Paclitaxel and Trastuzumab With or Without Lapatinib in Treating Patients With Stage II or Stage III Breast Cancer That Can Be Removed by Surgery
Male Breast Carcinoma, Stage IIA Breast Cancer AJCC v6 and v7, Stage IIB Breast Cancer AJCC v6 and v7
About this trial
This is an interventional treatment trial for Male Breast Carcinoma
Eligibility Criteria
Inclusion Criteria:
- Pathologic confirmation of invasive breast cancer; patients with inflammatory breast cancer are not eligible
Clinical stage II-III operable invasive breast cancer with intent to perform surgical resection after neoadjuvant therapy
- Patients with multicentric or bilateral disease are eligible as long as the target lesion meets the eligibility criteria for this study
- Staging to rule out metastatic disease is recommended for clinical stage III patients
- Tumors must be HER2 positive defined as HER2 3+ by immunohistochemical (IHC) assays or gene amplification by fluorescence in situ hybridization (FISH) with a ratio of >= 2 on invasive tumor
- Estrogen receptor (ER) and progesterone receptor (PgR) status must be known
- The target lesion in the breast must be >= 1 cm on physical examination or by radiographic measurement; palpable axillary adenopathy will be documented but not serve as measurable disease for the primary endpoint; patients with axillary disease only are not eligible to participate
- Patient agrees to provide pretreatment biopsies
- No prior chemotherapy, hormone therapy, biologic, or radiation therapy with therapeutic intent for this cancer
- Cardiac ejection fraction must be >= 50% by echocardiogram or multiple gated acquisition (MUGA) scan
- Eastern Cooperative Oncology Group (ECOG) (Zubrod) performance status 0-1
- Patients must not be pregnant or nursing
- Absolute neutrophil count (ANC) >= 1,000/ul
- Platelet count >= 100,000/ul
- Bilirubin =< 1.5 times upper limit of normal
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 2.5 times upper limit of normal (ULN)
- Serum beta-human chorionic gonadotropin (HCG) negative (in female patients unless status-post (s/p) hysterectomy or menopausal or no menses for 24 consecutive months); assay must have a sensitivity of at least 50 mIU/mL
Sites / Locations
- Banner University Medical Center - Tucson
- Sparks Regional Medical Center
- Providence Saint Joseph Medical Center/Disney Family Cancer Center
- East Bay Radiation Oncology Center
- Eden Hospital Medical Center
- Valley Medical Oncology Consultants-Castro Valley
- Bay Area Breast Surgeons Inc
- Valley Medical Oncology Consultants-Fremont
- Contra Costa Regional Medical Center
- El Camino Hospital
- Palo Alto Medical Foundation-Camino Division
- Highland General Hospital
- Alta Bates Summit Medical Center - Summit Campus
- Bay Area Tumor Institute
- Hematology and Oncology Associates-Oakland
- Tom K Lee Inc
- Desert Regional Medical Center
- Palo Alto Medical Foundation Health Care
- Valley Care Health System - Pleasanton
- Valley Medical Oncology Consultants
- University of California Davis Comprehensive Cancer Center
- Saint Helena Hospital
- Salinas Valley Memorial
- Zuckerberg San Francisco General Hospital
- UCSF Medical Center-Mount Zion
- Doctors Medical Center- JC Robinson Regional Cancer Center
- The Medical Center of Aurora
- Boulder Community Hospital
- Penrose-Saint Francis Healthcare
- Porter Adventist Hospital
- Presbyterian - Saint Lukes Medical Center - Health One
- SCL Health Saint Joseph Hospital
- Rose Medical Center
- Western States Cancer Research NCORP
- Swedish Medical Center
- Saint Mary's Hospital and Regional Medical Center
- North Colorado Medical Center
- Saint Anthony Hospital
- Littleton Adventist Hospital
- Sky Ridge Medical Center
- Longmont United Hospital
- McKee Medical Center
- Parker Adventist Hospital
- Saint Mary Corwin Medical Center
- North Suburban Medical Center
- SCL Health Lutheran Medical Center
- Smilow Cancer Hospital Care Center at Saint Francis
- Manchester Memorial Hospital
- Middlesex Hospital
- Beebe Medical Center
- Christiana Care Health System-Christiana Hospital
- MedStar Georgetown University Hospital
- Halifax Health Medical Center-Centers for Oncology
- Holy Cross Hospital
- Florida Cancer Specialists-Gainesville Cancer Center
- Jupiter Medical Center
- Mount Sinai Medical Center
- Cleveland Clinic-Weston
- Piedmont Hospital
- Atlanta Regional CCOP
- Emory Saint Joseph's Hospital
- Northside Hospital
- WellStar Cobb Hospital
- John B Amos Cancer Center
- Dekalb Medical Center
- Piedmont Fayette Hospital
- Northside Hospital - Gwinnett
- Medical Center of Central Georgia
- Wellstar Kennestone Hospital
- Southern Regional Medical Center
- Harbin Clinic Medical Oncology and Clinical Research
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
- Saint Alphonsus Cancer Care Center-Boise
- Saint Anthony's Health
- Mount Sinai Hospital Medical Center
- University of Illinois
- Presence Resurrection Medical Center
- University of Chicago Comprehensive Cancer Center
- Weiss Memorial Hospital
- Advocate Good Samaritan Hospital
- Duly Health and Care Joliet
- Loyola University Medical Center
- Good Samaritan Regional Health Center
- Advocate Christ Medical Center
- Swedish American Hospital
- Franciscan Saint Francis Health-Beech Grove
- Fort Wayne Medical Oncology and Hematology Inc-Parkview
- Reid Health
- McFarland Clinic - Ames
- University of Iowa Healthcare Cancer Services Quad Cities
- Medical Oncology and Hematology Associates-West Des Moines
- Mercy Capitol
- Iowa Methodist Medical Center
- Iowa-Wide Oncology Research Coalition NCORP
- Medical Oncology and Hematology Associates-Des Moines
- Mercy Medical Center - Des Moines
- Mission Cancer and Blood - Laurel
- Iowa Lutheran Hospital
- University of Iowa/Holden Comprehensive Cancer Center
- Siouxland Regional Cancer Center
- Mercy Medical Center-Sioux City
- Saint Luke's Regional Medical Center
- HaysMed University of Kansas Health System
- Hutchinson Regional Medical Center
- University of Kansas Cancer Center
- Ascension Via Christi - Pittsburg
- Salina Regional Health Center
- Cotton O'Neil Cancer Center / Stormont Vail Health
- University of Kansas Health System Saint Francis Campus
- Harold Alfond Center for Cancer Care
- Eastern Maine Medical Center
- University of Maryland/Greenebaum Cancer Center
- Walter Reed National Military Medical Center
- Christiana Care - Union Hospital
- TidalHealth Peninsula Regional
- Holy Cross Hospital
- Sturdy Memorial Hospital
- Tufts Medical Center
- Massachusetts General Hospital Cancer Center
- Brigham and Women's Hospital
- Beth Israel Deaconess Medical Center
- Dana-Farber Cancer Institute
- Steward Saint Elizabeth's Medical Center
- Dana-Farber/Brigham and Women's Cancer Center at Milford Regional
- Newton-Wellesley Hospital
- Michigan Cancer Research Consortium NCORP
- Saint Joseph Mercy Hospital
- University of Michigan Comprehensive Cancer Center
- Beaumont Hospital - Dearborn
- Ascension Saint John Hospital
- Hurley Medical Center
- Genesys Regional Medical Center-West Flint Campus
- Genesys Regional Medical Center
- Allegiance Health
- Bronson Methodist Hospital
- West Michigan Cancer Center
- Borgess Medical Center
- Sparrow Hospital
- Trinity Health Saint Mary Mercy Livonia Hospital
- Saint Joseph Mercy Oakland
- Lake Huron Medical Center
- Ascension Saint Mary's Hospital
- Ascension Providence Hospitals - Southfield
- Saint John Macomb-Oakland Hospital
- Mayo Clinic Health Systems-Mankato
- Southeast Missouri Hospital
- Saint Francis Medical Center
- Southeast Cancer Center
- Capital Region Southwest Campus
- Truman Medical Centers
- Saint Louis Cancer and Breast Institute-South City
- Washington University School of Medicine
- Missouri Baptist Medical Center
- Center for Cancer Care and Research
- Comprehensive Cancer Care PC
- Mercy Hospital Saint Louis
- Saint Louis-Cape Girardeau CCOP
- Billings Clinic Cancer Center
- Northern Rockies Radiation Oncology Center
- Saint Vincent Healthcare
- Montana Cancer Consortium NCORP
- Saint Vincent Frontier Cancer Center
- Bozeman Deaconess Hospital
- Saint James Community Hospital and Cancer Treatment Center
- Benefis Healthcare- Sletten Cancer Institute
- Berdeaux, Donald MD (UIA Investigator)
- Great Falls Clinic
- Northern Montana Hospital
- Saint Peter's Community Hospital
- Glacier Oncology PLLC
- Kalispell Medical Oncology
- Kalispell Regional Medical Center
- Montana Cancer Specialists
- Saint Patrick Hospital - Community Hospital
- Community Medical Hospital
- Guardian Oncology and Center for Wellness
- Nebraska Cancer Research Center
- Missouri Valley Cancer Consortium
- Alegent Health Immanuel Medical Center
- Alegent Health Bergan Mercy Medical Center
- Alegent Health Lakeside Hospital
- Creighton University Medical Center
- University Medical Center of Southern Nevada
- Nevada Cancer Research Foundation NCORP
- Renown Regional Medical Center
- New Hampshire Oncology Hematology PA-Concord
- Cheshire Medical Center-Dartmouth-Hitchcock Keene
- LRGHealthcare-Lakes Region General Hospital
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
- Norris Cotton Cancer Center-Manchester
- Elliot Hospital
- Solinsky Center for Cancer Care
- Foundation Medical Partners
- Cooper Hospital University Medical Center
- Morristown Medical Center
- Rutgers New Jersey Medical School
- Overlook Hospital
- Lovelace Medical Center-Saint Joseph Square
- University of New Mexico Cancer Center
- Hematology Oncology Associates
- Roswell Park Cancer Institute
- Hematology Oncology Associates of Central New York-East Syracuse
- Elmhurst Hospital Center
- Queens Hospital Center
- Northwell Health NCORP
- Northwell Health/Center for Advanced Medicine
- North Shore University Hospital
- Garnet Health Medical Center
- Long Island Jewish Medical Center
- Memorial Sloan Kettering Cancer Center
- Vassar Brothers Medical Center
- State University of New York Upstate Medical University
- Mission Hospital
- Cone Health Cancer Center at Alamance Regional
- UNC Lineberger Comprehensive Cancer Center
- Atrium Health Cabarrus/LCI-Concord
- Duke University Medical Center
- Wayne Memorial Hospital
- East Carolina University
- Vidant Oncology-Kinston
- FirstHealth of the Carolinas-Moore Regional Hospital
- UNC Rex Healthcare
- Marion L Shepard Cancer Center at Vidant Beaufort Hospital
- Wake Forest University Health Sciences
- Mid Dakota Clinic
- Saint Alexius Medical Center
- Sanford Bismarck Medical Center
- Cleveland Clinic Akron General
- Cleveland Clinic Cancer Center Beachwood
- Aultman Health Foundation
- Cleveland Clinic Cancer Center/Fairview Hospital
- Cleveland Clinic Foundation
- Ohio State University Comprehensive Cancer Center
- Grandview Hospital
- Good Samaritan Hospital - Dayton
- Miami Valley Hospital
- Miami Valley Hospital North
- Dayton NCI Community Oncology Research Program
- Blanchard Valley Hospital
- Atrium Medical Center-Middletown Regional Hospital
- Wayne Hospital
- Cleveland Clinic Cancer Center Independence
- Kettering Medical Center
- Saint Rita's Medical Center
- Hillcrest Hospital Cancer Center
- University Hospitals Parma Medical Center
- Cleveland Clinic Cancer Center Strongsville
- Upper Valley Medical Center
- Clinton Memorial Hospital
- Cleveland Clinic Wooster Family Health and Surgery Center
- Greene Memorial Hospital
- University of Oklahoma Health Sciences Center
- Cancer Care Associates
- UPMC Hillman Cancer Center Erie
- Penn State Milton S Hershey Medical Center
- Lewistown Hospital
- Guthrie Medical Group PC-Robert Packer Hospital
- Mount Nittany Medical Center
- Kent Hospital
- Prisma Health Cancer Institute - Spartanburg
- Roper Hospital
- Prisma Health Cancer Institute - Easley
- Greenville Health System Cancer Institute-Andrews
- Saint Francis Hospital
- Prisma Health Cancer Institute - Butternut
- Prisma Health Cancer Institute - Faris
- Prisma Health Greenville Memorial Hospital
- Prisma Health Cancer Institute - Eastside
- Self Regional Healthcare
- Prisma Health Cancer Institute - Greer
- Prisma Health Cancer Institute - Seneca
- Lexington Medical Center
- Erlanger Medical Center
- Nashville Oncology Associates PC
- Meharry Medical College
- Doctor's Hospital of Laredo
- Texas Tech University Health Sciences Center-Lubbock
- Central Vermont Medical Center/National Life Cancer Treatment
- University of Vermont and State Agricultural College
- Danville Regional Medical Center
- Hematology Oncology Associates of Fredericksburg Inc
- Centra Lynchburg Hematology-Oncology Clinic Inc
- Cancer Care Center at Island Hospital
- MultiCare Auburn Medical Center
- PeaceHealth Saint Joseph Medical Center
- Harrison HealthPartners Hematology and Oncology-Bremerton
- Highline Medical Center-Main Campus
- Providence Regional Cancer System-Centralia
- Saint Francis Hospital
- Kadlec Clinic Hematology and Oncology
- EvergreenHealth Medical Center
- Saint Clare Hospital
- Skagit Valley Hospital
- Providence - Saint Peter Hospital
- Harrison HealthPartners Hematology and Oncology-Poulsbo
- MultiCare Good Samaritan Hospital
- Virginia Mason Medical Center
- Minor and James Medical PLLC
- Pacific Medical Center-First Hill
- Kaiser Permanente Washington
- Swedish Medical Center-First Hill
- University of Washington Medical Center - Montlake
- PeaceHealth United General Medical Center
- Cancer Care Northwest - Spokane South
- Providence Sacred Heart Medical Center and Children's Hospital
- Providence Holy Family Hospital
- Evergreen Hematology and Oncology PS
- MultiCare Allenmore Hospital
- MultiCare Tacoma General Hospital
- Northwest NCI Community Oncology Research Program
- Saint Joseph Medical Center
- Wenatchee Valley Hospital and Clinics
- Saint Mary's Medical Center
- Camden Clark Medical Center
- Gundersen Lutheran Medical Center
- Ascension Southeast Wisconsin Hospital - Saint Joseph Campus
- Welch Cancer Center
- San Juan City Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Experimental
Arm I (THL)
Arm II (TH)
Arm III (TL)
Patients receive trastuzumab 2 mg/kg IV over 30-90 minutes and paclitaxel 80 mg/m^2 IV over 1 hour once weekly and lapatinib ditosylate 750 mg PO once daily for 16 weeks in the absence of disease progression or unacceptable toxicity.
Patients receive trastuzumab 2 mg/kg IV over 30-90 minutes and paclitaxel 80 mg/m^2 IV over 1 hour once weekly for 16 weeks in the absence of disease progression or unacceptable toxicity.
Patients receive paclitaxel 80 mg/m^2 IV over 1 hour once weekly and lapatinib ditosylate 15000 mg PO once daily for 16 weeks in the absence of disease progression or unacceptable toxicity. (Discontinued as of 6-15-11)