UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029433
Receipt number R000029940
Scientific Title Prospective study of neoadjuvant chemotherapy with FEC100x4 for BRCAness cases in triple negative breast cancer
Date of disclosure of the study information 2017/10/05
Last modified on 2025/04/10 10:43:02

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Basic information

Public title

Prospective study of neoadjuvant chemotherapy with FEC100x4 for BRCAness cases in triple negative breast cancer

Acronym

Neoadjuvant chemotherapy for BRCAness

Scientific Title

Prospective study of neoadjuvant chemotherapy with FEC100x4 for BRCAness cases in triple negative breast cancer

Scientific Title:Acronym

Neoadjuvant chemotherapy for BRCAness

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The efficacy of anthracycline based chemotherapy is investigated for BRCAness
homologous recombination deficiency cases in triple negative breast cancer patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

pathologic complete response(pCR)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Patients who have obtained consent from tis study will start neoadjuvant chemotherapy with the following 3 anti-cancer drugs every 3 weeks for a total of 4 cycles.
Fluorouracil 500mg/m2 Epirubicin 100mg/m2 Cyclophosphamide 100m/m2
BRCAness is examined and cases with non-BRCAness will be taken Taxan every 3 weeks, for a total of 4 cycles.

Interventions/Control_2

Cases with BRCAness will undergo surgery without adding Taxan. If pCR is not obtained, Taxan will be given.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Female

Key inclusion criteria

1.Patients with primary breast cancer who indicates the neoadjuvant chemotherapy from stage 1-3
2.PS 0-1
3.normal cardiac function
4.clinical examination is normal

Key exclusion criteria

1.Patients who have been administered moderate doses of anti-cancer drugs.
2.Patients who have been undergone gastrointestinal surgery
3.Active double cancers
4.Pregnant, lactating, possible pregnancy, having oral contraceptive
5.Patients who the investigator judged unsuitable for this trial

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Ishikawa

Organization

Tokyo medical university hospital

Division name

breast oncology

Zip code

1600023

Address

6-1-1 Nishishinnjyuku Shinjyuku-ku Tokyo

TEL

0333516141

Email

tishik55@gmail.com


Public contact

Name of contact person

1st name Saeko
Middle name
Last name Teraoka

Organization

Tokyo medical university hospital

Division name

breast oncology

Zip code

1600023

Address

6-1-1 Nishishinnjyuku Shinjyuku-ku Tokyo

TEL

0333516141

Homepage URL


Email

s_teraoka0809@yahoo.co.jp


Sponsor or person

Institute

Tokyo medical university

Institute

Department

Personal name



Funding Source

Organization

Tokyo medical university cancer institute.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

FALCO biosystems

Name of secondary funder(s)



IRB Contact (For public release)

Organization

TokyoMedicalUniversityHospital

Address

6-7-1 Nishishinnjyuku Shinjyuku-ku Tokyo

Tel

0333426111

Email

s_teraoka0809@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 10 Month 05 Day


Related information

URL releasing protocol

https://www.clinical-breast-cancer.com/article/S1526-8209(24)00297-0/fulltext

Publication of results

Unpublished


Result

URL related to results and publications

https://www.clinical-breast-cancer.com/article/S1526-8209(24)00297-0/fulltext

Number of participants that the trial has enrolled

224

Results

The overall detection rate by MMG was 82.6% and significantly lower in patients with dense breasts (74.4%) compared to non-dense breasts (93.7%). The overall detection rate by AICS breast was 50.0%, with no difference between patients with dense breasts (45.7%) and those with non-dense breasts (55.8%). The combination of MMG and AICS breast increased the detection rate to 91.5% overall, 88.3% in patients with dense breasts, and 95.8% in those with non-dense breasts.

Results date posted

2025 Year 04 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This study included breast cancer patients who participated before undergoing surgery. The enrollment period was 26 months, from January 2017 to March 2019.

The median age was 60.7 years.The median body mass index was 22.8.
In MMG, the breast density was categorized as follows: 21 individuals (9.4%) had extremely dense breasts, 108 individuals (48.2%) had heterogeneous dense breasts, 67 individuals (29.9%) had scattered breasts, and 28 individuals (12.5%) had fatty breasts. Dense breasts (i.e., extremely dense and heterogeneous dense) were present in 129 individuals (57.6%), while non-dense breasts (scattered + fatty) were present in 95 individuals (42.4%).

Participant flow

We explained the trial outline to patients scheduled for surgery at Tokyo Medical University and included those who agreed to participate in the trial. Participants were asked to cooperate with blood sampling before the surgery.

Adverse events

Since it only involved imaging diagnosis and blood tests, no adverse events associated with this exam were observed.

Outcome measures

PFAA concentration was measured using liquid chromatography-mass spectrometry, and the AICS breast and AICS ranks were calculated. Detection rates were compared between MMG (categories 3-5) and AICS breasts (ranks B and C) according to breast density.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 05 Month 01 Day

Date of IRB

2015 Year 05 Month 05 Day

Anticipated trial start date

2015 Year 06 Month 01 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 10 Month 05 Day

Last modified on

2025 Year 04 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029940