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This study will look at effects the combination of palbociclib and dose-dense neoadjuvant chemotherapy may have on triple negative breast cancer tumours which have not yet been treated.
Patients will be randomized to one of two treatment arms (1:1 ratio). Dose-Dense neoadjuvant chemotherapy in the first 8 weeks of will be: epirubicin (90mg/m2) and cyclophosphamide (600mg/m2), followed by paclitaxel (80mg / m2) after 8 weeks, cycled every 14 days for total 8 cycles.
Palbociclib will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week [28 days] cycle.
Arm I: Palbociclib combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.
Arm II: Placebo combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks.
Note:
Following completion of study therapy, surgery will be scheduled for 18-20 weeks post-randomization.
Post-surgical treatment will be at the discretion of treating clinician, following postoperative pathology.
After week 16 (end of study therapy) all patients should continue Palbociclib for one year.
Toxicity will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | Arm I: Palbociclib combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks. |
|
| Control group | Placebo Comparator | Arm II: Placebo combined with Dose-Dense neoadjuvant chemotherapy for total 16 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palbociclib | Drug | Palbociclib will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week [28 days] cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| pCR | Percentage of Participants With Pathological Complete Response (pCR) at the Time of Surgery. | Through study completion, an average of 1 year. |
| Measure | Description | Time Frame |
|---|---|---|
| DFS | Disease-free Survival | Following surgery until Year 3 |
| ORR | Objective Response Rate (ORR) during neoadjuvant period | Through study completion, an average of 1 year. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ding Xiaowen, DR. | Contact | +86 13588054604 | dingxw@zjcc.org.cn | |
| Ding Yuqin | Contact | +86 13588255651 | 13588255651@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Ding Xiaowen, DR. | Zhejiang Cancer Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D001941 | Breast Diseases |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
| D015251 | Epirubicin |
| D003520 | Cyclophosphamide |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D004317 | Doxorubicin |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
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| Placebo oral capsule | Drug | Placebo oral capsule will be administered orally as 125mg capsules, daily on a schedule of 3 weeks (21 days) on, 1 week (7 days) off of a 4 week [28 days] cycle. |
|
| Epirubicin | Drug | Epirubicin (90mg/m2, D1) cycled every 14 days for the first 4 cycles. |
|
| Cyclophosphamide | Drug | Cyclophosphamide (600mg/m2, D1) cycled every 14 days for the first 4 cycles. |
|
| Paclitaxel | Drug | Paclitaxel (80mg/m2, D1) cycled every 14 days for the later 4 cycles. |
|
| AEs | Number and severity of adverse events.Toxicity will be graded according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0). | baseline and weekly through 12 months after randomization |
| D011084 |
| Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D004224 | Diterpenes |
| D013729 | Terpenes |