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. 2017 Mar 22;6:7. doi: 10.1186/s40164-017-0066-5

Table 3.

Selected ongoing studies of nab-paclitaxel in all stages of breast cancer

Study, ClinicalTrials.gov identifier Phase Planned N Patient population or stage of disease Regimen Primary endpoint
Early-stage (n = 4)
 GAIN-2, NCT01690702 [66] III 2886 High risk, after R0 resection Adjuvant epirubicin 150 mg/m2 q2w × 3 cycles → nab-P 260-330 mg/m2 × 3 cycles (TBD in run-in-phase) q2w → cyclophosphamide 2000 mg/m2 q2w × 4 cycles iDFS
EC q2w → docetaxel q2w
 ETNA, NCT01822314 III 632 High risk HER2− Neoadjuvant nab-P 125 mg/m2 qw 3/4 × 4 cycles → AC, EC, or FEC × 4 cycles pCR
Neoadjuvant paclitaxel 90 mg/m2 qw 3/4 × 4 cycles → AC, EC, or FEC × 4 cycles
 NCT00618657 II 120 Stage I–III Neoadjuvant nab-P + carbo + trastuz for HER2+ qw × 12 weeks PFS
Neoadjuvant nab-P + carbo qw × 12 cycles + bev q2w × 5 cycles for HER2−
 NCT02530489 II 37 TNBC nonmetastatic Neoadjuvant nab-P 100 mg/m2 + atezolizumab pCR
 NCT02489448 I/II 61 Stage I–III TNBC Neoadjuvant durvalumab + nab-P qw × 12 cycles → ddAC × 4 cycles pCR (ypT0/Tis, ypN0)
Metastatic or advanced stage (n = 12)
 PERUSE, NCT01572038 [43] III 1500 HER2+ Trastuz + pertuzumab + taxane of choice Safety
 IMpassion130, NCT02425891 III 350 Untreated locally advanced or metastatic TNBC nab-P + atezolizumab PFS
nab-P + placebo
 tnAcity, NCT01881230 [48] II/III 790 TNBC Selected nab-P regimen from phase II portion (either nab-P 125 mg/m2 + gem 1000 mg/m2 d1, 8 q3w or
nab-P 125 mg/m2 + carbo AUC 2 d1, 8 q3w)
PFS
Gem 1000 mg/m2 + carbo AUC 2 d1, 8 q3w
 SNAP, NCT01746225 [48] II 258 HER2− MBC Induction nab-P 125 mg/m2 qw 3/4 × 3 cycles in all patients → randomization into 3 arms: nab-P 150 mg/m2 q2w ORR by RECIST v1.1
nab-P 100 mg/m2 qw 3/4
nab-P 75 mg/m2 qw
 NCT00733408 II 63 MBC Induction nab-P qw 3/4 + bev q2w → maintenance with bev q2w or q3w + erlotinib qd PFS
 NCT01730833 II 50 Stage II–IV HER2+ LABC and MBC Pertuzumab q3w + trastuz qw + nab-P qw PFS
 NCT01463072 II 40 LABC or MBC in ≥65-year-old patients nab-P qw 3/4 Tolerability
 PembroPlus, NCT02331251 I/II 90 MBC and other solid tumor types Pembrolizumab + chemotherapy, including nab-P RP2D
 NCT02379247 I/II 54 Locally recurrent BC or MBC PI3K inhibitor BYL719 + nab-P 100 mg/m2 qw 3/4 Phase I, RP2D; phase II, ORR
 NCT01938833 I/II 47 Metastatic inflammatory BC nab-P + romidepsin qw 3/4 MTD, PFS
 STELA, NCT02073916 [46] I/II 45 HER2+ MBC T-DM1 + lapatinib + nab-P MTD
 NCT02309177 I 138a Recurrent MBC and other solid tumor types Nivolumab + nab-P 100 mg/m2 qw 3/4a DLTs, safety
Nivolumab + nab-P 260 mg/m2 q3wa

AC doxorubicin + cyclophosphamide, AUC area under the curve, BC breast cancer, bev bevacizumab, carbo carboplatin, ddAC dose-dense AC, DLT dose-limiting toxicity, EC epirubicin + cyclophosphamide, FEC fluorouracil, epirubicin, and cyclophosphamide, gem gemcitabine, HER2 human epidermal growth factor receptor 2, iDFS invasive disease-free survival, is in situ, LABC locally advanced breast cancer, MBC metastatic breast cancer, MTD maximum tolerated dose, nab-P nab-paclitaxel, ORR overall response rate, pCR pathologic complete response, PD-L1 programmed death-ligand 1, PFS progression-free survival, PI3K phosphoinositide 3-kinase, q2w every 2 weeks, q3w every 3 weeks, qd daily, qw weekly, qw 3/4 first 3 of 4 weeks, R resection margin, RECIST Response Evaluation Criteria In Solid Tumors, RP2D recommended phase 2 dose, T primary tumor, TBD to be determined, T-DM1 trastuzumab emtansine, TNBC triple-negative breast cancer, trastuz trastuzumab, yp postneoadjuvant therapy

aPertains to MBC arms only