Title
Prognostic and Predictive Impact of uPA/PAI-1
Adjuvant Chemotherapy in Node-negative Breast Cancer: Chemo N0
Phase
Phase 3Lead Sponsor
University of HamburgStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Breast CancerIntervention/Treatment
temsirolimus vinorelbine ...Study Participants
689Chemo-N0 (1993-1998) is the first prospective randomized multicenter trial in N0 BC designed to prospectively evaluate the clinical utility of a biomarker. It used uPA/PAI 1 as stratification criteria and randomized high-risk patients to chemotherapy versus observation; low-risk patients remained without any systemic therapy. The trial was designed to answer two principle questions:
Can the reported prognostic impact of uPA and PAI 1 be validated in a prospective multicenter therapy trial? Does low uPA/PAI 1 identify those low-risk N0 patients who are candidates for being spared necessity and burden of adjuvant chemotherapy?
Do uPA/PAI 1 high-risk patients benefit from adjuvant CMF chemotherapy?
Low uPA/PAI-1: Observation
High uPA/PAI-1: Observation
High uPA/PAI-1: refused randomization
Inclusion Criteria: N0 breast cancer patients tumor size >/= 1 and </= 5 cm in diameter undergoing standard loco-regional treatment Exclusion Criteria: M1 status