At a glance
ClinicalIndex Comparison Record- ✓Histologically confirmed stage IIB, IIIA, IIIB, IIIC, or previously untreated stage IV breast cancer
- ✓Biopsy by fine needle aspiration, core needle biopsy, or incisional biopsy (no excisional biopsy)
- ✓Tumor meets size/node criteria: T2N1, T3N0, any T with N2 or N3, any T4 (including inflammatory), or supraclavicular/infraclavicular positive nodes without distant metastases, or distant metastases with measurable disease in breast/nodes
- ✓Measurable or evaluable disease
- ✕Prior malignancies except: squamous cell/basal cell skin cancer, in situ cervical carcinoma treated by surgery, or nonbreast malignancy with disease-free survival ≥5 years and low recurrence risk
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Nonrandomized Ph II Study of Multimodality Therapy for Stg IIB, IIIA/B, or Stg IV Breast Cancer w/4 Cycles of Adriamycin and Cytoxan (AC),Followed by 12 Weeks of Paclitaxel w/ or w/o Herceptin Followed by Local Therapy Followed by Wkly Herceptin or no Additional Therapy
In Brief
A Phase 2 clinical trial evaluating trastuzumab, cyclophosphamide, and 3 other interventions for Breast Cancer. Completed, enrolled 82 participants across 2 sites.
Detailed Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining chemotherapy, monoclonal antibody therapy, and surgery may be a more effective treatment for breast cancer. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy, monoclonal antibody therapy, and surgery in treating women who have stage II, stage III, or stage IV breast cancer.
Study Details
Timeline
Interventions
infusion 4 mg/kg load week 1; 2 mg/kg weekly thereafter for 12 weeks
600 mg/m2, intravenous infusion every 3 weeks for four cycles
60 mg/m2 intravenously, 5-10 minutes, every 3 weeks, up to 12 weeks
90 mg/m2 weekly, intravenously 1 hour after herceptin, given weekly up to 12 weeks or 175 mg/m2, intravenously every 3 weeks, up to 12 weeks (only if not receiving Herceptin®)
Surgical excision will take place 12-13 weeks for the neo-adjuvant herceptin setting and 12-13 weeks in the non-herceptin setting. Surgery will take place prior to chemotherapy in the adjuvant herceptin setting