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Adjuvant Cyclophosphamide, Methotrexate and 5-Fluorouracil (CMF) versus 5-Fluorouracil, Epirubicin and Cyclosphosphamide (FEC) in Node Negative Poor-Risk Primary Breast Cancer
Source of recordUK Trials
ISRCTNISRCTN81164554
Date ISRCTN assigned19/08/2002
Local reference number(s)ICCG/6/89
Public titleAdjuvant Cyclophosphamide, Methotrexate and 5-Fluorouracil (CMF) versus 5-Fluorouracil, Epirubicin and Cyclosphosphamide (FEC) in Node Negative Poor-Risk Primary Breast Cancer
Scientific title
AcronymNot Applicable
Disease/condition/study domainBreast
Study hypothesisNot provided at time of registration
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Aged <65 years
2. Histologically proven invasive adenocarcinoma axillary nodes must be histologically negative
3. Tumour is T1c to T3
4. Tumour shows one of the following features of poor prognosis:
a) Estrogen receptor less than or equal to 10 fmol/mg cytosol protein
b) Grade III
c) Vessel invasive
d) High labelling index of S phase
e) Aneuploidy
f) Tumour size at least 2 cm
5. Adequate renal, hepatic and haematological function
6. No evidence of metastatic disease
7. No evidence of inflammatory carcinoma
8. Patients with bilateral malignancy or with a mass in the opposite breast, unless there is biopsy proof that it is not a malignancy, are excluded
9. Patients with findings that relate them to a category of more advanced disease are not eligible
10. Patients with clinically positive nodes in the axilla opposite the affected breast, or with palpable supraclavicular or infraclavicular nodes are considered ineligible unless there is a biopsy evidence that these are not involved with the tumour
11. No previous or concomitant malignancy, except squamous or basal cell carcinoma which has been effectively treated and carcinoma in situ of the cervix which has been treated operatively
12. No prior therapy for the present breast cancer including radiotherapy, chemotherapy, immunotherapy and/or hormonal therapy
13. No non-malignant systemic disease which would preclude their being subjected to any of the treatment options or prevent prolonged follow up
14. No active or previous cardiac disease that would preclude the use of 4-epidoxorubicin
12. No psychiatric or addictive disorders which should preclude obtaining informed consent
Participants - exclusion criteriaNot provided at time of registration
Patient information material
Status of trialCompleted
Target number of participantsNot provided at time of registration
InterventionsPatients randomised to receive chemotherapy will receive CMF or FEC no sooner than 2 weeks and no later than 4 weeks following primary surgery.

Patients will receive either:
1. CMF Regimen: Chemotherapy, CMF (cyclophosphamide, methotrexate, 5-fluorouracil) repeated every 4 weeks for six cycles.
2. FEC Regimen: Chemotherapy, FEC (5-fluouracil, 4-epidoxorubicin, cyclophosphamide) repeated every 4 weeks for six cycles.
Primary outcome measure(s)Not provided at time of registration
Secondary outcome measure(s)Not provided at time of registration
Sources of fundingPharmacia and Upjohn
Sponsor namePharmacia Ltd (UK)
Sponsor detailsDavy Avenue
Milton Keynes
United Kingdom
MK5 8PH
Sponsor telephone+44 (0)1908 661101
Sponsor fax+44 (0)1908 690091
Sponsor emailsponsor@unknown.com
Sponsor websitehttp://www.pharmacia.com
Contact nameDr - -
Contact detailsUKCCCR Register Co-ordinator
MRC Clinical Trials Unit
222 Euston Road
London
United Kingdom
NW1 2DA
Contact telephone+44 (0) 20 7670 4723
Contact fax+44 (0) 20 7670 4818
Contact emailregister@ctu.mrc.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN81164554
Date last extracted from ISRCTN register17/04/2008
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