A Phase 2 Study of Neoadjuvant Chemotherapy With Gemcitabine, Epirubicin and Paclitaxel (Taxol)[GET] in Locally Advanced Breast Cancer
Primary chemotherapy has had an established role in locally advanced breast cancer. Studies
have shown that the combination of chemotherapeutic agents is superior to single therapeutic
agent in overall response rate and progression free survival. The inclusion of the most
active drugs in combination regimens can improve the percentage of patients achieving a
pathological complete response (pCR). The chemotherapy agents gemcitabine, epirubicin, and
paclitaxel have been used individually to treat breast cancer. While use of the combination
of these three drugs has been studied in the metastatic setting, the combination has not
been evaluated in locally advanced disease. In this study the combination of the three
agents gemcitabine, epirubicin, and paclitaxel [Taxol] will be administered to patients with
locally advanced breast cancer prior to surgery; pathologic response will be determined at
the time of surgery. The main objective of this study is to determine the pathological
response rate for these patients. Also because prior studies have suggested that only a
specific subset of tumors responds to a specific chemotherapeutic agent and that this subset
is determined by the gene expression profile of each tumor, preoperative therapy protocols
such as this provide an ideal setting to identify gene expression pattern and gene copy
number changes that may predict response to a specific therapy using high-throughput assay
methods and RNAlater. Therefore, this study will also look at the feasibility of tissue
collection and analysis in identifying predictive markers of complete pathological response.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
To determine the pathological response rate in tumors of patients with locally advanced breast cancer who receive 4 to 6 cycles of GET chemotherapy
John Hamm, MD
Study Chair
NSABP Foundation, Inc.
United States: Institutional Review Board
NSABP-FB-GE-001
NCT00378313
November 2001
November 2005
Name | Location |
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NSABP Foundation, Inc. | Pittsburgh, Pennsylvania 15212 |