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Adjuvant Chemotherapy Plus Radiation Therapy in Treating Women With Early-Stage Breast Cancer



Adjuvant Chemotherapy Plus Radiation Therapy in Treating Women With Early-Stage Breast Cancer

For Condition: stage 1 breast cancer
Status: Recruiting
Sponsor(s): Cancer Research Campaign Clinical Trials Centre ,
Synopsis: RATIONALE: Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumors cells. Combining chemotherapy with radiation therapy may kill more tumor cells. It is not yet known which regimen of chemotherapy plus radiation therapy is more effective for early-stage breast cancer. PURPOSE: Randomizedphase III trial to compare the effectiveness of two different regimens of adjuvant chemotherapy plus radiation therapy in treating women who have early-stage breast cancer.
Details: OBJECTIVES: - Compare the effects of synchronous vs sequential adjuvant chemotherapy and radiotherapy on local recurrence, disease-free and overall survival, and treatment delay in women with early-stage breast cancer. - Compare the safety of these regimens, in terms of dose intensity and toxicity, in this patient population. - Evaluate the quality of life and cosmetic outcome in patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to axillary clearance (yes vs no), radiotherapy boost intent (boost vs no boost), and chemotherapy intent (cyclophosphamide, methotrexate, and fluorouracil [5-FU] vs anthracycline-containing regimen). Patients are randomized to one of two treatment arms. Patients receive any chemotherapy regimen that includes cyclophosphamide, methotrexate, and fluorouracil. Some regimens may also include epirubicin, doxorubicin, mitoxantrone, and/or mitomycin. - Arm I: Patients receiving synchronous therapy receive any of the above chemotherapy regimens followed by daily radiotherapy after course 2 or 5. Radiotherapy is administered for 3 or 5 weeks. - Arm II: Patients receiving sequential therapy receive any of the above chemotherapy regimens followed by daily radiotherapy after courses 6 or 8. Radiotherapy is administered for 3 or 5 weeks. Treatment in both arms repeats every 3 weeks for 4-8 courses in the absence of disease progression or unacceptable toxicity. Quality of life is assessed before chemotherapy, 2-3 weeks after the completion of all treatment, and then at 1, 2, and 5 years. Patients are followed at 1 year and then annually for 10 years. PROJECTED ACCRUAL: A total of 2,250 patients (1,125 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed invasive breast cancer - Early-stage disease - No metastatic disease - Complete surgical excision of tumor - Planned use of adjuvant chemotherapy and radiotherapy - If participating in the cosmetic outcome evaluation portion of the study, must have unilateral disease - Hormone receptor status - Not specified PATIENT CHARACTERISTICS: Age: - Not specified Sex: - Female Menopausal status: - Not specified Performance status: - Not specified Life expectancy: - Not specified Hematopoietic: - Bone marrow function adequate Hepatic: - Hepatic function adequate Renal: - Renal function adequate Cardiovascular: - Cardiac function adequate Other: - No other prior malignancy except basal cell or squamous cell skin cancer or carcinoma in situ - No other medical or social condition that would preclude study compliance - Fit to receive both adjuvant chemotherapy and radiotherapy - Not pregnant or nursing - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - See Disease Characteristics - No prior chemotherapy Endocrine therapy: - Prior or concurrent hormonal therapy allowed - No concurrent tamoxifen if treated with methotrexate, mitomycin, and mitoxantrone as a study combination chemotherapy regimen Radiotherapy: - See Disease Characteristics Surgery: - See Disease Characteristics Other: - Concurrent participation in another clinical trial allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
IndyFernando,  Study Chair,  Queen Elizabeth Hospital at University of Birmingham

Queen Elizabeth Hospital at University of Birmingham *Recruiting*
Birmingham,  England,  B15 2TH
United Kingdom
Recruiting Indy  Fernando 44-121-472-1311


Additional Information:
Study ID Numbers:
  CDR0000067062;  CRC-TU-BR3015,EU-99005
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00003893

Other Stage 1 Breast Cancer Studies:
1. Radiation Therapy After Surgery in Treating Women With Early Stage Breast Cancer

2. Suppression of Ovarian Function and Either Tamoxifen or Exemestane With or Without Chemotherapy in Treating Premenopausal Women With Resected Breast Cancer

3. Combination Chemotherapy After Surgery in Treating Patients With Stage I, Stage II, or Stage III Breast Cancer

4. Raloxifene With or Without Exercise Compared With Exercise Alone in Women Who Have Been Previously Treated for Breast Cancer

5. Tamoxifen, Ovarian Ablation, and/or Chemotherapy in Treating Women With Stage I, Stage II, or Stage IIIA Breast Cancer

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Adjuvant Chemotherapy Plus Radiation Therapy in Treating Women With Early-Stage Breast Cancer

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