Neoadjuvant Response-guided Treatment of Luminal B-type Tumors and Luminal A-type Tumors With Node Metastases
NCT02603679 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 181
Last updated 2021-08-03
Summary
The purpose of this neoadjuvant trial is to evaluate efficacy and toxicity of chemotherapy using weekly paclitaxel (arm A) versus the combination of the cdk 4/6 inhibitor palbociclib and standard endocrine treatment (arm B). After 12 weeks treatment is switched crossover. During the 24-weekly treatment period, clinical and radiological evaluations are performed repeatedly. Switch between the treatment arms A and B is allowed in case of lack of response or due to toxicity. A translational subprotocol is a mandatory part of the study protocol, except for use of PET-CT evaluations. Postoperatively, patients receive three 3-weekly courses of chemotherapy with a combination of epirubicin and cyclophosphamide.
Conditions
- Early-Stage Breast Carcinoma
- Estrogen Receptor Positive Tumor
Interventions
- DRUG
-
Any brand of paclitaxel may be used, excluding nab-paclitaxel
- DRUG
-
Tamoxifen + Palbociclib
Any brand of tamoxifen may be used
- DRUG
-
Aromatase Inhibitor + Palbociclib
Any brand of letrozole, anastrozole or exemestane may be used
- DRUG
-
Goserelin + Aromatase Inhibitor + Palbociclib
Any brand of letrozole, anastrozole or exemestane may be used
Sponsors & Collaborators
-
Thomas Hatschek
lead OTHER
Principal Investigators
-
Thomas Hatschek, Assoc Prof · Breast-Sarcoma Unit, Dept. of Oncology, Karolinska University Hospital
-
Jonas Bergh, Professor · Dept. of Oncology-Pathology, Karolinska Institutet
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-02-28
- Primary Completion
- 2021-07-30
- Completion
- 2031-12-31
Countries
- Sweden
Study Locations
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