About this trial
The goal of this clinical trial is to compare the therapeutic effects of chemotherapy followed by surgery and surgery followed by chemotherapy in patients with locally advanced breast cancer(LABC). Patients with LABC will be randomly divided into two groups, each receiving chemotherapy followed by surgery or surgery followed by chemotherapy. The main comparison was between the disease-free survival (DFS) of two groups of patients, with the secondary study endpoint being overall survival (OS); Five year survival; Local recurrence or distant metastasis rate.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-70 year old female
Patients with locally advanced breast cancer (stage IIIb - IIIc) first diagnosed;
Clinical diagnosis of breast cancer, or puncture pathology suggests breast cancer;
After evaluation by experienced clinical physicians, the patient's tumor has the possibility of surgical resection. Specific evaluation indicators include ultrasound assessment of the tumor not surrounding the axillary vein;
Disqualifiers
Patients under 18 years old or over 70 years old;
Those who have received breast cancer related surgery, radiotherapy or chemotherapy;
Those who are not expected to receive surgery, radiotherapy or chemotherapy related to breast cancer
History of other malignant tumors;
Trial design
Factorial
Treatments tested in this trial
Modified radical mastectomy for breast cancer
Procedure/SurgeryModified radical mastectomy for breast cancer
neoadjuvant therapy
Procedure/Surgeryneoadjuvant chemotherapy(Drugs:" Doxorubicin""Paclitaxel""Albumin paclitaxel""Cyclophosphamide"), endocrine therapy(Drugs:"Toremifen""Zoladex""Aromatase inhibitors"), targeted therapy(Drugs:"trastuzumab""Pertuzumab")
Systematic treatment
Procedure/SurgerychemotherapyDrugs:" Doxorubicin""Paclitaxel""Albumin paclitaxel""Cyclophosphamide"), endocrine therapy(Drugs:"Toremifen""Zoladex""Aromatase inhibitors"), targeted therapy(Drugs:"trastuzumab""Pertuzumab"),radiotherapy("Yikeda Versa HD linear accelerator""Varian Trilogy linear accelerator")
Treatment groups
Trial outcomes
Primary outcomes
DFS
Disease-free survival of patients with locally advanced breast cancer
Secondary outcomes
OS
Overall survival of patients with locally advanced breast cancer
Five year survival rate
Five year survival rate of patients with locally advanced breast cancer
Local recurrence or distant metastasis rate
Local recurrence or distant metastasis rate of patients with locally advanced breast cancer
Sponsors and contacts
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