells, either by killing the cells or by stopping
them from dividing. Giving more than one drug (combination chemotherapy) and giving them
before surgery may kill more tumor cells.
PURPOSE: This phase II trial is studying the side effects of giving liposomal doxorubicin
together with docetaxel before surgery and to see how well it works in treating women with
locally advanced breast cancer that can be removed by surgery.
OBJECTIVES:
Primary
- To evaluate the rate of pathological complete response and clinical complete response
in women with locally advanced breast cancer treated with pegylated doxorubicin
hydrochloride liposome and docetaxel.
Secondary
- To assess the overall clinical local regional response in patients treated with this
preoperative chemotherapy regimen.
- To evaluate the number of patients who would have required a mastectomy upfront but who
underwent breast conservation therapy instead after neoadjuvant chemotherapy.
- To assess the safety, particularly with regard to neutropenia and cardiac toxicity, of
pegylated doxorubicin hydrochloride liposome and docetaxel.
OUTLINE: This is a multicenter study.
Patients receive pegylated doxorubicin hydrochloride liposome IV over 90 minutes and
docetaxel IV over 90 minutes on day 1. Patients receive pegylated filgrastim subcutaneously
on days 2 or 3 post-chemotherapy in courses 1-5. Treatment repeats every 21 days for up to 6
courses in the absence of disease progression or unacceptable toxicity.
Within 8 weeks after completion of chemotherapy, patients undergo a lumpectomy or mastectomy
to remove the tumor. Some patients may receive additional therapy after surgery, including
hormonal therapy, chemotherapy, or radiotherapy.
After completion of study therapy, patients are followed periodically for up to 5 years.
;
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Primary Purpose: Treatment
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