Pilot Study of Epirubicin and Cyclophosphamide Followed by Paclitaxel at 10-11 Days Interval for Women With Early Breast Carcinoma
Colección de datos
Enfermedades de la Mama+2
+ Neoplasias de la Mama
+ Neoplasias
Estudio de Tratamiento
Resumen
Fecha de inicio: 1 de agosto de 2003
Fecha en la que se inscribió al primer participante.OBJECTIVES: * Determine the feasibility and safety of neoadjuvant or adjuvant epirubicin, cyclophosphamide, and paclitaxel, in terms of the absence of any grade 3 or higher toxicity (aside from alopecia), in women with high-risk stage I-III breast cancer. OUTLINE: This is a pilot study. * Neoadjuvant or adjuvant EC therapy: Patients receive epirubicin IV over 3-5 minutes and cyclophosphamide IV (EC) on day 1 and filgrastim (G-CSF) subcutaneously on days 2-9 or 10. Treatment repeats every 10-11 days for 4 courses in the absence of disease progression or unacceptable toxicity. * Neoadjuvant or adjuvant paclitaxel therapy: After the completion of EC therapy, patients receive paclitaxel IV over 3 hours on day 1. Patients also receive G-CSF as in EC therapy. Treatment repeats every 10-11 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients who have not had prior surgery undergo definitive surgery after the completion of chemotherapy. Patients also may receive adjuvant radiotherapy and/or hormonal therapy at the discretion of the treating physician. Patients are followed every 4 months for 3 years and then every 6 months for 2 years. PROJECTED ACCRUAL: A total of 11-38 patients will be accrued for this study within 1 year.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Mujer
Sexo biológico de los participantes elegibles para inscribirse.A partir de 18 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
DISEASE CHARACTERISTICS: * Histologically confirmed adenocarcinoma of the breast * Stage I, II, or III * Inflammatory breast cancer allowed * Hormone receptor status: * Not specified PATIENT CHARACTERISTICS: Age * 18 and over Sex * Female Menopausal status * Not specified Performance status * ECOG 0-1 Life expectancy * Not specified Hematopoietic * Absolute neutrophil count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic * Bilirubin normal * SGOT/SGPT no greater than 2.5 times upper limit of normal (ULN) AND alkaline phosphatase no greater than ULN OR * SGOT/SGPT no greater than ULN AND alkaline phosphatase no greater than 4 times ULN Renal * Not specified Cardiovascular * LVEF at least lower limit of normal by MUGA or echocardiogram * No unstable angina * No congestive heart failure * No arrhythmia requiring medical therapy * No myocardial infarction within the past year Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * No prior allergy/hypersensitivity to any of the study drugs or other drugs formulated with Cremophor EL * No psychiatric illness that would preclude understanding of the nature of the study or study compliance * No active unresolved infection * No peripheral neuropathy greater than grade 1 * No other nonmammary malignancy within the past 5 years except adequately treated nonmelanoma skin cancer or carcinoma in situ of the cervix * No concurrent medical condition that would preclude study participation in the judgment of the investigator PRIOR CONCURRENT THERAPY: Biologic therapy * More than 12 months since prior immunotherapy for prior breast cancer * No prior or concurrent biologic therapy or immunotherapy for this breast cancer Chemotherapy * More than 12 months since prior chemotherapy for prior breast cancer * No prior anthracycline (i.e., doxorubicin or epirubicin) and taxane therapy * No prior or other concurrent chemotherapy for this breast cancer Endocrine therapy * No concurrent hormonal therapy for chemoprevention * Prior hormonal therapy for chemoprevention allowed * No concurrent sex hormonal therapy (e.g., birth control pills or ovarian hormonal replacement therapy) Radiotherapy * No prior radiotherapy * No other concurrent radiotherapy for this breast cancer Surgery * Not specified Other * No concurrent digitalis, beta-blockers, or calcium channel blockers for congestive heart failure
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene una ubicación