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CompletedNCT00201708Updated Sep 2, 2016

Dose-Dense Docetaxel Before or After Doxorubicin/Cyclophosphamide in Axillary Node-Positive Breast Cancer

A Phase 2 interventional study of Docetaxel and Doxorubicin in Breast Cancer, sponsored by Ohio State University Comprehensive Cancer Center. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-09-02.

Sponsored by Ohio State University Comprehensive Cancer Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This study will determine if docetaxel will be administered before or after doxorubicin/cyclophosphamides in an adjuvant chemotherapy regimen to be evaluated in a subsequent phase III trial.

Read the detailed description

Rationale: Studies suggest that chemotherapy agents docetaxel, doxorubicin, and cyclophosphamide have some efficacy against different types of breast cancer. However, the optimal sequence in which to administer these treatments remains unknown. The current study assesses two separate sequences of docetaxel, doxorubicin, and cyclophosphamide.

Purpose: This study will evaluate two different combination chemotherapy schedules for patients with axillary node-positive breast cancer. Combination one is docetaxel before doxorubicin and cyclophosphamide. Combination two is docetaxel after doxorubicin and cyclophosphamide. The combination with no dose reductions of docetaxel within 10 weeks will then be tested in a Phase III study. The toxicities of docetaxel will also be assessed in study participants.

Treatment: Patients in this study will receive one of two chemotherapy combination schedules. A computer will randomly assign patients into their treatment group. Group one will receive docetaxel before doxorubicin and cyclophosphamide. Group two will receive docetaxel after doxorubicin and cyclophosphamide.

Patients in group one will receive docetaxel every two weeks for a total of eight weeks. These patients will then be given combination doxorubicin and cyclophosphamide every two weeks for a total of eight weeks. Patients in group two will receive combination doxorubicin and cyclophosphamide every two weeks for a total of eight weeks. These patients will then be given docetaxel every two weeks for a total of eight weeks.

Several tests and exams will be given throughout the study to closely monitor patients. Treatments will be discontinued due to disease growth or unacceptable side effects.

02

Conditions studied

  • Breast Cancer

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Keywords

  • Adjuvant Trial
  • Dose-Dense
  • Axillary Node-Positive
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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 56 is below the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Ohio State University Comprehensive Cancer Center is the lead sponsor of 369 studies on the registry; 81 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 19 (50%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Must have histologically or cytologically confirmed breast cancer
  • No metastatic disease
  • Prior lumpectomy or mastectomy
  • No prior chemotherapy or hormone treatments for breast cancer
  • Must have normal organ and marrow function.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.

Exclusion criteria

Exclusion Criteria:

  • Peripheral neuropathy of grade II or higher.
  • History or evidence upon physical exam of CNS (central nervous system Diseases)disease.
  • History of unstable angina or myocardial infarction within the last six months.
  • Pregnant or nursing women.
  • Known allergies to polysorbate 80.
  • HIV-positive patients.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
56 participants (actual)

Study arms

  • Active comparator
    Arm A (Docetaxel before doxorubicin/cyclophosphamide)

    Docetaxel 75 mg/m2 every 2 weeks for 4 cycles followed by "A" (doxorubicin) 60 mg/m2 \& "C" (cyclophosphamide) 600 mg/m2 every 2 weeks for 4 cycles.

    Drug: Docetaxel · Drug: Doxorubicin · Drug: Cyclophosphamide (AC)

  • Active comparator
    Arm B (Docetaxel after doxorubicin/cyclophosphamide)

    "A" (doxorubicin) 60 mg/m2 \& "C" (cyclophosphamide) 600 mg/m2 every 2 weeks for 4 cycles followed by Docetaxel 75 mg/m2 every 2 weeks for 4 cycles.

    Drug: Docetaxel · Drug: Doxorubicin · Drug: Cyclophosphamide (AC)

Interventions

  • DrugDocetaxel

    Arm A:75 mg/m2 every 2 weeks)for 4 cycles. Arm B:75 mg/m2 every 2 weeks for 4 cycles.

    Also known as: Taxotere

  • DrugDoxorubicin

    60 mg/m2 intravenously as push over 2-5 minutes, every 14 days for 4 cycles. Arms: Arm A (Docetaxel before doxorubicin/cyclophosphamide) , Arm B (Docetaxel after doxorubicin/cyclophosphamide)

    Also known as: Adriamycin, hydroxydaunorubicin

  • DrugCyclophosphamide (AC)

    600 mg/m2 over 30 to 60 minutes every 14 days (2 weeks) for 4 cycles. Arms: Arm A (Docetaxel before doxorubicin/cyclophosphamide), Arm B (Docetaxel after doxorubicin/cyclophosphamide)

    Also known as: Cytoxan, CPM, CTX, CYT

06

What researchers measure

Primary outcomes

  1. Select one of two adjuvant chemotherapy regimens for evaluation in subsequent phase III trial.

    Docetaxel before doxorubicin/cyclophosphamide(AC)or Docetaxel after AC. The regimen selection will be based on the proportion of patients receiving four cycles of Docetaxel with no dose reductions within 10 weeks.

    Time frame: up to 8 weeks

Secondary outcomes

  1. Determine the toxicities of Docetaxel administered before or after doxorubicin/cyclophosphamide(AC).

    Time frame: up to 5 years

07

Study locations

1 site
  • Ohio State University Medical Center
    Columbus, Ohio 43210, United States
08

References and documents

Publications

  • Puhalla S, Mrozek E, Young D, Ottman S, McVey A, Kendra K, Merriman NJ, Knapp M, Patel T, Thompson ME, Maher JF, Moore TD, Shapiro CL. Randomized phase II adjuvant trial of dose-dense docetaxel before or after doxorubicin plus cyclophosphamide in axillary node-positive breast cancer. J Clin Oncol. 2008 Apr 1;26(10):1691-7. doi: 10.1200/JCO.2007.14.3941. Epub 2008 Mar 3. PubMed 18316792 ↗

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00201708
Lead sponsor
Ohio State University Comprehensive Cancer Center
Responsible party
Sponsor
First posted
Sep 20, 2005
Start date
Oct 2004
Primary completion
Dec 2006
Completion
Feb 2014
Last update
Sep 2, 2016

Study contacts

Charles Shapiro, MD
principal investigator · Ohio State University

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2016. You cannot join it, but the record below documents what was studied.

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