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the study was early terminated due to lack of recruitment.
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To determine the Objective Response Rate of 4 cycles of docetaxel + anthracycline (epirubicin or doxorubicine) followed by 4 cycles of docetaxel single agent. To determine the Time to Tumor Progression (TTP), the Response Duration, the Overall Survival. To confirm the safety profile
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Docetaxel | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the objective response rate according to RECIST guidelines after treatment with Taxoterer and anthracycline followed by Taxoterer single agent in the first line treatment of Her2 negative locally advanced or metastatic breast cancer | During the study conduct |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the Time to Tumor Progression (TTP). | During the study conduct | |
| To evaluate the response duration. | During all the study conduct | |
| To evaluate the overall survival. |
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Inclusion Criteria:
Female patient with histologically or cytologically documented breast adenocarcinoma
First local or metastatic relapse
Patients must have received a prior neoadjuvant or adjuvant Taxotere®-based chemotherapy regimen, provided this chemotherapy was completed > than or = to 12 months prior to enrollment date
Prior hormone or immune therapy is allowed. Antitumoral adjuvant hormone therapy may be continued during the study period, provided it was started > 12 months prior to study enrollment
Her2/neu negative tumor demonstrated by immunohistochemistry (IHC 0 or 1+) or by fluorescence in situ hybridation (FISH -). A patient with tumor assessed as 2+ by IHC can be enrolled if the tumor is negative by FISH.
ECOG performance status of 0 to 2
Normal cardiac function confirmed by LVEF or shortening fraction (MUGA scan or echocardiography, respectively, within normal limits for the institution) assessed within 3 months prior to study entry. An ECG must be obtained within 4 weeks prior study entry and must demonstrate no clinically significant abnormality.
Patients are required to have at least one measurable lesion according to RECIST guidelines
Adequate organ function defined by:
Negative pregnancy test (urine or serum) within 7 days prior to registration for all women of childbearing potential
Written informed consent prior to beginning specific protocol procedures must be obtained and documented according to the local regulatory requirements
Exclusion Criteria
Prior therapy for advanced or recurrent disease
Previous cumulative exposure to epirubicin > 600 mg/m² or to doxorubicin > 300 mg/m²
Previous radiation therapy having involved more than 25% of bone marrow; incomplete recovery from toxicity of radiation therapy
Symptomatic brain metastases and clinically diagnosed leptomeningeal metastases
Isolated unmeasurable bone lesions, serous pleural effusion or pulmonary lymphangiitis (i.e., unmeasurable disease according to the RECIST guidelines)
Pre-existing motor or sensory neurologic toxicity of a severity > than or = to grade 2 according to NCI-CTC AE criteria version 3.0
Pregnant or lactating women or women of childbearing potential not using adequate contraception
Other serious illness or medical conditions, including:
Past or current history of neoplasm other than breast carcinoma, except:
Chronic treatment with corticosteroids unless initiated > 6 months prior to study entry and at low dose (< than or = to 20 mg methylprednisolone per day or equivalent)
Definite contraindications for the use of corticosteroids
Likelihood of requiring treatment during the study period with drugs not permitted by the clinical study protocol (see Section 6.2)
Concurrent treatment with other investigational drugs. Active treatment as part of another clinical therapeutic trial within 30 days prior to study entry
Concurrent treatment with any other anti-cancer therapy, except adjuvant hormone therapy started > than or = to 12 months prior to study enrollment. Bisphosphonates for management of bone metastases or osteoporosis/osteopenia are allowed
History of hypersensitivity to docetaxel (or drugs formulated in polysorbate 80), epirubicin or doxorubicin
Mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study
Subject unlikely to comply with protocol, e.g., uncooperative attitude, inability to return for follow-up visits, and unlikelihood of completing the study
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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| Name | Affiliation | Role |
|---|---|---|
| Véronique AGNETTI | Sanofi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sanofi-Aventis | Vienna | Austria | ||||
| Sanofi-aventis |
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| During the study conduct |
| To confirm the safety profile. | from the inform consent signed up to the end of the study |
| Warsaw |
| Poland |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000077143 | Docetaxel |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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