At a glance
ClinicalIndex Comparison Record- ✓Node-positive breast cancer: pathologic staging pN1 (pN1mi, pN1a, pN1b, pN1c), pN2a, pN3a, or pN3b (only if microscopic internal mammary node involvement by sentinel dissection with >3 positive axillary nodes)
- ✓Invasive carcinoma of the breast on histologic examination
- ✓Primary tumor T1-3 by clinical and pathologic evaluation
- ✓Zubrod performance status 0 or 1 with life expectancy ≥10 years
- ✕HER2-positive disease (IHC 3+ or FISH positive for gene amplification)
- ✕Primary tumor staged as T4 for any reason
- ✕Prior history of breast cancer, including DCIS (LCIS eligible)
- ✕Prior therapy with anthracyclines or taxanes for any malignancy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase III, Adjuvant Trial Comparing Three Chemotherapy Regimens in Women With Node-Positive Breast Cancer: Docetaxel/Doxorubicin/Cyclophosphamide (TAC); Dose-Dense (DD) Doxorubicin/Cyclophosphamide Followed By DD Paclitaxel (DD AC→P); DD AC Followed By DD Paclitaxel Plus Gemcitabine (DD AC→PG)
In Brief
A Phase 3 clinical trial evaluating Cyclophosphamide, Docetaxel, and 3 other interventions for Breast Cancer. Completed, enrolled 4,894 participants across 12 sites.
Detailed Summary
RATIONALE: Drugs used in chemotherapy, such as docetaxel, doxorubicin , cyclophosphamide, paclitaxel, and gemcitabine work in different ways to stop tumor cells from dividing so they stop growing or die. Giving combination chemotherapy after surgery may kill any remaining tumor cells. PURPOSE: This randomized phase III trial is studying three different combination chemotherapy regimens and comparing how well they work in treating women who have undergone surgery for node-positive breast cancer.
Study Details
Timeline
Interventions
Group 1: cyclophosphamide 500 mg/m2 IV every 21 days for 6 cycles Group 2 and Group 3: cyclophosphamide 600 mg/m2 IV every 14 days for 4 cycles
75 mg/m2 IV every 21 days for 6 cycles
2000 mg/m2 IV every 14 days for 4 cycles
175 mg/m2 IV every 14 days for 4 cycles
Group 1: 50 mg/m2 IV every 21 days for 6 cycles Group 2 and Group 3: 60 mg/m2 IV every 14 days for 4 cycles