Overview

Doxorubicin Hydrochloride, Cyclophosphamide, Docetaxel, and S-1 Before Surgery in Treating Women With Stage II or Stage III Breast Cancer

Status:
Unknown status
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
Female
Summary
RATIONALE: Drugs used in chemotherapy, such as doxorubicin hydrochloride, cyclophosphamide, docetaxel, and S-1, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This phase II trial is studying giving doxorubicin hydrochloride together with cyclophosphamide, docetaxel, and S-1 before surgery in treating women with stage II or stage III breast cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Yonsei University
Treatments:
Cyclophosphamide
Docetaxel
Doxorubicin
Liposomal doxorubicin
Tegafur
Criteria
DISEASE CHARACTERISTICS:

- Histologically or cytologically confirmed invasive primary breast cancer

- Clinical (radiologic) stage II or III disease

- No T4d disease

- No inflammatory breast cancer

- ErbB2-negative disease OR patient cannot receive trastuzumab treatment

- ErbB2-positive disease defined as either immunohistochemistry 3+, or FISH- or
CISH-positive; immunohistochemistry 2+ is to be determined according to FISH or
CISH results

PATIENT CHARACTERISTICS:

- Mobile

- ECOG performance status 0-1

- Normal cardiac function (LVEF > 50%)

- Hemoglobin ≥ 10.0 g/dL

- Absolute neutrophil count ≥ 1,500/μL

- Platelet count ≥ 10 x 10^4/μL

- Creatinine ≤ 1.5 times upper limit of normal (ULN) OR creatinine clearance ≥ 50 mL/min

- Total bilirubin ≤ 1.5 times ULN

- AST/ALT ≤ 2.5 times ULN

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- Able to swallow tablet whole with water

- No prior motor or sensory neurotoxicity CTCAE ≥ grade 2

- No other serious disease or medical condition

- No uncontrolled or serious cardiovascular disease, including any of the following:

- Myocardial infarction within the past 6 months

- New York Heart Association class III or IV heart failure

- Uncontrolled angina pectoris

- Clinically significant pericardial disease

- Cardiac amyloidosis

- No history of symptomatic or therapy-requiring cardiac arrhythmia CTCAE grade 3 (e.g.,
multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular
tachycardia, uncontrolled atrial fibrillation)

- No asymptomatic sustained ventricular tachycardia

- History of atrial fibrillation or cardiac arrhythmia controlled by medication allowed

- No uncontrolled infection, unstable peptic ulcer, uncontrolled diabetes, or any other
contraindication to corticosteroid administration

- No history of infection or any other serious medical event which may cause any
functional injury in the affected patient and consequently, interfere with continuing
the study treatment

- No history of hypersensitivity to taxanes, fluorouracil, or S-1

- No significant gastrointestinal malfunction that will affect S-1 absorption

- No history of other cancer within the past 5 years except properly treated carcinoma
in situ of the uterine cervix or basal cell or squamous cell carcinoma of the skin

- No severe psychological or neurological disorder or dementia that would preclude
understanding of the informed consent

- No psychological, social, family, or geographical condition, or difficult circumstance
that would preclude follow-up or compliance with the protocol

PRIOR CONCURRENT THERAPY:

- No prior systemic treatment for this cancer (e.g., radiotherapy, chemotherapy, hormone
therapy, or biological therapy)

- No prior preoperative topical treatments (e.g., incomplete surgery or radiotherapy)
for this cancer

- No concurrent drug(s) that may potentially cause changes in the pharmacological
activity of S-1 formulation, including any of the following:

- Allopurinol

- Phenytoin