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Home > "C" Clinical Trials Conditions > Combination Chemotherapy in Treating Women With Resected Breast Cancer

Combination Chemotherapy in Treating Women With Resected Breast Cancer



Combination Chemotherapy in Treating Women With Resected Breast Cancer

For Condition: stage 1 breast cancer,stage 2 breast cancer
Status: Recruiting
Sponsor(s): National Cancer Research Institute (NCRI) ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and giving them after surgery may kill any tumor cells remaining after surgery. It is not yet known which combination chemotherapyregimen is more effective in treating resectedstage I or stage II breast cancer. PURPOSE: Randomizedphase III trial to compare the effectiveness of different combination chemotherapy regimens in treating women who have resected stage I or stage II breast cancer.
Details: OBJECTIVES: - Compare the disease-free and overall survival of women with completely resected stage I or II breast cancer adjuvantly treated with fluorouracil, epirubicin, and cyclophosphamide (FEC) or epirubicin followed by cyclophosphamide, methotrexate, and fluorouracil (EPI-CMF) versus FEC followed by sequential docetaxel. - Compare the acute toxicity of these regimens in these patients. - Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, estrogen receptor status (positive vs negative), and nodal status. Within 8 weeks after definitive surgery, patients are randomized to 1 of 2 treatment arms. - Patients are assigned to 1 of 2 standard adjuvant chemotherapy regimens. - Regimen A: Patients receive fluorouracil, epirubicin, and cyclophosphamide (FEC) IV on day 1. Treatment repeats every 3 weeks for 8 courses. - Regimen B: Patients receive epirubicin IV on day 1. Treatment repeats every 3 weeks for 4 courses. Patients then receive cyclophosphamide orally on days 1-14 or IV on days 1 and 8 and methotrexate IV and fluorouracil IV on days 1 and 8 (CMF). Treatment with CMF repeats every 4 weeks for 4 courses. - Arm II: Patients receive 4 courses of adjuvant chemotherapy with FEC as in arm I, regimen A. Patients then receive sequential docetaxel IV over 1 hour once every 3 weeks for 4 courses. Beginning within 4 weeks after completion of adjuvant chemotherapy, patients who are not concurrently enrolled in the Standardization of Breast Radiotherapy (START) trial receive localized radiotherapy once daily, 5 days a week, for 3-5 weeks, according to local practice. Beginning within 4 weeks after completion of adjuvant chemotherapy, patients who are estrogen receptor and/or progesterone receptor positive receive oral tamoxifen once daily for at least 5 years. Quality of life is assessed at baseline, before course 5, at 3-4 weeks after course 8, and then at 9, 12, 18, and 24 months after initiation of adjuvant chemotherapy. Patients are followed every 3 months for 2 years and then every 6 months thereafter. PROJECTED ACCRUAL: A total of 3,340 patients (1,670 per treatment arm) will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed completely resected, invasive breast cancer for which adjuvant chemotherapy is indicated - No clinical or radiological evidence of locoregional or metastatic disease - No locally advanced tumors at diagnosis, indicated by any of the following: - Fixed tumors - Peau d'orange skin changes - Skin ulceration - Inflammatory changes (T4 or T3b, N2 disease) - No male breast cancer - No prior invasive breast cancer or bilateral breast cancer - Prior ductal carcinoma in situ or lobular carcinoma in situ is allowed - Must begin study chemotherapy within 8 weeks after definitive surgery - Hormone receptor status: - Estrogen receptor and progesterone receptor status known PATIENT CHARACTERISTICS: Age: - Over 18 Sex: - Female Menopausal status: - Not specified Performance status: - WHO 0-1 Life expectancy: - At least 2 years Hematopoietic: - WBC at least 3,000/mm^3 - Platelet count at least 100,000/mm^3 - Hemoglobin at least 9 g/dL Hepatic: - Bilirubin normal - AST no greater than 1.5 times normal - Alkaline phosphatase no greater than 1.5 times normal Renal: - Creatinine no greater than 1.5 times normal Cardiovascular: - No myocardial infarction within the past 6 months - No congestive heart failure Other: - Not pregnant or nursing - Fertile patients must use effective contraception - No other invasive malignancy within the past 10 years except surgically cured nonmelanoma skin cancer or carcinoma in situ of the cervix - No other serious medical illness that would limit life expectancy - No psychiatric condition that would preclude informed consent - No active uncontrolled bacterial, viral, or fungal infection PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior biologic therapy Chemotherapy: - See Disease Characteristics - No prior cytotoxic chemotherapy Endocrine therapy: - No concurrent hormonal therapy (e.g., tamoxifen) during study chemotherapy - No concurrent hormone replacement therapy Radiotherapy: - No prior radiotherapy Surgery: - See Disease Characteristics Other: - At least 4 weeks since any prior unlicensed drugs - No other concurrent experimental drugs
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
PaulEllis,  Study Chair,  Guy's Hospital

Maidstone Hospital *Recruiting*
Maidstone,  England,  ME16 9QQ
United Kingdom
Recruiting C.  Abson 01622-729000, ext.5014

Oxford Radcliffe Hospital *Recruiting*
Oxford,  England,  0X3 9DU
United Kingdom
Recruiting Adrian  Harris 44-1865-226-184

Royal Marsden Hospital - Sutton *Recruiting*
Sutton,  England,  SM2 5PT
United Kingdom
Recruiting John  Yarnold 44-20-8661-3388

Royal South Hants Hospital *Recruiting*
Southampton,  England,  SO14 0YG
United Kingdom
Recruiting Andrew  Last 44-23-8063-4288

West Suffolk Hospital *Recruiting*
Bury St. Edmunds,  England,  IP33 2QZ
United Kingdom
Recruiting Margaret  Moody 44-1284-713-571

Broomfield Hospital *Recruiting*
Chelmsford, Essex,  England,  CM1 5ET
United Kingdom
Recruiting N.P.G.  Davidson 44-1245-440-761

Southend NHS Trust Hospital *Recruiting*
Westcliff-On-Sea,  England,  SS0 0RY
United Kingdom
Recruiting Anne  Robinson 44-1702-221-226

Royal Devon and Exeter Hospital *Recruiting*
Exeter,  England,  EX2 5DW
United Kingdom
Recruiting Andrew  Goodman 44-1392-411-611

Glan Clywd District General Hospital *Recruiting*
Rhyl, Denbighshire,  Wales,  LL 18 5UJ
United Kingdom
Recruiting Jill  Bishop 44-1745-445-154

Queen Elizabeth Hospital *Recruiting*
King's Lynn,  England,  PE30 4ET
United Kingdom
Recruiting Athar  Ahmad 44-1553-613-684

St. Luke's Cancer Center *Recruiting*
Guildford,  England,  GU2 5XX
United Kingdom
Recruiting Stephen  Houston 44-1483-571-122 ext. 6744

Royal Sussex County Hospital *Recruiting*
Brighton,  England,  BN2 5BF
United Kingdom
Recruiting David  Bloomfield 44-1273-696-955 ext. 7686

University of Cambridge *Recruiting*
Cambridge,  England,  CB2 2QQ
United Kingdom
Recruiting Helena  Earl 44-1223-274-312

Royal Preston Hospital *Recruiting*
Preston,  England,  PR2 9HT
United Kingdom
Recruiting S.  Kumar 44-1772-710-089

Cookridge Hospital at Leeds Teaching Hospital NHS Trust *Recruiting*
Leeds,  England,  LS16 6QB
United Kingdom
Recruiting D.  Dodwell 44-113-392-6788

U.Z. Gasthuisberg *Recruiting*
Leuven,  ,  B-3000
Belgium
Recruiting Mette  Lindegaard 32-16-34-6900

New Cross Hospital *Recruiting*
Wolverhampton,  England,  WV10 0QP
United Kingdom
Recruiting M.  Churn 01902-642978

Western General Hospital *Recruiting*
Edinburgh,  Scotland,  EH4 2XU
United Kingdom
Recruiting A.  Bowman 44-131-537-2196

Belfast City Hospital Trust Incorporating Belvoir Park Hospital *Recruiting*
Belfast,  Northern Ireland,  BT8 8JR
United Kingdom
Recruiting Jackie  Clarke 44-2890-699-069

Cheltenham General Hospital *Recruiting*
Cheltenham,  England,  GL53 7AN
United Kingdom
Recruiting Kim  Benstead 44-8454-223-510

Royal Berkshire Hospital *Recruiting*
Reading,  England,  RG1 5AN
United Kingdom
Recruiting J.  Barrett 44-118-987-7878

Weston Park Hospital *Recruiting*
Sheffield,  England,  S1O 2SJ
United Kingdom
Recruiting Robert  Coleman 44-114-226-5213

Essex County Hospital *Recruiting*
Colchester,  England,  C03 3NB
United Kingdom
Recruiting Philip  Murray 44-0120-674-7474

Saint Bartholomew's Hospital *Recruiting*
London,  England,  EC1A 7BE
United Kingdom
Recruiting Chris  Cottrill 44-20-7601-8391

Alexandra Healthcare NHS *Recruiting*
Redditch, Worcestershire,  England,  B98 7UB
United Kingdom
Recruiting C.  Irwin 44-015-2750-3030

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

Torbay Hospital *Recruiting*
Torquay Devon,  England,  TQ2 7AA
United Kingdom
Recruiting Nigel  Bailey 441803655052

Guy's Hospital *Recruiting*
London,  England,  SE1 9RT
United Kingdom
Recruiting Paul  Ellis 44-207-955-5000 ext. 5816

Charing Cross Hospital *Recruiting*
London,  England,  W6 8RF
United Kingdom
Recruiting Charles  Lowdell 44-20-8846-1478

Bristol Haematology and Oncology Centre *Recruiting*
Bristol,  England,  BS2 8ED
United Kingdom
Recruiting S.  Goodman 0117-928-2418

North Devon District Hospital *Recruiting*
Barnstaple,  England,  EX31 4JB
United Kingdom
Recruiting Mark  Napier 44-1884-821747

Diana Princess of Wales Hospital *Recruiting*
Grimsby,  England,  DN33 2BA
United Kingdom
Recruiting Paul  Mack 44-1472-874-111

Huddersfield Royal Infirmary *Recruiting*
Huddersfield, West Yorks,  England,  HD3 3EA
United Kingdom
Recruiting Barbara  Crosse 0484-342999

Royal United Hospital *Recruiting*
Bath,  England,  BA1 3NG
United Kingdom
Recruiting Hugh  Newman 44-1225-824797

Singleton Hospital *Recruiting*
Swansea,  Wales,  SA 2 8QA
United Kingdom
Recruiting Theo  Joannides 44-1792-205-666

Velindre Cancer Center at Velinde Hospital *Recruiting*
Cardiff,  Wales,  CF14 2TL
United Kingdom
Recruiting Peter  Barrett Lee 44-29-2061-5888

Salisbury District Hospital *Recruiting*
Salisbury,  England,  SP2 8BJ
United Kingdom
Recruiting Rosemary  Gregory 44-1722-429-384

Pilgrim Hospital *Recruiting*
Boston,  England,  PE21 9QT
United Kingdom
Recruiting Elisabeth  Murray 44-1205-364-801

Walsgrave Hospital *Recruiting*
Coventry,  England,  CV2 2DX
United Kingdom
Recruiting Robert  Grieve 24-76-535-020

Taunton and Somerset Hospital *Recruiting*
Taunton Somerset,  England,  TA1 5DA
United Kingdom
Recruiting J.D.  Graham 1823 342418

Beatson Oncology Centre *Recruiting*
Glasgow,  Scotland,  G11 6NT
United Kingdom
Recruiting Peter  Canney 44-141-211-1743

North Staffs Royal Infirmary *Recruiting*
Stoke on Trent,  England,  ST4 7LN
United Kingdom
Recruiting Murray  Brunt 44-1782-554-588

St. Georges Hospital Medical School *Recruiting*
London,  England,  SW17 ORE
United Kingdom
Recruiting J.  Mansi 44-171-784-7092

Leicester Royal Infirmary *Recruiting*
Leicester,  England,  LE1 5WW
United Kingdom
Recruiting S.  Khanna 44-116-254-1414

City Hospital - Birmingham *Recruiting*
Birmingham,  England,  B18 7QH
United Kingdom
Recruiting Daniel  Rea 44-121-507-5241

Bronglais General Hospital *Recruiting*
Sutton,  England,  SY23 1ER
United Kingdom
Recruiting Alan  Axford 44-970-635-748

Meyerstein Institute of Oncology at Middlesex Hospital *Recruiting*
London,  England,  WIT 3AA
United Kingdom
Recruiting Mark  Gaze 207-6-36-83-33

Blackpool Victoria Hospital *Recruiting*
Blackpool,  England,  FY3 8NR
United Kingdom
Recruiting Linda  Evans 44-20-7210-4850

Aberdeen Royal Infirmary *Recruiting*
Aberdeen,  Scotland,  AB25 2ZN
United Kingdom
Recruiting A.  Hutcheon 44-1224-681-818

Mount Vernon Hospital *Recruiting*
Northwood,  England,  HA6 2RN
United Kingdom
Recruiting Marcia  Hall 44-1923-844-533

Royal Free Hospital *Recruiting*
Hampstead, London,  England,  NW3 2QG
United Kingdom
Recruiting A.L.  Jones 44-171-830-2184

Clatterbridge Centre for Oncology NHS Trust *Recruiting*
Merseyside,  England,  CH63 4JY
United Kingdom
Recruiting J.  Brock 44-151-334-1155

Royal Infirmary *Recruiting*
Glasgow,  Scotland,  G4 0SF
United Kingdom
Recruiting Mike  Soukop 44-141-211-1160

Bradford Hospitals NHS Trust *Recruiting*
Bradford,  England,  BD9 6RJ
United Kingdom
Recruiting Chris  Bradley 44-1274-542-200

Northampton General Hospital NHS Trust *Recruiting*
Northampton,  England,  NN6 8BJ
United Kingdom
Recruiting C.  MacMillan 44-1604-545-225

Princess Royal Hospital *Recruiting*
Hull,  England,  HU8 9HE
United Kingdom
Recruiting A.  Chaturvedi 44-1482-67-66-23

Scunthorpe General Hospital *Recruiting*
Scunthorpe,  England,  DN15 7BH
United Kingdom
Recruiting S.  Sreenivasan 44-1724-282-282

St. James's University Hospital *Recruiting*
Leeds,  England,  LS9 7TF
United Kingdom
Recruiting Tim  Perren 44-113-206-4670

Portsmouth Oncology Centre at Saint Mary's Hospital *Recruiting*
Portsmouth Hants,  England,  PO3 6AD
United Kingdom
Recruiting Joseph  Frank 44-23-9228-6000

Oldchurch Hospital *Recruiting*
Romford,  England,  RM7 OBE
United Kingdom
Recruiting M.  Quigley 44-1708-708-270

Derbyshire Royal Infirmary *Recruiting*
Derby,  England,  DE1 2QY
United Kingdom
Recruiting Pamela  Woodings 01-332-347-141 ext. 4575

Hairmyres Hospital *Recruiting*
East Kilbride,  Scotland,  G75 8RG
United Kingdom
Recruiting Hosney  Yosef 44-1355-220-292

Royal Shrewsbury Hospital *Recruiting*
Shrewsbury,  England,  SY3 8XO
United Kingdom
Recruiting Rajiv  Agrawal 01743-261334

Ninewells Hospital and Medical School *Recruiting*
Dundee,  Scotland,  DD1 9SY
United Kingdom
Recruiting J.A.  Dewar 44-1382-660-111

Christie Hospital N.H.S. Trust *Recruiting*
Manchester,  England,  M20 4BX
United Kingdom
Recruiting Alan  Stewart 44-161-446-3000

Raigmore Hospital *Recruiting*
Inverness,  Scotland,  1V2 3UJ
United Kingdom
Recruiting Mumtaz  Elia 44-1463-704-000 ext. 4310

Ipswich Hospital NHS Trust *Recruiting*
Ipswich,  England,  IP4 5PD
United Kingdom
Recruiting John  Vay 44-014-7371-2233

Northern Centre for Cancer Treatment at Newcastle General Hospital *Recruiting*
Newcastle upon Tyne,  England,  NE4 6BE
United Kingdom
Recruiting J.  Bozzino 44-191-219-4200

Peterborough Hospitals Trust *Recruiting*
Peterborough,  England,  PE3 6DA
United Kingdom
Recruiting Karen  McAdam 44-1733-874-255


Additional Information:
Study ID Numbers:
  CDR0000069311;  ICR-TACT,EU-20109
Study Start Date: 
Record last reviewed: April 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00033683

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