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A Clinical Trial of Breast Cancer Neo-adjuvant Therapy Based on Molecular Pathway in FUSCC

Primary Purpose

Breast Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
A
B
CL1
CL2
CLH1
CLH2
CH1
CH2
CT1
Sponsored by
Fudan University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer focused on measuring breast cancer, neo-adjuvant therapy, molecular pathway, umbrella trial

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Age: 18-70 years old Expected survival > 12 months Baseline ECOG Performance Status rating 0-1 Naïve to chemotherapy or hormonal treatments Radiologically confirmed and biopsy diagnosed invasive ductal carcinoma of breast and prepared to be treated surgically Locally advance breast cancer of stage IIb-IIIc No concurrent malignancy (except controlled cervical carcinoma in situ or basal cell carcinoma of skin) Patients have measurable lesions (according to RECIST v1.1 criteria) Intention to cooperate with baseline puncture and neoadjuvant therapy No advanced metastasis or metastasis involving brain or liver Adequate bone marrow function, blood routine examination shows neutrophil count ≥ 1.5x109/L, hemoglobin level ≥ 100 g/L, Platelets ≥ 100 x 109/L Adequate liver and kidney function, serum aminotransferase (AST) ≤ 60U/L, serum total bilirubin ≤ 2.5 times ULN, serum creatinine ≤110μmol/L, urea nitrogen ≤7.1mmol/L No coagulation abnormality Normal heart function, with normal ECG and LVEF ≥ 55% Women of childbearing age agree to take reliable contraceptive measures during clinical trials, and negative serum or urine pregnancy test within 7 days prior to administration No coagulation abnormality Sign the informed consent statement and voluntarily receive follow-ups, treatments, laboratory tests and other research procedures according to protocol.

Exclusion Criteria:

  • Previous regional or systemic treatment for breast cancer (include but not limited to chemotherapy, radiotherapy, targeted therapy, other clinical trials) Inflammatory breast cancer, bilateral breast cancer or breast cancer already with distant metastasis Complicated with uncontrolled lung disease, severe infection, active peptic ulcer, blood clotting disorders, severe uncontrolled diabetes, connective tissue disorders or bone marrow suppression, and intolerance to neoadjuvant therapy or related treatment Peripheral neuropathy >1 degree caused by any reason History of congestive heart failure, uncontrolled or symptomatic angina, arrhythmias or history of myocardial infarction, refractory hypertension (systolic blood pressure > 180 mmHg or diastolic blood pressure > 100 mmHg); Breast cancer during lactation or pregnancy Unwillingly to receive baseline puncture or neoadjuvant therapy Mental illness or incompliance to treatment caused by other reasons Known history of severe hypersusceptibility to any agents used in the treatment protocol Patients received major surgery or suffered from severe trauma within 2 months of first administration Currently enroll or recently used (30 days within enrollment) other agent under research or involved in other trial Known to be infected with human immunodeficiency virus (HIV) Other circumstances considered to be inappropriate to be enrolled by researchers

Sites / Locations

  • Shao ZhiminRecruiting
  • Fudan University Shanghai Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

A

B

CL1

CL2

CLH1

CLH2

CH1

CH2

CT1

Arm Description

6 cycles of Paclitaxel,Carboplatin, Herceptin and Pertuzumab treatment with a good clinical benefit response depending on HR/HER-2 status.

2 cycles of Paclitaxel,Carboplatin, Herceptin treatment with a good clinical benefit response depending on HR/HER-2 status following surgery

If patients were HR+ and HER2- without PI3K-AKT pathway mutation

If patients were HR+ and HER2- with PI3K-AKT pathway mutation

If patients were HR+ and HER2+ without PI3K-AKT pathway mutation

If patients were HR+ and HER2+ with PI3K-AKT pathway mutation

If patients were HR- and HER2+ without PI3K-AKT pathway mutation

If patients were HR- and HER2+ with PI3K-AKT pathway mutation

If patients were HR- and HER2- with LAR subtype

Outcomes

Primary Outcome Measures

pathologic Complete Response (pCR)
pCR is defined as the absence of noninvasive tumor residuals in breast and axillary lymph nodes (ypT0/is ypN0) after neoadjuvant therapy.

Secondary Outcome Measures

Objective Response Rate (ORR)
ORR is defined as the proportion of patients who achieved a complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Full Information

First Posted
December 29, 2019
Last Updated
November 27, 2021
Sponsor
Fudan University
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1. Study Identification

Unique Protocol Identification Number
NCT04215003
Brief Title
A Clinical Trial of Breast Cancer Neo-adjuvant Therapy Based on Molecular Pathway in FUSCC
Official Title
This is a Phase Ib/II, Prospective , Open-label, Single Center, Bayesian Adaptive Design, Umbrella Study Evaluating the Efficacy and Safety of Neo-adjuvant Therapy in Patients With Breast Cancer.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2021
Overall Recruitment Status
Recruiting
Study Start Date
January 20, 2020 (Actual)
Primary Completion Date
December 1, 2021 (Anticipated)
Study Completion Date
December 31, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fudan University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase Ib/II, prospective , open-label, single center, Bayesian adaptive design, umbrella study evaluating the efficacy and safety of neo-adjuvant therapy in patients with breast cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer
Keywords
breast cancer, neo-adjuvant therapy, molecular pathway, umbrella trial

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Active Comparator
Arm Description
6 cycles of Paclitaxel,Carboplatin, Herceptin and Pertuzumab treatment with a good clinical benefit response depending on HR/HER-2 status.
Arm Title
B
Arm Type
Experimental
Arm Description
2 cycles of Paclitaxel,Carboplatin, Herceptin treatment with a good clinical benefit response depending on HR/HER-2 status following surgery
Arm Title
CL1
Arm Type
Experimental
Arm Description
If patients were HR+ and HER2- without PI3K-AKT pathway mutation
Arm Title
CL2
Arm Type
Experimental
Arm Description
If patients were HR+ and HER2- with PI3K-AKT pathway mutation
Arm Title
CLH1
Arm Type
Experimental
Arm Description
If patients were HR+ and HER2+ without PI3K-AKT pathway mutation
Arm Title
CLH2
Arm Type
Experimental
Arm Description
If patients were HR+ and HER2+ with PI3K-AKT pathway mutation
Arm Title
CH1
Arm Type
Experimental
Arm Description
If patients were HR- and HER2+ without PI3K-AKT pathway mutation
Arm Title
CH2
Arm Type
Experimental
Arm Description
If patients were HR- and HER2+ with PI3K-AKT pathway mutation
Arm Title
CT1
Arm Type
Experimental
Arm Description
If patients were HR- and HER2- with LAR subtype
Intervention Type
Drug
Intervention Name(s)
A
Intervention Description
Paclitaxel: paclitaxel 80 mg/m2 ivgtt d1, d8, d15, 28 days per cycle. Carboplatin: carboplatin AUC=2 ivgtt d1, d8, d15, 28 days per cycle. Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle,6 cycles. Pertuzumab: 420-mg ( loading dose 840mg) ivgtt d1, 21 days per cycle,6 cycles.
Intervention Type
Drug
Intervention Name(s)
B
Intervention Description
Paclitaxel: paclitaxel 80 mg/m2 ivgtt d1, d8, d15, 28 days per cycle. Carboplatin: carboplatin AUC=2 ivgtt d1, d8, d15, 28 days per cycle.
Intervention Type
Drug
Intervention Name(s)
CL1
Intervention Description
Drug: SHR6390(CDK4/6 inhibitor)150 mg qd(three week on one week off) Fulvestrant 500mg IM Q4W; Premenopause:Goserelin 3.6mg IM IM Q4W.
Intervention Type
Drug
Intervention Name(s)
CL2
Intervention Description
Drug: SHR6390(CDK4/6 inhibitor)150 mg qd(three week on one week off); Alpelisib 300mg PO QD; Premenopause:Goserelin 3.6mg IM IM Q4W.
Intervention Type
Drug
Intervention Name(s)
CLH1
Intervention Description
Drug: SHR6390(CDK4/6 inhibitor)150 mg qd(three week on one week off) Fulvestrant 500mg IM Q4W; Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle; Pertuzumab: 420-mg ( loading dose 840mg) ivgtt d1, 21 days per cycle; Premenopause:Goserelin 3.6mg IM IM Q4W.
Intervention Type
Drug
Intervention Name(s)
CLH2
Intervention Description
Drug: SHR6390(CDK4/6 inhibitor)150 mg qd (three week on one week off) Alpelisib 300mg PO QD; Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle; Pertuzumab: 420-mg ( loading dose 840mg) ivgtt d1, 21 days per cycle; Premenopause:Goserelin 3.6mg IM IM Q4W.
Intervention Type
Drug
Intervention Name(s)
CH1
Intervention Description
Drug: pyrotinib(EGFR-TKI) 400mg qd; Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle; capecitabine 1000mg/m2 bid(d1-d14)
Intervention Type
Drug
Intervention Name(s)
CH2
Intervention Description
Drug: Paclitaxel: paclitaxel 80 mg/m2 ivgtt d1, d8, d15, 28 days per cycle. Carboplatin: carboplatin AUC=2 ivgtt d1, d8, d15, 28 days per cycle.Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle; Alpelisib 300mg PO QD; Herceptin: 4 mg/kg (loading dose 8mg/kg) ivgtt d1,8,15, 22, 28 days per cycle; Pertuzumab: 420-mg ( loading dose 840mg) ivgtt d1, 21 days per cycle; Premenopause:Goserelin 3.6mg IM IM Q4W.
Intervention Type
Drug
Intervention Name(s)
CT1
Intervention Description
Drug: SHR6390(CDK4/6 inhibitor)150 mg po.qd(three week on one week off) SHR3680(AR inhibitor)240 mg po. qd.
Primary Outcome Measure Information:
Title
pathologic Complete Response (pCR)
Description
pCR is defined as the absence of noninvasive tumor residuals in breast and axillary lymph nodes (ypT0/is ypN0) after neoadjuvant therapy.
Time Frame
3
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
ORR is defined as the proportion of patients who achieved a complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time Frame
3

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: 18-70 years old Expected survival > 12 months Baseline ECOG Performance Status rating 0-1 Naïve to chemotherapy or hormonal treatments Radiologically confirmed and biopsy diagnosed invasive ductal carcinoma of breast and prepared to be treated surgically Locally advance breast cancer of stage IIb-IIIc No concurrent malignancy (except controlled cervical carcinoma in situ or basal cell carcinoma of skin) Patients have measurable lesions (according to RECIST v1.1 criteria) Intention to cooperate with baseline puncture and neoadjuvant therapy No advanced metastasis or metastasis involving brain or liver Adequate bone marrow function, blood routine examination shows neutrophil count ≥ 1.5x109/L, hemoglobin level ≥ 100 g/L, Platelets ≥ 100 x 109/L Adequate liver and kidney function, serum aminotransferase (AST) ≤ 60U/L, serum total bilirubin ≤ 2.5 times ULN, serum creatinine ≤110μmol/L, urea nitrogen ≤7.1mmol/L No coagulation abnormality Normal heart function, with normal ECG and LVEF ≥ 55% Women of childbearing age agree to take reliable contraceptive measures during clinical trials, and negative serum or urine pregnancy test within 7 days prior to administration No coagulation abnormality Sign the informed consent statement and voluntarily receive follow-ups, treatments, laboratory tests and other research procedures according to protocol. Exclusion Criteria: Previous regional or systemic treatment for breast cancer (include but not limited to chemotherapy, radiotherapy, targeted therapy, other clinical trials) Inflammatory breast cancer, bilateral breast cancer or breast cancer already with distant metastasis Complicated with uncontrolled lung disease, severe infection, active peptic ulcer, blood clotting disorders, severe uncontrolled diabetes, connective tissue disorders or bone marrow suppression, and intolerance to neoadjuvant therapy or related treatment Peripheral neuropathy >1 degree caused by any reason History of congestive heart failure, uncontrolled or symptomatic angina, arrhythmias or history of myocardial infarction, refractory hypertension (systolic blood pressure > 180 mmHg or diastolic blood pressure > 100 mmHg); Breast cancer during lactation or pregnancy Unwillingly to receive baseline puncture or neoadjuvant therapy Mental illness or incompliance to treatment caused by other reasons Known history of severe hypersusceptibility to any agents used in the treatment protocol Patients received major surgery or suffered from severe trauma within 2 months of first administration Currently enroll or recently used (30 days within enrollment) other agent under research or involved in other trial Known to be infected with human immunodeficiency virus (HIV) Other circumstances considered to be inappropriate to be enrolled by researchers
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhimin Shao, MD.PhD.
Phone
18017312288
Email
zhimingshao@yahoo.com
Facility Information:
Facility Name
Shao Zhimin
City
Shanghai
State/Province
Please Select
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Name
Fudan University Shanghai Cancer Center
City
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhimin Shao, PhD
Email
zhimingshao@yahoo.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

A Clinical Trial of Breast Cancer Neo-adjuvant Therapy Based on Molecular Pathway in FUSCC

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