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Active, not recruitingNCT02455141TCTNUpdated Jul 11, 2025

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

A Phase 3 interventional study of Epirubicin plus Cyclophosphamide and Taxanes in Breast Neoplasm, sponsored by Shanghai Jiao Tong University School of Medicine. Active, not recruiting at 27 sites in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-07-11.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
786
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
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Study 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.

Read the 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.

02

Conditions studied

  • Breast Neoplasm

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Keywords

  • chemptherapy
  • triple negative
  • taxanes
  • carboplatin
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 786 is above the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Shanghai Jiao Tong University School of Medicine is the lead sponsor of 358 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically confirmed adenocarcinoma of the breast, completely tumor removal by either modified radical mastectomy or local excision plus axillary lymph node dissection (i.e., breast conservation therapy) or sentinel node biopsy. (Tumor-free margins at least 1 mm for both invasive and noninvasive carcinoma except for lobular carcinoma in situ (less than 1 mm allowed);
  • Tumor specimens are available for estrogen receptor (ER), progesterone receptor (PgR) and Her2 (human epidermal-growth-factor receptor 2) detection, patients should be with triple negative breast cancer. Triple-negative disease is defined as ER \<10% positivity, PgR \<10% positivity, and negativity for Her2 (IHC (immunohistochemistry) 0-1+ or FISH (fluorescence in situ hybridization) negative);
  • Adequate bone marrow function
  • Adequate liver and renal function
  • Eastern Cooperative Oncology Group (ECOG) Performance Score 0-1;
  • Women with potential child-bearing must have a negative pregnancy test (urine or serum) within 7 days of drug administration and agree to use an acceptable method of birth control to avoid pregnancy for the duration of the study;
  • Written informed consent according to the local ethics committee requirements.

Exclusion criteria

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.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
786 participants (actual)

Study arms

  • Active comparator
    Taxanes

    Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel

    Drug: Epirubicin plus Cyclophosphamide · Drug: Taxanes

  • Experimental
    Taxanes plus carboplatin

    Epirubicin plus Cyclophosphamide followed by Paclitaxel or Docetaxel + Carboplatin

    Drug: Epirubicin plus Cyclophosphamide · Drug: Taxanes plus Carboplatin

Interventions

  • DrugEpirubicin plus Cyclophosphamide

    Epirubicin 90mg/m2, d1, q3w\*4 Cyclophosphamide: 600mg/m2, d1, q3w\*4

    Also known as: EC

  • DrugTaxanes

    Paclitaxel: 80mg/m2, d1, qw\*12 or Docetaxel: 80-100mg/m2,d1,q3w\*4

  • DrugTaxanes plus Carboplatin

    Paclitaxel: 80mg/m2, d1,d8,d15, q4w\*4 Carboplatin AUC=2, d1,d8,d15, q4w\*4 or Docetaxel: 75mg/m2,d1,q3w\*4 plus Carboplatin AUC=5-6, d1, q3w\*4

06

What researchers measure

Primary outcomes

  1. Disease-free survival

    The time from randomization to local or regional recurrence, distant metastases, other non-breast secondary primary malignancies, contralateral breast cancer, or death due to any cause, whichever occurs first.

    Time frame: From time of randomization to 5 years after enrollment.

Secondary outcomes

  1. Distant disease-free survival

    The time from randomization to distant metastases, other non-breast secondary primary malignancies, or death due to any cause, whichever occurs first.

    Time frame: From time of randomization to 5 years after enrollment.

  2. Overall Survival

    The time from randomization to death due to any cause.

    Time frame: From time of randomization to 5 years after enrollment.

  3. Incidence of adverse events

    To compare the grade 3-5 adverse events among two treatment arms according to the NCI-CTCAE v4.0 criteria.

    Time frame: From randomization to four weeks after end of study treatment

07

Study locations

27 sites
  • Fuding Hospital
    Fuding, Fujian, China
  • The First Affiliated Hospital of Fujian Medical University
    Fuzhou, Fujian 350005, China
  • Quanzhou First Hospital
    Quanzhou, Fujian, China
  • Foshan No.1 People's Hospital
    Foshan, Guangdong 528000, China
  • Guangdong Maternal and Child Health Care Hospital
    Guangzhou, Guangdong 510000, China
  • Cancer Hospital Affiliated to Harbin Medical University
    Harbin, Heilongjiang 150081, China
  • Jiangsu Jiangyin People's Hospital
    Jiangyin, Jiangsu 214400, China
  • The First People's Hospital of Wujiang District
    Suzhou, Jiangsu 215200, China
  • Yancheng Hospital of TCM
    Yancheng, Jiangsu, China
  • Obstetrics & Gynecology Hospital of Fudan University
    Shanghai, Shanghai Municipality 200021, China
  • Shanghai JiaoTong University School of Medicine, Ruijin Hospital
    Shanghai, Shanghai Municipality 200025, China
  • Central Hospital of Huangpu District, Shanghai
    Shanghai, Shanghai Municipality, China
  • Shanghai International Peace Maternal and child health care hospital
    Shanghai, Shanghai Municipality, China
  • The Ninth People's Hospital of Shanghai
    Shanghai, Shanghai Municipality, China
  • Hangzhou Cancer Hospital
    Hangzhou, Zhejiang, China
  • Zhejiang Provincial Hospital of TCM
    Hangzhou, Zhejiang, China
  • Jiaxin Maternal and Child Health Care Hospital
    Jiaxin, Zhejiang 310000, China
  • Lishui People's Hospital
    Lishui, Zhejiang 310000, China
  • Ningbo Medical Treatment Center Lihuili Hospital
    Ningbo, Zhejiang 315000, China
  • Ningbo Women and Children's Hospital
    Ningbo, Zhejiang 315000, China
  • Ningbo First Hospital
    Ningbo, Zhejiang, China
  • Rui'an People's Hospital
    Rui’an, Zhejiang 325200, China
  • Shaoxing Shangyu People's Hospital
    Shaoxing, Zhejiang 312300, China
  • Shaoxing No.2 Hospital
    Shaoxing, Zhejiang, China
  • Taizhou Central Hospital
    Taizhou, Zhejiang 318000, China
  • Wenzhou People's Hospital
    Wenzhou, Zhejiang, China
  • Zhoushan Hospital
    Zhoushan, Zhejiang 316000, China
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References and documents

Publications

  • Hayes DF, Thor AD, Dressler LG, Weaver D, Edgerton S, Cowan D, Broadwater G, Goldstein LJ, Martino S, Ingle JN, Henderson IC, Norton L, Winer EP, Hudis CA, Ellis MJ, Berry DA; Cancer and Leukemia Group B (CALGB) Investigators. HER2 and response to paclitaxel in node-positive breast cancer. N Engl J Med. 2007 Oct 11;357(15):1496-506. doi: 10.1056/NEJMoa071167. PubMed 17928597 ↗
  • Martin M, Rodriguez-Lescure A, Ruiz A, Alba E, Calvo L, Ruiz-Borrego M, Santaballa A, Rodriguez CA, Crespo C, Abad M, Dominguez S, Florian J, Llorca C, Mendez M, Godes M, Cubedo R, Murias A, Batista N, Garcia MJ, Caballero R, de Alava E. Molecular predictors of efficacy of adjuvant weekly paclitaxel in early breast cancer. Breast Cancer Res Treat. 2010 Aug;123(1):149-57. doi: 10.1007/s10549-009-0663-z. PubMed 20037779 ↗
  • Sikov WM, Berry DA, Perou CM, Singh B, Cirrincione CT, Tolaney SM, Kuzma CS, Pluard TJ, Somlo G, Port ER, Golshan M, Bellon JR, Collyar D, Hahn OM, Carey LA, Hudis CA, Winer EP. Impact of the addition of carboplatin and/or bevacizumab to neoadjuvant once-per-week paclitaxel followed by dose-dense doxorubicin and cyclophosphamide on pathologic complete response rates in stage II to III triple-negative breast cancer: CALGB 40603 (Alliance). J Clin Oncol. 2015 Jan 1;33(1):13-21. doi: 10.1200/JCO.2014.57.0572. Epub 2014 Aug 4. PubMed 25092775 ↗
  • von Minckwitz G, Schneeweiss A, Loibl S, Salat C, Denkert C, Rezai M, Blohmer JU, Jackisch C, Paepke S, Gerber B, Zahm DM, Kummel S, Eidtmann H, Klare P, Huober J, Costa S, Tesch H, Hanusch C, Hilfrich J, Khandan F, Fasching PA, Sinn BV, Engels K, Mehta K, Nekljudova V, Untch M. Neoadjuvant carboplatin in patients with triple-negative and HER2-positive early breast cancer (GeparSixto; GBG 66): a randomised phase 2 trial. Lancet Oncol. 2014 Jun;15(7):747-56. doi: 10.1016/S1470-2045(14)70160-3. Epub 2014 Apr 30. PubMed 24794243 ↗
  • Chen XS, Yuan Y, Garfield DH, Wu JY, Huang O, Shen KW. Both carboplatin and bevacizumab improve pathological complete remission rate in neoadjuvant treatment of triple negative breast cancer: a meta-analysis. PLoS One. 2014 Sep 23;9(9):e108405. doi: 10.1371/journal.pone.0108405. eCollection 2014. PubMed 25247558 ↗
  • Chen X, Huang J, Shi H, Zhu J, Wu W, Ye G, He Q, Shi Y, Zhang A, Xie X, Wang X, Chen X, Wu W, Wu J, Li Z, Li Z, Dai Y, Ren W, Shao Q, Chen Y, Zeng Y, Zhang F, Dong S, Pegram MD, Shen K. Adjuvant Epirubicin Plus Cyclophosphamide Followed by Taxanes With or Without Carboplatin in Early-Stage Triple-Negative Breast Cancer (RJBC 1501): A Randomized Phase III Trial. J Clin Oncol. 2026 Jan 20;44(3):143-152. doi: 10.1200/JCO-25-02412. Epub 2025 Dec 9. PubMed 41365333 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02455141
Lead sponsor
Shanghai Jiao Tong University School of Medicine
Responsible party
Kunwei Shen (professor, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
May 27, 2015
Start date
Mar 2016
Primary completion
Mar 2027 (estimated)
Completion
Mar 2030 (estimated)
Last update
Jul 11, 2025

Study contacts

Kunwei Shen, professor
principal investigator · Affiliated Ruijin Hospital of Shanghai JiaoTong University School of Medicine

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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