Stage IIIA Breast Cancer Clinical Trial
Official title:
Phase II Neoadjuvant Trial With Carboplatin and Eribulin Mesylate in Triple Negative Breast Cancer Patients
This phase II trial studies how well giving eribulin mesylate and carboplatin together before surgery works in treating patients with stage I-III triple-negative breast cancer. Drugs used in chemotherapy, such as eribulin mesylate and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed.
PRIMARY OBJECTIVES:
I. To determine the pathologic complete response rate (pCR) at the time of definitive
surgery.
SECONDARY OBJECTIVES:
I. Determination of the clinical response rate, as measured by clinical exam and imaging
studies prior to initiation of therapy and prior to surgery.
II. Measurement of alpha B-crystalline in tissue obtained before initiation of therapy and at
the time of definitive surgery.
III. Stem cell markers (cluster of differentiation [CD]44+, CD24-, CD133, aldehyde
dehydrogenase 1 [ALDH1] and evaluation of the NOTCH pathway) in tissue obtained before
initiation of therapy and at the time of definitive surgery.
IV. Measurement of proliferation markers (Ki67) before and after treatment in tissue obtained
before imitation of therapy and at the time of definitive surgery.
V. Measurement of beta III tubulin in tissue obtained before initiation of therapy and at the
time of definitive surgery.
VI. Measurement of Tau in tissue obtained before initiation of therapy and at the time of
definitive surgery.
VII. Safety evaluation, including following of patients for alopecia and neuropathy.
VIII. Epidermal growth factor receptor (EGFR) staining before and after treatment in tissue
obtained before initiation of therapy and at the time of definitive surgery.
OUTLINE:
Patients receive eribulin mesylate intravenously (IV) over 2-5 minutes and carboplatin IV
over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 courses in the absence
of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 6 months.
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