Combination Chemotherapy in Treating Women With Stage I, Stage II, or Stage IIIA (cT1-3, N0-1, M0) Breast Cancer and Positive Axillary Lymph Nodes
A Three-Arm Randomized Trial to Compare Adjuvant Adriamycin and Cyclophosphamide Followed by Taxotere (AC-T); Adriamycin and Taxotere (AT); and Adriamycin, Taxotere, and Cyclophosphamide (ATC) in Breast Cancer Patients With Positive Axillary Lymph Nodes
2 other identifiers
interventional
5,351
2 countries
157
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving combination chemotherapy after surgery may kill any tumor cells remaining following surgery. It is not yet known which regimen of combination chemotherapy is more effective in treating breast cancer with positive axillary lymph nodes. PURPOSE: Randomized phase III trial to compare the effectiveness of different regimens of combination chemotherapy in treating women who have undergone surgery for stage I, stage II, or stage IIIA breast cancer with positive axillary lymph nodes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 breast-cancer
Started Mar 1999
Longer than P75 for phase_3 breast-cancer
157 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 1999
CompletedFirst Submitted
Initial submission to the registry
November 1, 1999
CompletedFirst Posted
Study publicly available on registry
January 27, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedResults Posted
Study results publicly available
October 31, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedMarch 21, 2024
March 1, 2024
9.8 years
November 1, 1999
August 24, 2012
March 19, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Overall Survival
8 years
Disease Free Survival
time to event: breast cancer recurrence; second primary cancer; death from any cause as a first event
Secondary Outcomes (3)
Toxicities Among the 3 Regimens
9 years
Quality of Life Among Breast Cancer Patients
baseline, 9 weeks, and 6, 12, 18, and 24 months
Amenorrhea in Premenopausal Women
baseline, 9 weeks, and 6, 12, 18, and 24 months
Study Arms (3)
Arm 1: Doxorubicin + Cyclophosphamide, then Docetaxel
EXPERIMENTALDoxorubicin + Cyclophosphamide, then Docetaxel
Arm 2: Doxorubicin + Docetaxel
EXPERIMENTALDoxorubicin + Docetaxel
Arm 3: Doxorubicin + Docetaxel + Cyclophosphamide
EXPERIMENTALDoxorubicin + Docetaxel + Cyclophosphamide
Interventions
Arm 1: 600 mg/m2 IV every 21 days for 4 cycles; Arm 3: 500 mg/m2 IV every 21 days for 4 cycles
Arm 1: 100 mg/m2 IV every 21 days for 4 cycles; Arms 2 and 3: 75 mg/m2 IV every 21 days for 4 cycles
Arm 1: 60 mg/m2 IV every 21 days for 4 cycles; Arms 2 and 3: 50 mg/m2 IV every 21 days for 4 cycles
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
- NSABP Foundation Inclead
- National Cancer Institute (NCI)collaborator
Study Sites (157)
Comprehensive Cancer Institute
Huntsville, Alabama, 35801, United States
Providence Alaska Medical Center
Anchorage, Alaska, 99519-6604, United States
CCOP - Western Regional, Arizona
Phoenix, Arizona, 85006-2726, United States
City of Hope Comprehensive Cancer Center
Duarte, California, 91010-3000, United States
California Cancer Center
Fresno, California, 93720, United States
Sutter Health Western Division Cancer Research Group
Greenbrae, California, 94904, United States
Scripps Cancer Center at Scripps Clinic
La Jolla, California, 92037, United States
Rebecca and John Moores UCSD Cancer Center
La Jolla, California, 92093-0658, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
Loma Linda, California, 92354, United States
Pacific Shores Medical Group
Long Beach, California, 90813, United States
CCOP - Bay Area Tumor Institute
Oakland, California, 94609-3305, United States
Chao Family Comprehensive Cancer Center at University of California Irvine Cancer Center
Orange, California, 92868, United States
Comprehensive Cancer Centers of the Desert
Palm Springs, California, 92262, United States
Stanford Cancer Center at Stanford University Medical Center
Palo Alto, California, 94305-5408, United States
Sutter Cancer Center
Sacramento, California, 95816, United States
Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
San Diego, California, 92120, United States
Catholic Healthcare West - Westbay Region
San Francisco, California, 94107-1728, United States
CCOP - Santa Rosa Memorial Hospital
Santa Rosa, California, 95403, United States
Kaiser Permanente Medical Center - Vallejo
Vallejo, California, 94589, United States
University of Colorado Cancer Center at University of Colorado Health Sciences Center
Denver, Colorado, 80010, United States
CCOP - Colorado Cancer Research Program, Incorporated
Denver, Colorado, 80209-5031, United States
University of Connecticut Cancer Center at University of Connecticut Health Center
Farmington, Connecticut, 06360-7106, United States
Hartford Hospital
Hartford, Connecticut, 06102-5037, United States
CCOP - Christiana Care Health Services
Wilmington, Delaware, 19899, United States
MBCCOP - Howard University Cancer Center
Washington D.C., District of Columbia, 20060, United States
Morton Plant Hospital
Clearwater, Florida, 33756, United States
Halifax Medical Center
Daytona Beach, Florida, 32114, United States
Baptist Regional Cancer Institute - Jacksonville
Jacksonville, Florida, 32207, United States
University of Miami Sylvester Cancer Center
Miami, Florida, 33136, United States
CCOP - Mount Sinai Medical Center
Miami Beach, Florida, 33140, United States
MD Anderson Cancer Center Orlando
Orlando, Florida, 32806, United States
Sarasota Memorial Hospital
Sarasota, Florida, 34239, United States
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322, United States
CCOP - Atlanta Regional
Atlanta, Georgia, 30342-1701, United States
Medical College of Georgia Comprehensive Cancer Center
Augusta, Georgia, 30912-4000, United States
Dwight David Eisenhower Army Medical Center
Fort Gordon, Georgia, 30905-5650, United States
Cancer Research Center of Hawaii
Honolulu, Hawaii, 96813, United States
North Idaho Cancer Center
Coeur d'Alene, Idaho, 83814, United States
John H. Stroger, Jr. Hospital of Cook County
Chicago, Illinois, 60612-9985, United States
Rush-Presbyterian-St. Luke's Medical Center
Chicago, Illinois, 60612, United States
Creticos Cancer Center at Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657, United States
CCOP - Central Illinois
Decatur, Illinois, 62526, United States
CCOP - Evanston
Evanston, Illinois, 60201, United States
CCOP - Illinois Oncology Research Association
Peoria, Illinois, 61602, United States
CCOP - Carle Cancer Center
Urbana, Illinois, 61801, United States
Methodist Cancer Center at Methodist Hospital
Indianapolis, Indiana, 46206-1367, United States
St. Vincent Hospital and Health Care Center
Indianapolis, Indiana, 46260, United States
Community Hospital
Munster, Indiana, 46321, United States
Genesis Medical Center
Davenport, Iowa, 52804, United States
CCOP - Iowa Oncology Research Association
Des Moines, Iowa, 50309-1016, United States
Holden Comprehensive Cancer Center at University of Iowa
Iowa City, Iowa, 52242-1009, United States
CCOP - Wichita
Wichita, Kansas, 67214-3882, United States
Markey Cancer Center at University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536-0093, United States
Norton Healthcare Cancer Center
Louisville, Kentucky, 40202-5070, United States
Consultants in Blood Disorders and Cancer
Louisville, Kentucky, 40207, United States
Stanley S. Scott Cancer Center at Louisiana State University Medical Center - New Orleans
New Orleans, Louisiana, 70112, United States
Tulane University Medical Center
New Orleans, Louisiana, 70112, United States
CCOP - Ochsner
New Orleans, Louisiana, 70121, United States
Eastern Maine Medical Center
Bangor, Maine, 04401, United States
Franklin Square Hospital Center
Baltimore, Maryland, 21237, United States
National Naval Medical Center
Bethesda, Maryland, 20889-5000, United States
Cancer Research Center at Boston Medical Center
Boston, Massachusetts, 02118, United States
Lahey Clinic Medical Center - Burlington
Burlington, Massachusetts, 01805, United States
Berkshire Medical Center
Pittsfield, Massachusetts, 01201, United States
Baystate Medical Center
Springfield, Massachusetts, 01199, United States
CCOP - Michigan Cancer Research Consortium
Ann Arbor, Michigan, 48106, United States
Josephine Ford Cancer Center at Henry Ford Hospital
Detroit, Michigan, 48202, United States
Michigan State University
East Lansing, Michigan, 48824, United States
CCOP - Grand Rapids
Grand Rapids, Michigan, 49503, United States
CCOP - Kalamazoo
Kalamazoo, Michigan, 49007-3731, United States
CCOP - Beaumont
Royal Oak, Michigan, 48073-6769, United States
Providence Cancer Institute at Providence Hospital
Southfield, Michigan, 48075-9975, United States
CCOP - Duluth
Duluth, Minnesota, 55805, United States
Hennepin County Medical Center - Minneapolis
Minneapolis, Minnesota, 55415, United States
CCOP - Metro-Minnesota
Saint Louis Park, Minnesota, 55416, United States
Ellis Fischel Cancer Center at University of Missouri - Columbia
Columbia, Missouri, 65203, United States
CCOP - Kansas City
Kansas City, Missouri, 64131, United States
CCOP - Cancer Research for the Ozarks
Springfield, Missouri, 65807, United States
St. Louis University Hospital Cancer Center
St Louis, Missouri, 63110-0250, United States
CCOP - St. Louis-Cape Girardeau
St Louis, Missouri, 63141, United States
CCOP - Montana Cancer Consortium
Billings, Montana, 59101, United States
Methodist Hospital Cancer Center at Nebraska Methodist Hospital - Omaha
Omaha, Nebraska, 68114, United States
CCOP - Missouri Valley Cancer Consortium
Omaha, Nebraska, 68131, United States
CCOP - Southern Nevada Cancer Research Foundation
Las Vegas, Nevada, 89106, United States
CCOP - Northern New Jersey
Hackensack, New Jersey, 07601, United States
Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903, United States
Newark Beth Israel Medical Center
Newark, New Jersey, 07112, United States
MBCCOP - University of New Mexico HSC
Albuquerque, New Mexico, 87131, United States
New York Oncology Hematology, P.C. - Albany Regional Cancer Center
Albany, New York, 12208, United States
Charles R. Wood Foundation Cancer Center at Glens Falls Hospital
Glens Falls, New York, 12801, United States
Staten Island University Hospital
Staten Island, New York, 10305, United States
CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
Syracuse, New York, 13217, United States
Lincoln Medical and Mental Health Center
The Bronx, New York, 10451, United States
MBCCOP-Our Lady of Mercy Cancer Center
The Bronx, New York, 10466, United States
Alamance Cancer Center
Burlington, North Carolina, 27216, United States
Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
Chapel Hill, North Carolina, 27599-7295, United States
Leo W. Jenkins Cancer Center of University Health Systems of Eastern Carolina
Greenville, North Carolina, 27858-4354, United States
CCOP - Southeast Cancer Control Consortium
Winston-Salem, North Carolina, 27104-4241, United States
Comprehensive Cancer Center at Wake Forest University
Winston-Salem, North Carolina, 27157-1082, United States
CCOP - Merit Care Hospital
Fargo, North Dakota, 58122, United States
Akron City Hospital
Akron, Ohio, 44309, United States
Aultman Hospital Cancer Center at Aultman Health Foundation
Canton, Ohio, 44710, United States
Jewish Hospital of Cincinnati, Incorporated
Cincinnati, Ohio, 45236, United States
Charles M. Barrett Cancer Center at University Hospital
Cincinnati, Ohio, 45267-0502, United States
CCOP - Columbus
Columbus, Ohio, 43206, United States
Arthur G. James Cancer Hospital - Ohio State University
Columbus, Ohio, 43210-1240, United States
CCOP - Dayton
Kettering, Ohio, 45429, United States
CCOP - Toledo Community Hospital
Toledo, Ohio, 43623-3456, United States
South Pointe Hospital - Cancer Care Center
Warrensville Heights, Ohio, 44122, United States
CCOP - Oklahoma
Tulsa, Oklahoma, 74136, United States
CCOP - Columbia River Oncology Program
Portland, Oregon, 97213, United States
John and Dorothy Morgan Cancer Center at Lehigh Valley Hospital
Allentown, Pennsylvania, 18103, United States
Geisinger Medical Center
Danville, Pennsylvania, 17822-2001, United States
Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
Philadelphia, Pennsylvania, 19107-5541, United States
Albert Einstein Cancer Center
Philadelphia, Pennsylvania, 19141, United States
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212-4772, United States
Hillman Cancer Center at University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, 15213-3489, United States
Reading Hospital and Medical Center
Reading, Pennsylvania, 19612-6052, United States
Mercy Hospital Cancer Center - Scranton
Scranton, Pennsylvania, 18501, United States
CCOP - MainLine Health
Wynnewood, Pennsylvania, 19096, United States
Wellspan Health - York Cancer Center
York, Pennsylvania, 17315, United States
CCOP - Greenville
Greenville, South Carolina, 29615, United States
CCOP - Upstate Carolina
Spartanburg, South Carolina, 29303, United States
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916, United States
Baptist Cancer Institute - Memphis at Baptist Memorial Hospital - Memphis
Memphis, Tennessee, 38146, United States
Medical City Dallas Hospital
Dallas, Texas, 75230, United States
Simmons Cancer Center at University of Texas Southwestern Medical Center - Dallas
Dallas, Texas, 75235-9154, United States
Baylor College of Medicine
Houston, Texas, 77030, United States
Joe Arrington Cancer Research and Treatment Center
Lubbock, Texas, 79410-1894, United States
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78284-7811, United States
CCOP - Scott and White Hospital
Temple, Texas, 76508, United States
Utah Valley Regional Medical Center - Provo
Provo, Utah, 84604, United States
Green Mountain Oncology Group
Bennington, Vermont, 05201, United States
Virginia Oncology Associates - Newport News
Newport News, Virginia, 23606, United States
Eastern Virginia Medical School
Norfolk, Virginia, 23507, United States
MBCCOP - Massey Cancer Center
Richmond, Virginia, 23298-0037, United States
Oncology and Hematology Associates of Southwest Virginia, Inc.
Roanoke, Virginia, 24014, United States
CCOP - Virginia Mason Research Center
Seattle, Washington, 98101, United States
Puget Sound Oncology Consortium
Seattle, Washington, 98109, United States
CCOP - Northwest
Tacoma, Washington, 98405-0986, United States
Charleston Area Medical Center
Charleston, West Virginia, 25304-1297, United States
Camden-Clark Memorial Hospital
Parkersburg, West Virginia, 26102, United States
CCOP - St. Vincent Hospital Cancer Center, Green Bay
Green Bay, Wisconsin, 54301, United States
CCOP - Marshfield Clinic Research Foundation
Marshfield, Wisconsin, 54449, United States
St. Luke's Medical Center
Milwaukee, Wisconsin, 53215, United States
Medical College of Wisconsin Cancer Center
Milwaukee, Wisconsin, 53226, United States
Tom Baker Cancer Center - Calgary
Calgary, Alberta, T2N 4N2, Canada
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9, Canada
Credit Valley Hospital
Mississauga, Ontario, L5M 2N1, Canada
Ottawa Regional Cancer Centre
Ottawa, Ontario, K1H 1C4, Canada
St. Michael's Hospital - Toronto
Toronto, Ontario, M5B 1W8, Canada
Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L-4M1, Canada
Royal Victoria Hospital - Montreal
Montreal, Quebec, H3A 1A1, Canada
Montreal General Hospital
Montreal, Quebec, H3G 1A4, Canada
Jewish General Hospital - Montreal
Montreal, Quebec, H3T 1E2, Canada
St. Mary's Hospital Center
Montreal, Quebec, H3T 1M5, Canada
Hopital du Saint-Sacrement, Quebec
Québec, Quebec, G1S 4L8, Canada
Related Publications (6)
Swain SM, Land SR, Ritter MW, Costantino JP, Cecchini RS, Mamounas EP, Wolmark N, Ganz PA. Amenorrhea in premenopausal women on the doxorubicin-and-cyclophosphamide-followed-by-docetaxel arm of NSABP B-30 trial. Breast Cancer Res Treat. 2009 Jan;113(2):315-20. doi: 10.1007/s10549-008-9937-0. Epub 2008 Feb 27.
PMID: 18302020RESULTGanz PA, Land SR, Geyer CE, et al.: NSABP B-30: definitive analysis of quality of life (QOL) and menstrual history (MH) outcomes from a randomized trial evaluating different schedules and combinations of adjuvant therapy containing doxorubicin, docetaxel and cyclophosphamide in women with operable, node-positive breast cancer. [Abstract] 31st Annual San Antonio Breast Cancer Symposium, December 10-14, 2008, San Antonio, Texas. A-76, 2008.
RESULTSwain SM, Jeong JH, Geyer CE, et al.: NSABP B-30: definitive analysis of patient outcome from a randomized trial evaluating different schedules and combinations of adjuvant therapy containing doxorubicin, docetaxel and cyclophosphamide in women with operable, node-positive breast cancer. [Abstract] 31st Annual San Antonio Breast Cancer Symposium, December 10-14, 2008, San Antonio, Texas. A-75, 2008.
RESULTSwain SM, Land SR, Sundry R, et al.: Amenorrhea in premenopausal women on the doxorubicin (A) and cyclophosphamide (C) followed-by docetaxel (T) arm of NSABP B-30: preliminary results. [Abstract] J Clin Oncol 23 (Suppl 16): A-537, 13s, 2005.
RESULTBandos H, Melnikow J, Rivera DR, Swain SM, Sturtz K, Fehrenbacher L, Wade JL 3rd, Brufsky AM, Julian TB, Margolese RG, McCarron EC, Ganz PA. Long-term Peripheral Neuropathy in Breast Cancer Patients Treated With Adjuvant Chemotherapy: NRG Oncology/NSABP B-30. J Natl Cancer Inst. 2018 Feb 1;110(2):djx162. doi: 10.1093/jnci/djx162.
PMID: 28954297DERIVEDSwain SM, Jeong JH, Geyer CE Jr, Costantino JP, Pajon ER, Fehrenbacher L, Atkins JN, Polikoff J, Vogel VG, Erban JK, Rastogi P, Livingston RB, Perez EA, Mamounas EP, Land SR, Ganz PA, Wolmark N. Longer therapy, iatrogenic amenorrhea, and survival in early breast cancer. N Engl J Med. 2010 Jun 3;362(22):2053-65. doi: 10.1056/NEJMoa0909638.
PMID: 20519679DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Director, Division of Regulatory Affairs
- Organization
- NSABP Foundation, Inc.
Study Officials
- PRINCIPAL INVESTIGATOR
Norman Wolmark, MD
NSABP Foundation Inc
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 1, 1999
First Posted
January 27, 2003
Study Start
March 1, 1999
Primary Completion
December 1, 2008
Study Completion
December 1, 2012
Last Updated
March 21, 2024
Results First Posted
October 31, 2012
Record last verified: 2024-03