Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
PHASE3
400 participants
INTERVENTIONAL
2008-01-31
2020-03-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
TREATMENT
NONE
Study Groups
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Arm A
Carboplatin
Carboplatin
AUC 6 every 3 weeks for six cycles (18 weeks)
Arm B
Docetaxel
Docetaxel
100mg/m2 every 3 weeks for six cycles (18 weeks)
Interventions
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Carboplatin
AUC 6 every 3 weeks for six cycles (18 weeks)
Docetaxel
100mg/m2 every 3 weeks for six cycles (18 weeks)
Eligibility Criteria
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Inclusion Criteria
* Histologically confirmed HER2- primary breast cancer
* Measurable confirmed metastatic or recurrent locally advanced disease unsuitable for local therapy but suitable for taxane chemotherapy
* Patients with stable, treated bain metastases will be eligible providing informed consent can be given and that other sites of measurable disease are present.
* Patients with bone metastases currently receiving bisphosphonates for palliation will be eligible providing informed consent can be given and that other sites of measurable disease are present
* ECOG Performance Status 0, 1, or 2
* Adequate haematology, biochemical indices (FBC, U \& Es)
* LFTs = Normal bilirubin, AST and/or ALT = 3 x ULN if Alk Phos \>5 x ULN (or an isolated elevation AST/ALT of ≤5 x ULN
* Adequate renal function - Creatinine clearance of \>25mls per minute
* Written informed consent, able to comply with treatment and follow up
* Previous exposure to a taxane in adjuvant chemotherapy within 12 months of trial entry
* Previous treatment with a taxane for recurrent locally advanced disease
* Previous treatment with a platinum chemotherapy drug
* LFTs = Abnormal bilirubin (\> ULN), AST and/or ALT \>3 X ULN and Alk Phos \>5 x ULN (or an isolated elevation AST/ALT of \>5 x ULN)
* Patients with a life expectancy of less than 3 months
* Previous malignancies other than adequately treated in situ carcinoma of the uterine cervix or basal or squamous call carcinoma of the skin, unless there has been a disease free interval of at least 10 years
* Previous or synchronous second breast cancer (unless also confirmed ER-, PR- and HER2-)
* Patients with bone limited disease
* Other serious uncontrolled medical conditions or concurrent medical illness likely to compromise life expectancy and/or the completion of trial therapy
* Pregnant, lactating or potentially childbearing women not using adequate contraception
Exclusion Criteria
* Patients unfit for chemotherapy or those with neuropathy \>grade 1 (sensory or motor)
* Known allergy to platinum compounds or to mannitol
* Known sensitivity to taxanes
* Patients with inoperable locally advanced disease suitable for local radiotherapy or an anthracycline containing regimen
18 Years
FEMALE
No
Sponsors
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King's College London
OTHER
Cancer Research UK
OTHER
Breakthrough Breast Cancer
OTHER
Institute of Cancer Research, United Kingdom
OTHER
Responsible Party
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Principal Investigators
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Andrew Tutt, MB ChB, MRCP, FRCR, PhD
Role: PRINCIPAL_INVESTIGATOR
King's College London
Locations
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Guy's and St Thomas' Hospital NHS Foundation Trust
London, , United Kingdom
Countries
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References
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Tutt A, Tovey H, Cheang MCU, Kernaghan S, Kilburn L, Gazinska P, Owen J, Abraham J, Barrett S, Barrett-Lee P, Brown R, Chan S, Dowsett M, Flanagan JM, Fox L, Grigoriadis A, Gutin A, Harper-Wynne C, Hatton MQ, Hoadley KA, Parikh J, Parker P, Perou CM, Roylance R, Shah V, Shaw A, Smith IE, Timms KM, Wardley AM, Wilson G, Gillett C, Lanchbury JS, Ashworth A, Rahman N, Harries M, Ellis P, Pinder SE, Bliss JM. Carboplatin in BRCA1/2-mutated and triple-negative breast cancer BRCAness subgroups: the TNT Trial. Nat Med. 2018 May;24(5):628-637. doi: 10.1038/s41591-018-0009-7. Epub 2018 Apr 30.
Tovey H, Sipos O, Parker JS, Hoadley KA, Quist J, Kernaghan S, Kilburn L, Salgado R, Loi S, Kennedy RD, Roxanis I, Gazinska P, Pinder SE, Bliss J, Perou CM, Haider S, Grigoriadis A, Tutt A, Cheang MCU. Integrated Multimodal Analyses of DNA Damage Response and Immune Markers as Predictors of Response in Metastatic Triple-Negative Breast Cancer in the TNT Trial (NCT00532727). Clin Cancer Res. 2023 Sep 15;29(18):3691-3705. doi: 10.1158/1078-0432.CCR-23-0370.
Sipos O, Tovey H, Quist J, Haider S, Nowinski S, Gazinska P, Kernaghan S, Toms C, Maguire S, Orr N, Linn SC, Owen J, Gillett C, Pinder SE, Bliss JM, Tutt A, Cheang MCU, Grigoriadis A. Assessment of structural chromosomal instability phenotypes as biomarkers of carboplatin response in triple negative breast cancer: the TNT trial. Ann Oncol. 2021 Jan;32(1):58-65. doi: 10.1016/j.annonc.2020.10.475. Epub 2020 Oct 21.
Related Links
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Other Identifiers
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ISRCTN97330959
Identifier Type: -
Identifier Source: secondary_id
Main REC: 07/Q0603/67
Identifier Type: -
Identifier Source: secondary_id
CTA: 22138/0004/001-0001
Identifier Type: -
Identifier Source: secondary_id
EudraCT Number: 2006-004470-26
Identifier Type: -
Identifier Source: secondary_id
ICR-CTSU/2006/10003
Identifier Type: -
Identifier Source: org_study_id
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