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Active, not recruitingNCT03315364OPTIMALUpdated Apr 1, 2026

Oral Paclitaxel Trial In Recurrent and Metastatic Breast Cancer As 1st Line Therapy

A Phase 2/3 interventional study of Oral paclitaxel and Paclitaxel injection in Recurrent or Metastatic Breast Cancer, sponsored by Daehwa Pharmaceutical Co., Ltd.. Active, not recruiting at 51 sites in 5 countries. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-04-01.

Primary conditionBreast NeoplasmsRegistry: RecurrenceReclassifiedWhy we changed it
Registry
Recurrence — the first condition term the registry derived for this study.
ClinicalTrials.gg
Breast Neoplasms
Why
  1. Recurrence describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Breast Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Daehwa Pharmaceutical Co., Ltd. · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
549
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

To compare and evaluate the efficacy and safety of Liporaxel® solution (oral paclitaxel) and Taxol® (IV paclitaxel) on recurrent or metastatic breast cancer.

02

Conditions studied

  • Recurrent or Metastatic Breast Cancer

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Keywords

  • Recurrent breast cancer
  • Metastatic breast cancer
  • MBC
  • Firstline chemotherapy
  • Paclitaxel
  • Liporaxel
  • Taxol
03

In context

Breast Neoplasms Reclassified

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 549 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Daehwa Pharmaceutical Co., Ltd. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Compared within Breast Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Recurrence. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key inclusion/exclusion criteria

  • or cytologically confirmed to have recurrent, or breast cancer.
  • (revised , version 1.1).
  • Hormone receptor (ER/PR) positive or negative, negative.
  • Subjects were eligible for the study regardless of their previous lines of endocrine therapy.
  • No prior chemotherapy is allowed in metastatic disease.
  • Subjects who administrated the last dose of taxane class drug ≥12months ago as from the first administration day.
  • performance status ≤1.
  • Neuropathy grade \<2.
  • Subjects with central nervous system metastasis should be excluded.
Terms in these criteria, in plain language(6)

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.

Metastases

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

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
549 participants (actual)

Study arms

  • Experimental
    Liporaxel® (oral paclitaxel)

    * 28 days (4 weeks) will be set as one cycle of administration and Liporaxel® will be administered for 3 weeks, twice a day, every morning and evening (D1, D8, D15) and will take a week off on 4th week. * Liproaxel® 200mg/m2 will be orally administered twice a day (morning, evening) 1 hour after meal for D1, D8, D15 of every cycle. 10 hour-interval is recommended for between each administration.

    Drug: Oral paclitaxel

  • Active comparator
    Taxol® (IV paclitaxel)

    * 28 days (4 weeks) will be set as one cycle and for every 3 week administration, 1 week off dose period will be given. * Taxol® 80mg/m2 will be administered via IV and it must be diluted before drip administration. Dilute with 0.9% sodium chloride injection solution to make final concentration of 0.3-1.2 mg/mL.

    Drug: Paclitaxel injection

Interventions

  • Oral administration on D1, D8 and D15 of 4-week cycle until progression, unacceptable toxicity or withdrawal of informed concent

    Also known as: Liporaxel®

  • Premedication, intravenous infusion on D1, D8 and D15 of 4-week cycle until progression, unacceptable toxicity or withdrawal of informed concent

    Also known as: Taxol®

06

What researchers measure

Primary outcomes

  1. [Phase II] Objective Response Rate (ORR)

    Objective Response Rate (ORR) is defined by Response Evaluation Criteria in Solid Tumors (RECIST) (v.1.1) criteria.

    Time frame: Participants will be followed every 6 weeks until progression, an expected average of 9 months.

  2. [Phase III] Progression Free Survival (PFS)

    Progression Free Survival (PFS) is defined as the time from date of randomization until the date of first documented progression or death

    Time frame: From date of randomization, assessed up to 18 months.

Secondary outcomes

  1. [Phase II] Progression Free Survival (PFS)

    Progression Free Survival (PFS) is defined as the time from date of randomization until the date of first documented progression or death

    Time frame: From date of randomization, assessed up to 18 months.

  2. [Phase III] Objective Response Rate (ORR)

    Objective Response Rate (ORR) is defined by Response Evaluation Criteria in Solid Tumors (RECIST) (v.1.1) criteria.

    Time frame: Participants will be followed every 6 weeks until progression, an expected average of 9 months.

  3. [Phase II&III] Overall Survival(OS)

    Overall survival(OS) is defined as the time from the date of inclusion to the date of death, regardless of the cause of death.

    Time frame: Until 6 months after the last participant is enrolled, assessed minimum to 18 months.

  4. [Phase II&III] Time to Treatment Failure(TTF)

    TTF is defined as the time from the randomization date to the date of discontinuation of treatment, regardless of the cause.

    Time frame: through study completion, an expected average of 4.5 year.

  5. [Phase II&III] Disease Control Rate(DCR)

    DCR is defined as the percentage of subjects who were evaluated for complete response(CR), partial response(PR), and stable disease(SD) as the best response among from randomization to End of treatment(EOT).

    Time frame: through study completion, an expected average of 4.5 year.

  6. [Phase II&III] Quality of life(QoL)

    To evaluate changes versus baseline using the EQ-5D.

    Time frame: C1D1, C2D1, C4D1, C7D1, C10D1 (each cycle is 28 days) and study completion, up to 18 months.

  7. Incidence of Treatment-Emergent Adverse Events [Safety]

    Number and Description of Adverse Events

    Time frame: Up to 28 days after last investigational product administraion.

07

Study locations

51 sites
08

References and documents

Publications

  • Kim SB, Seo JH, Ahn JH, Kim TY, Kang SY, Sohn J, Yang Y, Park KH, Moon YW, Lim S, Kang MJ, Yoon KE, Cho HJ, Lee KS. Phase II study of DHP107 (oral paclitaxel) in the first-line treatment of HER2-negative recurrent or metastatic breast cancer (OPTIMAL study). Ther Adv Med Oncol. 2021 Dec 15;13:17588359211061989. doi: 10.1177/17588359211061989. eCollection 2021. PubMed 34925553 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03315364
Lead sponsor
Daehwa Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Oct 20, 2017
Start date
Dec 18, 2017
Primary completion
Feb 19, 2024
Completion
Nov 30, 2028 (estimated)
Last update
Apr 1, 2026

Study contacts

Sung-bae Kim, M.D., Ph.D
principal investigator · Asan Medical Center

Oversight

Data monitoring committee
Yes
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 Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Paclitaxel

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