A Phase III Randomized Study of Sequential Epidoxorubicin Followed By CMF: Cyclophosphamide+Methotrexate+Fluorouracil (Arm A) Versus Sequential Epidoxorubicin Followed By Docetaxel Followed By CMF (Arm B) Versus Sequential Intensified Epidoxorubicin Followed By Docetaxel Followed By High-Dose Cyclophosphamide (Arm C) in Early Breast Cancer Patients With Positive Axillary Lymph Nodes
This date has not been verified as actual or estimated.
Primary Completion
December 2007
Actual (reported)
Study Completion
December 2007
Actual (reported)
Brief Summary
Primary objectives:
To compare the disease free survival (DFS) in patients treated with the sequential epidoxorubicin, cyclophosphamide, methotrexate, and fluorouracil (CMF) regimen to that in patients treated with the same treatment plus docetaxel given sequentially after epidoxorubicin Secondary objectives:
To compare the DFS in patients treated with the sequential epidoxorubicin, docetaxel and CMF (only patients with \> or = 4 lymph nodes) regimen to that in patients treated with sequential intensified epidoxorubicin/docetaxel/high dose (HD) cyclophosphamide regimen
To evaluate the overall survival in each arm
To evaluate the tolerability of a sequential intensified epidoxorubicin/docetaxel/HD-cyclophosphamide (arm C)
To compare the safety of a sequential epidoxorubicin/docetaxel/CMF (arm B) regimen versus a standard sequential epidoxorubicin/CMF regimen (arm A)
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
998 participants
Study completion date
December 2007
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
December 1997
Date type not reported
This date has not been verified as actual or estimated.
Invasive Disease-Free Survival (IDFS) - with exclusion of ductal carcinoma in situ- DCIS- either collateral or ipsilateral, according to STEEP in adjuvant breast cancer trial: Standardized Definitions for Efficacy Endpoints
Time between randomization date and date of local or distant recurrence or contralateral breast cancer or second primary (non breast) cancer or death from any cause, whichever occurs first
Secondary Outcomes (3)
Recurrence-Free Survival (RFS)
Time between the date of randomization and the date of local or distant recurrence or death from any cause, whichever occurs first, thus excluding contralateral breast cancer or second primary (non breast) cancers
Overall Survival (OS)
Time between the date of randomization and date of death
Distant Disease-Free Survival (DDFS)
Time betwen the date of randomization and the date of distant recurrence or death from any cause, whichever occurs first
Study Arms (3)
A
ACTIVE COMPARATOR
Sequential Epidoxorubicin followed by CMF: ciclophosphamide/Methotrexate/fluorouracile (±TAM: tamoxifen)
Histologically proven breast cancer at the first diagnosis with \> or = 4 axillary nodes showing evidence of tumor among a minimum of 10 resected lymph nodes (American Joint Committee on Cancer 1992 pathologic staging pT1-4, pN1-2 \[at least 1/10\], M0)
Ages ≥ 18 years and ≤ 70 years for patients who will be randomized to arm A and B. Ages ≥ 18 years and ≤ 65 years for patients who will be randomized to arm C
Sequential Intensified Epidoxorubicin followed by Docetaxel followed by Cyclophosphamide (± TAM)
C
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World Health Organization performance status 0-1
Definitive surgical treatment must be either mastectomy or breast conserving surgery, with axillary lymph node dissection for operable breast cancer (clinical T1-3, N1, M0). Margins of resected specimen from definitive surgery must be histologically free of invasive adenocarcinoma and ductal carcinoma in situ. Lobular carcinoma in situ does not count as a positive margin. Patients with histologically-documented infiltration of the skin (pT4a) will be also eligible
Surgical procedures completed within 8 weeks from the randomization.
Laboratory requirements:
Hematology :
Neutrophils ≥ 2 x 10\^9/L
Platelets ≥ 100 x 10\^9/L
Hemoglobin ≥ 10 g/DL
Hepatic function:
Total bilirubin ≤ 1 time the upper-normal limits of the institutional normal values.
ASAT \& ALAT ≤ 2.5 UNL, alkaline phosphatase ≤ 5 UNL. Patients with ASAT \&/or ALAT \> 1.5 x UNL associated with alkaline phosphatase \> 2.5 x UNL are not eligible for the study
Renal function :
Creatinine ≤ 140 µmol/L (1.6 mg/DL); if limit values, the creatinine clearance should be performed and should be ≥ 60 ml/min
+3 more criteria
You may not qualify if:
Axillary lymph nodes free of involvement
Primary breast cancer with histology other than adenocarcinoma
Inflammatory carcinoma
Any locally advanced (T4 and/or N2-known N3) or metastatic (M1) breast cancer
Histologically positive resection margins. Patients undergoing conservative resection margins can be considered eligible if radically resected within 4 weeks from randomization
Pregnant or lactating women or women of childbearing potential (e.g. not using adequate contraception)
History of prior or concomitant malignancies other than curatively treated basal cell skin cancer or excised cervical carcinoma in situ
Symptomatic peripheral neuropathy \> grade 2 according to the National Cancer Institute Common Toxicity Criteria
Other serious illnesses or medical conditions:
Congestive heart failure or angina pectoris even if it is medically controlled. Previous history of myocardial infarction within 1 year from study entry, uncontrolled high risk hypertension or arrhythmias
History of significant neurologic or psychiatric disorders including dementia or seizures
Active infection
Peptic ulcer, unstable diabetes mellitus or other contraindications for the use of dexamethasone
Concurrent treatment with other experimental drugs. Participation in another clinical trial with any investigational regimen within 30 days prior to study entry
Concurrent treatment with any other anti-cancer therapy
+6 more criteria
Contact the study team to confirm eligibility.
Heterocyclic Compounds, Fused-Ring
Heterocyclic Compounds
Taxoids
Cyclodecanes
Cycloparaffins
Hydrocarbons, Alicyclic
Hydrocarbons, Cyclic
Hydrocarbons
Organic Chemicals
Diterpenes
Terpenes
Phosphoramide Mustards
Nitrogen Mustard Compounds
Mustard Compounds
Hydrocarbons, Halogenated
Phosphoramides
Organophosphorus Compounds
Primary Completion
December 2007
Actual (reported)
Study Completion
December 2007
Actual (reported)
Last Updated
December 7, 2009
Record last verified: 2009-12
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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