FAC Versus FAC Plus Weekly Paclitaxel as Adjuvant Treatment of Node Negative High Risk Breast Cancer Patients

Exclusion Criteria

• •* Renal function: creatinine \<= 175 mmol/l (2 mg/dl); creatinine clearance \>= 60 ml/min.
• •Complete stage workup during the 12 weeks prior to randomization (mammograms are allowed within a 20 week time window). All patients must have a bilateral mammogram, thorax x-ray, abdominal echography and/or computed tomography (CT)-scan. If bone pain, and/or alkaline phosphatase elevation, a bone scintigraphy is mandatory. This test is recommended for all patients. Other tests, as clinically indicated.
• •Patients able to comply with treatment and study follow-up.
• •Negative pregnancy test done in the 14 previous days to randomization.
• •Prior systemic therapy for breast cancer.
• •Prior therapy with anthracyclines or taxanes (paclitaxel or docetaxel) for any malignancy.
• •Prior radiotherapy for breast cancer.
• •Bilateral invasive breast cancer.
• •Pregnant or lactating women. Adequate contraceptive methods must be used during chemotherapy and hormone therapy treatments. Negative pregnancy test in the 14 previous days to randomization.
• •Any T4 or N1-3 or M1 tumor.
• •HER2 positive breast cancer (IHC 3+ or positive FISH result).
• •Pre-existing grade \>=2 motor or sensorial neurotoxicity by the National Cancer Institute Common Toxicity Criteria (NCICTC) v-2.0.
• •Any other serious medical pathology, such as congestive heart failure, unstable angina, history of myocardial infarction during the previous year, uncontrolled hypertension or high risk arrhythmias.
• •History of neurological or psychiatric disorders, which could preclude the patients to free informed consent.
• •Active uncontrolled infection.
• •Active peptic ulcer; unstable diabetes mellitus.
• •Previous or current history of neoplasms different from breast cancer, except for skin carcinoma, cervical in situ carcinoma, or any other tumor curatively treated and without recurrence in the last 10 years; ductal in situ carcinoma in the same breast; lobular in situ carcinoma.
• •Concomitant treatment with other investigational products. Participation in other clinical trials with a non-marketed drug in the 20 previous days before randomization.
• •Concomitant treatment with other therapy for cancer.
• •Males.