ClinicalTrials.gg
Active, not recruitingNCT00295893Updated Sep 24, 2026Results posted

Combination Chemotherapy With or Without Trastuzumab in Treating Patients With Stage II or Stage III Breast Cancer

A Phase 2 interventional study of cyclophosphamide and docetaxel in Breast Cancer, sponsored by City of Hope Medical Center. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by City of Hope Medical Center · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Sep 2005, registered Feb 2006).
Phase
Phase 2
Study type
Interventional
Enrollment
121
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 373 studies testing trastuzumab in Breast Neoplasms — 56 open to participants now, 85 under way, 5 of them phase 3. Trastuzumab · Breast Neoplasms.

Enrollment
104th of 365
121 · median 62
Started
2005
with 14 others
Phase 2
239 of 373
44 open now
Primary completion
2013-12
later than 0 of 84 live
Registered
66th of 373
by date
Lead sponsor
6 of 373
City of Hope Medical Center

Among the 373 studies testing trastuzumab in Breast Neoplasms, this one is the 104th largest by enrollment of the 365 interventional ones that give a count, is one of 15 that started in 2005, is one of 239 in phase 2, reaches primary completion later than 0 of the 84 other live ones, and was the 66th registered.

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

56 of the 373 studies testing trastuzumab in Breast Neoplasms are open now, in 12 countries. Recruiting first, the newest first:

51 more — sign in →

By country, each count listing its studies:

All 56 open studies →

About trastuzumab

Trastuzumab: first FDA approval 1998 (HERCEPTIN), first EMA approval 2000. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,400 Breast Neoplasms studies recruiting now, 1,572 (66%) set no upper age limit and 591 (25%) stop at 75 or younger; 103 take children under 18; 214 take healthy volunteers.

This study: 18 Years to 120 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 373 studies testing trastuzumab in Breast Neoplasms, or all of them as a file.
02

Study summary

RATIONALE: Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Monoclonal antibodies, such as trastuzumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Giving combination chemotherapy with or without trastuzumab before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. It is not yet known whether combination chemotherapy is more effective with or without trastuzumab in treating breast cancer.

PURPOSE: This randomized phase II trial is comparing two different regimens of combination chemotherapy given together with or without trastuzumab to see how well they work in treating patients with stage II or stage III breast cancer.

Read the detailed description

OBJECTIVES:

Primary

  • Compare 2 neoadjuvant chemotherapy regimens (docetaxel, doxorubicin hydrochloride, and cyclophosphamide [TAC] vs doxorubicin and cyclophosphamide followed by paclitaxel and carboplatin [ACAC]), in terms of toxicities and effectiveness as defined by the pathological complete remission rate, in patients with non HER2/neu overexpressing stage II or III breast cancer.
  • Evaluate the probability of achieving a pathological complete remission when adding trastuzumab (Herceptin®) to ACAC in the subset of patients with HER2/neu overexpressing stage II or III breast cancer.

Secondary

  • Identify prognostic and predictive markers of outcome, recurrence, and targets of therapy.

OUTLINE: This is a randomized study. Patients with non HER2/neu overexpressing tumors are randomized to 1 of 2 treatment arms. Patients with HER2/neu overexpressing tumors are assigned to arm III.

  • Arm I: Patients receive doxorubicin hydrochloride IV, cyclophosphamide IV, and docetaxel IV on day 1. Treatment repeats every 21 days for 6 courses.
  • Arm II: Patients receive doxorubicin hydrochloride IV and cyclophosphamide IV on day 1; treatment repeats every 2 weeks for 4 courses. Patients then receive carboplatin IV on day 1 and paclitaxel IV on days 1, 8, and 15; treatment with carboplatin and paclitaxel repeats every 4 weeks for 3 courses.
  • Arm III: Patients receive chemotherapy as in arm II. They also receive trastuzumab (Herceptin®) IV weekly, beginning with the first doses of paclitaxel and carboplatin.

Within 4 weeks after completion of chemotherapy with or without trastuzumab (Herceptin®), all patients undergo surgery.

PROJECTED ACCRUAL: A total of 105 patients will be accrued for this study.

03

Conditions studied

  • Breast Cancer

Keywords

  • inflammatory breast cancer
  • stage II breast cancer
  • stage IIIA breast cancer
  • stage IIIB breast cancer
  • stage IIIC breast cancer
  • male breast cancer
  • Paget disease of the breast with invasive ductal carcinoma
  • invasive ductal breast carcinoma with predominant intraductal component
  • invasive ductal breast carcinoma
  • medullary ductal breast carcinoma with lymphocytic infiltrate
  • comedo ductal breast carcinoma
  • invasive lobular breast carcinoma with predominant in situ component
  • invasive lobular breast carcinoma
  • mucinous ductal breast carcinoma
  • papillary ductal breast carcinoma
  • tubular ductal breast carcinoma
04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • proven infiltrating ductal or lobular breast carcinoma

    • Stage II or III disease
    • Inflammatory breast cancer allowed
  • Hormone-receptor status not specified

PATIENT CHARACTERISTICS:

  • performance status \< 2
  • Male or female
  • Menopausal status not specified (for female patients)
  • ≥ 1,500/mm\^3
  • count ≥ 100,000/mm\^3
  • normal (except for patient's with Gilbert's disease)
  • Creatinine ≤ 1.2 mg/dL
  • ≥ 70 mL/min
  • ≥ 50% on MUGA
  • No neuropathy ≥ grade 1
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective nonhormonal
  • No prior malignant disease within the past 5 years, excluding:

    • Squamous cell or basal cell skin carcinoma
    • Stage I or in situ cervical carcinoma
  • No noninvasive (in situ) breast carcinoma within the past 5 years

PRIOR CONCURRENT THERAPY:

  • At least 5 years since prior antiestrogen treatment for any indication other than breast cancer prevention (tamoxifen, raloxifene, or an aromatase inhibitor)
  • No prior radiotherapy to the chest wall
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Active comparator
    Docetaxel, Doxorubicin Hydrochloride, and Cyclophosphamide

    Patients receive doxorubicin hydrochloride IV, cyclophosphamide IV, and docetaxel IV on day 1. Treatment repeats every 21 days for 6 courses.

    Drug: cyclophosphamide · Drug: docetaxel · Drug: doxorubicin hydrochloride

  • Experimental
    Doxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and Carboplatin

    Patients receive doxorubicin hydrochloride IV and cyclophosphamide IV on day 1; treatment repeats every 2 weeks for 4 courses. Patients then receive carboplatin IV on day 1 and paclitaxel IV on days 1, 8, and 15; treatment with carboplatin and paclitaxel repeats every 4 weeks for 3 courses.

    Drug: cyclophosphamide · Drug: doxorubicin hydrochloride · Drug: Carboplatin · Drug: Paclitaxel

  • Experimental
    Doxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and trastuzumab

    Patients receive chemotherapy as in arm II. They also receive trastuzumab (Herceptin®) IV weekly, beginning with the first doses of paclitaxel and carboplatin.

    Drug: cyclophosphamide · Drug: doxorubicin hydrochloride · Biological: Trastuzumab · Drug: Carboplatin · Drug: Paclitaxel

Interventions

06

What researchers measure

Primary outcomes

  1. Count of Patients With Pathologic Complete Response (pCR)

    pCR was defined as no evidence of residual invasive cancer (or very few scattered tumor cells) in primary tumor and lymph nodes.

    Time frame: At the time of surgery within 4 weeks of the end of chemotherapy, up to 10 months

  2. Count of Patients With Residual Cancer Burden (RCB) Scores of 0 or 1.

    RCB score is determined using information on the size of the tumor and the extent of tumor cells in the breast and axillary lymph nodes after neoadjuvant therapy. The higher the RCB score, the more residual breast cancer there is in the breast and lymph nodes: RCB-0 = No residual breast cancer RCB-I = Small amount of residual breast cancer RCB-II = Moderate amount of residual breast cancer RCB-III = Extensive (a lot of) residual breast cancer

    Time frame: At the time of surgery within 4 weeks of the end of chemotherapy, up to 10 months.

07

Results

Posted Mar 14, 2023

Participant flow

Participant flow — Overall Study
MilestoneDocetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab
Started374044
Completed374044
Not completed000

Outcome measures

PrimaryCount of Patients With Pathologic Complete Response (pCR)

pCR was defined as no evidence of residual invasive cancer (or very few scattered tumor cells) in primary tumor and lymph nodes.

Time frame:
At the time of surgery within 4 weeks of the end of chemotherapy, up to 10 months
Reported as:
Count of participants · Participants
Count of Patients With Pathologic Complete Response (pCR)
ParticipantsDocetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab
Count of Patients With Pathologic Complete Response (pCR)6422
PrimaryCount of Patients With Residual Cancer Burden (RCB) Scores of 0 or 1.

RCB score is determined using information on the size of the tumor and the extent of tumor cells in the breast and axillary lymph nodes after neoadjuvant therapy. The higher the RCB score, the more residual breast cancer there is in the breast and lymph nodes: RCB-0 = No residual breast cancer RCB-I = Small amount of residual breast cancer RCB-II = Moderate amount of residual breast cancer RCB-III = Extensive (a lot of) residual breast cancer

Time frame:
At the time of surgery within 4 weeks of the end of chemotherapy, up to 10 months.
Reported as:
Count of participants · Participants
Count of Patients With Residual Cancer Burden (RCB) Scores of 0 or 1.
ParticipantsDocetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab
Count of Patients With Residual Cancer Burden (RCB) Scores of 0 or 1.111028

Adverse events

Collected over Adverse events occurred over a period of 2 years and 7 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Docetaxel, Doxorubicin Hydrochloride, and Cyclophosphamide2/37 (5.4%)8/37 (21.6%)37/37 (100%)
Doxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and Carboplatin4/40 (10%)5/40 (12.5%)40/40 (100%)
Doxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab4/44 (9.1%)8/44 (18.2%)44/44 (100%)
Most frequent serious events
Showing 10 of 37
Most frequent serious events
EventDocetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab
Febrile neutropeniaBlood and lymphatic system disorders5/370/400/44
Skin infectionInfections and infestations1/370/403/44
Neutrophil count decreasedInvestigations2/370/401/44
DyspneaRespiratory, thoracic and mediastinal disorders0/372/402/44
DiarrheaGastrointestinal disorders0/371/402/44
Cardiac painCardiac disorders1/370/400/44
PericarditisCardiac disorders1/370/400/44
PainGeneral disorders1/371/401/44
BronchitisInfections and infestations1/370/400/44
Soft tissue infectionInfections and infestations1/370/400/44
Most frequent other events
Showing 10 of 238
Most frequent other events
EventDocetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and Trastuzumab
FatigueGeneral disorders35/3740/4043/44
Hemoglobin decreasedBlood and lymphatic system disorders30/3739/4043/44
Aspartate aminotransferase increasedInvestigations31/3737/4037/44
NauseaGastrointestinal disorders30/3736/4040/44
Peripheral sensory neuropathyNervous system disorders28/3733/4040/44
AlopeciaSkin and subcutaneous tissue disorders26/3732/4033/44
ConstipationGastrointestinal disorders18/3723/4035/44
Alanine aminotransferase increasedInvestigations25/3725/4034/44
Neutrophil count decreasedInvestigations19/3729/4032/44
Leukocyte count decreasedInvestigations14/3727/4030/44

Baseline characteristics

Age, Continuous
Age, Continuous(years)Docetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and TrastuzumabTotal
Median50 (33 to 65)49 (31 to 68)52 (30 to 70)50 (30 to 70)
Sex: Female, Male
Sex: Female, Male(Participants)Docetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and TrastuzumabTotal
Female374044121
Male0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Docetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and TrastuzumabTotal
American Native1001
Asian211013
African American1337
White19171955
Hispanic14191245
Region of Enrollment
Region of Enrollment(participants)Docetaxel, Doxorubicin Hydrochloride, and CyclophosphamideDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel and CarboplatinDoxorubicin Hydrochloride and Cyclophosphamide Followed by Paclitaxel, Carboplatin and TrastuzumabTotal
United States374044121
08

Study locations

1 site
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2005 to primary completion in Dec 2013, 99 months.

Results were first posted in Mar 2023, 9 years 2 months after primary completion.

Of 1,070 non-industry phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 87. This study's 99 months is above that.

Counting every sponsor, half of 1,302 studies reached it within 51 months; a quarter within 30 and three quarters within 82.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 23, 2006
First posted
Feb 24, 2006
StartActual
Sep 27, 2005
Primary completionActual
Dec 30, 2013
CompletionEst.
Jul 16, 2027
Results first posted
Mar 14, 2023
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00295893
Responsible party
Sponsor
First posted
Feb 24, 2006
Start date
Sep 27, 2005
Primary completion
Dec 30, 2013
Completion
Jul 16, 2027 (estimated)
Results posted
Mar 14, 2023
Last update
Sep 24, 2026

Study contacts

Joanne Mortimer, MD
principal investigator · City of Hope Medical Center

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Trastuzumab · Carboplatin

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