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RecruitingNCT03201861Updated May 16, 2025

Addition of Cisplatin to Adjuvant Chemotherapy for Early Stage Breast Cancer in High-Risk Women

A Phase 3 interventional study of Paclitaxel, Cisplatin and EC to docetaxel or paclitaxel in Tubular Breast Cancer, Mucinous Breast Cancer and Invasive Duct Carcinoma of Breast, sponsored by RenJi Hospital. Recruiting at 1 site in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-05-16.

Sponsored by RenJi Hospital · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2017; still recruiting 9 years 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
762
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

The investigators hypotheses that paclitaxel combined with cisplatin in a weekly-based regimen as adjuvant chemotherapy is more effective for high risk, HER2 negative breast cancer .

Read the detailed description

In this trial, patients will be randomly assigned in a 2:1 ratio to receive cisplatin-based adjuvant chemotherapy and to standard adjuvant chemotherapy.

02

Conditions studied

  • Tubular Breast Cancer
  • Mucinous Breast Cancer
  • Invasive Duct Carcinoma of Breast
03

In context

Carcinoma, Ductal, Breast

86 studies on the registry are indexed under Carcinoma, Ductal, Breast; 7 are open to participants now.

This study's planned enrollment of 762 is above the median of 92 across 69 interventional studies indexed under Carcinoma, Ductal, Breast.

Browse Carcinoma, Ductal, Breast studies →

Lead sponsor

RenJi Hospital is the lead sponsor of 550 studies on the registry; 247 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Women aged ≥18 years and ≤70 years
  2. Have accepted surgical treatment, confirmed early breast cancer, the pathological types of invasive carcinoma
  3. Not received treatment for breast cancer before operation
  4. Triple-negative breast cancer confirmed by pathology, or pathology confirmed as the HR positive breast cancer at the same time meet the following conditions: axillary lymph node positive breast cancer, tumor size≥2 cm and Ki - 67 >20% or tumor size ≥2 cm and grade III or tumor size ≥2cm and aged \<35 years
  5. negative: immunohistochemistry HER2 (1 +) or HER2 (0), or fluorescence in situ hybridization (FISH): not amplified
  6. Performance status (PS) 0-1
  7. Adequate bone marrow function:WBC≥4.0×109/L, (ANC)≥1.5×109/L, (PLT)≥100×109/L, (Hb)≥90g/L;(AST),Alanine aminotransferase (ALT)≤1.5 upper normal limit , creatinine≤1.5 upper normal limit, ≤1.5 upper normal limit
  8. No obvious main organs dysfunction

Exclusion criteria

Exclusion Criteria:

  1. breast cancer
  2. Patient is pregnant or breast feeding
  3. Any evidence of sense or motor nerve disorders
  4. Bilateral Primary Breast Cancer (DCIS in one side not included)
  5. Patients with medical conditions taht indicate intolerant to chemotherapy, including uncontrolled cardiovascular disease, severe infection
  6. Have received chemotherapy because of any other than breast cancer
  7. Known severe to any drugs in this study
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    paclitaxel and cisplatin

    Drug: paclitaxel, cisplatin, epirubicin and cyclophosphamide Patients will be administered paclitaxel (80 mg/m² i.v. given weekly on day 1 q day 8 for 12 weeks) and cisplatin (25 mg/m² weekly on day 1 ,8,and 15 q day 28 for 3 cycles) followed by epirubicin and cyclophosphamide (EC) (epirubicin 90mg/m² i.v.d1, cyclophosphamide 600mg/m² i.v.d1) for 4 cycles.

    Drug: Paclitaxel, Cisplatin

  • Active comparator
    epirubicin and cyclophosphamide

    Drug:epirubicin, cyclophosphamide, paclitaxel and docetaxel Investigators will declare one of the following regimens: Patients with hormone receptor (HR) positive breast cancer wil be administered epirubicin (90mg/m² i.v.d1 q21d) and cyclophosphamide (600mg/m² i.v.d1 q21d) for 4 cycles followed by docetaxel (75mg/m² i.v.d1 q21d) for 4 cycles. Patients with triple-negative breast cancer will be administered epirubicin (90mg/m² i.v.d1 q21d) and cyclophosphamide (600mg/m² i.v.d1 q21d) for 4 cycles followed by weekly paclitaxel (80 mg/m² i.v.d1) for 12 weeks or docetaxel (75mg/m² i.v.d1 q21d) for 4 cycles.

    Drug: EC to docetaxel or paclitaxel

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Disease-Free Survival (DFS) Events

    DFS is defined as the time period between registration and first event

    Time frame: up to 5 year follow up

Secondary outcomes

  1. Number of Participants With Overall Survival (OS) Events

    OS is defined as the time period between registration and first event

    Time frame: up to 5 year follow up

  2. Number of participants with treatment-related adverse events as assessed by CTCAE v3.0.

    Descriptive statistics for the treatment will be given on the number of patients whose treatment had to be reduced, delayed or permanently stopped

    Time frame: 5 months during adjuvant therapy

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Sparano JA, Zhao F, Martino S, Ligibel JA, Perez EA, Saphner T, Wolff AC, Sledge GW Jr, Wood WC, Davidson NE. Long-Term Follow-Up of the E1199 Phase III Trial Evaluating the Role of Taxane and Schedule in Operable Breast Cancer. J Clin Oncol. 2015 Jul 20;33(21):2353-60. doi: 10.1200/JCO.2015.60.9271. Epub 2015 Jun 15. PubMed 26077235 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03201861
Lead sponsor
RenJi Hospital
Responsible party
Sponsor
First posted
Jun 28, 2017
Start date
Jul 27, 2017
Primary completion
Aug 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
May 16, 2025

Study contacts

Yueyao Du, M.D.
Contact
jessicayy8629@126.com
86-21-68385569
Jie Zhang, M.D.
Contact
doudou090227@163.com
86-21-68385516
Jinsong Lu, M.D.
principal investigator · Shanghai Jiao Tong University School of Medicine

Oversight

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

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Studies of the drugs tested here: Paclitaxel · Cisplatin

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