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This study evaluates the addition melatonin and metformin to conventional chemotherapy FDC (Fluoruracil, Doxorubicin, cyclophosphamide) in the treatment of locally advanced breast cancer. Third of patients will receive FDCÑ…6 cycles, other third will receive combination of melatonin and FDCÑ…6 cycles and other patients will receive combination of metformin and FDCÑ…6 cycles.
The treatment of locally advanced breast cancer is a complicated issue. For neoadjuvant treatment is often needed to downstage locally advanced BC tumors prior to surgery, however many patients do not achieved objective response during treatment. The ability of melatonin and metformin to decrease side effects of chemotherapy had been investigated, moreover several studies confirm, that this drugs in combination with conventional treatment may increase objective response. But, this data is still controversial. We hypothesized that combinations of melatonin and conventional chemotherapy regimen such as FDC could be more effective than FDC alone in terms of response rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FDC x 6 cycles with metformin | Experimental | 32 patients will receive 5 - Fluoruracil 500 mg/m^2, doxorubicin 50 mg/m^2, cyclophosphamide 500 mg/m^2 once every 21 days with metformin 850 mg BID |
|
| FDC x 6 cycles with melatonin | Experimental | 32 patients will receive 5 - Fluoruracil 500 mg/m^2, doxorubicin 50 mg/m^2, cyclophosphamide 500 mg/m^2 once every 21 days with melatonin 3 mg before sleep daily |
|
| FDC x 6 cycles | Active Comparator | 32 patients will receive 5 - Fluoruracil 500 mg/m^2, doxorubicin 50 mg/m^2, cyclophosphamide 500 mg/m^2 once every 21 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| metformin | Drug |
|
| |
| Fluoruracil |
| Measure | Description | Time Frame |
|---|---|---|
| Response rate | Response will evaluate by RECIST criteria | 6 months after FPFV |
| Pathomorphological response | Pathomorphological response will assess after surgery by Miller and Payne Scale | 6 months after FPFV |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events incidence | Incidence of AE classified using NCI Common Terminology Criteria for AE v4 | Until 30 days after last patient treatment visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tatiana Y Semiglazova, MD, PhD, DSc | Contact | +79219468072 | tsemiglazova@mail.ru |
| Name | Affiliation | Role |
|---|---|---|
| Vladimir F Semiglazov, MD, PhD, DSc, Professor | N.N. Petrov Research Institute of Oncology | Study Director |
| Tatiana Y Semiglazova | N.N. Petrov Research Institute of Oncology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| N.N. Petrov Research Institute of Oncology Clinical Diagnostic Department | Recruiting | Saint Petersburg | 191124 | Russia |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| D008687 | Metformin |
| D005472 | Fluorouracil |
| D004317 | Doxorubicin |
| D003520 | Cyclophosphamide |
| D008550 | Melatonin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
| D014498 |
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| Drug |
|
| Doxorubicin | Drug |
|
|
| Cyclophosphamide | Drug |
|
|
| melatonin | Drug |
|
|
| D017437 |
| Skin and Connective Tissue Diseases |
| Uracil |
| D011744 | Pyrimidinones |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D014363 | Tryptamines |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |