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Table 1 Eligibility criteria for the Triple-Negative Albumin-bound paclitaxel Combination International Treatment Study (tnAcity) trial

From: Phase II/III weekly nab-paclitaxel plus gemcitabine or carboplatin versus gemcitabine/carboplatin as first-line treatment of patients with metastatic triple-negative breast cancer (the tnAcity study): study protocol for a randomized controlled trial

Key inclusion criteria

Key exclusion criteria

Female, aged ≥ 18 years

Concurrent chemotherapy or any other antitumor breast cancer therapy

Measurable metastatic disease

Pathologically confirmed as triple negative, defined as ER and PR expression both < 1 % of tumor cell nuclei per ASCO/CAP guidelinesa and HER2 negative per ASCO/CAP guidelinesa (IHC 0 or 1+ or FISH−, or IHC 2+ and FISH−)

Concurrent chemotherapy or any other antitumor therapy for breast cancer. Prior immunotherapy or monoclonal antibody therapy for metastatic breast cancer is acceptable

If prior ER/PR/HER2+ breast cancer history, must have pathologically confirmed TN disease in ≥ 1 metastatic site

Receipt of prior cytotoxic chemotherapy after incomplete resection of locoregional recurrent disease

ECOG PS 0–1

History or current evidence of brain metastasis, including leptomeningeal involvement

No prior cytotoxic chemotherapy for metastatic disease; prior radiation therapy allowed

History of other primary malignancy in the past 5 years, except prior history of breast or in situ/basal/localized squamous cell skin cancer

Must have received previous adjuvant or neoadjuvant anthracycline therapy unless not indicated by physician

Baseline peripheral neuropathy grade ≥ 2 by NCI CTCAE v4.0

Patients with newly diagnosed mTNBC are eligible if anthracycline not indicated by physician

Patients with bone as the only site of metastatic disease

Completion of prior neoadjuvant or adjuvant chemotherapy ≥ 6 months before randomization or ≥ 12 months if containing taxane, gemcitabine, or platinum agents

Patients with regional lymph node as the only site of metastatic disease

  1. aLocal pathology review will be conducted following ASCO CAP guidelines (2013 preferred, 2007 acceptable)
  2. ASCO, American Society of Clinical Oncology, CAP College of American Pathologists, ECOG PS Eastern Cooperative Oncology Group performance status, ER estrogen receptor, FISH fluorescence in situ hybridization, HER2 human epidermal growth factor receptor 2, IHC immunohistochemistry, mTNBC metastatic triple-negative breast cancer, NCI CTCAE National Cancer Institute Common Terminology Criteria for Adverse Events, PR progesterone receptor, TN triple-negative, TNBC triple-negative breast cancer