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SuspendedNCT00002696Updated Aug 2, 2013

Combination Chemotherapy in Treating Women With Stage III Breast Cancer

A Phase 3 interventional study of CAF regimen and CMF regimen in Breast Cancer, sponsored by Grupo Oncologico Cooperativo del Sur. Suspended at 7 sites in Argentina. Open to female participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2013-08-02.

Sponsored by Grupo Oncologico Cooperativo del Sur · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
Female
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Randomized phase III trial to compare cyclophosphamide, doxorubicin, and fluorouracil with cyclophosphamide, methotrexate, and fluorouracil in treating women with stage III breast cancer.

Read the detailed description

OBJECTIVES:

  • Compare the response in women with stage III breast cancer treated with neoadjuvant fluorouracil, doxorubicin, and cyclophosphamide (FAC) vs cyclophosphamide, methotrexate, and fluorouracil (CMF).
  • Compare the rates of conservative surgical resectability and locoregional control in patients treated with these neoadjuvant therapy regimens.
  • Compare the disease-free and overall survival of patients treated with these regimens.
  • Compare the toxic effects of these regimens in these patients.
  • Compare the compliance of patients treated with these regimens.
  • Assess the cosmetic results in patients treated with conservative surgery.
  • Compare the quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center.

  • Arm I: Patients receive fluorouracil (5-FU) IV on days 1 and 8 and doxorubicin IV and cyclophosphamide (CTX) IV on day 1 (FAC). Treatment continues every 3 weeks for 3 courses in the absence of disease progression.
  • Arm II: Patients receive CTX IV, methotrexate IV, and 5-FU IV on days 1 and 8 (CMF). Treatment continues every 4 weeks for 3 courses in the absence of disease progression.

Patients on both arms with resectable disease after the third course of chemotherapy undergo quadrantectomy with axillary node dissection (preferred) or modified radical mastectomy, followed by 6 additional courses of chemotherapy on the arm to which they were randomized initially. Those patients without distant metastasis undergo locoregional radiotherapy beginning concurrently with the initiation of postoperative chemotherapy. Patients on both arms with unresectable disease after the initial 3 courses of chemotherapy undergo locoregional radiotherapy and then surgical resection (if feasible).

Quality of life is assessed at baseline and then monthly thereafter.

Patients are followed every 3-4 months for 2 years, every 4-6 months for 3 years, and then annually thereafter.

PROJECTED ACCRUAL: Not specified

02

Conditions studied

  • Breast Cancer

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Keywords

  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

Browse Breast Neoplasms studies →

Lead sponsor

Grupo Oncologico Cooperativo del Sur is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed stage III breast cancer
  • Measurable disease
  • No inflammatory breast cancer
  • No synchronous bilateral breast cancer
  • Hormone receptor status:

    • Not specified

PATIENT CHARACTERISTICS:

Age:

  • 21 to 75

Sex:

  • Female

Menopausal status:

  • Not specified

Performance status:

  • ECOG 0-1 OR
  • Zubrod 0-1

Life expectancy:

  • More than 12 weeks

Hematopoietic:

  • WBC greater than 4,000/mm\^3
  • Platelet count greater than 100,000/mm\^3

Hepatic:

  • Bilirubin less than 1.25 times upper limit of normal (ULN)
  • AST less than 1.25 times ULN

Renal:

  • Creatinine clearance greater than 70 mL/min

Cardiovascular:

  • No angina pectoris
  • No significant arrhythmia requiring therapy
  • No bilateral bundle branch block
  • No congestive heart failure
  • No myocardial infarction

Other:

  • No medical or psychiatric disease that would preclude study therapy
  • No other malignancy except adequately treated nonmelanomatous skin cancer or carcinoma in situ of the cervix
  • Not pregnant

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • No prior radiotherapy

Surgery:

  • No prior surgery except incisional biopsy or fine-needle aspiration

Other:

  • No prior systemic therapy
  • No concurrent caffeine or alcohol
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized

Interventions

  • DrugCAF regimen
  • DrugCMF regimen
  • Drugcyclophosphamide
  • Drugdoxorubicin hydrochloride
  • Drugfluorouracil
  • Drugmethotrexate
  • Procedureadjuvant therapy
  • Procedureconventional surgery
  • Procedureneoadjuvant therapy
  • Radiationradiation therapy
06

Study locations

7 sites
  • Policlinica Privada Instituto De Medicina Nuclear
    Bahia Blanca, Buenos Aires 8000, Argentina
  • Consultorio Oncologico Privado
    Mar del Plata, Buenos Aires 7600, Argentina
  • Centro De Oncologia y Terapia Radiante
    Santa Rosa, La Pampa 6300, Argentina
  • Unidad Oncologica Del Comahue
    Neuquen, Argentina
  • Consultorio Oncologico Privado
    Rio Gallegos, 9400, Argentina
  • Centro Oncologico Del Litoral
    Santa Fe, 3000, Argentina
  • Centro Oncologico Tres Arroyos
    Tres Arroyos, 7500, Argentina
07

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00002696
Lead sponsor
Grupo Oncologico Cooperativo del Sur
First posted
Jan 27, 2003
Start date
Oct 1995
Last update
Aug 2, 2013

Study contacts

Bernardo A. Leone, MD
study chair · Unidad Oncologica Del Neuquen
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is suspended, as verified in Apr 2008. You cannot join it, but the record below documents what was studied.

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