Breast CancerPhase 2NeoURANIANCT06510465
Neoadjuvant Therapy With Weekly Utidelone Combined With Cisplatin for Patients With Breast Cancer (NeoURANIA)
A Phase 2 study testing utidelone, Cisplatin and Trastuzumab in people with Breast Cancer, run by RenJi Hospital at 2 sites in China.
Trial summary
This study is a prospective, multi-center, single-arm, two-cohort, exploratory study, aiming to explore the effectiveness and safety of neoadjuvant treatment with weekly utidelone combined with cisplatin in breast cancer patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- utidelone, Cisplatin and Trastuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 143 participants
- Where
- 2 sitesChina
- Study dates
- 1 Aug 2024to 31 Mar 2032
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥18 years old;
- Primary invasive breast cancer confirmed by pathology; Before neoadjuvant therapy, the primary breast lesion was larger than 2cm(cT2-T4a-d, according to the anatomical staging of AJCC 8th edition), or the clinical images of lymph nodes considered metastasis or pathologically confirmed metastasis (CN+); or patients whose primary breast lesions are more than 1cm and less than 2cm, and whose lymph nodes have not metastasized (cT1cN0) must meet one of the following conditions: hormone receptor negative, HER2 positive, or ki67 greater than 20%. If bilateral breast cancer is found at the same time, it can be admitted to the group, but it is necessary to determine which side of the lesion is to be evaluated before taking the drug;
- According to the RECIST version 1.1 standard (see Annex I), there is at least one measurable lesion before neoadjuvant therapy;
- The score of ECOG is 0 or 1;
- During neoadjuvant therapy, ovarian function suppression can be given at the same time;
- The hematological examination and blood biochemical examination should meet the following requirements: white blood cell count (WBC)≥3.0×109/L, neutrophil count (ANC)≥1.5×109/L and platelet count (PLT) ≥ 75× 109/L; Hemoglobin (HB) ≥ 80g/L; Total bilirubin (TBIL)≤1.5× upper limit of normal value (ULN), AST(sGOT), ALT(sGPT)≤2×ULN and creatinine (Cr) ≤ 1.5× ULN;
- creatinine clearance rate ≥50mL/min(Cockcroft-Gault formula);
- Subjects voluntarily joined the study, signed the informed consent form, and had good compliance and cooperated with the follow-up.
Who cannot join
- Patients during pregnancy and lactation, patients with fertility and positive baseline pregnancy test, or women of childbearing age who are unwilling to take effective contraceptive measures during the whole trial period;
- There is distant metastasis of breast cancer confirmed by imaging or pathology before enrollment;
- There is evidence of sensory or motor nerve diseases;
- Severe cardiopulmonary insufficiency, severe hepatic and renal insufficiency, severe concomitant disease or active infection, including known HIV infection;
- allergic to the research drug or its auxiliary materials;
- Arterial/venous thrombotic events, such as cerebrovascular accident (including transient ischemic attack), deep venous thrombosis and pulmonary embolism, occurred within 6 months before the start of the study;
- Previous history of other malignant tumors, except the cured basal cell carcinoma of the skin, carcinoma in situ of the cervix, and the second primary malignant tumor with high 5-year recurrence-free survival rate determined by researchers;
- According to the researcher's judgment, there are accompanying diseases (including but not limited to uncontrollable hypertension, severe diabetes, active infection, thyroid disease, etc.) that seriously endanger the patient's safety or affect the patient's completion of the study, and any other circumstances that the researcher judges that the patient is not suitable for participating in this study.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
China2 sites
Renji Hospital, School of Medicine, Shanghai Jiao Tong University
Shanghai, Shanghai Municipality, 200127
Renji Hospital
Shanghai
About this study
Official title: Neoadjuvant Therapy With Weekly Utidelone Combined With Cisplatin for Patients With Breast Cancer (NeoURANIA): A Multi-center, Prospective Study
This study is a prospective, multi-center, single-arm, two-cohort, exploratory study, aiming to explore the effectiveness and safety of neoadjuvant treatment with weekly utidelone combined with cisplatin in breast cancer patients.
Read the detailed description
Explore the effectiveness and safety of neoadjuvant treatment with weekly utidelone combined with cisplatin in high risk early, locally advanced and Inflammatory breast cancer patients.
- Conditions
- Breast Cancer
- Being tested
- utidelone, Cisplatin, Trastuzumab, Pertuzumab
- Keywords
- breast cancer, utidelone, cisplatin, neoadjuvant therapy
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
utideloneDrug
Also called UTD1
utidelone 50mg/m2,ivgtt,d1,8,15,22, q28d, up to 4 cycle;
CisplatinDrug
Also called DDP
cisplatin25mg/m2,ivgtt,d1,8,15;q28d, up to 4 cycle.
TrastuzumabDrug
Trastuzumab 8mg/kg, ivgtt, d1, then 6mg/kg, q21d or Trastuzumab 4mg/kg, ivgtt, d1, then 2mg/kg, q7d or Trastuzumab Injection(Subcutaneous Injection)600mg,subcutaneous Injection,d1,q21d
PertuzumabDrug
Pertuzumab 840mg, ivgtt, d1, then 420mg, q21d or Pertuzumab/trastuzumab/hyaluronidase
| Study group | Role | What they receive |
|---|---|---|
| HER2 negative breast cancer cohort | Experimental | Human Epidermal Growth Factor Receptor 2 (HER2 ) negative breast cancer utidelone and cisplatin Receives: Drug: utidelone; Drug: Cisplatin |
| HER2 positive breast cancer cohort | Experimental | Human Epidermal Growth Factor Receptor 2 (HER2 ) positive breast cancer utidelone,cisplatin,tratuzumab and pertuzumab (both Intravenous preparations or subcutaneous preparations can be used) Receives: Drug: utidelone; Drug: Cisplatin; Drug: Trastuzumab; Drug: Pertuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
pCR
ypT0/is ypN0
Measured: through surgery completion, an average of 16 weeks
Secondary outcomes (16)
breast pCR
ypT0/is
Measured: through surgery completion, an average of 16 weeks
RCB 0/I rate
ratio of patients who achieved RCB 0 or RCB I
Measured: through surgery completion, an average of 16 weeks
RCB class
RCB 0, RCB I, RCB II, RCB III
Measured: through surgery completion, an average of 16 weeks
Rate of lymph node negative
ratio of patients who achieved lymph node negative
Measured: through surgery completion, an average of 16 weeks
ORR by physical examination
ratio of patients who achieved complete response or partial response by physical examination
Measured: After completing neoadjuvant therapy before surgery, an average of 16 weeks
ORR by MRI
ratio of patients who achieved complete response or partial response by MRI
Measured: After completing neoadjuvant therapy before surgery, an average of 16 weeks
CBR by physical examination
ratio of patients who achieved complete response or partial response or stable disease by physical examination
Measured: After completing neoadjuvant therapy before surgery, an average of 16 weeks
CBR by MRI
ratio of patients who achieved complete response or partial response or stable disease by MRI
Measured: After completing neoadjuvant therapy before surgery, an average of 16 weeks
iDFS
It is defined as the time from first dose of study intervention administration to the first occurrence of ipsilateral invasive cancer recurrence, contralateral invasive breast cancer, local and/or regional invasive cancer recurrence, distant metastasis or death from any cause.
Measured: 2year,3year,5year,8year,10year
EFS
It is defined as the time from first dose of study intervention administration to the first occurrence of local and/or regional recurrence, contralateral breast cancer, distant metastasis or death from any cause.
Measured: 2year,3year,5year,8year,10year
DDFS
It is defined as the time from first dose of study intervention administration to the first distant metastasis or death from any cause.
Measured: 2year,3year,5year,8year,10year
OS
It is defined as the time from first dose of study intervention administration to death from any cause.
Measured: 2year,3year,5year,8year,10year
Quality of Life
EORTC-QLQ-C30
Measured: Through study completion,an average of 1 year
Quality of Life
EORTC-QLQ-BR23
Measured: Through study completion,an average of 1 year
Safety
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Measured: Through study completion,an average of 1 year
Combine with weekly paclitaxel with cispltin in HER2-negative and HER2-positive patients
Combine with weekly paclitaxel with cispltin in HER2-negative and HER2-positive patients
Measured: After completing neoadjuvant therapy before surgery, an average of 16 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2024
- Study start1 Aug 2024 (estimated)
- Primary completion31 Mar 2027 (estimated)
- Study completion31 Mar 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by RenJi HospitalThe 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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 143 participants (estimated)
Sponsor and investigators
- Lead sponsor
- RenJi Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06510465
- Sponsor's protocol ID
- SHPD009
- Acronym
- NeoURANIA
- Status last verified
- Jul 2024
- First submitted
- 23 May 2024
- Last updated
- 19 Jul 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Neoadjuvant Therapy With Weekly Utidelone Combined With Cisplatin for Patients With Breast Cancer (NeoURANIA): A Multi-center, Prospective Study
- ClinicalTrials.gov ID
- NCT06510465
- Acronym / sponsor ID
- NeoURANIA / SHPD009
- Conditions
- Breast Cancer
- Keywords
- breast cancer, utidelone, cisplatin, neoadjuvant therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 143 participants (estimated)
- Lead sponsor
- RenJi HospitalUniversity, hospital or other
- Study start
- 1 Aug 2024 (estimated)
- Primary completion
- 31 Mar 2027 (estimated)
- Study completion
- 31 Mar 2032 (estimated)
- First posted
- 19 Jul 2024 (actual)
- 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 study is a prospective, multi-center, single-arm, two-cohort, exploratory study, aiming to explore the effectiveness and safety of neoadjuvant treatment with weekly utidelone combined with cisplatin in breast cancer patients.
Detailed description
Explore the effectiveness and safety of neoadjuvant treatment with weekly utidelone combined with cisplatin in high risk early, locally advanced and Inflammatory breast cancer patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HER2 negative breast cancer cohort | Experimental | Drug: utidelone, Drug: CisplatinHuman Epidermal Growth Factor Receptor 2 (HER2 ) negative breast cancer utidelone and cisplatin |
| HER2 positive breast cancer cohort | Experimental | Drug: utidelone, Drug: Cisplatin, Drug: Trastuzumab, Drug: PertuzumabHuman Epidermal Growth Factor Receptor 2 (HER2 ) positive breast cancer utidelone,cisplatin,tratuzumab and pertuzumab (both Intravenous preparations or subcutaneous preparations can be used) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age ≥18 years old;
- Primary invasive breast cancer confirmed by pathology; Before neoadjuvant therapy, the primary breast lesion was larger than 2cm(cT2-T4a-d, according to the anatomical staging of AJCC 8th edition), or the clinical images of lymph nodes considered metastasis or pathologically confirmed metastasis (CN+); or patients whose primary breast lesions are more than 1cm and less than 2cm, and whose lymph nodes have not metastasized (cT1cN0) must meet one of the following conditions: hormone receptor negative, HER2 positive, or ki67 greater than 20%. If bilateral breast cancer is found at the same time, it can be admitted to the group, but it is necessary to determine which side of the lesion is to be evaluated before taking the drug;
- According to the RECIST version 1.1 standard (see Annex I), there is at least one measurable lesion before neoadjuvant therapy;
- The score of ECOG is 0 or 1;
- During neoadjuvant therapy, ovarian function suppression can be given at the same time;
Key exclusion criteria (8 listed)
- Patients during pregnancy and lactation, patients with fertility and positive baseline pregnancy test, or women of childbearing age who are unwilling to take effective contraceptive measures during the whole trial period;
- There is distant metastasis of breast cancer confirmed by imaging or pathology before enrollment;
- There is evidence of sensory or motor nerve diseases;
- Severe cardiopulmonary insufficiency, severe hepatic and renal insufficiency, severe concomitant disease or active infection, including known HIV infection;
- allergic to the research drug or its auxiliary materials;
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 |
|---|---|---|
| utideloneAlso: UTD1utidelone 50mg/m2,ivgtt,d1,8,15,22, q28d, up to 4 cycle; | Drug | HER2 negative breast cancer cohort, HER2 positive breast cancer cohort |
| CisplatinAlso: DDPcisplatin25mg/m2,ivgtt,d1,8,15;q28d, up to 4 cycle. | Drug | HER2 negative breast cancer cohort, HER2 positive breast cancer cohort |
| TrastuzumabTrastuzumab 8mg/kg, ivgtt, d1, then 6mg/kg, q21d or Trastuzumab 4mg/kg, ivgtt, d1, then 2mg/kg, q7d or Trastuzumab Injection(Subcutaneous Injection)600mg,subcutaneous Injection,d1,q21d | Drug | HER2 positive breast cancer cohort |
| PertuzumabPertuzumab 840mg, ivgtt, d1, then 420mg, q21d or Pertuzumab/trastuzumab/hyaluronidase | Drug | HER2 positive breast cancer cohort |
Primary outcome
pCR
Time frame: through surgery completion, an average of 16 weeks
ypT0/is ypN0
16 secondary outcomes
breast pCR
Time frame: through surgery completion, an average of 16 weeks
RCB 0/I rate
Time frame: through surgery completion, an average of 16 weeks
RCB class
Time frame: through surgery completion, an average of 16 weeks
Rate of lymph node negative
Time frame: through surgery completion, an average of 16 weeks
ORR by physical examination
Time frame: After completing neoadjuvant therapy before surgery, an average of 16 weeks
ORR by MRI
Time frame: After completing neoadjuvant therapy before surgery, an average of 16 weeks
CBR by physical examination
Time frame: After completing neoadjuvant therapy before surgery, an average of 16 weeks
CBR by MRI
Time frame: After completing neoadjuvant therapy before surgery, an average of 16 weeks
iDFS
Time frame: 2year,3year,5year,8year,10year
EFS
Time frame: 2year,3year,5year,8year,10year
DDFS
Time frame: 2year,3year,5year,8year,10year
OS
Time frame: 2year,3year,5year,8year,10year
Quality of Life
Time frame: Through study completion,an average of 1 year
Quality of Life
Time frame: Through study completion,an average of 1 year
Safety
Time frame: Through study completion,an average of 1 year
Combine with weekly paclitaxel with cispltin in HER2-negative and HER2-positive patients
Time frame: After completing neoadjuvant therapy before surgery, an average of 16 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jul 2024.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing utidelone, Cisplatin and Trastuzumab in people with Breast Cancer, run by RenJi Hospital at 2 sites in China.
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 8 inclusion and 8 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: opening soon, as of the sponsor's last update on 19 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in China. 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 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.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
pCR (time frame: through surgery completion, an average of 16 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Jul 2024.