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Not yet recruitingNCT05287308Updated Mar 31, 2022

Adjuvant Albumin-bound Paclitaxel Versus Taxanes in Breast Cancer: a Real-world Study

An interventional study of doxorubicin and epirubicin in Breast Cancer, sponsored by Chinese Academy of Medical Sciences. Not yet recruiting at 1 site in China. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2022-03-31.

Sponsored by Chinese Academy of Medical Sciences · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

This is a prospective, multi-center, real-world study designed to evaluate the efficacy and safety of albumin-bound paclitaxel versus paclitaxel or docetaxel in adjuvant treatment of breast cancer.

02

Conditions studied

  • Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

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

This study's planned enrollment of 500 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Chinese Academy of Medical Sciences is the lead sponsor of 237 studies on the registry; 19 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. Female patients aged from 18 to 70 years old;
  2. confirmed as invasive breast cancer;
  3. (ECOG) performance status of 0 or 1;
  4. Participants achieved complete tumor resection by radical mastectomy, modified radical mastectomy or breast-conserving surgery with negative margins;
  5. AC-T chemotherapy is planned after breast cancer surgery;
  6. Participants with negative breast cancer at high risk of recurrence who meet any of the following conditions: 1) HR positive, and ≥4 positive lymph nodes or 1-3 positive lymph nodes with other risk of recurrence [such as high Ki67 expression (≥20%), T > 2 cm, age \< 35 years, lymphovascular invasion, grade 3 histology]; 2) HR negative with positive lymph node or T > 2 cm;
  7. ≥ 50%;
  8. Participants had good compliance with the planned treatment and follow-up, understood the study procedures of this study, and signed form.

Exclusion criteria

Exclusion Criteria:

  1. In the past and present, participants with severe cardiac disease or discomfort , including but not limited: 1) High-risk uncontrolled arrhythmia, atrial tachycardia (heart rate > 100/min in resting state), significant ventricular arrhythmia (ventricular arrhythmia) or higher atrioventricular block (second-degree type 2 [Mobitz 2] atrioventricular block or third-degree atrioventricular block); 2) Angina pectoris requiring anti-angina medication; 3) valvular heart disease; 4) showing transmural myocardial infarction; 5) Uncontrolled hypertension (eg systolic blood pressure > 180mm Hg or diastolic blood pressure > 100mmHg); 6) Myocardial infarction; 7) Congestive heart failure;
  2. Participants who have received prior any systematic treatment for breast cancer;
  3. Participants with bilateral invasive breast cancer;
  4. Breast cancer with distant ;
  5. Grade 2 or higher Sensory or motor neurotoxicity was present as assessed by V5.0;
  6. Participants have the following serious illnesses or medical conditions, including but not limited: 1) History of serious neurological or psychiatric disorders, including psychosis, dementia, or epilepsy, that prevent understanding and ; 2) Active uncontrolled infection; 3) Active peptic ulcer, unstable diabetes;
  7. Previous or current existence of other malignant tumors other than breast cancer;
  8. Severe liver and kidney dysfunction;
  9. The presence of any myelodysplastic and other hematopoietic disorders;
  10. Participants who are known to be allergic to the active or other components of the study treatment;
  11. Participants who are pregnant, breastfeeding, or refuse to use adequate prior to study entry and for the duration of study participation;
  12. Participants who were judged by the investigator to be unsuitable for 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.

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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Metastases

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

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    AC followed by albumin-bound paclitaxel

    A (doxorubicin, epirubicin or pirarubicin) and C (cyclophosphamide) for 4 cycles followed by albumin-bound paclitaxel for 4 cycles.

    Drug: doxorubicin · Drug: epirubicin · Drug: pirarubicin · Drug: cyclophosphamide · Drug: albumin-bound paclitaxel

  • Active comparator
    AC followed by taxanes

    A (doxorubicin, epirubicin or pirarubicin) and C (cyclophosphamide) for 4 cycles followed by paclitaxel or docetaxel for 4 cycles.

    Drug: doxorubicin · Drug: epirubicin · Drug: pirarubicin · Drug: cyclophosphamide · Drug: paclitaxel · Drug: docetaxel

Interventions

  • doxorubicin 50\~60mg/m2, i.v., d1, q3w or q2w.

  • epirubicin 80\~100mg/m2, i.v., d1, q3w or q2w.

  • pirarubicin 40\~50mg/m2, i.v., d1, q3w or q2w.

  • cyclophosphamide 600mg/m2, i.v., d1, q3w or q2w.

  • albumin-bound paclitaxel 260mg/m2, i.v., d1, q3w; 260mg/m2, i.v., d1, q2w; or 125mg/m2, i.v., d1, qw.

  • paclitaxel 175mg/m2, i.v., d1, q3w; 175mg/m2, i.v., d1, q2w; or 80mg/m2, i.v., d1, qw.

  • docetaxel 80\~100mg/m2, i.v., d1, q3w.

06

What researchers measure

Primary outcomes

  1. 5-year invasive disease-free survival (IDFS) rate

    Invasive disease free survival was defined as the time from enrollment until the date of first occurrence of one of the following events: invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence (including first metastasis), invasive contralateral breast cancer, second primary invasive cancer (nonbreast, not including squamous or basal cell skin cancers, or new in situ carcinomas of any site), or death from any cause. 5-year IDFS rate is thepercentage of participants with IDFS from enrollment through 5 years.

    Time frame: up to 60 months

Secondary outcomes

  1. IDFS

    Invasive disease free survival was defined as the time from enrollment until the date of first occurrence of one of the following events: invasive ipsilateral breast tumor recurrence, local/regional invasive recurrence, distant recurrence (including first metastasis), invasive contralateral breast cancer, second primary invasive cancer (nonbreast, not including squamous or basal cell skin cancers, or new in situ carcinomas of any site), or death from any cause.

    Time frame: up to 60 months

  2. overall survival (OS)

    OS was defined as the time from enrollment assignment to death as a result of any cause.

    Time frame: up to 60 months

  3. 3-year invasive disease-free survival (IDFS) rate

    3-year IDFS rate is the percentage of participants with IDFS from enrollment through 3 years.

    Time frame: up to 36 months

  4. Incidence and severity of adverse events

    Adverse events as assessed by NCI-CTCAE V5.0

    Time frame: up to 60 months

07

Study locations

1 site
  • Cancer Hospital, ChineseAMS
    Beijing, Beijing 100021, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 31, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05287308
Responsible party
Binghe Xu (Academician,Director of Department of Clinical Trial Center, Chinese Academy of Medical Sciences) — Principal investigator
First posted
Mar 18, 2022
Start date
Mar 2022 (estimated)
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Mar 31, 2022

Study contacts

Qiao Li, MD
Contact
liqiaopumc@yahoo.cn
86-10-87788120
Binghe Xu, PHD
Contact
xubinghe@medmail.com.cn
86-10-87788495

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 not yet recruiting, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Albumin-Bound Paclitaxel

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