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Study Summary
No. 2006-0790:.......Breast......Ana Gonzalez-Angulo......Breast Medical Oncology
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Study Summary Title
Study Summary
Number:
2006-0790
Study Title:Open label randomized clinical trial of standard neoadjuvant chemotherapy (paclitaxel followed by FEC) versus the combination of paclitaxel and RAD001 followed by FEC in women with triple receptor-negative breast cancer (CRAD001C24101)
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Physician New Patient Referral
Name:Ana Gonzalez-AnguloPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Breast Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2817
Contact us about clinical trials
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General Information
Disease Group:BreastSupported By:N/A
Phase of Study:Phase IIReturn
Visit:
Weekly for the first 12 weeks, then every 3 weeks for 12 weeks.
Treatment
Agents:
5-Fluorouracil
Cyclophosphamide
Epirubicin
Paclitaxel
RAD001
Home Care:N/A
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research is to learn if RAD001 given in combination
with chemotherapy will turn off the signaling pathway (a chain of information
that tells cancer cells to grow quickly) and make the chemotherapies given on
this study more effective.
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Study Objectives / Outcomes
Primary Objective

· To determine if the addition of an mTOR inhibitor to standard neoadjuvant chemotherapy in patients with triple receptor-negative breast cancer causes molecular changes (inhibition/activation) of the PI3K/PTEN/AKT pathway.
    Secondary Objectives

    · To evaluate pathologic complete response (pCR) rates for each treatment group.
    · To evaluate the relationship between pCR and the molecular changes (inhibition/activation) of the PI13K/PTEN/AKT pathway in each treatment group.
    · To evaluate overall response rates (ORR) for each treatment group.
    · To assess the toxicity of both regimens and to evaluate the relationship of toxicities with PI3K/PTEN/AKT pathway status.
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    Study Status Information
    Study Activation / Registration Date:
    IRB Review and Approval Date:02/09/2007
    Study Type:Phase Ii Or Phase I/Ii
    Recruitment Status:Closed
    Projected Accrual:N/A
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    Enrollment Eligibility
    If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

    Inclusion Criteria:1) Patients with histologic confirmation of invasive ER/PR and HER2/neu-negative breast carcinoma. Immunohistochemistry (IHC) must be used for ER/PR evaluation and IHC or FISH for determination of HER2/neu. ER/PR will be considered negative if equal or lower than 5% IHC staining and HER2/neu will be considered negative if IHC of 0% or negative FISH.

    2) Patients must have intact primary tumors.

    3) Age equal or greater than 18 years

    4) Patients should have stage IIA (T1N1) to IIIC non inflammatory breast cancer.

    5) Patients with bilateral breast cancers are eligible.

    6) Patients should have a Karnofsky performance scale of =/> 70%.

    7) Patients must have clinically measurable disease to be treated in the neoadjuvant setting. This includes patients with a non-palpable primary tumor who have histologically proven lymph node involvement that is clinically palpable and measurable by ultrasound.

    8) Patients should have adequate bone marrow function, as defined by peripheral granulocyte count of >/= 1500/mm3, and a platelet count >/= 100000/ mm3.

    9) Patients must have adequate liver function with a bilirubin within normal laboratory values. Alkaline phosphatase and transaminases (ALT and AST) may be up to 1.5 x upper limit of normal (ULN) of the institution.

    10) Patients should have adequate renal function with creatinine levels 2.0 mg/dL or lower

    11) Patients should have a normal left ventricular ejection fraction of =/> 50%.

    12) Negative serum pregnancy test for a woman of childbearing potential.

    13) Women of childbearing potential (WOCBP) must use a reliable and appropriate contraceptive method during the study and 6 months after chemotherapy is completed. WOCBP are women who are not menopausal for 12 months or had no previous surgical sterilization.

    14) Patients must agree to have study biopsies.

    15) Patients must sign an informed consent indicating that they are aware of the investigational nature of the study, in keeping with institutional policy.

    16) Hemoglobin 9.0 gm/dL or higher

    Exclusion Criteria:1) Patients whose tumors express ER, PR or HER2/neu gene amplification.

    2) Patients with a history of other invasive malignancies diagnosed and treated within the previous 5 years, except non-melanoma skin cancer and non-invasive cervical cancer

    3) Patients with an organ allograft or other history of immune compromise

    4) Prior exposure to mTOR inhibitors

    5) Hypersensitivity to rapamycin or other similar compounds

    6) Prior treatment with any investigational drug within the preceding 4 weeks

    7) Chronic treatment with systemic steroids or another immunosuppressive agent

    8) A known history of HIV seropositivity

    9) Impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of RAD001 (e.g., ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome or small bowel resection)

    10) Patients with an active, bleeding diathesis or on oral anti-vitamin K medication (except low dose coumadin defined as 1 mg a day).

    11) Other concurrent severe and/or uncontrolled medical disease which could compromise participation in the study (i.e., uncontrolled diabetes, uncontrolled hypertension, severe infection, severe malnutrition, unstable angina, or congestive heart failure - New York Heart Association Class III or IV, ventricular arrhythmias, active ischemic heart disease, myocardial infarction within six months, chronic liver or renal disease, active upper GI tract ulceration)

    12) Patients with a pre-existing peripheral neuropathy > grade 1

    13) Patients taking medications metabolized by the CYP3A4 subfamily will not be included in this study.

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    Links
    Registration Number: NCT00499603
    Study Information on Clinical Trials Registry (clinicaltrials.gov)

    Other Links:
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    Results


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