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OncoMatch/Clinical Trials/NCT05420454

A Study for the Neoadjuvant Treatment of Breast Cancer

Is NCT05420454 recruiting? Yes, currently enrolling (May 2026). This Phase 4 trial studies multiple treatments for breast cancer.

Phase 4RecruitingSecond Affiliated Hospital, School of Medicine, Zhejiang UniversityNCT05420454Data as of May 2026

Treatment: Docetaxel · Carboplatin · Trastuzumab · Pertuzumab · Nab paclitaxel · Epirubicin · Cyclophosphamide · Docetaxel · Epirubicin · Cyclophosphamide · Nab paclitaxelDue to the unique advantages of albumin-bound paclitaxel, several studies in China and abroad have tried to use albumin-bound paclitaxel for neoadjuvant treatment of breast cancer up to now. However, comparative studies between paclitaxel and docetaxel are still rare, In this study, a prospective, randomized, open-label, multi-center clinical study was conducted to analyse the efficacy and safety of albumin-bound paclitaxel and docetaxel in the neoadjuvant treatment of breast cancer, and to further analyse the efficacy and safety of albumin paclitaxel in combination with chemotherapy for postoperative breast cancer in different subtypes of breast cancer patients, in order to obtain more realistic data and provide new treatment options for breast cancer patients.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 expression >1% (>1%)

ER/PR positive defined as stained cells >1%

Required: PR (PGR) expression >1% (>1%)

ER/PR positive defined as stained cells >1%

Required: HER2 (ERBB2) overexpression (IHC 3+ or IHC 2+ with a positive FISH test)

HER2 positive defined as IHC 3+ or IHC 2+ with a positive FISH test

Required: ESR1 negative (negative)

Triple-negative breast cancer (TNBC): ER/PR negative, HER2 negative

Required: PR (PGR) negative (negative)

Triple-negative breast cancer (TNBC): ER/PR negative, HER2 negative

Required: HER2 (ERBB2) negative (negative)

Triple-negative breast cancer (TNBC): ER/PR negative, HER2 negative

Required: MKI67 expression level known (known)

known hormone receptor status (estrogen receptor [ER], progesterone receptor [PR]) and HER2 status with known Ki67 expression levels

Disease stage

Excluded: Stage DISTANT METASTASIS

The tumor is >2cm, and the clinical stage is consistent with cT stage 2-4; or lymph node metastasis with clear clinical/pathological evidence

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: radiotherapy

Radiotherapy...for currently diagnosed breast cancer prior to study entry

Cannot have received: chemotherapy

chemotherapy...for currently diagnosed breast cancer prior to study entry

Cannot have received: biotherapy

biotherapy...for currently diagnosed breast cancer prior to study entry

Cannot have received: endocrine therapy

endocrine therapy for currently diagnosed breast cancer prior to study entry

Lab requirements

Blood counts

neutrophils≥1.5×10^9/L, platelets≥100×10^9/L, hemoglobin≥90g/L

Kidney function

serum creatinine ≤1.5 times the upper limit of normal

Liver function

AST and ALT ≤3 times the upper limit of normal; total bilirubin ≤1.5 times the upper limit of normal, or ≤2.5 times the upper limit of normal when the patient has Gilbert's syndrome

Cardiac function

ECG and echocardiography must confirm normal cardiac function within 3 months prior to randomization. Left ventricular ejection fraction (LVEF) must be ≥55%

Electrocardiogram (ECG) and echocardiography must confirm normal cardiac function within 3 months prior to randomization. Left ventricular ejection fraction (LVEF) must be ≥55%; serum creatinine ≤1.5 times the upper limit of normal; AST and ALT ≤3 times the upper limit of normal; total bilirubin ≤1.5 times the upper limit of normal, or ≤2.5 times the upper limit of normal when the patient has Gilbert's syndrome; neutrophils≥1.5×10^9/L, platelets≥100×10^9/L, hemoglobin≥90g/L

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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