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CompletedNCT00148668Updated Apr 9, 2013Results posted

Preoperative Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in HER-2 Positive Breast Cancer

A Phase 2 interventional study of Herceptin and Navelbine in Breast Cancer, sponsored by Eric Winer, MD. Completed at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-04-09.

Sponsored by Eric Winer, MD · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
81
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to find out what effects the preoperative combination therapies of herceptin/navelbine or herceptin/taxotere/carboplatin will have on patients with early stage HER-2 positive breast cancer.

Read the detailed description

Before starting treatment, a clip will be placed via catheter into the tumor bed, so the surgeon can locate the site of the tumor. During clip placement, tissue biopsy will be taken of the tumor. One to two weeks after the first dose of herceptin another biopsy will be performed.

Patients will be placed into one of 2 arms.

  • Arm 1 receives 12 weeks of herceptin and navelbine. Arm 2 receives 4 cycles of taxotere/carboplatin/herceptin.
  • Arm 2 participants will also receive neulasta (growth factor support) on day 2 of each cycle.

Phase A of Arm 1 is one dose of herceptin followed by an MRI of the affected breast and a second biopsy 1-2 weeks following this dose. Phase B of Arm 1 begins on week 3 and ends on week 14 and involves weekly injections of herceptin and navelbine. Surgery will take place a minimum of 3 weeks after the patients last dose of herceptin and navelbine.

Phase A of Arm 2 is one dose of herceptin followed by an MRI of the affected breast and second biopsy 1-2 weeks following this dose. Phase B of Arm 2 begins on week 3 and ends on week 14 and involves herceptin weekly, taxotere and carboplatin every 3 weeks. Surgery will take place a minimum of 3 weeks after the patients last dose of herceptin, taxotere and carboplatin.

Blood tests will be performed every 3 weeks during pre-operative treatment and every 6 months after surgery.

02

Conditions studied

  • Breast Cancer

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Keywords

  • HER-2 Positive Breast Cancer
  • herceptin
  • navelbine
  • taxotere
  • carboplatin
  • Early stage 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.

This study's enrollment of 81 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

This is the only study on the registry with Eric Winer, MD as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with stage II or III breast cancer
  • HER-2 positive tumors
  • Older than 18 years of age
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of greater or equal to 1.
  • ANC > 1,500/mm3
  • Hemoglobin > 9gm/dl
  • Platelets > 100,000mm3
  • Creatinine \< 2mg/dl
  • Glucose \< 200mg/dl
  • Bilirubin \< 1.5 x ULN

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with herceptin, taxanes, doxorubicin or other anthracycline-type therapy, navelbine, or platinum-based therapy.
  • Pregnant or breast-feeding women
  • Serious illness, or medical or psychiatric condition
  • Uncontrolled infections
  • Active or severe cardiovascular or pulmonary disease
  • Patients with left ventricular ejection fraction \< 50%
  • Peripheral neuropathy of any etiology that exceeds grade 1
  • Prior history of malignancy
  • Uncontrolled diabetes
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
81 participants (actual)

Study arms

  • Active comparator
    Arm 1

    Herceptin/navelbine

    Drug: Herceptin · Drug: Navelbine

  • Active comparator
    Arm 2

    Taxotere/carboplatin/herceptin

    Drug: Herceptin · Drug: Taxotere · Drug: Carboplatin

Interventions

  • DrugHerceptin

    One dose given followed by an MRI, then weekly injections beginning week 3 and ending week 14.

    Also known as: Trastuzumab

  • DrugNavelbine

    Weekly injections given starting week 3 and ending week 14

    Also known as: vinorelbine

  • DrugTaxotere

    Given every three weeks starting week 3 and ending on week 14

    Also known as: docetaxel

  • DrugCarboplatin

    Given every three weeks starting week 3 and ending on week 14

    Also known as: paraplatin

06

What researchers measure

Primary outcomes

  1. Pathological Complete Response After Preoperative Therapy With Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Patients With HER-2 Positive Early Breast Cancer

    Pathological Complete Response is defined as the complete disappearance of invasive tumor in the breast at the time of surgery

    Time frame: 12 weeks

07

Results

Posted Jan 25, 2013

Participant flow

A total of 81 patients were enrolled on the study between 12/2003 and 8/2008.

Participant flow — Overall Study
MilestoneHerceptin/NavelbineTaxotere/Carboplatin/Herceptin
Started4140
Completed4140
Not completed00

Outcome measures

PrimaryPathological Complete Response After Preoperative Therapy With Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Patients With HER-2 Positive Early Breast Cancer

Pathological Complete Response is defined as the complete disappearance of invasive tumor in the breast at the time of surgery

Time frame:
12 weeks
Reported as:
Number · percentage of participants
Pathological Complete Response After Preoperative Therapy With Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Patients With HER-2 Positive Early Breast Cancer
percentage of participantsArm 1Arm 2
Pathological Complete Response After Preoperative Therapy With Herceptin/Navelbine Versus Taxotere/Carboplatin/Herceptin in Patients With HER-2 Positive Early Breast Cancer1731

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm 1—5/41 (12.2%)27/41 (65.9%)
Arm 2—5/40 (12.5%)25/40 (62.5%)
Most frequent serious events
Most frequent serious events
EventArm 1Arm 2
NeutropeniaBlood and lymphatic system disorders4/414/40
Febrile NeutropeniaBlood and lymphatic system disorders0/411/40
SGPT (ALT)Hepatobiliary disorders1/410/40
Most frequent other events
Most frequent other events
EventArm 1Arm 2
NeutropeniaImmune system disorders11/415/40
LeukocytesImmune system disorders6/417/40
SGPT (ALT)Hepatobiliary disorders4/410/40
Irregular MensesReproductive system and breast disorders0/413/40
SGOT (AST)Hepatobiliary disorders3/410/40
Febrile NeutropeniaImmune system disorders1/412/40
FatigueGeneral disorders1/412/40
DiarrheaGastrointestinal disorders1/412/40
AnorexiaGastrointestinal disorders0/412/40
DehydrationBlood and lymphatic system disorders0/412/40

Baseline characteristics

Age Continuous
Age Continuous(years)Arm 1Arm 2Total
Mean47.8 ± 12.648.1 ± 8.548 ± 10.7
Sex: Female, Male
Sex: Female, Male(Participants)Arm 1Arm 2Total
Female414081
Male000
Region of Enrollment
Region of Enrollment(participants)Arm 1Arm 2Total
United States414081
08

Study locations

4 sites
  • Yale Cancer Center
    New Haven, Connecticut 06520, United States
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02115, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02115, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02115, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00148668
Lead sponsor
Eric Winer, MD
Collaborators
Dana-Farber Cancer Institute, Brigham and Women's Hospital, Massachusetts General Hospital, Beth Israel Deaconess Medical Center, Yale University
Responsible party
Eric Winer, MD (Chief Division of Women's Cancers, Dana-Farber Cancer Institute) — Sponsor-investigator
First posted
Sep 8, 2005
Start date
Dec 2003
Primary completion
Jan 2009
Completion
Aug 2011
Results posted
Jan 25, 2013
Last update
Apr 9, 2013

Study contacts

Eric Winer, MD
principal investigator · Dana-Farber Cancer Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2013. You cannot join it, but the record below documents what was studied.

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