The Combination of Palbociclib With ddEC-P as Neoadjuvant Therapy in Triple Negative Breast Cancer

NCT ID: NCT03756090

Last Updated: 2018-12-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-01

Study Completion Date

2020-11-30

Brief Summary

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This study will look at effects the combination of palbociclib and dose-dense neoadjuvant chemotherapy may have on triple negative breast cancer tumours which have not yet been treated.

Detailed Description

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Patients will be randomized to one of two treatment arms (1:1 ratio). Dose-Dense neoadjuvant chemotherapy in the first 8 weeks of will be: epirubicin (90mg/m2) and cyclophosphamide (600mg/m2), followed by paclitaxel (80mg / m2) after 8 weeks, cycled every 14 days for total 8 cycles.

Palbociclib will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week \[28 days\] cycle.

Arm I: Palbociclib combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.

Arm II: Placebo combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.

Note:

Following completion of study therapy, surgery will be scheduled for 18-20 weeks post-randomization.

Post-surgical treatment will be at the discretion of treating clinician, following postoperative pathology.

After week 16 (end of study therapy) all patients should continue Palbociclib for one year.

Toxicity will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0).

Conditions

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Breast Cancer Breast Diseases Breast Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Experimental group

Arm I: Palbociclib combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.

Group Type EXPERIMENTAL

Palbociclib

Intervention Type DRUG

Palbociclib will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week \[28 days\] cycle.

Epirubicin

Intervention Type DRUG

Epirubicin (90mg/m2, D1) cycled every 14 days for the first 4 cycles.

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide (600mg/m2, D1) cycled every 14 days for the first 4 cycles.

Paclitaxel

Intervention Type DRUG

Paclitaxel (80mg/m2, D1) cycled every 14 days for the later 4 cycles.

Control group

Arm II: Placebo combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.

Group Type PLACEBO_COMPARATOR

Placebo oral capsule

Intervention Type DRUG

Placebo oral capsule will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week \[28 days\] cycle.

Epirubicin

Intervention Type DRUG

Epirubicin (90mg/m2, D1) cycled every 14 days for the first 4 cycles.

Cyclophosphamide

Intervention Type DRUG

Cyclophosphamide (600mg/m2, D1) cycled every 14 days for the first 4 cycles.

Paclitaxel

Intervention Type DRUG

Paclitaxel (80mg/m2, D1) cycled every 14 days for the later 4 cycles.

Interventions

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Palbociclib

Palbociclib will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week \[28 days\] cycle.

Intervention Type DRUG

Placebo oral capsule

Placebo oral capsule will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week \[28 days\] cycle.

Intervention Type DRUG

Epirubicin

Epirubicin (90mg/m2, D1) cycled every 14 days for the first 4 cycles.

Intervention Type DRUG

Cyclophosphamide

Cyclophosphamide (600mg/m2, D1) cycled every 14 days for the first 4 cycles.

Intervention Type DRUG

Paclitaxel

Paclitaxel (80mg/m2, D1) cycled every 14 days for the later 4 cycles.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. female patients, 18 years ≤ age ≤ 80 years;
2. Performance Status- Eastern Cooperative Oncology Group (ECOG) 0-1
3. Histologically confirmed invasive breast cancer(early stage or locally advanced)
4. HER2 negative (HER2+/- by IHC or FISH-)
5. Hormone receptor (ER and PR) negative
6. Cardiovascular: Baseline left ventricular ejection fraction (LVEF)≥55% measured by ECHO
7. Signed informed consent form (ICF)

Exclusion Criteria

1. Metastatic disease (Stage IV) or inflammatory breast cancer
2. Previous or current history of malignant neoplasms, except for curatively treated: Basal and squamous cell carcinoma of the skin, Carcinoma in situ of the cervix.
3. Clinically relevant cardiovascular disease: Known history of uncontrolled or symptomatic angina, clinically significant arrhythmias, congestive heart failure, transmural myocardial infarction, uncontrolled hypertension ≥180/110);
4. Unable or unwilling to swallow capsules.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Zhejiang Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ding Xiaowen, DR.

Role: PRINCIPAL_INVESTIGATOR

Zhejiang Cancer Hospital

Central Contacts

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Ding Xiaowen, DR.

Role: CONTACT

Phone: +86 13588054604

Email: [email protected]

Ding Yuqin

Role: CONTACT

Phone: +86 13588255651

Email: [email protected]

Other Identifiers

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PECP

Identifier Type: -

Identifier Source: org_study_id