Overview

This trial is active, not recruiting.

Condition breast cancer
Treatments paclitaxel, microarray analysis, biopsy, neoadjuvant therapy
Phase phase 2
Sponsor Georgetown University
Collaborator National Cancer Institute (NCI)
Start date April 2001
End date December 2015
Trial size 40 participants
Trial identifier NCT00088829, CDR0000368453, GUMC-00310, P30CA051008, P50CA058185

Summary

RATIONALE: Analyzing genes for changes before and after chemotherapy may help doctors predict a patient's response to treatment and help plan the most effective treatment.

PURPOSE: This clinical trial is studying how well genetic testing works in predicting response to paclitaxel in women who have unresected breast cancer.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Endpoint classification pharmacodynamics study
Intervention model single group assignment
Masking open label
Primary purpose diagnostic
Arm
(Experimental)
Paclitaxel given before surgery
paclitaxel
subjects will receive paclitaxel neoadjuvantly
microarray analysis
subjects will have a biopsy to collect tissue for gene microarray analysis
biopsy
All subjects will have a biopsy to collect tissue
neoadjuvant therapy
paclitaxel is given neoadjuvantly
paclitaxel Paclitaxel
All patients will receive paclitaxel neoadjuvantly

Primary Outcomes

Measure
Overall response
time frame: 3 months

Eligibility Criteria

Female participants at least 18 years old.

Inclusion: - Histologically confirmed infiltrating carcinoma of the breast - Unresected disease - High-risk (> 50% risk of relapse) disease, including any of the following high-risk markers: - Estrogen receptor- and progesterone receptor- negative - Palpable axillary lymph nodes - Grade 3 histology - S phase fraction > 10% - Ki67 > 30% - Disease that warrants combination therapy with doxorubicin, cyclophosphamide, and paclitaxel - HER2/neu negative or positive - Hormone receptor status: - Not specified Menopausal status - Known Performance status - ECOG 0-2 - Absolute neutrophil count > 1,500/mm^3 - Platelet count ≥ 100,000/mm^3 - Bilirubin ≤ 1. 5 times normal (except for patients with known Gilbert's disease) - Creatinine ≤ 1.5 times normal Exclusion: - uncontrolled congestive heart failure - myocardial infarction within the past 6 months - unstable angina - uncontrolled hypertension - pregnant or nursing - serious bacterial, viral, or fungal infection requiring ongoing treatment - severe peripheral neuropathy - poor psychiatric risk - history of any other known serious co-morbid medical or psychiatric condition - prior cytotoxic therapy for breast cancer

Additional Information

Official title A Pilot Study to Establish a Standardized Protocol for Gene Microarray Analysis in Patients Receiving Neoadjuvant Chemotherapy for Breast Cancer: Identifying Factors Predictive of a Response to Paclitaxel
Principal investigator Minetta C. Liu, MD
Description OBJECTIVES: Primary - Determine the feasibility of accruing women with unresected infiltrating carcinoma of the breast to a clinical trial involving serial breast biopsies and administration of neoadjuvant paclitaxel before formal assessment of axillary lymph node status. - Determine a standard protocol template for gene microarray analysis, in terms of the timing and method of collecting tissue samples, before and after administration of neoadjuvant paclitaxel in these patients. - Determine the safety and efficacy of tissue sampling in these patients. Secondary - Identify gene(s) or gene clusters that exhibit significant differences between responding and non-responding tumors before treatment with neoadjuvant paclitaxel in these patients. - Identify gene(s) or gene clusters that exhibit changes in gene expression before and after the administration of neoadjuvant paclitaxel in these patients. - Compare significant differences in gene expression between responding and non-responding tumors in patients treated with this drug. - Develop, preliminarily, a statistical model utilizing individual genes and/or gene clusters that can best predict response to paclitaxel in these patients. OUTLINE: This is a pilot, multicenter study. Patients undergo core needle breast biopsy within 14 days before starting neoadjuvant paclitaxel treatment. Patients receive neoadjuvant paclitaxel IV over 3 hours on day 1. Treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. Patients undergo core needle breast biopsy 48 hours after the first administration of paclitaxel, upon completion of course 1, and either upon completion of the last course (in patients with clinical or radiographic evidence of residual disease) or during definitive breast surgery. Biopsy samples are analyzed for gene expression by gene microarray analysis. Patients are followed for survival. PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study within 2 years.
Trial information was received from ClinicalTrials.gov and was last updated in March 2015.
Information provided to ClinicalTrials.gov by Georgetown University.