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IBCSG 22-00: Objective

IBCSG 22-00: Objective. To evaluate the efficacy of a low-dose chemotherapy regimen, hypothesized to have anti-angiogenic activity, administered following a standard chemotherapy program, in patients whose tumors are not endocrine therapy-responsive.

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IBCSG 22-00: Objective

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  1. IBCSG 22-00:Objective To evaluate the efficacy of a low-dose chemotherapy regimen, hypothesized to have anti-angiogenic activity, administered following a standard chemotherapy program, in patients whose tumors are not endocrine therapy-responsive.

  2. IBCSG 22-00:Angiogenesis inhibition for pre and postmenopausal hormone non-responsive tumors S U R G E R Y Induction CT Randomize before induction CT or any time prior to day 56 of last induction CT cycle A • Stratify • Menop.status • Institution • Induction CT B ≦ 8 weeks Induction CT CM x 12 months

  3. IBCSG 22-00:Eligibility • Pre- or postmenopausal • ER- and PgR receptors negative (<10%) • Resection margins free of tumor • Axillary staging performed • SNB positive: axillary dissection done • SNB micrometastasis only: randomize to trial 23-01

  4. IBCSG 22-00:Eligibility

  5. IBCSG 22-00:approved induction regimens • AC/EC x 4 • CMF x 6 • AC/EC x 4 followed by CMF x 3 or T x 4 • CEF/CAF 1,8 x 6 • FEC 100 • Iv FAC x 6 • A x 4 followed by iv CMF x 4 • Dose dense ACT x 4 • FEC100 x 3 followed by T x 3 • TAC x 6 • A x 3 followed by T x 3 followed by classical CMF x 3

  6. IBCSG 22-00:Concomitant treatments • Radiotherapy to the conserved breast is mandatory • Herceptin for Her2+ disease is allowed

  7. IBCSG 22-00:Randomization 1 • Verify eligibility. • Obtain written informed consent • Complete Confirmation of Registration Form (A). • Complete the pre-randomization Quality of Life (QL) core and module forms. • Telephone or fax your Randomization Center.*

  8. IBCSG 22-00:Randomization 2 • All GOCCHI investigators will contact the GOCCHI Coordinating Center to randomize patients: • Phone: 56-2-2330798Fax: 56-2-2310983Email: datacenter@gocchi.cl

  9. IBCSG 22-00:CRF completion • Documentation: • 3 part paper CRF‘s Submit white original and yellow copy

  10. IBCSG 22-00:QL timepoints Revised per amendment 4

  11. IBCSG 22-00:Forms completionAE form • No AE forms during induction CT • 1 AE form per CMM form • Submit every 3 months

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