Triple Negative Breast CancerPhase 3NCT02032277
A Study Evaluating Safety and Efficacy of the Addition of ABT-888 Plus Carboplatin Versus the Addition of Carboplatin to Standard Chemotherapy Versus Standard Chemotherapy in Subjects With Early Stage Triple Negative Breast Cancer
A Phase 3 study testing Cyclophosphamide, Doxorubicin and Paclitaxel in people with Triple Negative Breast Cancer, run by AbbVie at 158 sites in 15 countries.
Trial summary
This is a 3 arm Phase 3 study to evaluate the safety and efficacy of the addition of veliparib plus carboplatin versus the addition of carboplatin to standard neoadjuvant chemotherapy versus standard neoadjuvant chemotherapy in subjects with early stage TNBC. Read more about this study
- Who is it for?
- Ages 18 to 99 years, women only
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- Cyclophosphamide, Doxorubicin and Paclitaxel
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 634 participants
- Where
- 158 sitesin 15 countries
- Study dates
- 2 Apr 2014to 12 Nov 2020
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 to 99 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed invasive breast cancer by core needle or incisional biopsy (excisional biopsy is not allowed). Clinical stage T2-3 N0-2 or T1 N1-2 by physical exam or radiologic studies.
- Documented Breast Cancer Gene (BRCA) germline mutation testing.
- Estrogen Receptor (ER)-, Progesterone Receptor (PR)-, and Human Epidermal Growth Factor Receptor (HER)2-negative (triple-negative) cancer of the breast.
- ECOG Performance status of 0 to 1.
- Women must be determined to be not of childbearing potential (surgically sterile, or postmenopausal defined as amenorrheic for at least 12 months) by the Investigator OR they must have a negative serum pregnancy test prior to randomization.
Who cannot join
- Previous anti-cancer treatment (cytotoxic chemotherapy, immunotherapy, biologic therapy radiotherapy or investigational agents) with therapeutic intent for current breast cancer.
- Previous treatment with carboplatin, paclitaxel, doxorubicin, cyclophosphamide and a Poly-(ADP-ribose)-Polymerase (PARP) inhibitor.
- Concurrent treatment with an ovarian hormonal replacement therapy or with hormonal agents such as raloxifene, tamoxifen or other selective estrogen receptor modulator (SERM). Subjects must have discontinued use of such agents prior to beginning study treatment.
- A history of seizure within 12 months prior to study entry.
- Pre-existing neuropathy from any cause in excess of Grade 1.
Trial locations and contacts
158 sites in 15 countries.
158 sites in 15 countries
United States61 sites
Lehigh Valley Health Network /ID# 133372
Allentown, Pennsylvania, 18103
Hope Womens Cancer Centers /ID# 119179
Asheville, North Carolina, 28816
Univ Maryland School Medicine /ID# 119235
Baltimore, Maryland, 21201
Texas Oncology - Bedford /ID# 126135
Bedford, Texas, 76022
Univ NC Chapel Hill /ID# 132893
Chapel Hill, North Carolina, 27514-4220
Univ NC Chapel Hill /ID# 147695
Chapel Hill, North Carolina, 27514-4220
University of Virginia /ID# 122975
Charlottesville, Virginia, 22908
University of Illinois - Chicago /ID# 134329
Chicago, Illinois, 60607
Northwestern University Feinberg School of Medicine /ID# 133848
Chicago, Illinois, 60611-2927
University of Chicago DCAM /ID# 120467
Chicago, Illinois, 60637-1443
Oncology Hematology Care, Inc - Blue Ash /ID# 120478
Cincinnati, Ohio, 45252
University Hospitals Case Medical Center /ID# 141691
Cleveland, Ohio, 44106
Fairview Hospital /ID# 141626
Cleveland, Ohio, 44111
Cleveland Clinic Main Campus /ID# 126378
Cleveland, Ohio, 44195
The Ohio State University /ID# 141587
Columbus, Ohio, 43210
Texas Oncology - Medical City Dallas /ID# 126140
Dallas, Texas, 75230
Texas Oncology - Medical City Dallas /ID# 126141
Dallas, Texas, 75230
UT Southwestern Medical Center /ID# 133849
Dallas, Texas, 75390-7208
Sanford Roger Maris Cancer Cen /ID# 132394
Fargo, North Dakota, 58102
Florida Cancer Specialists - Fort Myers /ID# 121835
Fort Myers, Florida, 33916
Florida Cancer Specialists - Fort Myers /ID# 126379
Fort Myers, Florida, 33916
The Ctr for Cancer and Blood D /ID# 120479
Fort Worth, Texas, 76104
Texas Oncology - Memorial City /ID# 126139
Houston, Texas, 77024
Indiana Univ School Medicine /ID# 118215
Indianapolis, Indiana, 46202
Community Rgnal Cancer Care N /ID# 120456
Indianapolis, Indiana, 46256
Mayo Clinic /ID# 132349
Jacksonville, Florida, 32224
St. Lukes Cancer Institute /ID# 118775
Kansas City, Missouri, 64111-5905
Horizon Oncology Research Center /ID# 116815
Lafayette, Indiana, 47905
Comprehensive Cancer Ctrs Neva /ID# 126136
Las Vegas, Nevada, 89169
Usc /Id# 123310
Los Angeles, California, 90033
Univ of Wisconsin Hosp/Clinics /ID# 120457
Madison, Wisconsin, 53792-0001
Solinksy Center for Cancer Care /ID# 131970
Manchester, New Hampshire, 03103
Loyola University Medical Ctr /ID# 120455
Maywood, Illinois, 60153
Mount Sinai Comp Cancer Ctr /ID# 133008
Miami, Florida, 33140
Miami Cancer Institute - Baptist Health South Florida /ID# 126145
Miami, Florida, 33176
Minnesota Oncology Hematology, PA /ID# 126144
Minneapolis, Minnesota, 55404
Tennessee Oncology, PLLC /ID# 124566
Nashville, Tennessee, 37203
Rutgers Cancer Institute of NJ /ID# 120477
New Brunswick, New Jersey, 08903
Columbia Univ Medical Center /ID# 141588
New York, New York, 10032-3725
Christiana Care Health Service /ID# 137823
Newark, Delaware, 19713
UF Health Cancer Center /ID# 141589
Orlando, Florida, 32806
Texas Oncology - Plano East /ID# 126143
Plano, Texas, 75075
Women and Infants Hospital /ID# 123476
Providence, Rhode Island, 02905
Virginia Commonwealth Univ /ID# 141586
Richmond, Virginia, 23219
OSF St. Anthony Medical Center /ID# 139424
Rockford, Illinois, 61108
Pacific Cancer Care /ID# 120476
Salinas, California, 93901
University of Utah /ID# 118677
Salt Lake City, Utah, 84112-5500
Sharp Memorial Hospital /ID# 119861
San Diego, California, 92123
Guthrie Medical Group, PC /ID# 124397
Sayre, Pennsylvania, 18840
Scottsdale Healthcare /ID# 120473
Scottsdale, Arizona, 85258-4566
Mayo Clinic - Scottsdale /ID# 139932
Scottsdale, Arizona, 85259
Avera Cancer Institute /ID# 120466
Sioux Falls, South Dakota, 57105
Stanford University School of Med /ID# 130316
Stanford, California, 94305-2200
Moffitt Cancer Center /ID# 124063
Tampa, Florida, 33612-9416
Arizona Oncology Associates, PC-HOPE /ID# 126137
Tucson, Arizona, 85711-2701
Texas Oncology - Tyler /ID# 126142
Tyler, Texas, 75702
Virginia Oncology Associates /ID# 127260
Virginia Beach, Virginia, 23456
Cedars-Sinai Medical Center - West Hollywood /ID# 137275
West Hollywood, California, 90048
Cancer Center of Kansas /ID# 134720
Wichita, Kansas, 67214
Novant Health Oncology Special /ID# 139890
Winston-Salem, North Carolina, 27103
St. Joseph Mercy Hospital /ID# 135875
Ypsilanti, Michigan, 48106
Germany20 sites
Gemeinschaftspraxis Dr. Heinrich und Prof. Bangerter /ID# 133472
Augsburg, 86150
Helios Klinikum Berlin Buch /ID# 133465
Berlin, 13125
Studiengesellschaft Onk Bielef /ID# 133471
Bielefeld, 33604
Klinikum Bremen Mitte gGmbH /ID# 132875
Bremen, 28205
St. Johannes Hospital /ID# 133478
Dortmund, 44137
Kliniken Esslingen /ID# 133475
Esslingen am Neckar, 73730
Klinikum Frankfurt Hoechst /ID# 145301
Frankfurt, 65929
Wilke/Wagner/Petzoldt, Fuerth /ID# 133481
Fürth, 90766
Evangelisches Krankenhaus /ID# 133457
Gelsenkirchen, 45879
Elisabeth Krankenhaus /ID# 133461
Kassel, 34117
Universitaetsklinikum Schleswig-Holstein /ID# 133454
Kiel, Schleswig-Holstein, 24105
St. Vincenz Krankenhaus /ID# 133466
Limburg, 65549
Onk Zentrum am Rotkreuz /ID# 133482
Munich, 80634
Klinikum recht der Isar der TU /ID# 133449
Munich, 80802
Sana Klinikum Offenbach /ID# 133455
Offenbach, 63069
Leopoldina-Krankenhaus /ID# 133484
Schweinfurt, 97422
Johanniter-Krankenhaus Genthin /ID# 133463
Stendal, 39576
Universitaetsklinikum Ulm /ID# 133453
Ulm, Thuringia, 89081
St. Josefs-Hospital /ID# 133464
Wiesbaden, 65189
Marienhospital Witten /ID# 133470
Witten, 58452
Spain13 sites
Hospital Universitario A Coruña - CHUAC /ID# 135108
A Coruña, A Coruna, 15006
Hospital General Universitario Alicante /ID# 135115
Alicante, 03010
Hospital Universitario Germans Trias i Pujol /ID# 135112
Badalona, Barcelona, 08916
Hospital Parc de Salut del Mar /ID# 135110
Barcelona, 08003
Hospital Santa Creu i Sant Pau /ID# 145400
Barcelona, 08041
Hospital Universitario Arnau de Vilanova de Lleida /ID# 120979
Lleida, 25198
Hospital Universitario Ramon y Cajal /ID# 135113
Madrid, 28034
Hospital Clinico Universitario San Carlos /ID# 119959
Madrid, 28040
Hospital Universitario Virgen del Rocio /ID# 135114
Seville, 41013
Fundacion Instituto Valenciano Oncologia IVO /ID# 135116
Valencia, 46009
Hospital Clinico Universitario de Valencia /ID# 123076
Valencia, 46010
Hospital General Universitario de Valencia /ID# 135111
Valencia, 46014
Hospital Universitario Miguel Servet /ID# 119195
Zaragoza, 50009
Hungary9 sites
National Institute of Oncology /ID# 120828
Budapest, 1122
Magyar Honvedseg Egeszsegugyi Kozpont /ID# 120834
Budapest, 1134
Uzsoki Utcai Korhaz /ID# 120825
Budapest, 1145
Debreceni Egyetem Klinikai Kozpont /ID# 116681
Debrecen, 4032
Petz Aladar Megyei Oktato Korh /ID# 120835
Győr, 9023
Bacs-Kiskun Megyei Korhaz /ID# 120833
Kecskemét, 6000
BAZ Megyei E.O. Korhaz /ID# 122215
Miskolc, 3526
University of Szeged /ID# 120823
Szeged, 6720
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz /ID# 120818
Szolnok, 5004
South Korea8 sites
Kyungpook National University Chilgok Hospital /ID# 118855
Daegu, Seoul Teugbyeolsi, 41404
National Cancer Center /ID# 119525
Goyang, Gyeonggido, 10408
Severance Hospital /ID# 116699
Seoul, Seoul Teugbyeolsi, 03722
Samsung Medical Center /ID# 119276
Seoul, Seoul Teugbyeolsi, 06351
Korea University Anam Hospital /ID# 118857
Seoul, 02841
Seoul National University Hospital /ID# 116698
Seoul, 03080
Asan Medical Center /ID# 116696
Seoul, 05505
Ajou University Hospital /ID# 118856
Suwon, Gyeonggido, 16499
Australia7 sites
Cabrini Health /ID# 120236
Malvern, Victoria, 3144
Fiona Stanley Hospital /ID# 120716
Murdoch, Western Australia, 6150
St. John of God Hosp - Murdoch /ID# 131788
Murdoch, Western Australia, 6150
Royal Melbourne Hospital /ID# 127717
Parkville, Victoria, 3050
Western Health Sunshine Hosp. /ID# 120715
St Albans, Victoria, 3021
St. John of God Subiaco Hosp /ID# 120717
Subiaco, Western Australia, 6008
The Tweed Hospital /ID# 120235
Tweed Heads, New South Wales, 2485
France7 sites
Jean Perrin Centre /ID# 125277
Clermont-Ferrand, 63011
Centre Oscar Lambret /ID# 119958
Lille, Hauts-de-France, 59020
Centre Leon Berard /ID# 120740
Lyon, Rhone, 69373
Hosp European, Georges Pompid /ID# 120736
Paris, 75015
Institut Curie /ID# 116679
Paris, Île-de-France Region, 75248
Hopital Rene Huguenin /ID# 120729
Saint-Cloud, 92210
Hopital Universitaire Purpan /ID# 120731
Toulouse, Haute-Garonne, 31059
Russia7 sites
archangel Clinical Oncology /ID# 120935
Arkhangelsk, 163045
Kursk Regional Oncology Dispen /ID# 116688
Kursk, Tatarstan, Respublika, 305035
Federal State Budgetary Scientific Institution N.N. Blokhin Russian Cancer Resea /ID# 120944
Moscow, Moscow, 115478
Medical Radiological Res Ctr /ID# 124017
Obninsk, 249036
Pyatigorsk Oncology Dispensary /ID# 120945
Pyatigorsk, 357502
Leningrad Reg Onc Dispensery /ID# 120938
Saint Petersburg, 188663
Birch A Healthcare /ID# 116695
Saint Petersburg, 197183
Belgium6 sites
CHU Brugmann /ID# 120376
Brussels, 1020
Grand Hôpital de Charleroi /ID# 116678
Charleroi, Hainaut, 6000
UZ Antwerp /ID# 120720
Edegem, 2650
AZ Groeninge /ID# 120718
Kortrijk, 8500
CHU UCL Namur /ID# 116677
Namur, 5000
Cliniques Universitaires Saint Luc /ID# 120719
Woluwe-Saint-Lambert, Brussels Capital, 1200
Italy5 sites
A.O.U. Policlinico S.Orsola-Malpighi /ID# 122855
Bologna, Emilia-Romagna, 40138
Misericordia General Hospital /ID# 119536
Grosseto, 58100
IRCCS-I.R.S.T. srl Meldola /ID# 120255
Meldola, 47014
Istituto Europeo di Oncologia /ID# 120845
Milan, 20141
IRCCS Fondazione Salva Maugeri /ID# 120848
Pavia, 27100
Canada4 sites
CHUM - Notre-Dame Hospital /ID# 141694
Montreal, Quebec, H2X 0A9
Jewish General Hospital /ID# 141629
Montreal, Quebec, H3T 1E2
CHUQ-Hospital St. Sacrement /ID# 141619
Québec, Quebec, G1S 4L8
Sunnybrook Health Sciences Ctr /ID# 123312
Toronto, Ontario, M4N 3M5
United Kingdom4 sites
Univ Hosp Bristol NHS Foundati /ID# 120989
Bristol, BS2 8EG
Charing Cross Hospital /ID# 120990
London, W6 8RF
Nottingham Univ Hospitals NHS /ID# 122218
Nottingham, NG5 1PB
Royal Stoke Univ Hospital /ID# 120984
Stoke-on-Trent, ST4 6QG
Czechia3 sites
Masarykuv onkologikcy ustav /ID# 120726
Brno, 656 53
FN Hradec Kralove /ID# 120596
Hradec Králové, 500 05
Fakultni Nemocnice Olomouc /ID# 120725
Olomouc, Olomouc Region, 779 00
Taiwan3 sites
Changhua Christian Hospital /ID# 119085
Changhua County, 50006
Chi Mei Hospital - Liouying /ID# 120982
Tainan, 73657
National Taiwan Univ Hosp /ID# 122895
Taipei City, Taipei, 10002
Netherlands1 site
Vrije Universiteit Medisch Centrum /ID# 126302
Amsterdam, 1081 HV
About this study
Official title: A Randomized, Placebo-Controlled, Double-Blind, Phase 3 Study Evaluating Safety and Efficacy of the Addition of Veliparib Plus Carboplatin Versus the Addition of Carboplatin to Standard Neoadjuvant Chemotherapy Versus Standard Neoadjuvant Chemotherapy in Subjects With Early Stage Triple Negative Breast Cancer (TNBC)
This is a 3 arm Phase 3 study to evaluate the safety and efficacy of the addition of veliparib plus carboplatin versus the addition of carboplatin to standard neoadjuvant chemotherapy versus standard neoadjuvant chemotherapy in subjects with early stage TNBC.
- Conditions
- Triple Negative Breast Cancer
- Being tested
- Cyclophosphamide, Placebo, Doxorubicin, Paclitaxel, Carboplatin
- Keywords
- Oncology, Triple negative breast cancer, German Breast Group - GBG 81, United States Oncology - 12152, National Surgical Adjuvant Breast and Bowel Project - B-56-I, Alliance - AFT-04, Grupo Español de Investigación en Cáncer de Mama - GEICAM/2014-02
- Medical subject headings
- Triple Negative Breast Neoplasms, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CyclophosphamideDrug
Cyclophosphamide
PlaceboDrug
Placebo for Carboplatin
DoxorubicinDrug
Doxorubicin
PaclitaxelDrug
Paclitaxel
CarboplatinDrug
Carboplatin
VeliparibDrug
Also called ABT-888
Veliparib
PlaceboDrug
Placebo for Veliparib
| Study group | Role | What they receive |
|---|---|---|
| Arm A | Active comparator | Veliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC) Receives: Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Paclitaxel; Drug: Carboplatin; Drug: Veliparib |
| Arm C | Placebo comparator | Placebo + placebo + paclitaxel followed by AC. Receives: Drug: Cyclophosphamide; Drug: Placebo; Drug: Doxorubicin; Drug: Paclitaxel |
| Arm B | Placebo comparator | Placebo + carboplatin + paclitaxel followed by AC Receives: Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Paclitaxel; Drug: Carboplatin; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pathological Complete Response (pCR).
Pathological complete response (pCR) in the breast tissue and the lymph node tissue will be assessed upon completion of pre-operative systemic therapy and definitive surgery.
Measured: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).
Secondary outcomes (3)
Event Free Survival (EFS)
EFS will be defined as the time from random assignment to documentation of the first of the following events: discontinuation of study therapy due to protocol-defined progression prior to surgery; local, regional, or distant recurrence of breast cancer following curative surgery; a new breast cancer; another new onset malignancy; or death as a result of any cause.
Measured: Up to 4 years from the date of definitive surgery.
Overall Survival (OS)
OS will be defined as the number of days from the day the subject is randomized to the date of the subject's death.
Measured: Up to 4 years from the date of definitive surgery.
Rate of eligibility for breast conservation after therapy (BCR).
Whether a subject is eligible for breast conserving surgery for whom mastectomy was planned at diagnosis will be determined by the subject's surgeon prior to chemotherapy and after completion of chemotherapy.
Measured: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2014 (estimated)
- Study start2 Apr 2014
- Primary completion18 Mar 2016
- Study completion12 Nov 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Triple Negative Breast CancerStudies of the same condition, open and under way.
- More trials run by AbbVieThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 634 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GBG Forschungs GmbH, NSABP Foundation Inc, Grupo Español de Investigación del Cáncer de Mama, US Oncology Research
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02032277
- Sponsor's protocol ID
- M14-011
- Other IDs
- 2013-002377-21
- Status last verified
- Jan 2021
- First submitted
- 13 Dec 2013
- Last updated
- 20 Jan 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
- Expanded access
- Available
Publications
Filho OM, Stover DG, Asad S, Ansell PJ, Watson M, Loibl S, Geyer CE Jr, Bae J, Collier K, Cherian M, O'Shaughnessy J, Untch M, Rugo HS, Huober JB, Golshan M, Sikov WM, von Minckwitz G, Rastogi P, Maag D, Wolmark N, Denkert C, Symmans WF. Association of Immunophenotype With Pathologic Complete Response to Neoadjuvant Chemotherapy for Triple-Negative Breast Cancer: A Secondary Analysis of the BrighTNess Phase 3 Randomized Clinical Trial. JAMA Oncol. 2021 Apr 1;7(4):603-608. doi: 10.1001/jamaoncol.2020.7310.
PubMed 33599688Golshan M, Loibl S, Wong SM, Houber JB, O'Shaughnessy J, Rugo HS, Wolmark N, McKee MD, Maag D, Sullivan DM, Metzger-Filho O, Von Minckwitz G, Geyer CE Jr, Sikov WM, Untch M. Breast Conservation After Neoadjuvant Chemotherapy for Triple-Negative Breast Cancer: Surgical Results From the BrighTNess Randomized Clinical Trial. JAMA Surg. 2020 Mar 1;155(3):e195410. doi: 10.1001/jamasurg.2019.5410. Epub 2020 Mar 18.
PubMed 31913413Golshan M, Wong SM, Loibl S, Huober JB, O'Shaughnessy J, Rugo HS, Wolmark N, Ansell P, Maag D, Sullivan DM, Metzger-Filho O, Von Minckwitz G, Geyer CE Jr, Sikov WM, Untch M. Early assessment with magnetic resonance imaging for prediction of pathologic response to neoadjuvant chemotherapy in triple-negative breast cancer: Results from the phase III BrighTNess trial. Eur J Surg Oncol. 2020 Feb;46(2):223-228. doi: 10.1016/j.ejso.2019.10.002. Epub 2019 Oct 5.
PubMed 31606288Loibl S, O'Shaughnessy J, Untch M, Sikov WM, Rugo HS, McKee MD, Huober J, Golshan M, von Minckwitz G, Maag D, Sullivan D, Wolmark N, McIntyre K, Ponce Lorenzo JJ, Metzger Filho O, Rastogi P, Symmans WF, Liu X, Geyer CE Jr. Addition of the PARP inhibitor veliparib plus carboplatin or carboplatin alone to standard neoadjuvant chemotherapy in triple-negative breast cancer (BrighTNess): a randomised, phase 3 trial. Lancet Oncol. 2018 Apr;19(4):497-509. doi: 10.1016/S1470-2045(18)30111-6. Epub 2018 Feb 28.
PubMed 29501363
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-Controlled, Double-Blind, Phase 3 Study Evaluating Safety and Efficacy of the Addition of Veliparib Plus Carboplatin Versus the Addition of Carboplatin to Standard Neoadjuvant Chemotherapy Versus Standard Neoadjuvant Chemotherapy in Subjects With Early Stage Triple Negative Breast Cancer (TNBC)
- ClinicalTrials.gov ID
- NCT02032277
- Acronym / sponsor ID
- M14-011
- Conditions
- Triple Negative Breast Cancer
- Keywords
- Oncology, Triple negative breast cancer, German Breast Group - GBG 81, United States Oncology - 12152, National Surgical Adjuvant Breast and Bowel Project - B-56-I, Alliance - AFT-04, Grupo Español de Investigación en Cáncer de Mama - GEICAM/2014-02
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 634 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Collaborators
- GBG Forschungs GmbH, NSABP Foundation Inc, Grupo Español de Investigación del Cáncer de Mama, US Oncology Research
- Study start
- 2 Apr 2014 (actual)
- Primary completion
- 18 Mar 2016 (actual)
- Study completion
- 12 Nov 2020 (actual)
- First posted
- 10 Jan 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a 3 arm Phase 3 study to evaluate the safety and efficacy of the addition of veliparib plus carboplatin versus the addition of carboplatin to standard neoadjuvant chemotherapy versus standard neoadjuvant chemotherapy in subjects with early stage TNBC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Arm A | Active comparator | Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Paclitaxel, Drug: Carboplatin, Drug: VeliparibVeliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC) |
| Arm C | Placebo comparator | Drug: Cyclophosphamide, Drug: Placebo, Drug: Doxorubicin, Drug: PaclitaxelPlacebo + placebo + paclitaxel followed by AC. |
| Arm B | Placebo comparator | Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Paclitaxel, Drug: Carboplatin, Drug: PlaceboPlacebo + carboplatin + paclitaxel followed by AC |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Histologically confirmed invasive breast cancer by core needle or incisional biopsy (excisional biopsy is not allowed). Clinical stage T2-3 N0-2 or T1 N1-2 by physical exam or radiologic studies.
- Documented Breast Cancer Gene (BRCA) germline mutation testing.
- Estrogen Receptor (ER)-, Progesterone Receptor (PR)-, and Human Epidermal Growth Factor Receptor (HER)2-negative (triple-negative) cancer of the breast.
- ECOG Performance status of 0 to 1.
- Women must be determined to be not of childbearing potential (surgically sterile, or postmenopausal defined as amenorrheic for at least 12 months) by the Investigator OR they must have a negative serum pregnancy test prior to randomization.
Key exclusion criteria (5 listed)
- Previous anti-cancer treatment (cytotoxic chemotherapy, immunotherapy, biologic therapy radiotherapy or investigational agents) with therapeutic intent for current breast cancer.
- Previous treatment with carboplatin, paclitaxel, doxorubicin, cyclophosphamide and a Poly-(ADP-ribose)-Polymerase (PARP) inhibitor.
- Concurrent treatment with an ovarian hormonal replacement therapy or with hormonal agents such as raloxifene, tamoxifen or other selective estrogen receptor modulator (SERM). Subjects must have discontinued use of such agents prior to beginning study treatment.
- A history of seizure within 12 months prior to study entry.
- Pre-existing neuropathy from any cause in excess of Grade 1.
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 |
|---|---|---|
| CyclophosphamideCyclophosphamide | Drug | Arm A, Arm B, Arm C |
| PlaceboPlacebo for Carboplatin | Drug | Arm C |
| DoxorubicinDoxorubicin | Drug | Arm A, Arm B, Arm C |
| PaclitaxelPaclitaxel | Drug | Arm A, Arm B, Arm C |
| CarboplatinCarboplatin | Drug | Arm A, Arm B |
| VeliparibAlso: ABT-888Veliparib | Drug | Arm A |
| PlaceboPlacebo for Veliparib | Drug | Arm B, Arm C |
Primary outcome
Pathological Complete Response (pCR).
Time frame: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).
Pathological complete response (pCR) in the breast tissue and the lymph node tissue will be assessed upon completion of pre-operative systemic therapy and definitive surgery.
3 secondary outcomes
Event Free Survival (EFS)
Time frame: Up to 4 years from the date of definitive surgery.
Overall Survival (OS)
Time frame: Up to 4 years from the date of definitive surgery.
Rate of eligibility for breast conservation after therapy (BCR).
Time frame: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2021.
- Derived from this study: PubMed 33599688Filho OM, Stover DG, Asad S, Ansell PJ, Watson M, Loibl S, Geyer CE Jr, Bae J, Collier K, Cherian M, O'Shaughnessy J, Untch M, Rugo HS, Huober JB, Golshan M, Sikov WM, von Minckwitz G, Rastogi P, Maag D, Wolmark N, Denkert C, Symmans WF. Association of Immunophenotype With Pathologic Complete Response to Neoadjuvant Chemotherapy for Triple-Negative Breast Cancer: A Secondary Analysis of the BrighTNess Phase 3 Randomized Clinical Trial. JAMA Oncol. 2021 Apr 1;7(4):603-608. doi: 10.1001/jamaoncol.2020.7310.
- Derived from this study: PubMed 31913413Golshan M, Loibl S, Wong SM, Houber JB, O'Shaughnessy J, Rugo HS, Wolmark N, McKee MD, Maag D, Sullivan DM, Metzger-Filho O, Von Minckwitz G, Geyer CE Jr, Sikov WM, Untch M. Breast Conservation After Neoadjuvant Chemotherapy for Triple-Negative Breast Cancer: Surgical Results From the BrighTNess Randomized Clinical Trial. JAMA Surg. 2020 Mar 1;155(3):e195410. doi: 10.1001/jamasurg.2019.5410. Epub 2020 Mar 18.
- Derived from this study: PubMed 31606288Golshan M, Wong SM, Loibl S, Huober JB, O'Shaughnessy J, Rugo HS, Wolmark N, Ansell P, Maag D, Sullivan DM, Metzger-Filho O, Von Minckwitz G, Geyer CE Jr, Sikov WM, Untch M. Early assessment with magnetic resonance imaging for prediction of pathologic response to neoadjuvant chemotherapy in triple-negative breast cancer: Results from the phase III BrighTNess trial. Eur J Surg Oncol. 2020 Feb;46(2):223-228. doi: 10.1016/j.ejso.2019.10.002. Epub 2019 Oct 5.
- Derived from this study: PubMed 29501363Loibl S, O'Shaughnessy J, Untch M, Sikov WM, Rugo HS, McKee MD, Huober J, Golshan M, von Minckwitz G, Maag D, Sullivan D, Wolmark N, McIntyre K, Ponce Lorenzo JJ, Metzger Filho O, Rastogi P, Symmans WF, Liu X, Geyer CE Jr. Addition of the PARP inhibitor veliparib plus carboplatin or carboplatin alone to standard neoadjuvant chemotherapy in triple-negative breast cancer (BrighTNess): a randomised, phase 3 trial. Lancet Oncol. 2018 Apr;19(4):497-509. doi: 10.1016/S1470-2045(18)30111-6. Epub 2018 Feb 28.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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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.
AbbVie Inc. study director
AbbVie
158 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cyclophosphamide, Doxorubicin and Paclitaxel in people with Triple Negative Breast Cancer, run by AbbVie at 158 sites in 15 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 5 inclusion and 5 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 20 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 158 sites in United States, Germany, Spain, Hungary, South Korea and 10 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Pathological Complete Response (pCR). (time frame: At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).). 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 NCT02032277, which also lists 4 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 20 Jan 2021.