Pegylated Liposomal Doxorubicin Hydrochloride and Carboplatin Followed by Surgery and Paclitaxel in Treating Patients with Triple Negative Stage II-III Breast Cancer
- Women with previously untreated, unilateral stage II-III breast cancer, ER/PgR/HER2 negative (ER =< 5%, PgR =< 5%, HER2 0-1+ by immunohistochemistry [IHC] or fluorescence in situ hybridization [FISH] =< 2.0) confirmed by stereotactic biopsy, core biopsy or excisional biopsy (fine-needle aspiration [FNA] inadequate); stage I may be included if clinically negative lymph nodes and tumor size is a minimum of 1.0 cm, and tumor is identifiable under office-based ultrasound guidance; if ER and HER2 are negative, PgR < 20% allowed
- Negative serum or urine beta-human chorionic gonadotropin (hCG) pregnancy test at screening for patients of child-bearing potential within one week prior to enrollment
- Patients with reproductive potential must use an adequate contraceptive method (e.g. abstinence, intrauterine device, oral contraceptives, barrier device with spermicide or surgical sterilization) during treatment and for three months after completing treatment
- Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status < 2
- Life expectancy >= 52 weeks excluding their diagnosis of breast cancer
- Absolute neutrophil count (ANC) >= 1,500 cells/mm^3
- Platelets >= 100,000 cells/mm^3
- Hemoglobin > 9.0 g/dL
- Creatinine < 2.5 mg/dL
- Total bilirubin < 1.5 X upper limit of normal (ULN)
- Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) < 2.5 X institutional ULN
- Patients must have normal cardiac function, as evidenced by a left ventricular ejection fraction (LVEF) within institutional normal limits defined as LVEF greater than 50%; echocardiogram or multigated acquisition scan (MUGA) scan may be used, but the same test must be used throughout the study to evaluate LVEF
- Computed tomography of the chest, abdomen, and pelvis (CT CAP) and bone scan performed within 30 days prior to study entry and does not demonstrate metastatic disease; positron emission tomography (PET)-CT is allowed as an alternative modality to CT CAP and whole body bone scan at the discretion of the treating physician
- Patients may not receive concurrent treatment with other investigational or commercial agent(s) for treatment of their breast cancer
- The patient must have signed and dated an Institutional Review Board (IRB)-approved consent form that conforms to federal, state, and institutional guidelines
- Patients must be eligible to undergo surgery, either lumpectomy or mastectomy for local treatment of the breast cancer; surgical margins at discretion of surgeon per National Comprehensive Cancer Network (NCCN) guidelines; axillary exploration at discretion of surgeon but all patients minimally have sentinel lymph node evaluation at time of surgery
- Imaging by mammogram and/or ultrasound must be performed within 6 months of study entry or magnetic resonance imaging (MRI) imaging of affected breast within 30 days of study entry
- Must not exhibit a non-healing wound or any skin breakdown such as from dental work
- Before administering liposomal doxorubicin, patients must wait 4-6 weeks after surgery as it can cause local reactions
- Synchronous ER/PgR/HER2 negative breast cancers (unilateral and/or bilateral) are allowed as long as at least one focus meets the first inclusion criteria and no other exclusions exist; if bilateral breast cancer is present, then the patient must have confirmation of TNBC prior to treatment; ER/PgR/HER2 negative inflammatory breast cancer is allowed as long as no other exclusions exist
- Submission of tumor samples from the diagnostic biopsy and breast surgery is required for all patients; if the patient had a diagnostic core biopsy that confirmed TNBC prior to the research biopsy, the patient does not need to wait for results of the research biopsy to begin protocol therapy; prior FNA results only are insufficient to proceed to chemotherapy; if a patient is undergoing a diagnostic biopsy with prior FNA only or inadequate prior biopsy where ER, PR and/or HER2 status could not be reported, the patient must wait for the results of the diagnostic biopsy including confirmation of breast cancer, and ER, PR, and HER2 status before initiation of protocol therapy; only results for diagnostic purposes (i.e. confirmation of breast cancer, ER/PR/HER2 status) will delay the start of study chemotherapy
- Women who are pregnant or breastfeeding
- Second primary malignancy except most situ carcinoma (e.g. in situ carcinoma of the cervix, adequately treated non-melanomatous carcinoma of the skin) or other malignancy treated at least 5 years previously with no evidence of recurrence; a synchronous breast cancer is not considered an exclusion if criteria above is met
- Definitive clinical or radiologic evidence of metastatic disease; imaging must have been performed no greater than 30 days (+/- 3 days) prior to initiation of chemotherapy
- History of hypersensitivity reactions attributed to a conventional formulation of doxorubicin hydrochloride (HCL) or the components of doxil, paclitaxel, or carboplatin
- Serious concomitant systemic disorders (including active infections or chronic infection requiring suppressive antibiotics) that would compromise the safety of the patient or compromise the patient’s ability to complete the study, at the discretion of the investigator
- Myocardial infarct or unstable angina within 6 months before enrollment, New York Heart Association (NYHA) class II or greater heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, clinically significant pericardial disease, valvular disease with documented compromise in cardiac function, or electrocardiographic evidence of acute ischemic or active conduction system abnormalities
- Prior anthracycline, platinum salt, or taxane for any malignancy, within the previous 5 years
- Known or active hepatitis B or C with abnormal liver function tests
- Significant vascular disease (e.g., aortic aneurysm, aortic dissection)
- Symptomatic peripheral vascular disease
- Evidence of bleeding diathesis or coagulopathy
- Intrinsic lung disease resulting in moderate to severe dyspnea
- History of a major organ allograft or condition requiring chronic immunosuppression, e.g., kidney, liver, lung, heart, bone marrow transplant, or autoimmune diseases; this includes treatment with corticosteroids within one month (dose of >= 10 mg/day methylprednisolone equivalent) (excluding inhaled steroids); patients who have received corneal transplants, cadaver skin, or bone transplants are eligible
- Nervous system disorder (paresthesias, peripheral motor neuropathy, or peripheral sensory neuropathy) >= grade 2, per the Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0)
- Conditions that would prohibit administration of corticosteroids
I. To determine the rate of pathologic complete response with treatment of liposomal doxorubicin (pegylated liposomal doxorubicin hydrochloride) and carboplatin in patients with estrogen receptor (ER), progesterone receptor (PR), HER2 negative breast cancer (triple negative breast cancer [TNBC]).
I. To determine the recurrence free survival (RFS), 2-year RFS, and overall survival (OS) after treatment with neoadjuvant liposomal doxorubicin and carboplatin followed by definitive breast surgery and then weekly paclitaxel in patients with ER, progesterone receptor (PgR), HER2 negative breast cancer.
II. To describe the mutational spectrum of tumors found in primary, untreated ER, PgR, HER2 negative breast cancer and their association with pathologic complete response to neoadjuvant pegylated liposomal doxorubicin hydrochloride (doxil) and carboplatin.
III. To determine functional significance of genomic landscape in predicting drug response using patient derived xenograft (PDX) and ex vivo models.
NEOADJUVANT: Patients receive pegylated liposomal doxorubicin hydrochloride* intravenously (IV) over 90 minutes and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 28 days for 4 cycles in the absence of disease progression or unacceptable toxicity.
ADJUVANT: Patients undergo definitive surgery at the discretion of the treating physician. Patients then receive paclitaxel IV over 60 minutes once weekly for 12 weeks in the absence of disease progression or unacceptable toxicity.
*NOTE: If there is a shortage of pegylated liposomal doxorubicin hydrochloride, patients receive epirubicin hydrochloride IV over 15-20 minutes on day 1.
After completion of study treatment, patients are followed up every 6 months for 3 years and then annually for up to 20 years thereafter.
Trial Phase Phase II
Trial Type Treatment
Rutgers Cancer Institute of New Jersey
- Primary ID 041401
- Secondary IDs NCI-2014-02029
- Clinicaltrials.gov ID NCT02315196