Albumin-bound Paclitaxel and Carboplatin Versus Epirubicin and Docetaxel for Triple-negative Breast Cancer
Albumin-bound Paclitaxel Combined With Carboplatin Versus Epirubicin Combined With Docetaxel as Neoadjuvant Therapy for Triple-negative Breast Cancer: a Multicenter Randomized Controlled Phase IV Clinical Trial
1 other identifier
interventional
110
1 country
7
Brief Summary
To investigate the efficacy of albumin-bound paclitaxel combined with carboplatin versus epirubicin combined with docetaxel as neoadjuvant therapy for triple-negative breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4 breast-cancer
Started Jul 2021
Longer than P75 for phase_4 breast-cancer
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 22, 2019
CompletedFirst Posted
Study publicly available on registry
October 23, 2019
CompletedStudy Start
First participant enrolled
July 19, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2026
ExpectedJuly 20, 2021
July 1, 2021
4.4 years
October 22, 2019
July 18, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pathologic complete remission rate
Pathologic complete remission will be evaluated 5 years after treatment according to the regression of tumors. Tumor regression will be assessed according to RECIST 1.1. Complete remission (CR)
5 years after treatment
Secondary Outcomes (7)
Breast-conserving rate
After 6 months of treatment
Incidence of osteoporosis
Every 6 months for 5 successive years
Incidence of bone-related events
Every 6 months for 5 successive years
Incidence of other distant organ metastasis related events
Every 6 months for 5 successive years
Disease-free survival (DFS)
Within 5 years after disease onset.
- +2 more secondary outcomes
Study Arms (2)
Trial group
EXPERIMENTAL55 cases of triple-negative breast cancer will be assigned into a trial group.
Control group
ACTIVE COMPARATOR55 cases of triple-negative breast cancer will be assigned into a control group.
Interventions
Albumin-bound paclitaxel combined with carboplatin: Albumin-bound paclitaxel (Abraxis BioScience, LLC., Mclrose Park, IL, USA; certificate number: H20091059) will be intravenously administered at 125 mg/m2 for 30 minutes on days 1 and 8 of each 21-day session of treatment. There will be six 21-day sessions of treatment. At the same time, carboplatin (Qilu Pharmaceutical Co., Ltd., Jinan, Shandong Province, China; National Drug Approval Number: H20020181) will be intravenously administered at AUC = 2 mg•min/mL for 120 minutes on days 1 and 8 of each 21-day session of treatment. Carboplatin must be hydrated for 3 days before use to prevent nephrotoxicity.
Epirubicin (Pfizer Pharmaceutical (Wuxi) Co., Ltd., China; National Drug Approval Number: H20000496) will be intravenously administered at 90 mg/m2 for 120 minutes on day 1 of each 21-day session of treatment. At the same time, docetaxel (Sanofi-aventis Deutschland GmbH, Frankfurt am Main, Germany; National Drug Approval Number: J20150083) will be intravenously administered at 75 mg/m2 for 120 minutes. Drug administration will be performed once every other 3 weeks for four times.
Eligibility Criteria
You may qualify if:
- patients developing breast cancer as confirmed by X-ray examination, cancer tissue negative for estrogen receptor, progesterone receptor and HER2, and tumor stage II-III;
- estimated survival \> 3 months;
- presence of clinically measurable lesions;
- Karnofsky functional status score ≥ 70;
- normal routine blood test results, normal liver and kidney function, and near normal electrocardiographic manifestations;
- age at 18-70 years.
You may not qualify if:
- stage IV breast cancer patients with bone metastasis or other distant metastasis;
- severe renal insufficiency;
- older adult patients with severe organic diseases such as heart and lung diseases, who are not estimated to be able to tolerate chemotherapy;
- those who have received antineoplastic therapy;
- those who have received neoadjuvant chemotherapy but fail in 2 cycles of neoadjuvant chemotherapy and switch to other regimens or terminate chemotherapy;
- those with history of other malignant tumors;
- those with severe heart, liver, and kidney organ dysfunction or poor health who cannot tolerate chemotherapy, or those who cannot tolerate chemotherapy and switch to other therapeutic regimens;
- those with mental and nervous system diseases who cannot comply with treatment;
- those with dexamethasone intolerance or those who are highly allergic to any drug in neoadjuvant chemotherapy;
- pregnant or lactating women;
- those who are participating in other trials.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Cancer Hospital Affiliated to Harbin Medical University
Harbin, Heilongjiang, 150081, China
The Second Hospital of Jilin University
Changchun, Jilin, 130041, China
Dalian Municipal Central Hospital
Dalian, Liaoning, 116033, China
Panjin Liaohe Oilfield Gem Flower Hospital
Panjin, Liaoning, 124010, China
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004, China
The Fourth Affiliated Hospital of China Medical University
Shenyang, Liaoning, 110032, China
Liaoning Cancer Hospital & Institute
Shenyang, Liaoning, 110042, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Caigang Liu, M.D., Ph.D.
Shengjing Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
October 22, 2019
First Posted
October 23, 2019
Study Start
July 19, 2021
Primary Completion
November 30, 2025
Study Completion (Estimated)
November 30, 2026
Last Updated
July 20, 2021
Record last verified: 2021-07