- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02455141
Adjuvant Treatment of EC Followed by Taxane +/- Carboplatin in Triple-Negative Breast Cancer (TCTN)
March 28, 2022 updated by: Kunwei Shen, Shanghai Jiao Tong University School of Medicine
Epirubicin-Cyclophosphamide Followed by Taxanes or Taxanes Plus Carboplatin in Triple-Negative Breast Cancer:A Prospective, Randomized, Phase III Trial
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.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Interventional
Enrollment (Anticipated)
970
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Xiaosong Chen, Dr.
- Phone Number: 602205 +8621-64370045
- Email: chenxiaosong0156@hotmail.com
Study Locations
-
-
Fujian
-
Fuding, Fujian, China
- Recruiting
- Fuding Hospital
-
Contact:
- Yongan Chen
-
Fuzhou, Fujian, China, 350005
- Recruiting
- The First Affiliated Hospital of Fujian Medical University
-
Contact:
- Xiangjin Chen, MD.
-
Quanzhou, Fujian, China
- Recruiting
- Quanzhou First Hospital
-
Contact:
- Debo Chen
-
-
Guangdong
-
Foshan, Guangdong, China, 528000
- Recruiting
- Foshan No.1 people's hospital
-
Guangzhou, Guangdong, China, 510000
- Recruiting
- Guangdong Maternal and Child Health Care Hospital
-
Contact:
- Anqin Zhang, MD
-
-
Heilongjiang
-
Harbin, Heilongjiang, China, 150081
- Recruiting
- Cancer Hospital Affiliated to Harbin Medical University
-
Contact:
- Guoqiang Zhang
-
-
Jiangsu
-
Jiangyin, Jiangsu, China, 214400
- Recruiting
- Jiangsu Jiangyin People's Hospital
-
Contact:
- Qing Shao, MD.
-
Suzhou, Jiangsu, China, 215200
- Recruiting
- The First People's Hospital of Wujiang District
-
Contact:
- Xiaodong Wang, MD.
-
Yancheng, Jiangsu, China
- Recruiting
- Yancheng Hospital of TCM
-
Contact:
- Wu Jiang
-
-
Shanghai
-
Shanghai, Shanghai, China, 200021
- Recruiting
- Obstetrics & Gynecology Hospital of Fudan University
-
Contact:
- Kejin Wu, MD.
-
Shanghai, Shanghai, China, 200025
- Recruiting
- Shanghai Jiaotong University school of Medicine, Ruijin Hospital
-
Contact:
- Kunwei Shen, professor
- Phone Number: 602205 0086-021-64370045
- Email: kwshen@medmail.com.cn
-
Shanghai, Shanghai, China
- Recruiting
- Central Hospital of Huangpu District, Shanghai
-
Contact:
- Jialin Bao, MD.
-
Shanghai, Shanghai, China
- Recruiting
- Shanghai International Peace Maternal and child health care hospital
-
Contact:
- QI He, MD.
-
Shanghai, Shanghai, China
- Not yet recruiting
- The Ninth People's Hospital of Shanghai
-
Contact:
- Shanyu Guo, MD.
-
-
Zhejiang
-
Hangzhou, Zhejiang, China
- Recruiting
- Hangzhou Cancer Hospital
-
Contact:
- Meili Wang
-
Hangzhou, Zhejiang, China
- Recruiting
- Zhejiang Provincial Hospital of TCM
-
Contact:
- Xiaohong Xie
-
Jiaxin, Zhejiang, China, 310000
- Recruiting
- Jiaxin Maternal and Child Health Care Hospital
-
Contact:
- Juanying Zhu, MD
-
Lishui, Zhejiang, China, 310000
- Recruiting
- Lishui People's Hospital
-
Contact:
- Yong Shi, MD
-
Ningbo, Zhejiang, China
- Recruiting
- Ningbo First Hospital
-
Contact:
- Yu Guo
-
Ningbo, Zhejiang, China, 315000
- Recruiting
- Ningbo Medical Treatment Center Lihuili Hospital
-
Contact:
- Weizhu Wu, MD.
-
Ningbo, Zhejiang, China, 315000
- Recruiting
- Ningbo Women And Children's Hospital
-
Contact:
- Zhanwen Li, MD.
-
Rui'an, Zhejiang, China, 325200
- Recruiting
- Rui'an People's Hospital
-
Contact:
- Weili Wu
-
Shaoxing, Zhejiang, China, 312300
- Recruiting
- Shaoxing Shangyu People's Hospital
-
Contact:
- Weili Ren
-
Shaoxing, Zhejiang, China
- Recruiting
- Shaoxing No.2 Hospital
-
Contact:
- Zhian Li
-
Taizhou, Zhejiang, China, 318000
- Recruiting
- Taizhou Central Hospital
-
Contact:
- Yuechu Dai, MD.
-
Wenzhou, Zhejiang, China
- Recruiting
- Wenzhou People's Hospital
-
Contact:
- Yong Zeng
-
Zhoushan, Zhejiang, China, 316000
- Recruiting
- Zhoushan hospital
-
Contact:
- Xia Qiu, MD.
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
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.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Taxanes
Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel
|
Epirubicin 90mg/m2, d1, q3w*4 Cyclophosphamide: 600mg/m2, d1, q3w*4
Other Names:
Paclitaxel: 80mg/m2, d1, qw*12 or Docetaxel: 80-100mg/m2,d1,q3w*4
|
Experimental: Taxanes plus carboplatin
Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel + Carboplatin
|
Epirubicin 90mg/m2, d1, q3w*4 Cyclophosphamide: 600mg/m2, d1, q3w*4
Other Names:
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
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disease-free survival
Time Frame: 3 years
|
to compare the disease-free survival among two treatment arms
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Survival
Time Frame: 3 years
|
to compare the overall survival among two treatment arms
|
3 years
|
Incidence of neutropenia fever
Time Frame: up to 7 months
|
to compare the neutropenia fever among two treatment arms
|
up to 7 months
|
Incidence of grade 3-4 side effects
Time Frame: up to 7 months
|
to compare the grade 3-4 side effects among two treatment arms
|
up to 7 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Kunwei Shen, professor, Affiliated Ruijin Hospital of Shanghai JiaoTong University School of Medicine
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- 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.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2015
Primary Completion (Anticipated)
December 1, 2022
Study Completion (Anticipated)
December 1, 2023
Study Registration Dates
First Submitted
May 2, 2015
First Submitted That Met QC Criteria
May 21, 2015
First Posted (Estimate)
May 27, 2015
Study Record Updates
Last Update Posted (Actual)
March 31, 2022
Last Update Submitted That Met QC Criteria
March 28, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Skin Diseases
- Neoplasms
- Neoplasms by Site
- Breast Diseases
- Breast Neoplasms
- Triple Negative Breast Neoplasms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Myeloablative Agonists
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antibiotics, Antineoplastic
- Cyclophosphamide
- Carboplatin
- Epirubicin
- Taxane
Other Study ID Numbers
- RJBC1501
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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