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Triple Negative Breast CancerPhase 3NCT01216111

Adjuvant Platinum and Taxane in Triple-negative Breast Cancer (PATTERN)

A Phase 3 study testing Paclitaxel Cisplatin and fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T) in people with Triple Negative Breast Cancer, run by Fudan University.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Previous studies in Western country show that triple-negative breast cancer has aggressive clinical and pathological features compared with non-triple negative breast cancer, including onset at a young age, advanced clinical stage, high histologic and nuclear grade and more distant recurrence. Read more about this study

Who is it for?
Ages 18 to 70 years, women only
Conditions the study is for
Triple Negative Breast Cancer
What is being tested?
Paclitaxel Cisplatin and fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
647 participants
Where
No sites listed yet
Study dates
1 Jan 2011to 20 Apr 2016
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women aged from 18 to 70 years;
  • Histologically proven invasive unilateral breast cancer (regardless of the type);
  • Initial clinical condition compatible with complete initial resection;
  • No residual macro or microscopic tumor after surgical excision;
  • Beginning of chemotherapeutic treatment no later than day 42 after the initial surgery;
  • positive lymph node or negative lymph node with tumor size > 1.0cm
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  • Patient presenting one of the following criteria (reviewed before randomization by referent pathologist):
  • Triple negative (ER-PR-Her-2-) Hormone receptor negativity is defined as ER<1%, PR<1% (IHC), HER2 negativity is defined as IHC 0-1+, or [IHC 2+ and FISH or CISH negative].
  • No clinically or radiologically detectable metastases (M0);
  • No peripheral neuropathy > 1;
  • WHO Performance status (ECOG) of 0 or 1;
  • Adequate recovery from recent surgery (at least one week must have elapsed from the time of a minor surgery (excluding breast biopsy); at least three weeks for major surgery);
  • Adequate hematological function (neutrophil count ³ 2x109/l, platelet count ³ 100x 109/l, Hemoglobin > 9 g/dl);
  • Adequate hepatic function: ASAT and ALAT ≤ 3 ULN alkaline phosphatases ≤ 2.5 ULN,total bilirubin ≤ 1,5 ULN;
  • Adequate renal function: serum creatinine ≤ 1 ULN;
  • Patients accepting contraception intake during the overall length of treatment if of childbearing potential;
  • Adequate cardiac function, LEVF value > 50% by Muga scan or echocardiography;
  • Signed written informed consent.

Who cannot join

  • Bilateral breast cancer or patient with controlateral DCIS;
  • Any metastatic impairment, including homolateral sub-clavicular node involvement,regardless of its type;
  • Any T4 lesion (UICC1987) (cutaneous invasion, deep adherence, inflammatory breast cancer);
  • ER+ or PR+ or Her-2 overexpression
  • Any clinically or radiologically suspect and non-explored damage to the controlateral breast;
  • Any chemotherapy, hormonal therapy or radiotherapy before surgery;
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  • Previous cancer (excepted cutaneous baso-cellular epithelioma or uterin peripheral ephitelioma) in the preceding 5 years, including invasive controlateral breast cancer;
  • Patients already included in another therapeutic trial involving an experimental drug;
  • Patients with other concurrent severe and/or uncontrolled medical disease or infection which could compromise participation in the study;
  • LEVF < 50% (MUGA scan or echocardiography);
  • Clinically significant cardiovascular disease (e.g. unstable angina, congestive heart failure, uncontrolled hypertension (>150/90), myocardial infarction or cerebral vascular accidents) within 6 months prior to randomization;
  • Known prior severe hypersensitivity reactions to agents containing Cremophor EL;
  • Women of childbearing potential who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and up to 8 weeks after treatment completion;
  • Women who are pregnant or breastfeeding. Adequate birth control measures should be taken during study treatment phase;
  • Women with a positive pregnancy test en enrollment or prior to study drug administration;
  • Patients with any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial;
  • Individual deprived of liberty or placed under the authority of a tutor.

About this study

Official title: A Prospective, Randomized, Open-label, Multicentric,phaseIII Clinical Trial Compared With PC and CEF100 Followed by Docetaxel as Adjuvant Chemotherapy Regimen for Chinese Primary Triple Negative Breast Cancer Patients

Previous studies in Western country show that triple-negative breast cancer has aggressive clinical and pathological features compared with non-triple negative breast cancer, including onset at a young age, advanced clinical stage, high histologic and nuclear grade and more distant recurrence.

According to the characteristics of triple negative breast tumor, the TNBC patients can benefit neither from hormonal therapies nor from target therapies against Her2 receptors. The only systemic therapy currently available is chemotherapy, and prognosis remains poor. It becomes more and more important to investigate the sensitive chemotherapy regimen for triple negative patients.

Read more

Cisplatin-based regimen was active for the patients of lung cancer, colorectal cancer and ect. Triple negative breast cancer patients were more sensitive to platinum-based chemotherapy regimens according to the results of some retrospective studies.

The investigators hypothesized that paclitaxel combined with cisplatin is more sensitive to triple negative breast cancer compared with CEF followed by docetaxel.

Read the detailed description

Eligibility Female adults(18-70 years old) are eligible if they had histologically confirmed primary breast cancer. Patients also had Eastern Cooperative Oncology Group(ECOG) Performance status of 0 or 1, absolute neutrophil count (ANC)>1500/mm3,hemoglobin >90g/dL, and platelet count >100,000/mm3,creatinine<2.5 times the upper limit of normal(ULN)), transaminases<3 times ULN or alkaline phosphatase<4 times ULN if transaminases was normal, and total bilirubin <1.5 times ULN. Exclusion criteria were active infection, pregnancy, other primary malignancy (except in situ carcinoma of cervix or adequately treated nonmelanomatous carcinoma of the skin), any documented distant metastasis and uncontrolled systemic diseases.

This study protocol was approved by institutional ethic review boards and conducted according to guidelines for good clinical practice and the Helsinki Declaration.All patients provided written informed consent.

Outcome Measures Primary Endpoint:5 year Disease Free Survival(DFS) Second Endpoints:5 year distant disease free survival (DDFS) 5 year event free survival (EFS) 5 year overall survival (OS) 5 year DFS in gBRCA1 mutation carriers and homologous recombination repair (HRR)-related gene mutation carriers

Being tested
Paclitaxel Cisplatin, fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T)
Keywords
triple negative breast cancer,local recurrence,distant metastasis
Medical subject headings
Triple Negative Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Paclitaxel CisplatinDrug

    Paclitaxel 80 mg/m2 D1,8,15 Cisplatin AUC=2 D1,8,15

    1 cycle = 28days

    PC*6

  • fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T)Drug

    fluorouracil 500 mg/m2, epirubicin 100 mg/m2, and cyclophosphamide 500 mg/m2 intravenously on day 1 every 21 days for three cycles followed by docetaxel 100 mg/m2 intravenously

Study groups in NCT01216111
Study groupRoleWhat they receive
6 cycles of PC adjuvant chemotherapyExperimentalpaclitaxel 80 mg/m2 and carboplatin (area under the curve [AUC]= 2) on day 1, 8, 15 every 28 days for six cycles
Receives: Drug: Paclitaxel Cisplatin
3 cycles of FEC followed by 3 cycles of DocetaxelActive comparatorfluorouracil 500 mg/m2, epirubicin 100 mg/m2, and cyclophosphamide 500 mg/m2 intravenously on day 1 every 21 days for three cycles followed by docetaxel 100 mg/m2 intravenously
Receives: Drug: fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. disease-free survival

    time from random assignment to first relapse (local, regional and distant), contralateral breast cancer

    Measured: 5 year

Secondary outcomes (4)
  1. distant disease-free survival

    time from random assignment to distant recurrence or death

    Measured: 5 year

  2. relapse-free survival

    time from the date of randomization to local, regional, distant relapse or death

    Measured: 5 year

  3. disease-free survival gBRCA1 mutation carriers and homologous recombination repair (HRR)-related gene mutation carriers

    Measured: 5 year

  4. overall survival

    time from randomization until death with any cause

    Measured: 5 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Oct 2010 (estimated)
  2. Study start1 Jan 2011
  3. Primary completion20 Apr 2016
  4. Study completion20 Apr 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
647 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01216111
Sponsor's protocol ID
Fudan TNBC Adjuvant CT
Status last verified
May 2020
First submitted
6 Oct 2010
Last updated
19 May 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Perou CM, Sorlie T, Eisen MB, van de Rijn M, Jeffrey SS, Rees CA, Pollack JR, Ross DT, Johnsen H, Akslen LA, Fluge O, Pergamenschikov A, Williams C, Zhu SX, Lonning PE, Borresen-Dale AL, Brown PO, Botstein D. Molecular portraits of human breast tumours. Nature. 2000 Aug 17;406(6797):747-52. doi: 10.1038/35021093.

    PubMed 10963602
  • Carey LA, Dees EC, Sawyer L, Gatti L, Moore DT, Collichio F, Ollila DW, Sartor CI, Graham ML, Perou CM. The triple negative paradox: primary tumor chemosensitivity of breast cancer subtypes. Clin Cancer Res. 2007 Apr 15;13(8):2329-34. doi: 10.1158/1078-0432.CCR-06-1109.

    PubMed 17438091
  • Yehiely F, Moyano JV, Evans JR, Nielsen TO, Cryns VL. Deconstructing the molecular portrait of basal-like breast cancer. Trends Mol Med. 2006 Nov;12(11):537-44. doi: 10.1016/j.molmed.2006.09.004. Epub 2006 Sep 29.

    PubMed 17011236
  • Reis-Filho JS, Tutt AN. Triple negative tumours: a critical review. Histopathology. 2008 Jan;52(1):108-18. doi: 10.1111/j.1365-2559.2007.02889.x.

    PubMed 18171422
  • Cleator S, Heller W, Coombes RC. Triple-negative breast cancer: therapeutic options. Lancet Oncol. 2007 Mar;8(3):235-44. doi: 10.1016/S1470-2045(07)70074-8.

    PubMed 17329194
  • Dent R, Trudeau M, Pritchard KI, Hanna WM, Kahn HK, Sawka CA, Lickley LA, Rawlinson E, Sun P, Narod SA. Triple-negative breast cancer: clinical features and patterns of recurrence. Clin Cancer Res. 2007 Aug 1;13(15 Pt 1):4429-34. doi: 10.1158/1078-0432.CCR-06-3045.

    PubMed 17671126
  • Hayes DF, Ethier S, Lippman ME. New guidelines for reporting of tumor marker studies in breast cancer research and treatment: REMARK. Breast Cancer Res Treat. 2006 Nov;100(2):237-8. doi: 10.1007/s10549-006-9253-5. Epub 2006 Jun 14. No abstract available.

    PubMed 16773436
  • Yu KD, Ye FG, He M, Fan L, Ma D, Mo M, Wu J, Liu GY, Di GH, Zeng XH, He PQ, Wu KJ, Hou YF, Wang J, Wang C, Zhuang ZG, Song CG, Lin XY, Toss A, Ricci F, Shen ZZ, Shao ZM. Effect of Adjuvant Paclitaxel and Carboplatin on Survival in Women With Triple-Negative Breast Cancer: A Phase 3 Randomized Clinical Trial. JAMA Oncol. 2020 Sep 1;6(9):1390-1396. doi: 10.1001/jamaoncol.2020.2965.

    PubMed 32789480

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Paclitaxel Cisplatin and fluorouracil epirubicin cyclophosphamide and docetaxel (FEC-T) in people with Triple Negative Breast Cancer, run by Fudan University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 May 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

disease-free survival (time frame: 5 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01216111, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 May 2020.

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