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Trial Title: Neoadjuvant Dose-dense Chemotherapy for HR+/HER2- Breast Cancer Patients With High Proliferation Index

NCT ID: NCT05728268

Condition: Breast Cancer

Conditions: Official terms:
Breast Neoplasms
Paclitaxel

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: dose-dense nab-paclitaxel followed by EC
Description: dose-dense nab-paclitaxel followed by EC
Arm group label: dose-dense arm

Summary: Studies have shown that dose-dense chemotherapy reduces the risk of recurrence and death of breast cancer patients comparing with standard-schedule chemotherapy. But some research data indicate that HR+/HER2- breast cancer patients benefit from dose-dense chemotherapy while some have negative results. How to identify HR+/HER2 breast cancer patients who are more likely to benefit from dose-dense chemotherapy is strongly necessary. Ki67 is a marker reflecting the proliferation of tumor cells. Breast cancer patients with high Ki67 are more likely to benefit from dose-dense chemotherapy. The purpose of this project is to investigate the efficacy and safety of neoadjuvant dose-dense chemotherapy for HR+/HER2- breast cancer patients with high proliferation index. At the same time, we will explore biomarkers, such as MammaPrint and BluePrint, to further identify patients who benefit more from neoadjuvant dose-dense chemotherapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Females with age of 18 to 70 years old. - Newly diagnosed breast cancer patients. - Planned neoadjuvant chemotherapy. - Hormone receptor status: Estrogen receptor (ER)-positive or Progesterone Receptor (PR)- positive. - HER2/neu-negative. - Ki67≥30%. - Clinical stage IIB-IIIC. - Informed consent form understood and signed. - Patient agrees to all follow-up visits. - Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1. - Women of childbearing potential must have a negative serum pregnancy test. Exclusion Criteria: - Metastatic disease - Pregnancy. - Nursing mothers. - Active or uncontrolled infection. - Presence of another malignancies. - Granulocyte count < 1.5*10^9/L. - Platelet count < 100*10^9/L. - Hemoglobin < 90g/L. - Serum Creatinine more than 1.5 upper limit. - AST and ALT more than 2.5 upper limit. - LVEF< 50%.

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Shantou Central Hospital

Address:
City: Shantou
Zip: 510000
Country: China

Status: Recruiting

Contact:
Last name: Haitong Lyu

Phone: +8613631403739
Email: heton25@foxmali.com

Start date: August 1, 2021

Completion date: December 30, 2024

Lead sponsor:
Agency: Shantou Central Hospital
Agency class: Other

Source: Shantou Central Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05728268

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