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Sponsor: Hoffmann-La Roche
Conditions: Breast Cancer
Interventions: Bevacizumab, Docetaxel, Trastuzumab, Surgery, Radiotherapy
Countries: France
This randomized study will assess the effect of adding bevacizumab to trastuzumab plus docetaxel in neoadjuvant therapy in participants with early stage human epidermal growth factor receptor 2 (HER2)-positive breast cancer. After 2 cycles of trastuzumab and docetaxel once every 3 weeks, participants with a response (change in standard uptake value \[SUV\]) of less than (\<) 70 percent (%) on Positron Emission Tomography (PET) will be randomized in a 2:1 ratio to receive Cycles 3 to 6 of trastuzumab (6 milligrams per kilogram \[mg/kg\]) and docetaxel (100 milligrams per square meter \[mg/m\^2\]) with or without bevacizumab (15 mg/kg). Participants with a response of greater than or equal to (\>/=) 70% will receive trastuzumab plus docetaxel in Cycles 3 to 6. All participants will receive trastuzumab alone in Cycle 7, and will undergo surgery (as per investigator's discretion) after Cycle 7 and between 4 and 6 weeks after the treatment perfusion of Cycle 6. After surgery, all participants will receive a further 11 cycles of trastuzumab plus radiotherapy (starting from 4-8 weeks after surgery during 4-6 weeks, according to site's standard practice) with or without hormonal therapy (mandatory if positive hormone receptors). Participants will be followed for up to 5 years from start of neoadjuvant treatment.
Sex: FEMALE
Age: 18 Years to —
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Participants with early stage HER2-positive breast cancer * Scheduled to receive neoadjuvant therapy with the objective of conservative surgery * Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2 Exclusion Criteria: * Participants with partial or total lobular carcinoma * Participants with inflammatory breast cancer * Previous treatment with chemotherapy, radiation therapy or hormonal therapy for breast cancer * Previous history of cancer (other than curatively treated basal and squamous cell carcinoma of the skin and/or in situ carcinoma of the cervix) relapsing within the 5 years before study entry or in situ contralateral breast carcinoma
- Arras, France
- Beauvais, France
- Bordeaux, France
- Brest, France
- Clermont-Ferrand, France
- Clermont-Ferrand, France
- Dijon, France
- Grenoble, France
- La Roche-sur-Yon, France
- Limoges, France
- Lyon, France
- Metz, France
- Montluçon, France
- Montpellier, France
- Nancy, France
- Nice, France
- Paris, France
- Paris, France
- Paris, France
- Périgueux, France
- Reims, France
- Rennes, France
- Saint-Jean, France
- Saint-Priest-en-Jarez, France
- Strasbourg, France
- Toulouse, France
- Tours, France
- Vandœuvre-lès-Nancy, France