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Randomized Clinical Trial to Evaluate the Predictive Accuracy of a Gene Expression for Stage I-II Breast Cancer

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: M.D. Anderson Cancer Center
Breast Cancer Research Foundation
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00336791
  Purpose

Primary Objectives:

  1. To prospectively evaluate the predictive accuracy of a previously discovered gene expression profile-based test to foretell pathologic complete response (pCR) to preoperative paclitaxel/FAC chemotherapy for stage I-III breast cancer.
  2. To evaluate if our genomic predictive test is specific to the paclitaxel/FAC regimen or it also predicts increased sensitivity to FAC only chemotherapy.

Secondary Objectives:

  1. To discover a molecular profile that is associated with pCR after FAC chemotherapy alone
  2. To establish a prospectively collected gene expression profile data bank of breast cancer for future studies
  3. To compare the pCR rates between patients who receive 6 courses FAC and those who receive sequential paclitaxel /FAC chemotherapies.

Condition Intervention Phase
Breast Cancer
Drug: 5-Fluorouracil
Drug: Cyclophosphamide
Drug: Doxorubicin
Drug: Paclitaxel
Phase III

Genetics Home Reference related topics:   breast cancer   

MedlinePlus related topics:   Breast Cancer    Cancer   

ChemIDplus related topics:   Doxorubicin    Doxorubicin hydrochloride    Cyclophosphamide    Paclitaxel    Fluorouracil   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title:   Randomized Clinical Trial to Evaluate the Predictive Accuracy of a Gene Expression Profile-Based Test to Select Patients for Preoperative Taxane/Anthracycline Chemotherapy for Stage I-III Breast Cancer

Further study details as provided by M.D. Anderson Cancer Center:

Estimated Enrollment:   273
Study Start Date:   September 2003

Show detailed description  Show Detailed Description

  Eligibility
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  1. Histologically confirmed stage I-III invasive carcinoma of the breast for whom adjuvant chemotherapy is indicated. Patients must have intact or measurable residual cancer (by mammogram, ultra sonogram or physical exam) in the breast. Women of childbearing potential must have a negative pregnancy test (serum or urine beta HCG) prior to initiation of chemotherapy.
  2. Patients should have adequate organ function to tolerate chemotherapy.
  3. Patient must be willing to undergo a one-time pretreatment research FNA biopsy

Exclusion Criteria:

  1. Patients who have completed lumpectomy, segmental mastectomy or modified radical mastectomy and, therefore no longer have any measurable cancer left in their breast are not eligible.
  2. Patients with stage IV, metastatic breast cancers are not eligible.
  3. Patients for whom anthracycline or paclitaxel chemotherapies are contraindicated, for example Patients who are pregnant or lactating are not eligible.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00336791

Locations
United States, Texas
U.T.M.D. Anderson Cancer Center    
      Houston, Texas, United States, 77030

Sponsors and Collaborators
M.D. Anderson Cancer Center
Breast Cancer Research Foundation

Investigators
Principal Investigator:     Lajos Pusztai, MD     M.D. Anderson Cancer Center    
  More Information


Study ID Numbers:   2003-0321
First Received:   June 12, 2006
Last Updated:   July 12, 2007
ClinicalTrials.gov Identifier:   NCT00336791
Health Authority:   United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Breast Cancer  
Gene Expression  
Fluorouracil  
Cyclophosphamide
Doxorubicin
Paclitaxel

Study placed in the following topic categories:
Skin Diseases
Paclitaxel
Fluorouracil
Breast Neoplasms
Cyclophosphamide
Taxane
Doxorubicin
Breast Diseases

Additional relevant MeSH terms:
Antimetabolites
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Mitosis Modulators
Physiological Effects of Drugs
Antimitotic Agents
Antibiotics, Antineoplastic
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Therapeutic Uses
Tubulin Modulators
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Antineoplastic Agents, Phytogenic
Alkylating Agents

ClinicalTrials.gov processed this record on September 23, 2008




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