Trastuzumab and Exemestane in Treating Postmenopausal Women With Metastatic or Locally Advanced Breast Cancer
Breast Cancer

About this trial
This is an interventional treatment trial for Breast Cancer focused on measuring stage IV breast cancer, stage IIIA breast cancer, stage IIIB breast cancer, stage IIIC breast cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed breast cancer Stage IV or locally advanced disease Staged by bone scan or CT scan of chest and/or abdomen within the past 6 weeks HER2/neu positive by fluorescent in situ hybridization (if 2+ by immunohistochemistry) or 3+ by immunohistochemistry Measurable disease defined by 1 of the following criteria: At least 1 dimension at least 1 cm by CT scan or other imaging scan At least 1 diameter at least 1 cm by plain x-ray (excluding bone lesions) Palpable lesion with both diameters at least 1 cm with caliper OR Evaluable disease defined by 1 of the following criteria: Positive bone scan Palpable masses with diameter less than 1 cm, masses with margins not clearly defined on CT scan or x-ray, or with both diameters less than 1 cm Bone scan and CA 27.29 if bone scan only evaluable disease Hormone receptor status: Estrogen receptor and/or progesterone receptor positive PATIENT CHARACTERISTICS: Age 18 and over Sex Female Menopausal status Postmenopausal by 1 of the following criteria: 60 years of age and over 45 years of age and over with amenorrhea more than 12 months and an intact uterus Follicle-stimulating hormone levels within postmenopausal range Undergone bilateral oophorectomy Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Not specified Hepatic Bilirubin less than 1.5 times upper limit of normal Renal Creatinine less than 2 mg/dL Cardiovascular Ejection fraction greater than 50% Other Not pregnant or nursing PRIOR CONCURRENT THERAPY: Biologic therapy No prior trastuzumab (Herceptin) Chemotherapy Prior chemotherapy allowed Endocrine therapy No prior exemestane No other prior hormonal agent (except tamoxifen) Radiotherapy Not specified Surgery Not specified