Breast TumorPhase 2/3tnAcityNCT01881230
Evaluate Risk/Benefit of Nab Paclitaxel in Combination With Gemcitabine and Carboplatin Compared to Gemcitabine and Carboplatin in Triple Negative Metastatic Breast Cancer (or Metastatic Triple Negative Breast Cancer)
A Phase 2/3 study testing nab-Paclitaxel, Carboplatin and Gemcitabine in people with Breast Tumor and Breast Cancer, run by Celgene at 140 sites in 12 countries.
Trial summary
The purpose of this study is to compare the safety and efficacy of nab-paclitaxel in combination with either gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line treatment in female subjects with triple negative metastatic breast cancer (TNMBC) or metastatic triple negative breast… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Tumor, Breast Cancer, Cancer of the Breast
- What is being tested?
- nab-Paclitaxel, Carboplatin and Gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 191 participants
- Where
- 140 sitesin 12 countries
- Study dates
- 26 Sep 2013to 28 Oct 2016
- Phase
- Phase 2/3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
None listed.
Who cannot join
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- Male subjects
- Concurrent chemotherapy or any other anti tumor therapy for breast cancer. Prior immunotherapy \& monoclonal antibody therapy are acceptable.
- Subjects who received prior cytotoxic chemotherapy after incomplete resection of locoregional recurrent disease
- History of, or known current evidence of brain metastasis, including leptomeningeal involvement.
- Subjects with bone as the only site of metastatic disease
Show all 21Show fewer
- Subjects with regional lymph node as the only site of metastatic disease
- Serious intercurrent medical or psychiatric illness, including serious active infection
- History of class II-IV congestive heart failure or myocardial infarction within 6 months of randomization
- History of other primary malignancy in the last 5 years prior to randomization. Subjects with prior breast cancer history are eligible, however, the most recently obtained biopsy must demonstrate triple negative disease (source documented). Subjects with prior history of in situ cancer or basal or localized squamous cell skin cancer are eligible.
- Subjects with a history of interstitial lung disease, history of slowly progressive dyspnea and unproductive cough, sarcoidosis, silicosis, idiopathic pulmonary fibrosis, pulmonary hypersensitivity pneumonitis or multiple uncontrolled or unstable allergies which, in the opinion of the investigator, may lead to serious complications
- Peripheral neuropathy Grade ≥ 2 by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.0
- Subjects who have received an investigational product within the previous 4 weeks prior to randomization
- Subject is currently enrolled, or will enroll in a different clinical study in which investigational therapeutic procedures are performed or investigational therapies are administered while participating in this study
- Pregnant or nursing women
- Subjects with prior hypersensitivity to nab-paclitaxel, gemcitabine, carboplatin or any other platin, or nucleoside analogue agents
- Any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study
- Any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if she were to participate in the study
- Any condition that confounds the ability to interpret data from the study
- History of seropositive human immunodeficiency virus (HIV)
- Subjects who are receiving immunosuppressive or myelosuppressive medications that would, in the opinion of the investigator, increase the risk of serious neutropenic complications
Trial locations and contacts
140 sites in 12 countries.
140 sites in 12 countries
United States64 sites
Pacific Cancer Medical Center Inc
Anaheim, California, 92801
University of Maryland School of Med
Baltimore, Maryland, 21201
Center for Cancer and Blood Disorders, PC
Bethesda, Maryland, 20817
Center for Hematology-Oncology
Boca Raton, Florida, 33486
Alamance Regional Medical Cancer Center
Burlington, North Carolina, 27215-8700
Ironwood Cancer and Research Center
Chandler, Arizona, 85224
Chattanooga Oncology Hematology Associates
Chattanooga, Tennessee, 37404
University of Cincinnatti
Cincinnati, Ohio, 45219
Oncology Hematology Care
Cincinnati, Ohio, 45242
South Carolina Oncology Associates
Columbia, South Carolina, 29210
Mark H Zangmeister Center
Columbus, Ohio, 43219
North Bend Medical Center
Coos Bay, Oregon, 97420
Texas Oncology, PA
Dallas, Texas, 75231
Texas Oncology, PA- Dallas
Dallas, Texas, 75246
Henry Ford Medical Center - New Center One
Detroit, Michigan, 48202-268
Hematology Oncology Associates of CNY
East Syracuse, New York, 13057
Englewood Hospital and Medical Center
Englewood, New Jersey, 07631
California Cancer Associates for Research and Excellence cCARE
Escondido, California, 92025
Highlands Oncology Group
Fayetteville, Arkansas, 72703
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
Hematology Oncology Associates of Fredericksburg
Fredericksburg, Virginia, 22408
Arizona Center for Cancer Care
Glendale, Arizona, 85306
Saint Vincent Hospital
Green Bay, Wisconsin, 54301
Memorial Breast Cancer Center
Hollywood, Florida, 33021
New Hampshire Oncology Hematology
Hooksett, New Hampshire, 03106
UT Physicians General Medicine
Houston, Texas, 77030
Edwards Comprehensive Cancer Center
Huntington, West Virginia, 25701
Investigative Clinical Research of Indiana, LLC
Indianapolis, Indiana, 46254
Mayo Clinic - Jacksonville
Jacksonville, Florida, 32224
Joliet Oncology-Hematology Associates, Ltd
Joliet, Illinois, 60435
Midwest Physicians Group
Kansas City, Missouri, 64132
University of California San Diego Moores Cancer Center
La Jolla, California, 92093
Wilshire Oncology Medical Group, Inc
La Verne, California, 91750
University of South Alabama Mitchell Cancer Institute
Lafayette, Louisiana, 70503
NYU Langone Arena Oncology
Lake Success, New York, 11042
St Mary Medical Center
Langhorne, Pennsylvania, 19047
Cancer Centers of Southwest Oklahoma
Lawton, Oklahoma, 73505
Dartmouth Hitchcock Medical Center Norris Cotton Cancer Center
Lebanon, New Hampshire, 03756
Translational Research Management
Los Angeles, California, 90045
University of Miami School of Medicine
Miami, Florida, 33136
Columbia St Marys Cancer Center
Milwaukee, Wisconsin, 53211
Minnesota Oncology Hematology, PA
Minneapolis, Minnesota, 55407
Sarah Cannon Cancer Center
Nashville, Tennessee, 37203
Clinical Research Alliance
New York, New York, 10021
Magee Women's Hospital
Pittsburgh, Pennsylvania, 15213
Northwest Cancer Specialists, P.C. - Hoyt
Portland, Oregon, 97213
Providence Portland Medical Center
Portland, Oregon, 97213
Delta Hematologyoncology Associates
Portsmouth, Virginia, 23704
Virginia Cancer Institute
Richmond, Virginia, 23230
Mayo Clinic
Rochester, Minnesota, 55905
Cancer Care Centers of South Texas - Loop
San Antonio, Texas, 78217
Coastal Integrative Cancer Care
San Luis Obispo, California, 93401
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
Redwood Regional Medical Group, INC
Santa Rosa, California, 95403
Florida Cancer Specialists
Sarasota, Florida, 34232
Arizona Cancer Research Alliance
Scottsdale, Arizona, 85251
Mayo Clinic Arizona
Scottsdale, Arizona, 85259
Medical Oncology Associates
Spokane, Washington, 99208
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Toledo Community Oncology Program
Toledo, Ohio, 43623
Texas Oncology P.A.- Tyler
Tyler, Texas, 75702
Carle Cancer Center
Urbana, Illinois, 61801
Florida Cancer Specialists
West Palm Beach, Florida, 33401
Italy16 sites
Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi
Bologna, Emilia-Romagna, 40138
Azienda Ospedaliero-Universitaria di Ferrara Arcispedale Sant' Anna
Ferrara, 44124
IRCCS AziendaOspedaliera Universitaria San Martino
Genova, 16132
Presidio Ospedaliero della Misericordia
Grosseto, 58100
Azienda Ospedaliera Ospedali Riuniti Papardo-Piemonte
Messina, 98158
Azienda Ospedaliera San Gerardo
Monza, 20900
Azienda Ospedaliera Universitaria Federico II
Napoli, Campania, 80131
Istituto Nazionale Per Lo Studio E La Cura Dei Tumori Fondazione Giovanni Pascale
Napoli, Campania, 80131
Istituto Oncologico Veneto
Padova, 35128
Arcispedale Santa Maria Nuova
Reggio Emilia, 42100
Policlinico Universitario A Gemelli
Roma, 00168
Azienda Ospedaliera Sant Andrea
Roma, 00189
Istituto Nazionale Tumori Regina Elena
Roma, 144
Istituto Clinico Humanitas
Rozzano (MI), 20089
Azienda Ospedaliera Citta della Salute e della Scienza di Torino
Torino, Piemonte, 10126
Azienda Ospedaliera Treviglio-Caravaggio
Treviglio, 24047
Brazil15 sites
Fundacao Pio XII - Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Liga Paranaense de Combate Ao Cancer
Curitiba, Paraná, 81520-060
ONCOCLINIC Clinica de Oncologia LTDA
Fortaleza, 60160-230
Hospital Dr. Amaral Carvalho/ Hospital Amaral Carvalho Jaú
Jau/SP, São Paulo, 17210-080
Associacao Hospitalar Moinhos de Vento Hospital Moinhos de Vento
Porto Alegre, Rio Grande do Sul, 90035-001
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Ribeiraopretano de Combate Ao Cancer
Ribeirão Preto, 14015-130
Hospital das Clinicas da Faculdade de Medicina da USP
Ribeirão Preto, 14048-900
Instituto Nacional de Cancer - INCA
Rio de Janerio, Rio de Janeiro, 20560-120
Hospital Bruno Born
Rio Grande, 95900-000
Centro de Oncologia Da Bahia
Salvador, Estado de Bahia, 41820-021
Hospital de Base Da Faculdade de Medicina de
São José do Rio Preto, 15090-000
Sociedade Beneficente de Senhoras Hospital Sirio Libanes
São Paulo, 01308-050
Instituto Brasileiro de Controle Do Cancer IBCC
São Paulo, 03102-002
Hospital Albert Einstein Sociedade Beneficente Israelita Brasileira
São Paulo, 05651-901
Germany10 sites
Sankt Gertrauden-Krankenhaus
Berlin, 10713
Facharztpraxis fur Gynakologie und Geburtshilfe
Bonn, 53111
Schwerpunktpraxis fur Gynakologische Onkologie
Cologne, 50679
Agaplesion Markus Krankenhaus
Frankfurt, 60431
Praxis fur interdisziplinare Onkologie & Hamatologie
Freiburg im Breisgau, 79110
Universitaetsklinikum Heidelberg
Heidelberg, 69120
Frauenarzte am Bahnhofsplatz
Hildesheim, 31134
LMU Klinikum der Universitat
München, 81377
Krankenanstalt Mutterhaus der Borromaerinnen
Trier, 54290
Universitatsklinikum Ulm
Ulm, 89075
Spain8 sites
Clinic Barcelona Hospital Universitari
Barcelona, 08036
Hospital Universitario Vall D Hebron
Barcelona, 8035
Hospital Universitario Reina Sofia
Córdoba, 14004
Onkologikoa - Kutxaren Institutu Onkologikoa
Donostia / San Sebastian, 20014
Hospital General Gregorio Maranon
Madrid, 28007
Hospital Clinico Universitario de Santiago
Santiago de Compostela, 15706
Hospital Universitario Virgen Macarena
Seville, 41071
Hospital Universitario Miguel Servet
Zaragoza, 50009
Canada5 sites
CHUM - Notre Dame
Montreal, Quebec, H2L 4M1
Ottawa General Hospital
Ottawa, Ontario, K1H 8L6
Hospital du Saint Scarement Sacrement Laboratory
Québec, Quebec, G1S4L8
Alan Blair Cancer Centre at Pasqua Hosptial
Regina, Saskatchewan, S4T1A5
CSSS de Rimouski Neigette
Rimouski, Quebec, G5L5T1
Greece5 sites
University of Athens Medical school - Regional General Hospital
Athens, 11528
IASO General
Athens, 15562
Metropolitan Hospital
Faliro, 18547
University General Hospital of Heraklion
Heraklion, 71110
University General Hospital of Patras
Rio Patras, 26500
United Kingdom5 sites
Royal United Hospital
Bath, BA1 3NG
Sarah Cannon Research Institute UK
London, W1G 6AD
The Christie NHS Foundation Trust
Manchester, M20 4BX
The East and North Hertfordshire NHS Trust
Middlesex, HA62RN
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield South Yorkshire, S10 2SJ
Australia4 sites
Frankston Hospital Oncology Research
Frankston, Victoria, 3199
Canberra Hospital
Garran, Australian Capital Territory, 2605
Sir Charles Gairdner Hospital
Nedlands, 6009
Border Medical Oncology
Wodonga, Victoria, 3690
Portugal4 sites
Hospital Espirito Santo
Evora, 7000-811
Hospital Da Luz
Lisbon, 1500-650
Hospital de Santa Maria
Lisbon, 1649-035
Instituto Portugues de Oncologia do Porto, Francisco Gentil
Porto, 4200-072
Austria3 sites
Universitaetsklinik Innsbruck
Innsbruck, 6020
Salzburger Landkliniken St. Johanns-Spital
Salzburg, 5020
Medizinische Universitat Wien
Vienna, 1090
About this study
Official title: A Phase 2/3, Multi-Center, Open-Label, Randomized Study of Weekly Nab®-Paclitaxel in Combination With Gemcitabine or Carboplatin, Compared to Gemcitabine/Carboplatin, as First Line Treatment in Subjects With ER, PgR, and HER2 Negative (Triple Negative) Metastatic Breast Cancer
The purpose of this study is to compare the safety and efficacy of nab-paclitaxel in combination with either gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line treatment in female subjects with triple negative metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer.
Read the detailed description
ABI-007-MBC- 001 is a Phase 2/3, multicenter, open-label, randomized, study that will compare the safety and efficacy of weekly nab-paclitaxel in combination with gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line therapy in female subjects with Estrogen Receptor (ER), Progesterone Receptor (PgR), and human epidermal growth factor receptor 2 (HER2) negative (triple negative) metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer. In the phase 2 portion of the study, the combinations of nab-paclitaxel plus gemcitabine and nab-paclitaxel plus carboplatin will be evaluated, and a comparator arm of gemcitabine combined with carboplatin will be used. In the phase 3 portion of the study, the selected nab-paclitaxel combination treatment will be compared to gemcitabine combined with carboplatin to evaluate progression free survival, safety and tolerability, overall survival, disease control rate and duration of response in women with metastatic triple negative breast cancer.
Due to changes in the treatment landscape since the initiation of this trial, the decision was made not to proceed to the Phase 3 portion of the study.
- Conditions
- Breast Tumor, Breast Cancer, Cancer of the Breast, Estrogen Receptor- Negative Breast Cancer, HER2- Negative Breast Cancer, Progesterone Receptor- Negative Breast Cancer
- Being tested
- nab-Paclitaxel, Carboplatin, Gemcitabine
- Keywords
- Breast Cancer, Cancer of the Breast, Metastatic Breast Cancer, Metastatic Triple Negative Breast Cancer, Triple Negative Breast Cancer, Triple Negative Metastatic Breast Cancer, Basal-like breast cancer, Hormone receptor negative breast cancer, Estrogen receptor negative breast cancer, Progesterone negative receptor breast cancer, HER2 Negative Breast Cancer, Abraxane, nab-Paclitaxel, ABI-007, gemcitabine, Gemzar, carboplatin, Paraplatin, Paraplatin AQ, Phase 2
- Medical subject headings
- Breast Neoplasms, Triple Negative Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
nab-PaclitaxelDrug
Also called Abraxane
nab-Paclitaxel 125 mg/m^2 by IV administration over 30 minutes on Days 1 and 8 of each 21-day treatment cycle.
CarboplatinDrug
Also called Paraplatin,, Paraplatin AQ
Carboplatin at an AUC of 2 on Days 1 and 8 of each 21-day cycle by IV administration
GemcitabineDrug
Also called Gemzar
Gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day treatment cycle.
| Study group | Role | What they receive |
|---|---|---|
| nab-Paclitaxel plus Gemcitabine | Experimental | Treatment Arm A: nab-Paclitaxel 125 mg/m^2 by intravenous (IV) administration over 30 minutes, followed by gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day cycle by IV administration over 30 minutes Receives: Drug: nab-Paclitaxel; Drug: Gemcitabine |
| nab-Paclitaxel plus Carboplatin | Experimental | Treatment Arm B: nab-Paclitaxel 125 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin at an Area Under the Curve (AUC) of 2 on Days 1 and 8 of each 21-day cycle by IV administration Receives: Drug: nab-Paclitaxel; Drug: Carboplatin |
| Gemcitabine plus Carboplatin | Active comparator | Treatment Arm C: Gemcitabine 1000 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin AUC 2 on Days 1 and 8 of each 21-day cycle by IV administration Receives: Drug: Carboplatin; Drug: Gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment.
PFS was defined as the time from the date of randomization to the date of disease progression or death from any cause on or prior to the data cutoff date for the statistical analysis, whichever occurred earlier. Tumor responses were assessed every 6 weeks using, Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and defined as: Complete response (CR) is the disappearance of all target lesions; Partial response (PR) occurs when at least a 30% decrease in the sum of diameters of target lesions from baseline; Stable disease is neither sufficient shrinkage to qualify for a PR nor sufficient increase of lesions to qualify for Progressive disease (PD); Progressive Disease- is at least a 20% increase in the sum of diameters of target lesions from nadir.
Measured: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Secondary outcomes (6)
Percentage of Participants With an Objective Complete or Partial Overall Response by Investigator Assessment.
Percentage of participants with an Objective Complete or Partial Overall Response according to RECIST 1.1 and defined as: Complete response-disappearance of all target lesions; partial response at least a 30% decrease in the sum of diameters of target lesions from baseline; stable disease-neither sufficient shrinkage to qualify for PR nor sufficient increase of lesions to qualify for Progressive disease (PD)• Progressive Disease- At least a 20% increase in the sum of diameters of target lesions from nadir.
Measured: Disease response was assessed every 6 weeks; from date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Percentage of Participants Who Initiated Cycle 6 Receiving Doublet Combination Therapy
The percentage of participants who initiated Cycle 6 receiving doublet combination therapy regardless of the need for dose modifications.
Measured: Cycle 6
Kaplan-Meier Estimates of Overall Survival
Overall survival was defined as the time from the date of randomization to the date of death (from any cause).
Measured: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Treatment-emergent adverse events (TEAEs) were defined as any AEs that began or worsened with the onset date on or after the date of the first dose of IP through 28 days after the last dose. A serious AE (SAE) = any AE which results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; constitutes an important medical event. The severity of AEs was graded based on the participant's symptoms according to the Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0); AEs were evaluated for severity as follows: Grade 1 = Mild - transient or mild discomfort; no medical intervention required; Grade 2 = Moderate - mild to moderate limitation in activity; Grade 3 = Severe; Grade 4 = Life threatening; Grade 5 = Death.
Measured: From randomization through to 28 days after the last dose of IP; up to data cut off date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Experiencing Dose Modifications (Reductions and Interruptions)
The number of participants with dose modifications occurring during the treatment period. Dose reductions and interruptions are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities.
Measured: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Who Discontinued From All Study Treatment Due to TEAEs
Treatment-emergent adverse events (TEAEs) were defined as any AEs that begin or worsen with an onset date on or after the date of the first dose of IP through 28 days after the last dose.
Measured: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2013 (estimated)
- Study start26 Sep 2013
- Primary completion28 Oct 2016
- Study completion28 Oct 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Breast TumorStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 191 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ileana Elias, M.D., Study director, Celgene Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01881230
- Sponsor's protocol ID
- ABI-007-MBC-001
- Other IDs
- 2013-000113-20
- Acronym
- tnAcity
- Status last verified
- Feb 2019
- First submitted
- 17 Jun 2013
- Last updated
- 21 Feb 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Yardley DA, Brufsky A, Coleman RE, Conte PF, Cortes J, Gluck S, Nabholtz JM, O'Shaughnessy J, Beck RM, Ko A, Renschler MF, Barton D, Harbeck N. Phase II/III weekly nab-paclitaxel plus gemcitabine or carboplatin versus gemcitabine/carboplatin as first-line treatment of patients with metastatic triple-negative breast cancer (the tnAcity study): study protocol for a randomized controlled trial. Trials. 2015 Dec 16;16:575. doi: 10.1186/s13063-015-1101-7.
PubMed 26673577Liu MC, Janni W, Georgoulias V, Yardley DA, Harbeck N, Wei X, McGovern D, Beck R. First-Line Doublet Chemotherapy for Metastatic Triple-Negative Breast Cancer: Circulating Tumor Cell Analysis of the tnAcity Trial. Cancer Manag Res. 2019 Dec 12;11:10427-10433. doi: 10.2147/CMAR.S208712. eCollection 2019.
PubMed 31849532
Study at a glance
From the registry record, last updated by the sponsor on 21 Feb 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Multi-Center, Open-Label, Randomized Study of Weekly Nab®-Paclitaxel in Combination With Gemcitabine or Carboplatin, Compared to Gemcitabine/Carboplatin, as First Line Treatment in Subjects With ER, PgR, and HER2 Negative (Triple Negative) Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT01881230
- Acronym / sponsor ID
- tnAcity / ABI-007-MBC-001
- Conditions
- Breast Tumor, Breast Cancer, Cancer of the Breast, Estrogen Receptor- Negative Breast Cancer, HER2- Negative Breast Cancer, Progesterone Receptor- Negative Breast Cancer
- Keywords
- Breast Cancer, Cancer of the Breast, Metastatic Breast Cancer, Metastatic Triple Negative Breast Cancer, Triple Negative Breast Cancer, Triple Negative Metastatic Breast Cancer, Basal-like breast cancer, Hormone receptor negative breast cancer
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 191 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 26 Sep 2013 (actual)
- Primary completion
- 28 Oct 2016 (actual)
- Study completion
- 28 Oct 2016 (actual)
- First posted
- 19 Jun 2013 (estimated)
- Results
- Posted 8 Mar 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the safety and efficacy of nab-paclitaxel in combination with either gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line treatment in female subjects with triple negative metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer.
Detailed description
ABI-007-MBC- 001 is a Phase 2/3, multicenter, open-label, randomized, study that will compare the safety and efficacy of weekly nab-paclitaxel in combination with gemcitabine or carboplatin to the combination of gemcitabine and carboplatin as first line therapy in female subjects with Estrogen Receptor (ER), Progesterone Receptor (PgR), and human epidermal growth factor receptor 2 (HER2) negative (triple negative) metastatic breast cancer (TNMBC) or metastatic triple negative breast cancer. In the phase 2 portion of the study, the combinations of nab-paclitaxel plus gemcitabine and nab-paclitaxel plus carboplatin will be evaluated, and a comparator arm of gemcitabine combined with carboplatin will be used. In the phase 3 portion of the study, the selected nab-paclitaxel combination treatment will be compared to gemcitabine combined with carboplatin to evaluate progression free survival, safety and tolerability, overall survival, disease control rate and duration of response in women with metastatic triple negative breast cancer.
Due to changes in the treatment landscape since the initiation of this trial, the decision was made not to proceed to the Phase 3 portion of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| nab-Paclitaxel plus Gemcitabine | Experimental | Drug: nab-Paclitaxel, Drug: GemcitabineTreatment Arm A: nab-Paclitaxel 125 mg/m^2 by intravenous (IV) administration over 30 minutes, followed by gemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day cycle by IV administration over 30 minutes |
| nab-Paclitaxel plus Carboplatin | Experimental | Drug: nab-Paclitaxel, Drug: CarboplatinTreatment Arm B: nab-Paclitaxel 125 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin at an Area Under the Curve (AUC) of 2 on Days 1 and 8 of each 21-day cycle by IV administration |
| Gemcitabine plus Carboplatin | Active comparator | Drug: Carboplatin, Drug: GemcitabineTreatment Arm C: Gemcitabine 1000 mg/m^2 on Days 1 and 8 by IV administration followed by carboplatin AUC 2 on Days 1 and 8 of each 21-day cycle by IV administration |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (0 listed)
Key exclusion criteria (21 listed)
- A subject will not be eligible for inclusion in this study if any of the following criteria apply:
- Male subjects
- Concurrent chemotherapy or any other anti tumor therapy for breast cancer. Prior immunotherapy \& monoclonal antibody therapy are acceptable.
- Subjects who received prior cytotoxic chemotherapy after incomplete resection of locoregional recurrent disease
- History of, or known current evidence of brain metastasis, including leptomeningeal involvement.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| nab-PaclitaxelAlso: Abraxanenab-Paclitaxel 125 mg/m^2 by IV administration over 30 minutes on Days 1 and 8 of each 21-day treatment cycle. | Drug | nab-Paclitaxel plus Carboplatin, nab-Paclitaxel plus Gemcitabine |
| CarboplatinAlso: Paraplatin,, Paraplatin AQCarboplatin at an AUC of 2 on Days 1 and 8 of each 21-day cycle by IV administration | Drug | Gemcitabine plus Carboplatin, nab-Paclitaxel plus Carboplatin |
| GemcitabineAlso: GemzarGemcitabine 1000 mg/m^2 on Days 1 and 8 of each 21-day treatment cycle. | Drug | Gemcitabine plus Carboplatin, nab-Paclitaxel plus Gemcitabine |
Primary outcome
Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment.
Time frame: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
PFS was defined as the time from the date of randomization to the date of disease progression or death from any cause on or prior to the data cutoff date for the statistical analysis, whichever occurred earlier. Tumor responses were assessed every 6 weeks using, Response Evaluation Criteria in Solid Tumors (RECIST 1.1) and defined as: Complete response (CR) is the disappearance of all target lesions; Partial response (PR) occurs when at least a 30% decrease in the sum of diameters of target lesions from baseline; Stable disease is neither sufficient shrinkage to qualify for a PR nor sufficient increase of lesions to qualify for Progressive disease (PD); Progressive Disease- is at least a 20% increase in the sum of diameters of target lesions from nadir.
6 secondary outcomes
Percentage of Participants With an Objective Complete or Partial Overall Response by Investigator Assessment.
Time frame: Disease response was assessed every 6 weeks; from date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Percentage of Participants Who Initiated Cycle 6 Receiving Doublet Combination Therapy
Time frame: Cycle 6
Kaplan-Meier Estimates of Overall Survival
Time frame: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From randomization through to 28 days after the last dose of IP; up to data cut off date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Experiencing Dose Modifications (Reductions and Interruptions)
Time frame: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Percentage of Participants Who Discontinued From All Study Treatment Due to TEAEs
Time frame: From randomization through to 28 days after the last dose of IP; up to data-cut off of date of 16 Dec 2016; maximum treatment duration of study drug exposure was 108.3 weeks for Arm A, 83 weeks for Arm B, 110.1 weeks for Arm C
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Feb 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 26673577Yardley DA, Brufsky A, Coleman RE, Conte PF, Cortes J, Gluck S, Nabholtz JM, O'Shaughnessy J, Beck RM, Ko A, Renschler MF, Barton D, Harbeck N. Phase II/III weekly nab-paclitaxel plus gemcitabine or carboplatin versus gemcitabine/carboplatin as first-line treatment of patients with metastatic triple-negative breast cancer (the tnAcity study): study protocol for a randomized controlled trial. Trials. 2015 Dec 16;16:575. doi: 10.1186/s13063-015-1101-7.
- Derived from this study: PubMed 31849532Liu MC, Janni W, Georgoulias V, Yardley DA, Harbeck N, Wei X, McGovern D, Beck R. First-Line Doublet Chemotherapy for Metastatic Triple-Negative Breast Cancer: Circulating Tumor Cell Analysis of the tnAcity Trial. Cancer Manag Res. 2019 Dec 12;11:10427-10433. doi: 10.2147/CMAR.S208712. eCollection 2019.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ileana Elias, M.D. study director
Celgene Corporation
140 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing nab-Paclitaxel, Carboplatin and Gemcitabine in people with Breast Tumor and Breast Cancer, run by Celgene at 140 sites in 12 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 0 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States, Italy, Brazil, Germany, Spain and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Mar 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Kaplan-Meier Estimates of Progression-Free Survival (PFS) Based on Investigator Assessment. (time frame: From date of randomization to data cut-off date of 16 December 2016; total length of time on study was 31 months for Arm A, 34 months for Arm B and 35 months for Arm C). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01881230, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2019.