A Randomized, Placebo-Controlled, Double-Blind, Phase 3 Study Evaluating Safety and Efficacy of the Addition of Veliparib Plus Carboplatin Versus the Addition of Carboplatin to Standard Neoadjuvant Chemotherapy Versus Standard Neoadjuvant Chemotherapy in Subjects With Early Stage Triple Negative Breast Cancer (TNBC)
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 634
- 试验地点
- 158
- 主要终点
- Pathological Complete Response (pCR).
研究概览
简要总结
This is a 3 arm Phase 3 study to evaluate the safety and efficacy of the addition of veliparib plus carboplatin versus the addition of carboplatin to standard neoadjuvant chemotherapy versus standard neoadjuvant chemotherapy in subjects with early stage TNBC.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 99 Years(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Histologically confirmed invasive breast cancer by core needle or incisional biopsy (excisional biopsy is not allowed). Clinical stage T2-3 N0-2 or T1 N1-2 by physical exam or radiologic studies.
- •Documented Breast Cancer Gene (BRCA) germline mutation testing.
- •Estrogen Receptor (ER)-, Progesterone Receptor (PR)-, and Human Epidermal Growth Factor Receptor (HER)2-negative (triple-negative) cancer of the breast.
- •ECOG Performance status of 0 to
- •Women must be determined to be not of childbearing potential (surgically sterile, or postmenopausal defined as amenorrheic for at least 12 months) by the Investigator OR they must have a negative serum pregnancy test prior to randomization.
排除标准
- •Previous anti-cancer treatment (cytotoxic chemotherapy, immunotherapy, biologic therapy radiotherapy or investigational agents) with therapeutic intent for current breast cancer.
- •Previous treatment with carboplatin, paclitaxel, doxorubicin, cyclophosphamide and a Poly-(ADP-ribose)-Polymerase (PARP) inhibitor.
- •Concurrent treatment with an ovarian hormonal replacement therapy or with hormonal agents such as raloxifene, tamoxifen or other selective estrogen receptor modulator (SERM). Subjects must have discontinued use of such agents prior to beginning study treatment.
- •A history of seizure within 12 months prior to study entry.
- •Pre-existing neuropathy from any cause in excess of Grade 1.
研究组 & 干预措施
Arm C
Placebo + placebo + paclitaxel followed by AC.
干预措施: Placebo (Drug)
Arm C
Placebo + placebo + paclitaxel followed by AC.
干预措施: Doxorubicin (Drug)
Arm A
Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
干预措施: Cyclophosphamide (Drug)
Arm A
Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
干预措施: Doxorubicin (Drug)
Arm A
Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
干预措施: Paclitaxel (Drug)
Arm A
Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
干预措施: Carboplatin (Drug)
Arm A
Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
干预措施: Veliparib (Drug)
Arm C
Placebo + placebo + paclitaxel followed by AC.
干预措施: Cyclophosphamide (Drug)
Arm C
Placebo + placebo + paclitaxel followed by AC.
干预措施: Paclitaxel (Drug)
Arm B
Placebo + carboplatin + paclitaxel followed by AC
干预措施: Cyclophosphamide (Drug)
Arm B
Placebo + carboplatin + paclitaxel followed by AC
干预措施: Doxorubicin (Drug)
Arm B
Placebo + carboplatin + paclitaxel followed by AC
干预措施: Paclitaxel (Drug)
Arm B
Placebo + carboplatin + paclitaxel followed by AC
干预措施: Carboplatin (Drug)
Arm B
Placebo + carboplatin + paclitaxel followed by AC
干预措施: Placebo (Drug)
结局指标
主要结局
Pathological Complete Response (pCR).
时间窗: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).
Pathological complete response (pCR) in the breast tissue and the lymph node tissue will be assessed upon completion of pre-operative systemic therapy and definitive surgery.
次要结局
- Event Free Survival (EFS)(Up to 4 years from the date of definitive surgery.)
- Overall Survival (OS)(Up to 4 years from the date of definitive surgery.)
- Rate of eligibility for breast conservation after therapy (BCR).(At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).)
