AzTrials
AzTrials

Breast CancerPhase 2NCT03058939

Assessing the Response Rate of Neo-adjuvant Paclitaxel (Taxol) in Nigerian Women With Breast Cancer

A Phase 2 study testing Paclitaxel, Perjeta and Herceptin SC in people with Breast Cancer and Breast Cancer Stage II, run by University of Chicago at 1 site in Nigeria.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
Search all trials

Trial summary

This is a two-stage phase II study with a single arm design. It will be conducted in women with breast cancer with stages IIA to IIIC (defined by AJCC 2009 classification) of all histological subtypes. Read more about this study

Who is it for?
Ages 18 to 70 years, women only
What is being tested?
Paclitaxel, Perjeta and Herceptin SC
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteNigeria
Study dates
Nov 2018to Jun 2019
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women ages of 18 to 70 years old.
  • Biopsy-accessible breast tumor of significant size for core needle biopsy (≥ 2cm).
  • Patients with histologically confirmed carcinoma of the female breast with any or unknown HRs/HER2 status
  • Clinical stages IIA -IIIC. (AJCC 2009) (Appendix A)
  • Chemotherapy-naïve patients (for this malignancy)
  • Performance status: ECOG performance status 0-3 (Appendix B)
Show all 15Show fewer
  • Non-pregnant and not nursing. Women of childbearing potential must take the pregnancy test and must commit to receive LHRH agonist Zoladex (goserelin) for two years starting from the commencement of the study medications.
  • Required Initial Laboratory Data. Adequate hematologic, renal and hepatic function, as defined by each of the following:
  • Granulocyte ≥ 1,500/μL
  • Platelet count ≥ 100,000/μL
  • Absolute neutrophil count (ANC) ≥ l500/μL
  • Hemoglobin³10g/dL
  • Bilirubin ≤ 1.5 x upper limit of normal
  • SGOT and SGPT < 2.5 x upper limit of normal for patients without liver metastases
  • Creatinine within institutional normal limits or glomerular filtration rate ≥ 30 mL/min/1.73 m2 by CKD EPI equation (see http://mdrd.com/ for calculator)

Who cannot join

  • Pregnant or lactating women. Women of childbearing potential not using a reliable and appropriate contraceptive method. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential.
  • Patients will agree to continue the use of acceptable form of contraception for 30 days from the date of last drug administration.
  • Patients with brain metastasis.
  • Serious, uncontrolled, concurrent infection(s).
  • Patients who have received more than 4 weeks of tamoxifen therapy for this malignancy. Patient who have received tamoxifen or raloxifene for purposes of chemoprevention (e.g. Breast Cancer Prevention Trial or for other past indications (including previous breast cancer) are eligible. Tamoxifen or raloxifene therapy will be discontinued at least one month before the patient is enrolled on this study.
  • Treatment for other carcinomas within the last 5 years, except non-melanoma skin cancer and treated cervical carcinoma in-situ (CCIS).
Show all 9Show fewer
  • Participation in any investigational drug study within 4 weeks preceding the start of study treatment.
  • Other serious uncontrolled medical conditions that the investigator feels might compromise study participation including but not limited to chronic or active infection, HIV-positive patient, uncontrolled hypertension, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled Diabetes mellitus, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Unwillingness to participate or inability to comply with the protocol for the duration of the study.

Trial locations and contacts

1 site in 1 country.

Nigeria1 site
  • Lagos State University College of Medicine

    Ikeja, Lagos

Other trials in Nigeria

About this study

Official title: Assessing the REsponse Rate of Weekly Neo-adjuvanT pacliTAxel (Taxol) in Nigerian Women With Breast Cancer (ARETTA)

This is a two-stage phase II study with a single arm design. It will be conducted in women with breast cancer with stages IIA to IIIC (defined by AJCC 2009 classification) of all histological subtypes. All patients will receive 16 doses of paclitaxel; three breast ultrasound tests and tumor pathologic response evaluation will be used to assess the response to treatment.

Read the detailed description

Each patient will be assigned one of the following groups: 1) complete response, 2) partial response, 3) stable disease, 4) progressive disease, 5) early death from malignant disease, 6) early death from toxicity, 7) early death because of other cause, or 8) unknown (not assessable, insufficient data). Patients with a good response to 8 doses of paclitaxel (complete response or partial response that are operable) will receive an additional 8 courses of paclitaxel chemotherapy before surgery and radiotherapy. The overall response for these patients will be assessed by ultrasonography after a total of 16 weeks of Taxol therapy. Patients with poor response (defined as stable disease or progressive disease or partial response inoperable) as best response after eight weekly courses of paclitaxel will receive 8 cycles of weekly PC. The overall response for these patients will also be assessed by ultrasonography after 8 courses of PC therapy. Patients with poor response to 8 courses of paclitaxel followed by 8 courses of PC based on ultrasound assessment will be regarded as failing to respond to treatment. These patients will receive 4 cycles of 3-weekly FEC and will be followed up. Patients in response groups 4-8 above will be considered as failing to respond to treatment.

All conclusions will be based on all eligible patients. The schema for the study is presented in Figures 4-1, 4-2 and 4-3. Patients with a global deterioration of health status requiring discontinuation of treatment without objective evidence of disease progression at that time will be classified as having "symptomatic deterioration". Every effort will be made to document the objective progression even after discontinuation of treatment. All Premenopausal patients will receive LHRH agonist for two years for contraception and fertility preservation. Hormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors ER and PgR (see glossary and section 10.3) and according to the state of primary menopause (see glossary) at the onset of the study. Patients with HER2-positive disease (see glossary and section 10.3) will receive 5 threeweekly courses of trastuzumab (Herceptin SC) with pertuzumab (Perjeta). After that pts will continue receiving trastuzumab to complete total of 18 doses within 1 year of treatment.

The study is designed to estimate the RR of breast cancer patients to weekly paclitaxel chemotherapy and to determine the RR to weekly PC combination chemotherapy in patients resistant to or with poor response (including early progression) while on weekly single agent paclitaxel.

Being tested
Paclitaxel, Perjeta, Herceptin SC, Tamoxifen, Letrozole
Keywords
Breast Cancer, Breast Cancer Stage II, Breast Cancer Stage III, Paclitaxel, Taxol
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PaclitaxelDrug

    Also called Taxol

    Administered to all patients for a minimum of 8 doses with a possible maximum of 16 doses.

  • PerjetaDrug

    Also called Pertuzumab

    Only administered to patients with HER2-positive disease.

  • Herceptin SCDrug

    Also called Trastuzumab

    Only administered to patients with HER2-positive disease.

  • TamoxifenDrug

    Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.

  • LetrozoleDrug

    Only administered to hormone-receptor positive patients. Patients will receive tamoxifen or letrozole.

  • LHRH agonistDrug

    Administered to all premenopausal patients.

  • FECDrug

    Only administered to patients who received paclitaxel and carboplatin, and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).

  • CarboplatinDrug

    Only administered to patients who receive paclitaxel and were assessed as having poor response (defined as stable disease or progressive disease or partial response inoperable).

Study groups in NCT03058939
Study groupRoleWhat they receive
PaclitaxelExperimentalInvestigators plan to treat patients with paclitaxel weekly for a total of approximately 16 weeks (8 weeks before ultrasonography for response assessment and 8 weeks before surgery in good responders). Paclitaxel 80mg/m2 will be given on days 1, 8, 15 and so on for a total of 8 doses.
Receives: Drug: Paclitaxel
CarboplatinOtherAfter first 8 weeks of paclitaxel, those with progressive disease (based on breast US assessment) or partial response but inoperable will have carboplatin added to their regimen. Patients will receive 8 cycles of weekly paclitaxel and carboplatin (PC).
Receives: Drug: Carboplatin
Fluorouracil Epirubicin Hydrochloride Cyclophonsphamide (FEC)OtherPatients with poor response to 8 courses of paclitaxel followed by 8 courses of PC based on ultrasound assessment will be regarded as failing to respond to treatment. These patients will receive 4 cycles of 3-weekly FEC and will be followed up.
Receives: Drug: FEC
LHRH (luteinizing hormone-releasing hormone)OtherAll Premenopausal patients will receive LHRH agonist for two years for contraception and fertility preservation.
Receives: Drug: LHRH agonist
Tamoxifen or letrozoleOtherHormone-receptor positive patients will receive hormonal therapy with tamoxifen or letrozole after surgery, radiotherapy and LHRH agonist according to the expression of hormone receptors and according to the state of primary menopause at the onset of the study.
Receives: Drug: Tamoxifen; Drug: Letrozole
Herceptin SC and PerjetaOtherPatients with HER2-positive disease (see glossary and section 10.3) will receive 5 three-weekly courses of trastuzumab (Herceptin SC) with pertuzumab (Perjeta). After that pts will continue receiving trastuzumab to complete total of 18 doses within 1 year of treatment.
Receives: Drug: Perjeta; Drug: Herceptin SC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Measure overall clinical response rate (OCR)

    OCR will be calculated as the proportion of patients with an overall response of complete clinical response (CCR) or partial clinical response (PCR), where tumor response is based on change in tumor diameter after treatment.

    Measured: 24 months

  2. Measure of complete pathologic response (pCR)

    The absence of residual invasive disease in the breast and in the axillary lymph nodes at the completion of treatment will be measured.

    Measured: 24 months

Secondary outcomes (8)
  1. Number of participants with adverse events

    Incidence and severity of adverse drug reactions (AE) and serious adverse drug reactions (SAE) including clinical laboratory values, vital signs, ECGs and dose interruptions.

    Measured: 24 months

  2. Time until progression free survival (PFS)

    Measured: From start date of therapy to the date of first documented disease progression or death from any cause, whichever may come first, assessed up to 100 months

  3. Duration of response (DOR)

    Measured: From first reponse to the date of first documented disease progression, assessed up to 24 months

  4. Analysis of changes from baseline using the quality of life (QoL) instrument

    The various domains of QoL over time and the changes from baseline using the validated (by the European Organization for Research and Treatment of Cancer (EORTC)) QoL instrument (global and breast module).

    Measured: From start date of therapy to the date of first documented disease progression or death from any cause, whichever may come first, assessed up to 100 months.

  5. To assess the genetic and epigenetic factors associated with breast cancer in Nigeria

    Through correlative study of molecular markers and tumor subtypes/tumor biology with patient's characteristics, response to treatment and patients' outcome

    Measured: From start date of therapy to the date of death from any cause, assessed up to 100 months

  6. Blood concentrations of Perjeta before each dose of Perjeta/Herceptin/paclitaxel/PC

    To determine the profile of Perjeta given in combination with Herceptin SC, paclitaxel and paclitaxel + carboplatinum

    Measured: 24 months

  7. Blood concentrations of Herceptin SC before each dose of Herceptin/paclitaxel/PC

    To determine the profile of Herceptin SC given in combination with Perjeta, paclitaxel and PC

    Measured: 24 months

  8. Analysis of hormone recepters (ER and PgR) and HER2

    To determine the pattern of response to weekly paclitaxel and PC in combination with hormone therapy or with H/Ptz dual anti-HER2 blockade based on status of clinical markers ! Hormone receptors (ER and PgR) and HER2, and other markers.

    Measured: Through study completion an average of two years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2017
  2. Study startNov 2018 (estimated)
  3. Primary completionApr 2019 (estimated)
  4. Study completionJun 2019 (estimated)

Why it stopped: Study never activated to enrollment.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03058939
Sponsor's protocol ID
IRB15-1005
Status last verified
Apr 2019
First submitted
2 Feb 2017
Last updated
22 Apr 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Paclitaxel, Perjeta and Herceptin SC in people with Breast Cancer and Breast Cancer Stage II, run by University of Chicago at 1 site in Nigeria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 22 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Nigeria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Measure overall clinical response rate (OCR) (time frame: 24 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in