Adjuvant Treatment of EC Followed by Taxane +/- Carboplatin in Triple-Negative Breast Cancer

NCT ID: NCT02455141

Last Updated: 2025-07-11

Study Results

Results pending

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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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

786 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2030-03-31

Brief Summary

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To compare disease-free survival (DFS) rate of adjuvant chemotherapy epirubicin-cyclophosphamide followed by weekly paclitaxel or docetaxel (EC-T), or weekly paclitaxel or docetaxel-carboplatin (EC-TCb) in triple-negative breast cancer.

Detailed Description

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This study plans to enroll triple-negative breast cancer patients who have complete tumor removal. Patients are randomized to receive either EC-wP/T or EC-wP/TCb adjuvant chemotherapy. For triple-negative breast cancer, a subgroup of triple-negative breast cancer has DNA repairement deficiency and adding carboplatin to paclitaxel may improve DFS on the basis of weekly paclitaxel adjuvant chemotherapy.

Conditions

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Breast Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Taxanes

Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel

Group Type ACTIVE_COMPARATOR

Epirubicin plus Cyclophosphamide

Intervention Type DRUG

Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4

Taxanes

Intervention Type DRUG

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

Group Type EXPERIMENTAL

Epirubicin plus Cyclophosphamide

Intervention Type DRUG

Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4

Taxanes plus Carboplatin

Intervention Type DRUG

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

Intervention Type DRUG

Taxanes

Paclitaxel: 80mg/m2, d1, qw\*12 or Docetaxel: 80-100mg/m2,d1,q3w\*4

Intervention Type DRUG

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

Intervention Type DRUG

Other Intervention Names

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EC

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed adenocarcinoma of the breast, completely tumor removal by either modified radical mastectomy or local excision plus axillary lymph node dissection (i.e., breast conservation therapy) or sentinel node biopsy. (Tumor-free margins at least 1 mm for both invasive and noninvasive carcinoma except for lobular carcinoma in situ (less than 1 mm allowed);
* 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

* Prior systemic of breast cancer, including chemotherapy;
* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Kunwei Shen

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status

Quanzhou First Hospital

Quanzhou, Fujian, China

Site Status

Foshan No.1 People's Hospital

Foshan, Guangdong, China

Site Status

Guangdong Maternal and Child Health Care Hospital

Guangzhou, Guangdong, China

Site Status

Cancer Hospital Affiliated to Harbin Medical University

Harbin, Heilongjiang, China

Site Status

Jiangsu Jiangyin People's Hospital

Jiangyin, Jiangsu, China

Site Status

The First People's Hospital of Wujiang District

Suzhou, Jiangsu, China

Site Status

Yancheng Hospital of TCM

Yancheng, Jiangsu, China

Site Status

Obstetrics & Gynecology Hospital of Fudan University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai JiaoTong University School of Medicine, Ruijin Hospital

Shanghai, Shanghai Municipality, China

Site Status

Central Hospital of Huangpu District, Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Shanghai International Peace Maternal and child health care hospital

Shanghai, Shanghai Municipality, China

Site Status

The Ninth People's Hospital of Shanghai

Shanghai, Shanghai Municipality, China

Site Status

Hangzhou Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Zhejiang Provincial Hospital of TCM

Hangzhou, Zhejiang, China

Site Status

Jiaxin Maternal and Child Health Care Hospital

Jiaxin, Zhejiang, China

Site Status

Lishui People's Hospital

Lishui, Zhejiang, China

Site Status

Ningbo Medical Treatment Center Lihuili Hospital

Ningbo, Zhejiang, China

Site Status

Ningbo Women and Children's Hospital

Ningbo, Zhejiang, China

Site Status

Ningbo First Hospital

Ningbo, Zhejiang, China

Site Status

Rui'an People's Hospital

Rui’an, Zhejiang, China

Site Status

Shaoxing Shangyu People's Hospital

Shaoxing, Zhejiang, China

Site Status

Shaoxing No.2 Hospital

Shaoxing, Zhejiang, China

Site Status

Taizhou Central Hospital

Taizhou, Zhejiang, China

Site Status

Wenzhou People's Hospital

Wenzhou, Zhejiang, China

Site Status

Zhoushan Hospital

Zhoushan, Zhejiang, China

Site Status

Countries

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China

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.

Reference Type BACKGROUND
PMID: 17928597 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 20037779 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25092775 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24794243 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25247558 (View on PubMed)

Other Identifiers

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RJBC1501

Identifier Type: -

Identifier Source: org_study_id

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