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Alkylating agents

Chemotherapy Combinations for Triple-Negative Breast Cancer

Phase 3
Waitlist Available
Led By Vicente Valero
Research Sponsored by NRG Oncology
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
By pathologic evaluation, ipsilateral nodes must be pN0, pN1 (pN1mi, pN1a, pN1b, pN1c), pN2a, pN2b, pN3a, or pN3b
The patient must have undergone either a mastectomy (total, skin-sparing, or nipple-sparing) or lumpectomy
Must not have
Intrinsic lung disease resulting in dyspnea
T4 tumors including inflammatory breast cancer
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 10 years
Awards & highlights

Summary

This trial is testing two different chemotherapy combinations to treat triple negative breast cancer to see which is more effective.

Who is the study for?
This trial is for patients with triple-negative breast cancer who have good blood counts, no metastatic disease on imaging, and a performance status indicating they can care for themselves. They must not be pregnant or breastfeeding, haven't received certain cancer treatments before, and don't have other serious health issues that would interfere with the study.
What is being tested?
The trial is testing if adding carboplatin to a chemotherapy regimen of doxorubicin hydrochloride and cyclophosphamide followed by paclitaxel improves outcomes in treating triple-negative breast cancer compared to the regimen without carboplatin.
What are the potential side effects?
Possible side effects include nausea, vomiting, hair loss, fatigue, increased risk of infection due to low blood cell counts (neutropenia), heart problems from doxorubicin hydrochloride, nerve damage from paclitaxel (neuropathy), and kidney function changes.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My breast cancer has spread to nearby lymph nodes but not to distant parts of my body.
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I have had a mastectomy or lumpectomy.
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I have been diagnosed with a type of breast cancer called invasive adenocarcinoma.
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My cancer has not spread beyond nearby lymph nodes.
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My tumor is not HER2 positive.
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I have had surgery for breast cancer, either a mastectomy or lumpectomy.
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My lumpectomy surgery removed all visible cancer and pre-cancer.
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I am fully active or can carry out light work.
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My tumor is not driven by estrogen or progesterone.
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I have had a procedure to check the status of my lymph nodes.
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My heart's pumping ability is good, confirmed by a test within the last 3 months.
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My surgery removed all visible cancer from the breast area.
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My tumor is larger than 3.0 cm and has not spread to nearby lymph nodes.
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I am fully active or restricted in physically strenuous activity but can do light work.
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My primary tumor is classified as stage T1 to T3.
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My last surgery was within the past 60 days.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have a lung condition that makes it hard for me to breathe.
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My breast cancer is advanced (T4) or inflammatory.
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I have had breast cancer or DCIS on the same side before.
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I have been treated with anthracyclines or taxanes for cancer.
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My heart condition allows me to use the drugs in the treatment plan.
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I take 10 mg or more of corticosteroids daily.
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I am currently using hormone therapy.
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I have received chemotherapy for my current breast cancer diagnosis before being assigned to a treatment group.
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I was hospitalized for DKA or HHNS in the last year.
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I have active hepatitis B or C with abnormal liver tests.
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I have an ongoing infection or need long-term antibiotics.
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I cannot take corticosteroids due to my health condition.
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My cancer has spread to other parts of my body.
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I have a moderate to severe nervous system disorder.
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I have had breast cancer in both breasts, either at the same time or at different times.
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My blood pressure is not controlled by medication.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 10 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 10 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
IDFS
Secondary study objectives
BCFS
DRFI
Frequencies of adverse events categorized using the National Cancer Institute CTCAE v4.0
+2 more

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Arm II (AC-->WP + carboplatin)Experimental Treatment5 Interventions
Patients receive doxorubicin hydrochloride and cyclophosphamide as in Arm I. Patients then receive paclitaxel IV over 60 minutes on days 1, 8, and 15 and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 3 weeks for 4 courses in the absence of disease progression or unacceptable toxicity.
Group II: Arm I (AC-->WP)Active Control4 Interventions
Patients receive doxorubicin hydrochloride IV over 15 minutes and cyclophosphamide IV over 30 minutes on day 1. Treatment repeats every 2 weeks for 4 courses in the absence of disease progression or unacceptable toxicity. Patients then receive paclitaxel IV over 60 minutes on day 1. Treatment repeats weekly for 12 courses in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Carboplatin
2014
Completed Phase 3
~6120
Doxorubicin Hydrochloride
2019
Completed Phase 3
~17860
Cyclophosphamide
2010
Completed Phase 4
~2320
Paclitaxel
2011
Completed Phase 4
~5810

Find a Location

Who is running the clinical trial?

NRG OncologyLead Sponsor
236 Previous Clinical Trials
101,493 Total Patients Enrolled
9 Trials studying Breast Cancer
11,639 Patients Enrolled for Breast Cancer
National Cancer Institute (NCI)NIH
13,842 Previous Clinical Trials
41,002,218 Total Patients Enrolled
945 Trials studying Breast Cancer
1,543,964 Patients Enrolled for Breast Cancer
Vicente ValeroPrincipal InvestigatorNRG Oncology
2 Previous Clinical Trials
55 Total Patients Enrolled
1 Trials studying Breast Cancer
20 Patients Enrolled for Breast Cancer

Media Library

Cyclophosphamide (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT02488967 — Phase 3
Breast Cancer Research Study Groups: Arm I (AC-->WP), Arm II (AC-->WP + carboplatin)
Breast Cancer Clinical Trial 2023: Cyclophosphamide Highlights & Side Effects. Trial Name: NCT02488967 — Phase 3
Cyclophosphamide (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02488967 — Phase 3
~145 spots leftby Oct 2026