- History of any prior (ipsi- and/or contralateral) invasive breast cancer
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History of non-breast malignancies within the 5 years prior to study entry, except for carcinoma in situ of the cervix, carcinoma in situ of the colon, melanoma in situ, and basal cell and squamous cell carcinomas of the skin
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Any "clinical" T4 tumor as defined by Primary tumor/regional lymph nodes/distant metastasis (TNM), including inflammatory breast cancer
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Any previous systemic chemotherapy for cancer or radiotherapy for cancer
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Prior use of anti-HER2 therapy for any reason or other prior biologic or immunotherapy for cancer
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Concurrent anti-cancer treatment in another investigational trial
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Serious cardiac or cardiovascular disease or condition
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Other concurrent serious diseases that may interfere with planned treatment including severe pulmonary conditions/illness
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Abnormal laboratory tests immediately prior to randomization
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Pregnant or lactating women
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Sensitivity to any of the study medications or any of the ingredients or excipients of these medications
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