The Breast Cancer Intergroup of North America (TBCI)

Closed TBCI clinical trials

Protocol number Participating Groups Title Study arms Protocol Description (PDQ) Specimens available for research Years Active Total patient accrual P.I.
C9741 CALGB (Lead), ECOG, NCCTG, SWOG Phase III Randomized Study of Sequential Chemotherapy Using Doxorubicin, Paclitaxel, and Cyclophosphamide or Concurrent Doxorubicin and Cyclophosphamide Followed By Paclitaxel at 14 and 21 Day Intervals in Women With Node Positive Stage II or IIIA Breast Cancer Arm I: Sequential A, paclitaxel, C, Q3W

Arm II: Sequential A+ G-CSF, paclitaxel + G-CSF, C + G-CSF Q2W

Arm III: Concurrent AC followed by paclitaxel Q3W

Arm IV: Concurrent AC + G-CSF followed by paclitaxel + G-CSF Q2W

Patients receive tamoxifen and RT post-chemo.

Protocol Description (PDQ) Specimens available for research 1997-1999 2,005 Dr. Marc Citron
CALGB-49907 CALGB (Lead), ACOSOG, ECOG, GOG, NCCTG, NCIC CTG, NSABP, RTOG, SWOG A Randomized Trial of Adjuvant Chemotherapy with Standard Regimens, Cyclophosphamide, Methotrexate and Fluorouracil -(CMF) or Doxorubicin and Cyclophosphamide - (AC), Versus Capecitabine in Women 65 Years and Older with Node Positive or Node-Negative Breast Cancer Arm I, Group B (pts w/normal LVEF): AC Q3W x 4

Arm II: Capecitabine Q3W x 6

Following treatment, ER+/PR+ pts receive tamoxifen or aromatase inhibitor for 5 years, and breast conservation surgery pts undergo RT

Protocol Description (PDQ) Paraffin block of tumor 2001-2006 623 as of late Nov 2006 Dr. Hyman Muss
CALGB-8944 (INT-0112) CALGB (Lead), ECOG Phase II Combined Modality Treatment of Patients with Stage III Adenocarcinoma of the Breast: Intensive ADR Chemotherapy Followed by Definitive Surgery, CMF, and Radiotherapy Sequential Adriamycin, Surgery, CMF, Radiotherapy, and, for ER/PgR+, Tamoxifen

(non-randomized)

Protocol Description (PDQ)   1990-1992 113 Dr. David Duggan
CALGB-9082 (INT-0163) CALGB (Lead), SWOG, NCIC CTG Phase III Randomized Comparison of High-Dose Chemotherapy with Autologous Marrow and Peripheral Stem Cell Support vs Standard-Dose Chemotherapy Following Adjuvant Chemotherapy in Women with Stage II/IIIA Breast Cancer with at Least 10 Positive Axillary Nodes Arm I: Standard-dose chemo

Arm II: High-dose chemo followed by BMT and PBSCT

Protocol Description (PDQ)   1991-1998 1,036 Dr. William Peters
CALGB-9343 CALGB (Lead), ECOG, RTOG Phase III Randomized Study of Adjuvant Tamoxifen with vs without Radiotherapy Following Lumpectomy for Carcinoma of the Breast No Greater Than 2 cm with Clinically Negative Axillary Nodes in Women Age 70 and Over Arm I: Tamoxifen

Arm II: Tamoxifen + Radiotherapy

Protocol Description (PDQ) Specimens available for research 1994-1999 647 Dr. Kevin Hughes
CALGB-9344 (INT-0148) CALGB (Lead), ECOG, NCCTG, SWOG Phase III Randomized Study of Adjuvant CA (Cyclophosphamide/ Doxorubicin) Comparing Standard- vs Intermediate- vs High-Dose Doxorubicin, with vs without Subsequent Paclitaxel, in Women with Node-Positive Breast Cancer Arm I: Standard-dose doxorubicin

Arm II: Medium-dose doxorubicin

Arm III: High-dose doxorubicin

Arm IV: Standard-dose doxorubicin followed by paclitaxel

Arm V: Medium-dose doxorubicin followed by paclitaxel

Arm VI: High-dose doxorubicin followed by paclitaxel

Protocol Description (PDQ) Specimens available for research 1994-1997 3,170 Dr. Isaac Henderson
E1193 ECOG (Lead), NCCTG, SWOG Phase II/III Randomized Trial of doxorubicin vs paclitaxel vs doxorubicin/paclitaxel/G-CSF in Patients with Metastatic Breast Cancer Arm A: Doxorubicin

Arm B: Paclitaxel

Arm C: Doxorubicin/ Paclitaxel/G-CSF

Protocol Description (PDQ)   1993-1995 736 Dr. George Sledge
E1199 ECOG (Lead), CALGB, NCCTG, SWOG Phase III Randomized Study of Doxorubicin and Cyclophosphamide Followed By Paclitaxel or Docetaxel in Women With Node-Positive or High-Risk Node-Negative Stage II or IIIA Breast Cancer Arm I: AC followed by paclitaxel 3 hrs Q3W X4

Arm II: AC followed by paclitaxel 1 hr Q1W X12

Arm III: AC followed by docetaxel 1 hr Q3W X4

Arm IV: AC followed by docetaxel 1 hr Q1W X12

Protocol Description (PDQ) Specimens available for research 1999-2002 5,052 Dr. Joseph Sparano
E2100 ECOG (Lead), CALGB, GOG, NCIC CTG, NSABP, NCCTG, RTOG, SWOG Phase III Randomized Study of Paclitaxel With or Without Bevacizumab in Patients With Locally Recurrent or Metastatic Breast Cancer Arm I: Paclitaxel followed by bevacizumab

Arm II: Paclitaxel

Protocol Description (PDQ) Specimens available for research 2002-2004 722 Dr. Kathy Miller
E2190 (INT-0121) ECOG (Lead), CALGB, SWOG Phase III Randomized Study of Adjuvant CAF (Cyclophosphamide/ Doxorubicin/Fluorouracil) vs Adjuvant CAF Followed by Intensification with High-Dose Cyclophosphamide/Thiotepa plus Autologous Stem Cell Rescue in Women with Stage II/III Breast Cancer At High Risk of Recurrence Arm I: CAF

Arm II: CAF followed by cyclophos./thiotepa + BM or PBSC rescue

Protocol Description (PDQ) Specimens available for research 1991-1998 540 Dr. Martin Tallman
E2197 ECOG (Lead), CALGB, NCCTG, SWOG Phase III Randomized Study of Doxorubicin/Docetaxel versus Doxorubicin/ Cyclophosphamide as Adjuvant Treatment for Node Positive or High Risk Node Negative Breast Cancer Arm I: Doxorubicin + Docetaxel

Arm II: Doxorubicin + Cyclophosphamide

Protocol Description (PDQ) Specimens available for research 1998-2000 2,952 Dr. Lori Goldstein
E3193 (INT-0142) ECOG (Lead Group), CALGB, NCCTG, SWOG Phase III Randomized Study of Adjuvant Tamoxifen with vs without Ovarian Ablation in Premenopausal Women with Axillary Node-Negative Receptor-Positive Breast Cancer 3 cm or Less in Diameter Arm I: Tamoxifen

Arm II: Tamoxifen + Ovarian albation

Protocol Description (PDQ) Specimens available for research 1994-1997 345 Dr. Nicholas Robert
E5188 (INT-0101) ECOG (Lead), CALGB, SWOG Phase III Randomized Comparison of Adjuvant Therapies in Premenopausal Women with Resected Node-Positive Hormone Receptor-Positive Adenocarcinoma of the Breast: CAF vs CAF Followed by Zoladex vs CAF Followed by Zoladex/Tamoxifen Arm I: CAF

Arm II: CAF followed by Goserelin

Arm III: CAF followed by Goserelin + Tamoxifen

Protocol Description (PDQ) Specimens available for research 1989-1994 1,536 Dr. Nancy Davidson
E5194 ECOG (Lead), NCCTG Screening Study Following Local Excision in Selected Patients with Ductal Carcinoma in Situ (DCIS) of the Breast (screening following local excision) Protocol Description (PDQ) Specimens available for research 1997-2002 711 Dr. Lorie Hughes
E-EB193 (INT-0151) ECOG (Lead), CALGB, NCCTG, SWOG Phase III Randomized Study of Adjuvant Tamoxifen/Fenretinide vs Tamoxifen/Placebo in Postmenopausal Women with Receptor-Positive Breast Cancer Arm I: Tamoxifen/fenretinide

Arm II: Tamoxifen/placebo

Protocol Description (PDQ) Specimens available for research 1995-1999 426 Dr. Melody Cobleigh
E-PBT01 ECOG (Lead), NCCTG, PBTG, SWOG Phase III Randomized Comparison of Conventional CMF Maintenance vs High-Dose Combination Chemotherapy plus Autologous Bone Marrow and Peripheral Stem Cell Rescue in Women with Metastatic Breast Cancer Responding to Conventional Induction Chemotherapy Induction:

CAF, or CMF +/- prednisone

Post-induction:

Arm I: high-dose cyclophosphamide, thiotepa, and carboplatin followed by rescue with autologous bone marrow and/or peripheral stem cells + GM-CSF

Arm II: standard-dose CMF

Protocol Description (PDQ)   1994-1997 553 Dr. Edward Stadtmauer
EST-1180 (INT-0011) ECOG (Lead), CALGB, SWOG Phase III Adjuvant Chemotherapy with CMFP (CTX/MTX/5-FU/PRED) and Evaluation of Biological Parameters in Node-Negative Operable Female Breast Cancer Arm I: CMFP (Cyclophosphamide, Methotrexate, 5-Fluorouracil, Prednisone)

Arm II: Observation

Protocol Description (PDQ) Specimens available for research 1981-1988 1,224 Dr. Edward Mansour
EST-3189 (INT-0108) ECOG (Lead), SWOG Phase III Randomized Comparison of CAF vs a 16-Week Multi-Drug Regimen (Cyclophosphamide, Doxorubicin, Vincristine, Methotrexate, 5-Fluorouracil) as Adjuvant Therapy in Node-Positive Patients with Receptor-Negative Breast Cancer Arm I: CAF Cyclophosphamide, Doxorubicin, 5-Fluorouracil

Arm II: Cyclophosphamide, Doxorubicin, Vincristine, Methotrexate, 5-Fluorouracil + Leucovorin Rescue

Regimen A: Radiotherapy (less than total mastectomy)

Protocol Description (PDQ)   1989-1993 646 Dr. John Fetting
N9831 NCCTG (Lead), CALGB, ECOG, NCIC CTG, SWOG Phase III Trial of Doxorubicin and Cyclophosphamide (AC) Followed by Weekly Paclitaxel with or without Trastuzumab as Adjuvant Treatment for Women with HER-2 Over-Expressing or Amplified Node Positive or High-Risk Node Negative Breast Cancer Arm I: AC, followed by paclitaxel

Arm II: AC, followed by paclitaxel, followed by trastuzumab

Arm III: AC, followed by paclitaxel, followed by paclitaxel and trastuzumab, followed by trastuzumab

All receptor+ pts receive tamoxifen or A.I.; selected pts may undergo RT

Protocol Description (PDQ) Specimens available for research 2000 3,505 Dr. Edith Perez
NCIC-JMA17 NCIC CTG (Lead), BIG, CALGB, ECOG, EORTC, NCCTG, SWOG Phase III Randomized Study of Letrozole Versus Placebo in Postmenopausal Women With Primary Breast Cancer Who Have Completed at Least Five Years of Adjuvant Tamoxifen Arm I: Letrozole (following = 5 yrs tamoxifen)

Arm II: Placebo (following = 5 yrs tamoxifen)

Protocol Description (PDQ) Specimens available for research 1998-2002 5,187 Dr. Paul Goss
NCIC-MA.20 NCIC CTG (Lead), CALGB, ECOG, NCCTG, NSABP, RTOG, SWOG A Phase III Study of Regional Radiation Therapy in Early Breast Cancer Arm I: standard breast radiotherapy (RT) alone 5 days/week x 5

Arm II: breast + regional RT 5 days/week x 5

RT initiated w/in 8 weeks following adjuvant chemo completion unless concurrent, or w/in 16 weeks following last surgery for hormonal-therapy-alone pts.

Protocol Description (PDQ) Paraffin block of tumor 2002-2007 1,829 Dr. Timothy Whelan
NCIC-MA.21 NCIC CTG (Lead), CALGB, ECOG, NCCTG, NSABP, RTOG, SWOG A Phase III Adjuvant Trial of Sequenced EC + Filgrastim + Epoetin Alfa Followed by Paclitaxel Versus Sequenced AC Followed by Paclitaxel Versus CEF as Therapy for Premenopausal Women and Early Postmenopausal Women Who have had Potentially Curative Surgery for Node Positive or High Risk Node Negative Breast Cancer Arm I: CEF Q4W x 6

Arm II: EC + G-CSF Q2W x 6 + epoetin alpha weekly followed by paclitaxel + G-CSF Q3W x 4 + epoetin alpha weekly

Arm III: AC Q3W x 4 followed by paclitaxel Q3W x 4

ER+/PR+ pts receive tamoxifen or anastrozole for 5 years after chemo completion

Protocol Description (PDQ) Specimens available for research 2002 2,104 Dr. Margot Joy Burnell
NCIC CTG-MA.27 NCIC CTG (Lead), ACOSOG, CALGB, ECOG, GOG, NCCTG, NSABP, RTOG, SWOG A Randomized Phase III Trial of Exemestane Versus Anastrozole in Postmenopausal Women with Receptor Positive Primary Breast Cancer Arm I: Oral exemestane for 5 years

Arm II: Oral anastrozole for 5 years

Protocol Description (PDQ) Paraffin block of tumor; frozen tumor (virtual bank); blood at baseline and 6 months 6,840 2003 Paul Goss, MD
S9623 SWOG (Lead), CALGB, ECOG, NCCTG Phase III Randomized Study of Intensive Sequential Doxorubicin, Paclitaxel, and Cyclophosphamide Versus Doxorubicin and Cyclophosphamide Followed By STAMP I or STAMP V Combination Chemotherapy With Autologous Stem Cell Rescue in Women With Primary Breast Cancer and At Least 4 Involved Axillary Lymph Nodes Arm I: Doxorubicin, paclitaxel, cyclophosphamide, + G-CSF

Arm II: Doxorubicin, cyclophosphamide + harvest of autologous bone marrow or PBSC; followed by STAMP I (cyclophosphamide, cisplatin, carmustine) or STAMP V(cyclophosphamide, carboplatin, thiotepa), followed by transplantation

tamoxifen daily and locoregional radiotherapy

Protocol Description (PDQ) Specimens available for research 1996-2001 602 Dr. Scott Bearman
S9927 SWOG (Lead), ACOSOG, CALGB, ECOG, NCCTG, NCIC CTG, NSABP, RTOG Phase III Randomized Study of Radiotherapy After Mastectomy and Adjuvant Chemotherapy and/or Hormonal Therapy in Women With Stage II Breast Cancer With One to Three Positive Nodes Arm I: Radiotherapy

Arm II: Observation

Protocol Description (PDQ) Specimens available for research 2000-2003 98 Dr. Lori Pierce
SWOG-8692 (INT-0075) SWOG (Lead), ECOG, NCCTG Phase III Randomized Comparison of Surgical Oophorectomy vs Medical Oophorectomy with Goserelin in Premenopausal Women with Metastatic, ER-Positive or PR-Positive Carcinoma of the Breast Arm I: oophorectomy

Arm II: goserelin, with selected patients receiving oophorectomy

Protocol Description (PDQ)   1987-1995 138 Dr. William Dalton
SWOG-8814 (INT-0100) SWOG (Lead), CALGB, ECOG, NCIC CTG, NCCTG Phase III Randomized Comparison of Adjuvant Therapy with Tamoxifen vs CAF plus Concurrent or Delayed Tamoxifen in Postmenopausal Women with Node- and Receptor-Positive Breast Cancer Arm I: Tamoxifen

Arm II: CAF followed by tamoxifen

Arm III: CAF plus concurrent tamoxifen

Regimen A: Radiotherapy (lumpectomy)

Regimen B: Radiotherapy (selected mastectomy pts)

Protocol Description (PDQ) Specimens available for research 1989-1995 1,558 Dr. Kathy Albain
SWOG-8897 (INT-0102) SWOG (Lead), CALGB, ECOG Phase III Randomized Comparison of Adjuvant Chemotherapy with CMF vs CAF with vs without Long-Term Endocrine Therapy with Tamoxifen in High-Risk Node-Negative Breast Cancer Patients and a Natural History Follow-Up Study in Low-Risk Node-Negative Patients Low-risk pts (by ER status, S phase, tumor size) assigned to:

Arm 0: Observation / natural history (arm discontinued in 1991)

High-risk pts (by ER status, S phase, tumor size) randomized to:

Arm I: CMF

Arm II: CAF

Arm III: CMF --> Tamoxifen

Arm IV: CAF --> Tamoxifen

(Breast-sparing surgery pts: RT prior to or after chemo)

Protocol Description (PDQ) Specimens available for research 1989-1993 4,406 Dr. Laura Hutchins
SWOG-9115 (INT-0127) SWOG (Lead), ECOG Phase III Randomized Comparison of Marrow Ablation with STAMP V and Autologous Stem Cell Rescue vs Standard Chemotherapy in Patients with Poor-Prognosis Advanced Breast Carcinoma Arm A: Continuation of induction Chemotherapy only

Arm B: STAMP V: (Cyclophosphamide, Thiotepa, Carboplatin) followed by autologous bone marrow or PBSC transplant

Regimen A: Tamoxifen (ER+)

Protocol Description (PDQ)   1992-1994 41 Dr. Robert Livingston
SWOG-9313 (INT-0137) SWOG (Lead), CALGB, ECOG, NCCTG Phase III Randomized Study of Adjuvant Chemotherapy with High-Dose Doxorubicin/ Cyclophosphamide (AC) vs Doxorubicin Followed by Cyclophosphamide (A-C) in Women with High-Risk Breast Cancer and 0-3 Positive Nodes Arm I: AC q3w x 6 + G-CSF (--> tamoxifen for 5 yrs for ER+)

Arm II: A q3w x 4 --> C q2w x 3 + G-CSF (--> tamoxifen for 5 yrs for ER+)

Protocol Description (PDQ) Specimens available for research 1994-1998 3,176 Dr. Charles Haskell