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RecruitingNCT04159142Updated Sep 11, 2025

Nab-paclitaxel Plus Carboplatin Versus Nab-paclitaxel Plus Capecitabine in the Treatment of Advanced Triple-negative Breast Cancer

A Phase 2 interventional study of Nab-paclitaxel + Carboplatin and Nab-paclitaxel + Capecitabine in Triple Negative Breast Cancer and Nab-paclitaxel, sponsored by Hebei Medical University Fourth Hospital. Recruiting at 1 site in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Hebei Medical University Fourth Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Nov 2019; still recruiting 6 years 10 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
414
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

This is a multi-center , open-lable clinical trial. Triple-negative breast cancer (TNBC) is a term applied to breast cancer cases that have \<1% expression of the estrogen receptor (ER) and the progesterone receptor (PR) and do not over express HER2. TNBC is diagnosed in 15-20% of breast cancer cases and tends to occur in younger women and have biologically more aggressive high grade disease.

The purpose of this study is to assess the efficacy and safety of the following two combinations: i) nab-paclitaxel+carboplatin; ii) nab-paclitaxel+capecitabine in subjects with advanced TNBC and up to one prior line of systemic treatment for metastatic disease. Maintenance therapy with capecitabine after completion of combination chemotherapy.

02

Conditions studied

  • Triple Negative Breast Cancer
  • Nab-paclitaxel

Keywords

  • Nab-paclitaxel
  • Carboplatin
  • Capecitabine
  • Triple Negative Breast Cancer
  • Maintenance therapy
03

In context

Triple Negative Breast Neoplasms

1,139 studies on the registry are indexed under Triple Negative Breast Neoplasms; 442 are open to participants now.

This study's planned enrollment of 414 is above the median of 61 across 981 interventional studies indexed under Triple Negative Breast Neoplasms.

Browse Triple Negative Breast Neoplasms studies →

Lead sponsor

Hebei Medical University Fourth Hospital is the lead sponsor of 78 studies on the registry; 53 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

Inclusion criteria

  1. Females with age between 18 to 70 years old;
  2. Histologically confirmed triple negative breast cancer;
  3. No more than one-line prior treatment for locally advanced or metastatic breast cancer;
  4. Have at least one measurable lesion as per the RECIST criteria (version 1.1);
  5. Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to one;
  6. Patients with life expectancy of at least 3 months;
  7. Bone marrow function:neutrophils (≥1.5×10\^9/L), platelets (≥100×10\^9/L), hemoglobin (≥90 g/L);
  8. Renal and hepatic function: Serum creatinine≤ 1.5×institutional upper limit of normal (ULN); AST and ALT ≤ 2.5 × ULN; Total bilirubin≤1.5×ULN, or patients with Gilbert's syndrome ≤ 2.5 × ULN;
  9. Patients had good compliance with the planned treatment, understood the research process and written informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Patients with heart disease above grade II (including grade II) identified by New York Heart Association (NYHA) scores;
  2. Brain metastasis;
  3. Recurrence or metastasis within 6 months after capecitabine withdrawal;
  4. Recurrence or metastasis within 6 months after platinum withdrawal;
  5. Progression in the treatment, recurrence or metastasis of paclitaxel (including albumin paclitaxel) within 6 months;
  6. Patients required clinical intervention with gastrointestinal bleeding, gastrointestinal obstruction and non-feeding;
  7. Patients who had Grade 2 or above Peripheral neuropathy;
  8. Patients with severe systemic infection or other serious diseases;
  9. Patients allergic to or intolerant of chemotherapeutic drugs or their adjuvants;
  10. Patients with other malignant tumors in the past five years, except for cured cervical carcinoma in situ and non-melanoma skin cancer;
  11. Pregnancy or lactation, as well as reproductive age patients who refused to take appropriate contraceptive measures in the trial;
  12. Participation in any trial drug treatment or another interventional clinical trial 30 days before first dose was given;
  13. The researchers considered the patients who were not suitable for enrollment.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
414 participants (estimated)

Study arms

  • Experimental
    Nab-paclitaxel + Carboplatin

    Nab-paclitaxel given IV at 125 mg/m\^2 on days 1, 8 and carboplatin given IV at AUC 5 on days 1 every 21 days x 6 cycles; Maintenance therapy: Capecitabine 1000 mg/m\^2 bid, d1-14; every 21 days, until disease progression or intolerable toxicity;

    Drug: Nab-paclitaxel + Carboplatin

  • Experimental
    Nab-paclitaxel + Capecitabine

    Nab-paclitaxel given IV at 125 mg/m\^2 on days 1, 8 and capecitabine given IV at 1000 mg/m\^2 bid, d1-14 every 21 days x 6 cycles; Maintenance therapy: Capecitabine 1000 mg/m\^2 bid, d1-14; every 21 days, until disease progression or intolerable toxicity;

    Drug: Nab-paclitaxel + Capecitabine

Interventions

  • DrugNab-paclitaxel + Carboplatin

    nab-paclitaxel given IV at 125 mg/m\^2 on days 1, 8 and carboplatin given IV at AUC 5 on days 1 every 21 days x 6 cycles;

  • DrugNab-paclitaxel + Capecitabine

    Nab-paclitaxel given IV at 125 mg/m\^2 on days 1, 8 and capecitabine given IV at 1000 mg/m\^2 bid, d1-14 every 21 days x 6 cycles;

06

What researchers measure

Primary outcomes

  1. Progression free survival (PFS)

    Up to disease progression or death due to any cause

    Time frame: 3 years

Secondary outcomes

  1. PFS rate for 6 cycles

    From the date of randomization to the end of 6 cycles

    Time frame: At the end of Cycle 6 (each cycle is 21 days)

  2. Objective response rate (ORR)

    To evaluate the Overall Response Rate of patients with advanced triple-negative breast cancer

    Time frame: 3 years

  3. Overall survival (OS)

    To evaluate the overall survival of patients with advanced triple-negative breast cancer

    Time frame: 3 years

  4. Adverse events (AE)

    To evaluate the adverse events of patients with advanced triple-negative breast cancer

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
  • The Fourth Hospital of Hebei Medical University
    Shijiazhuang, Hebei 050011, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04159142
Lead sponsor
Hebei Medical University Fourth Hospital
Collaborators
Beijing 302 Hospital, CSPC Ouyi Pharmaceutical Co., Ltd.
Responsible party
Cuizhi GENG (Principal Investigator, Hebei Medical University Fourth Hospital) — Principal investigator
First posted
Nov 12, 2019
Start date
Nov 20, 2019
Primary completion
Jun 20, 2026 (estimated)
Completion
Sep 20, 2028 (estimated)
Last update
Sep 11, 2025

Study contacts

Cuizhi Geng, M.D.
Contact
gengcuizhi@hotmail.com
0311-6669 6310
Zefei Jiang, M.D.
study chair · Beijing 302 Hospital
Cuizhi Geng, M.D.
study chair · Hebei Medical University Fourth Hospital

Oversight

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

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