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

Phase 3
Conditions
Breast Neoplasm
Interventions
Drug: Taxanes
Drug: Taxanes plus Carboplatin
Registration Number
NCT02455141
Lead Sponsor
Shanghai Jiao Tong University School of Medicine
Brief Summary

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

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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
970
Inclusion Criteria

Not provided

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 & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TaxanesEpirubicin plus CyclophosphamideEpirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel
Taxanes plus carboplatinEpirubicin plus CyclophosphamideEpirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel + Carboplatin
TaxanesTaxanesEpirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel
Taxanes plus carboplatinTaxanes plus CarboplatinEpirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel + Carboplatin
Primary Outcome Measures
NameTimeMethod
Disease-free survival3 years

to compare the disease-free survival among two treatment arms

Secondary Outcome Measures
NameTimeMethod
Incidence of neutropenia feverup to 7 months

to compare the neutropenia fever among two treatment arms

Overall Survival3 years

to compare the overall survival among two treatment arms

Incidence of grade 3-4 side effectsup to 7 months

to compare the grade 3-4 side effects among two treatment arms

Trial Locations

Locations (27)

Fuding Hospital

🇨🇳

Fuding, Fujian, China

The First Affiliated Hospital of Fujian Medical University

🇨🇳

Fuzhou, Fujian, China

Quanzhou First Hospital

🇨🇳

Quanzhou, Fujian, China

Foshan No.1 People's Hospital

🇨🇳

Foshan, Guangdong, China

Guangdong Maternal and Child Health Care Hospital

🇨🇳

Guangzhou, Guangdong, China

Cancer Hospital Affiliated to Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

Jiangsu Jiangyin People's Hospital

🇨🇳

Jiangyin, Jiangsu, China

The First People's Hospital of Wujiang District

🇨🇳

Suzhou, Jiangsu, China

Yancheng Hospital of TCM

🇨🇳

Yancheng, Jiangsu, China

Obstetrics & Gynecology Hospital of Fudan University

🇨🇳

Shanghai, Shanghai, China

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Fuding Hospital
🇨🇳Fuding, Fujian, China
Yongan Chen
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