Can a simple test match the right chemo to each breast cancer patient?
NCT ID NCT01898117
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a genetic test (BRCA1-like) can help doctors choose the best first chemotherapy for people with advanced triple-negative breast cancer. About 304 participants will receive either carboplatin-cyclophosphamide or paclitaxel, with or without the immunotherapy atezolizumab. The goal is to see if the test predicts which treatment works better, and whether adding atezolizumab helps those with high PD-L1 levels.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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304 people
The number who actually took part.
- Started
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Jul 2013
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Metastasized or locally advanced incurable triple negative breast cancer; patients with stage IV at diagnosis are eligible as well. If the primary lesion is the only measurable lesion according to RECIST criteria, every locoregional treatment must be mentioned to the investigators. * Histologically confirmed triple negative breast cancer (ER: \< 10% nuclear staining of tumor cells on IHC; HER2: either score 0 or 1 at immunohistochemistry or negative at in situ hybridization \[CISH or FISH\] in case of score 2 or 3 on IHC) * Histological confirmation of triple negative breast cancer of a metastatic lesion is recommended * Histological or cytological confirmation of metastatic breast cancer is required in case of normal CA 15.3 levels * Primary tumor or metastasis tissue (10 x10 μm blank slides FFPE tumor material) sent to NKI-AVL for BRCA-like testing * Pretreatment histological biopsy of a metastatic lesion for the translational research questions (tumor tissue from bone metastases cannot be used). * No previous cytotoxic therapy for metastatic disease * Disease-free interval of at least 12 months after completion of adjuvant paclitaxel or platinum compound therapy * Disease-free interval of at least 6 months after completion of adjuvant docetaxel * Measurable disease according to RECIST v1.1 * WHO performance status of 0 or 1 * Adequate bone marrow function: neutrophils ≥ 1.5 x 10E9 cells/l, platelets ≥100 x 10E9 cells/l, Hb ≥ 6.2 mmol/l. * Normal liver function: bilirubin \< 1.5 x upper limit of the normal range (ULN); alkaline phosphatase \< 2.5 x ULN (\< 5 x ULN in case of liver metastases, and \< 7 x ULN in case of bone metastases); transaminases (ASAT/ALAT) \< 2.5 x ULN (and \< 5 x ULN in case of liver metastases). * Normal renal function: \> calculated (Cockcroft-Gault) or measured creatinine clearance \> 50 mL/min * INR \< 1.5 and APTT normal, unless patient is on stable anti-coagulant treatment for at least two weeks with a low molecular weight heparin or coumarin, then an INR within the target range (usually between 2 and 3) is allowed. * Written informed consent Exclusion Criteria: * Receptor conversion to hormone receptor positive (defined as \>= 10% positive ER or PgR tumor cells) or HER2 positive * Another cancer except basal-cell carcinoma of the skin or in situ cervical cancer within the previous 5 years * Other antitumor therapy within the previous 21 days with the exception of endocrine therapy. The patient should have stopped any endocrine therapy before start study treatment. * Radiotherapy with palliative intent within the previous 7 days before randomization. * Known CNS disease except for treated brain metastases. * Uncontrolled serious medical or psychiatric illness * Pre-existing peripheral neuropathy \> grade 1 (NCI-CTC AE (version 4.03)) at inclusion * Severe infection within 4 weeks prior to randomization * received antibiotocs within 2 weeks prior to cycle 1, day 1 * Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomization or anticipation of need for major surgical procedure during the course of the study * New York Heart Association Class II or greater congestive heart failure. LVEF by MUGA, ultrasound or MRI must be ≥ 50% and should be performed within 4 weeks prior to randomization if cardiac failure is suspected. * History of myocardial infarction or unstable angina within 6 months prior to randomization * History of myocardial infarction or unstable angina or unstable arrhytmias within 3 months prior to randomization futher criteria, see protocol
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AZVU
Amsterdam, 1081 HV, Netherlands
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Admiraal de Ruyter ziekenhuis
Goes, Netherlands
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Albert Schweitzer Ziekenhuis
Dordrecht, Netherlands
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Amphia
Breda, Netherlands
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BovenIJ
Amsterdam, 1034 CS, Netherlands
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Bravis ziekenhuis
Roosendaal, Netherlands
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Catharina ziekenhuis
Eindhoven, Netherlands
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Deventer ziekenhuis
Deventer, 7416 SE, Netherlands
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Diakonessenziekenhuis
Utrecht, Netherlands
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Dijklander ziekenhuis
Hoorn, Netherlands
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Elisabeth Tweesteden ziekenhuis
Tilburg, 5042 AD, Netherlands
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Gelre Ziekenhuis
Apeldoorn, Netherlands
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Groene Hart
Gouda, 2803 HH, Netherlands
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Groene Hart Ziekenhuis
Gouda, Netherlands
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Haaglanden MC
Leidschendam, 2262 BA, Netherlands
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Haga
The Hague, 2545 CH, Netherlands
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IJsselland ziekenhuis
Capelle aan den IJssel, 2906 ZC, Netherlands
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Ikazia
Rotterdam, 3083 AN, Netherlands
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Isala Klinieken
Zwolle, 8025 AB, Netherlands
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Jeroen Bosch ziekenhuis
Eindhoven, Netherlands
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LUMC
Leiden, 2333 ZA, Netherlands
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Lievensberg ziekenhuis
Bergen op Zoom, 4624 VT, Netherlands
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MCA
Alkmaar, 1815 JD, Netherlands
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MCL
Leeuwarden, 8934 AD, Netherlands
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MUMC
Maastricht, Netherlands
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Maasstad Ziekenhuis
Rotterdam, Netherlands
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Martini Ziekenhuis
Groningen, Netherlands
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Maxima Medisch Centrum
Eindhoven, 5631 BM, Netherlands
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Meander Medisch Centrum
Amersfoort, Netherlands
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Medisch Spectrum Twente (MST)
Enschede, Netherlands
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Netherlands Cancer Institute
Amsterdam, 1066 CX, Netherlands
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Nijsmellinghe
Drachten, 9202 NN, Netherlands
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Noordwest Ziekenhuis Groep
Alkmaar, Netherlands
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OLVG
Amsterdam, Netherlands
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Reinier de Graaf Gasthuis
Delft, Netherlands
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Rijnstate
Arnhem, Netherlands
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Rode Kruis Ziekenhuis
Beverwijk, 1940 EB, Netherlands
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Spaarne Gasthuis
Hoofddorp, 2134 TM, Netherlands
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St. Antonius ziekenhuis
Nieuwegein, Netherlands
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St. Fransicus Gasthuis
Rotterdam, 3045 PM, Netherlands
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St. Jansdal
Harderwijk, Netherlands
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Stichting Franciscus Vlietland Groep locatie Gasthuis
Rotterdam, Netherlands
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Tergooi ziekenhuizen
Hilversum, Netherlands
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UMCU
Utrecht, Netherlands
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VieCuri Medisch Centrum voor Noord-Limburg
Venlo, Netherlands
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Vlietland ziekenhuis
Schiedam, 3118 JH, Netherlands
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ZGT
Almelo, 7609 PP, Netherlands
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Ziekenhuis Gelderse Vallei
Ede, 6716 RP, Netherlands
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Zuyderland
Sittard, Netherlands
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