Adjuvant Treatment of EC Followed by Taxane +/- Carboplatin in Triple-Negative Breast Cancer
NCT ID: NCT02455141
Last Updated: 2025-07-11
Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
PHASE3
786 participants
INTERVENTIONAL
2016-03-31
2030-03-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Taxanes
Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel
Epirubicin plus Cyclophosphamide
Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4
Taxanes
Paclitaxel: 80mg/m2, d1, qw\*12 or Docetaxel: 80-100mg/m2,d1,q3w\*4
Taxanes plus carboplatin
Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel + Carboplatin
Epirubicin plus Cyclophosphamide
Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4
Taxanes plus Carboplatin
Paclitaxel: 80mg/m2, d1,d8,d15, q4w\*4 Carboplatin AUC=2, d1,d8,d15, q4w\*4 or Docetaxel: 75mg/m2,d1,q3w\*4 plus Carboplatin AUC=5-6, d1, q3w\*4
Interventions
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Epirubicin plus Cyclophosphamide
Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4
Taxanes
Paclitaxel: 80mg/m2, d1, qw\*12 or Docetaxel: 80-100mg/m2,d1,q3w\*4
Taxanes plus Carboplatin
Paclitaxel: 80mg/m2, d1,d8,d15, q4w\*4 Carboplatin AUC=2, d1,d8,d15, q4w\*4 or Docetaxel: 75mg/m2,d1,q3w\*4 plus Carboplatin AUC=5-6, d1, q3w\*4
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Tumor specimens are available for estrogen receptor (ER), progesterone receptor (PgR) and Her2 (human epidermal-growth-factor receptor 2) detection, patients should be with triple negative breast cancer. Triple-negative disease is defined as ER \<10% positivity, PgR \<10% positivity, and negativity for Her2 (IHC (immunohistochemistry) 0-1+ or FISH (fluorescence in situ hybridization) negative);
* Adequate bone marrow function
* Adequate liver and renal function
* Eastern Cooperative Oncology Group (ECOG) Performance Score 0-1;
* Women with potential child-bearing must have a negative pregnancy test (urine or serum) within 7 days of drug administration and agree to use an acceptable method of birth control to avoid pregnancy for the duration of the study;
* Written informed consent according to the local ethics committee requirements.
Exclusion Criteria
* Metastatic breast cancer;
* With a history of malignant tumor except uterine cervix cancer in situ or skin basal cell carcinoma;
* Patients with medical conditions that indicate intolerant to adjuvant therapy and related treatment, including uncontrolled pulmonary disease, diabetes mellitus, severe infection, active peptic ulcer, coagulation disorder, connective tissue disease or myelo-suppressive disease;
* Has active hepatitis B or hepatitis C with abnormal liver function tests (LFTs) or is known to be HIV positive;
* Contraindication for using dexamethasone;
* History of congestive heart failure, uncontrolled or symptomatic angina pectoris, arrhythmia or myocardial infarction; poorly controlled hypertension (systolic BP\>180 mmHg or diastolic BP\>100 mmHg);
* Has peripheral neuropathy no less than grade 1;
* Patient is pregnant or breast feeding;
* Patients with psychiatric disorder or other diseases leading to incompliance to the therapy;
* Known severe hypersensitivity to any drugs in this study;
* Treatment with any investigational drugs within 30 days before the beginning of study treatment.
18 Years
70 Years
FEMALE
No
Sponsors
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Shanghai Jiao Tong University School of Medicine
OTHER
Responsible Party
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Kunwei Shen
professor
Principal Investigators
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Kunwei Shen, professor
Role: PRINCIPAL_INVESTIGATOR
Affiliated Ruijin Hospital of Shanghai JiaoTong University School of Medicine
Locations
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Fuding Hospital
Fuding, Fujian, China
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China
Quanzhou First Hospital
Quanzhou, Fujian, China
Foshan No.1 People's Hospital
Foshan, Guangdong, China
Guangdong Maternal and Child Health Care Hospital
Guangzhou, Guangdong, China
Cancer Hospital Affiliated to Harbin Medical University
Harbin, Heilongjiang, China
Jiangsu Jiangyin People's Hospital
Jiangyin, Jiangsu, China
The First People's Hospital of Wujiang District
Suzhou, Jiangsu, China
Yancheng Hospital of TCM
Yancheng, Jiangsu, China
Obstetrics & Gynecology Hospital of Fudan University
Shanghai, Shanghai Municipality, China
Shanghai JiaoTong University School of Medicine, Ruijin Hospital
Shanghai, Shanghai Municipality, China
Central Hospital of Huangpu District, Shanghai
Shanghai, Shanghai Municipality, China
Shanghai International Peace Maternal and child health care hospital
Shanghai, Shanghai Municipality, China
The Ninth People's Hospital of Shanghai
Shanghai, Shanghai Municipality, China
Hangzhou Cancer Hospital
Hangzhou, Zhejiang, China
Zhejiang Provincial Hospital of TCM
Hangzhou, Zhejiang, China
Jiaxin Maternal and Child Health Care Hospital
Jiaxin, Zhejiang, China
Lishui People's Hospital
Lishui, Zhejiang, China
Ningbo Medical Treatment Center Lihuili Hospital
Ningbo, Zhejiang, China
Ningbo Women and Children's Hospital
Ningbo, Zhejiang, China
Ningbo First Hospital
Ningbo, Zhejiang, China
Rui'an People's Hospital
Rui’an, Zhejiang, China
Shaoxing Shangyu People's Hospital
Shaoxing, Zhejiang, China
Shaoxing No.2 Hospital
Shaoxing, Zhejiang, China
Taizhou Central Hospital
Taizhou, Zhejiang, China
Wenzhou People's Hospital
Wenzhou, Zhejiang, China
Zhoushan Hospital
Zhoushan, Zhejiang, China
Countries
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References
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Hayes DF, Thor AD, Dressler LG, Weaver D, Edgerton S, Cowan D, Broadwater G, Goldstein LJ, Martino S, Ingle JN, Henderson IC, Norton L, Winer EP, Hudis CA, Ellis MJ, Berry DA; Cancer and Leukemia Group B (CALGB) Investigators. HER2 and response to paclitaxel in node-positive breast cancer. N Engl J Med. 2007 Oct 11;357(15):1496-506. doi: 10.1056/NEJMoa071167.
Martin M, Rodriguez-Lescure A, Ruiz A, Alba E, Calvo L, Ruiz-Borrego M, Santaballa A, Rodriguez CA, Crespo C, Abad M, Dominguez S, Florian J, Llorca C, Mendez M, Godes M, Cubedo R, Murias A, Batista N, Garcia MJ, Caballero R, de Alava E. Molecular predictors of efficacy of adjuvant weekly paclitaxel in early breast cancer. Breast Cancer Res Treat. 2010 Aug;123(1):149-57. doi: 10.1007/s10549-009-0663-z.
Sikov WM, Berry DA, Perou CM, Singh B, Cirrincione CT, Tolaney SM, Kuzma CS, Pluard TJ, Somlo G, Port ER, Golshan M, Bellon JR, Collyar D, Hahn OM, Carey LA, Hudis CA, Winer EP. Impact of the addition of carboplatin and/or bevacizumab to neoadjuvant once-per-week paclitaxel followed by dose-dense doxorubicin and cyclophosphamide on pathologic complete response rates in stage II to III triple-negative breast cancer: CALGB 40603 (Alliance). J Clin Oncol. 2015 Jan 1;33(1):13-21. doi: 10.1200/JCO.2014.57.0572. Epub 2014 Aug 4.
von Minckwitz G, Schneeweiss A, Loibl S, Salat C, Denkert C, Rezai M, Blohmer JU, Jackisch C, Paepke S, Gerber B, Zahm DM, Kummel S, Eidtmann H, Klare P, Huober J, Costa S, Tesch H, Hanusch C, Hilfrich J, Khandan F, Fasching PA, Sinn BV, Engels K, Mehta K, Nekljudova V, Untch M. Neoadjuvant carboplatin in patients with triple-negative and HER2-positive early breast cancer (GeparSixto; GBG 66): a randomised phase 2 trial. Lancet Oncol. 2014 Jun;15(7):747-56. doi: 10.1016/S1470-2045(14)70160-3. Epub 2014 Apr 30.
Chen XS, Yuan Y, Garfield DH, Wu JY, Huang O, Shen KW. Both carboplatin and bevacizumab improve pathological complete remission rate in neoadjuvant treatment of triple negative breast cancer: a meta-analysis. PLoS One. 2014 Sep 23;9(9):e108405. doi: 10.1371/journal.pone.0108405. eCollection 2014.
Other Identifiers
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RJBC1501
Identifier Type: -
Identifier Source: org_study_id
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