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HERCEPTIN TRIAL
Breast Cancer International Research Group Adjuvant Herceptin®
Phase III Breast Cancer Clinical Trial Now Enrolling
Introduction
The National Breast Cancer Coalition Fund is partnering with BCIRG (The
Breast Cancer International Research Group, a not-for-profit academic,
global, cooperative intergroup of oncology researchers) and Aventis Oncology,
the pharmaceutical sponsor, on a phase III clinical trial of a potential
new use of the drug Herceptin®. The Clinical trial, which
will enroll 3,150 patients worldwide, is now open.
What is Herceptin®?
Herceptin® is a drug that is used to treat women with advanced
breast cancer who test positive for HER2-neu amplification. The HER2-neu
gene is normally involved in regulating cell growth and cell death. Amplification
of the HER2-neu gene is linked to rapid cancer growth and decreased patient
survival, and is found in approximately 2025 percent of malignant
breast tumors. A recent study published in the New England Journal of
Medicine found that Herceptin® extended survival for women
with advanced breast cancer by 24 percent when added to chemotherapy drugs.
Researchers hope Herceptin® will work even better in patients
with newly diagnosed breast cancer.
Who is Eligible for the Phase III Trial?
A woman must have all of the following to be eligible:
- A mastectomy with axillary lymph node dissection
or breast conserving surgery with lymph node dissection for operable
breast cancer (T1-3, Clinical N0-1, M0);
- A mastectomy or lumpectomy must include axillary
node dissection within 60 days of registration;
- Tumor POSITIVE for HER2-neu amplification as determined
by the FISH test;
- Cancer must be evident either in:
- At least on lymph node (node-positive); or
- No lymph nodes (node-negative) but at least one
of the following risk factors exists:
- Tumor size no more than two centimeters;
- Estrogen receptor and progesterone receptor
status negative;
- Histological and/or nuclear grade 2-3; and/or
- Younger than 35 years of age.
- Age 1870 years;
- Normal bone marrow, liver, renal and cardiac function;
- No prior systemic therapy or radiation therapy for
breast cancer;
- Willing to provide informed consent;
- Willing to provide tumor sample for testing of FISH
and other markers.
How is the Study Designed?
- The BCIRG-006 study will enroll 3,150 patients worldwide
who will be randomly assigned to one of the following three treatment
regimens:
- Adriamycin® (doxorubicin) and
Cytoxan® (cyclophosphamide), known as AC and considered
to be one of the current standard adjuvant chemotherapy regimens,
followed by Taxotere;
- AC followed by Taxotere with Herceptin®
(trastuzumab); or
- Taxotere, carboplatin or cisplatin agent (each
sites investigator will decide which agent to administer)
and Herceptin®.
- Patients will complete their chemotherapy treatment
in 18 to 24 weeks depending on the regimen assigned. In addition, those
receiving the Herceptin® treatment will begin that treatment
on Day 1 of the chemotherapy and continue treatment for one full year.
- The primary endpoint is Disease Free Survival. The
secondary endpoint is:
- Overall survival;
- Toxicity and quality of life;
- Cardiac toxicity; and
- To evaluate pathologic and molecular markers
for predicting efficacy.
- There are approximately 127 clinical trial sites
in the United States.
How has NBCCF been involved?
NBCCF has been involved in many aspects of the design and implementation
of this Herceptin® adjuvant trial. Representatives of NBCCF
have served on the Steering Committee; attended and participated in the
investigator meetings; served on the data and safety monitoring committee
and now are helping to accrue patients for the trial.
For more information contact:
National Breast Cancer Coalition Fund
1707 L Street, NW
Suite 1060
Washington, D.C. 20036
202-296-7477 voice
202-265-6854 fax
www.stopbreastcancer.org
(link opens in new window)
Article reprinted with permission of National Breast
Cancer Coalition Fund.
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