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Radiation Therapy, Cyclophosphamide, and Doxorubicin in Treating Women With Stage I or Stage II Breast Cancer Who Have Undergone Surgery
This study is ongoing, but not recruiting participants.
First Received: January 16, 2006   Last Updated: February 14, 2009   History of Changes
Sponsors and Collaborators: Sidney Kimmel Comprehensive Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00278109
  Purpose

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as cyclophosphamide and doxorubicin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving radiation therapy together with cyclophosphamide and doxorubicin after surgery may kill any tumor cells that remain.

PURPOSE: This phase I/II trial is studying the side effects of radiation therapy when given together with cyclophosphamide and doxorubicin and to see how well they work in treating women with stage I or stage II breast cancer who have undergone surgery.


Condition Intervention Phase
Breast Cancer
Drug: cyclophosphamide
Drug: doxorubicin hydrochloride
Procedure: adjuvant therapy
Radiation: radiation therapy
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase I/II Partial Breast Irradiation With Concurrent Chemotherapy

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Potential acute, late skin, and subcutaneous toxicity [ Designated as safety issue: Yes ]
  • Local control rate [ Designated as safety issue: No ]
  • Cosmetic effects [ Designated as safety issue: No ]

Estimated Enrollment: 42
Study Start Date: July 2004
Estimated Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

  • Assess the potential acute and late skin and subcutaneous toxicities in women with resected stage I or II breast cancer treated with partial breast irradiation (PBI) and concurrent cyclophosphamide/doxorubicin (AC) chemotherapy.
  • Assess the cosmetic effects of partial breast irradiation/chemotherapy (PBIC) in these patients.
  • Assess the local control rate in patients treated with this regimen.

OUTLINE: Patients undergo partial breast radiotherapy once daily, 5 days a week, for 3 weeks. Patients also receive doxorubicin IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1. Treatment with doxorubicin and cyclophosphamide repeats every 2 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically for approximately 10 years.

PROJECTED ACCRUAL: A total of 42 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   39 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the breast by routine hematoxylin and eosin (H&E) staining

    • Primary tumor ≤ 4 cm and 0-3 positive axillary lymph nodes (pathologic T1-2, pathologic N0-N1, M0)

      • Patients with lymph nodes positive only by cytokeratin staining (i.e., H&E negative) are eligible
  • No squamous cell carcinoma or sarcoma of the breast
  • Patients must have undergone a segmental mastectomy (SM) with a level I and ll axillary dissection or sentinel lymph node biopsy within the past 14 weeks

    • Surgical margins at the time of SM must be negative (> 3 mm) for both invasive carcinoma and for non-invasive ductal carcinoma
  • No active local-regional disease
  • Hormone receptor status not specified

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-1
  • Sex: female
  • Menopausal status not specified
  • Not pregnant
  • Negative pregnancy test
  • Fertile patients must use effective non-hormonal contraception
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
  • No other serious or poorly controlled medical or psychiatric condition that could be exacerbated by, or complicate compliance with study treatment

PRIOR CONCURRENT THERAPY:

  • No prior radiation therapy to the breast
  • No prior trastuzumab (Herceptin ®)
  • No other concurrent chemotherapy
  • No concurrent hormonal therapy except the following:

    • Steroids given for adrenal failure
    • Hormones administered for non-disease-related conditions (e.g., insulin for diabetes, synthroid for hypothyroidism)
    • Intermittent dexamethasone as an antiemetic or premedication
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00278109

Locations
United States, Maryland
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, United States, 21231-2410
Sponsors and Collaborators
Sidney Kimmel Comprehensive Cancer Center
Investigators
Study Chair: Richard C. Zellars, MD Sidney Kimmel Comprehensive Cancer Center
  More Information

Additional Information:
Publications:
Zellars RC, Frassica D, Stearns V, et al.: Phase I/II trial of partial breast irradiation with concurrent dose-dense doxorubicin and cyclophosphamide (ddAC) chemotherapy in early stage breast cancer: report of skin toxicity and cosmetic outcome. [Abstract] Int J Radiat Oncol Biol Phys 69 (3 Suppl): A-44, S26, 2007.

Responsible Party: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins ( Richard C. Zellars )
Study ID Numbers: CDR0000446085, JHOC-J0381, JHOC-04032201
Study First Received: January 16, 2006
Last Updated: February 14, 2009
ClinicalTrials.gov Identifier: NCT00278109     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage I breast cancer
stage II breast cancer

Study placed in the following topic categories:
Anti-Bacterial Agents
Immunologic Factors
Skin Diseases
Adjuvants, Immunologic
Breast Neoplasms
Antineoplastic Agents, Alkylating
Cyclophosphamide
Antirheumatic Agents
Alkylating Agents
Immunosuppressive Agents
Doxorubicin
Breast Diseases

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Skin Diseases
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Breast Neoplasms
Cyclophosphamide
Antibiotics, Antineoplastic
Immunosuppressive Agents
Doxorubicin
Pharmacologic Actions
Neoplasms
Neoplasms by Site
Therapeutic Uses
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Antirheumatic Agents
Alkylating Agents
Breast Diseases

ClinicalTrials.gov processed this record on August 30, 2009