A randomised phase III trial of gemcitabine in paclitaxel-containing, epirubicin-based, adjuvant chemotherapy for women with early stage breast cancer

ISRCTN ISRCTN51146252
DOI https://doi.org/10.1186/ISRCTN51146252
EudraCT/CTIS number 2004-002927-41
ClinicalTrials.gov number NCT00039546
Secondary identifying numbers N/A
Submission date
01/07/2001
Registration date
01/07/2001
Last edited
17/10/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Shrushma Loi
Scientific

CRUK Clinical Trials Unit
Institute for Cancer Studies
The University of Birmingham
Edgbaston
Birmingham
B15 2TT
United Kingdom

Phone +44 (0)121 414 3789
Email tango@trials.bham.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA randomised phase III trial of gemcitabine in paclitaxel-containing, epirubicin-based, adjuvant chemotherapy for women with early stage breast cancer
Study acronymTANGO
Study objectivesIn women with early stage breast cancer, the addition of gemcitabine to paclitaxel-containing, epirubicin-based, adjuvant chemotherapy provides significantly superior disease-free and overall survival, without excess toxicity or prolonged adverse impact on quality of life.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedBreast cancer
InterventionControl arm: Epirubicin 90 mg/m^2 (day one) + Cyclophosphamide 600 mg/m^2 (day one); four cycles, three weekly intervals followed by Paclitaxel 175 mg/m^2 (day one); four cycles at three weekly intervals.

Research arm: Epirubicin 90 mg/m^2 (day one) + Cyclophosphamide 600 mg/m^2 (day one); four cycles at three weekly intervals followed by Gemcitabine 1250 mg/m^2 (days one and eight) + Paclitaxel 175 mg/m^2 (day one); four cycles at three weekly intervals.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Epirubicin, cyclophosphamide, paclitaxel, gemcitabine
Primary outcome measureFive-year disease-free survival
Secondary outcome measuresTen-year overall survival, toxicity, dose intensity, tolerability and serious adverse events
Overall study start date22/08/2001
Completion date26/11/2004

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants3152
Key inclusion criteria1. Histological diagnosis of invasive breast carcinoma
2. Completely resected early stage disease
3. Definite indication for adjuvant chemotherapy
4. Any nodal status
5. Any hormone receptor status
6. Fit to receive either of the trial chemotherapy regimens. Adequate bone marrow, hepatic, and renal function.
7. Eastern Cooperative Oncology Group (ECOG) performance status of zero to two
8. Written informed consent
9. No previous chemotherapy or radiotherapy
10. Radiotherapy intent is known (this must be stated at the point of randomisation)
11. Randomisation within eight weeks of surgery, but ideally within one month
12. No previous malignancy except basal cell carcinoma or cervical carcinoma in situ, unless disease-free for ten years, after surgical treatment only
13. Non-pregnant and non-lactating, with no intention of pregnancy during chemotherapy, and prepared to adopt adequate contraceptive measures if pre-menopausal and sexually active
14. No concomitant medical or psychiatric problems that might prevent completion of treatment or follow-up
Key exclusion criteriaAny of the above criteria not satisfied
Date of first enrolment22/08/2001
Date of final enrolment26/11/2004

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

CRUK Clinical Trials Unit
Birmingham
B15 2TT
United Kingdom

Sponsor information

The University of Birmingham (UK)
University/education

Edgbaston
Birmingham
B15 2TT
England
United Kingdom

ROR logo "ROR" https://ror.org/03angcq70

Funders

Funder type

Industry

Bristol Myers-Squibb
Government organisation / For-profit companies (industry)
Alternative name(s)
Bristol-Myers Squibb Company, BMS
Location
United States of America
Pharmacia and Upjohn

No information available

Eli Lilly and Company
Government organisation / For-profit companies (industry)
Alternative name(s)
Lilly, Eli Lilly & Company, Eli Lilly & Co., Eli Lilly And Co
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Plain English results No Yes
Results article safety substudy results 19/08/2008 Yes No
Results article results 01/06/2017 Yes No

Editorial Notes

17/10/2018: Cancer Research UK lay results summary link added to Results (plain English)
10/05/2017: Publication reference added.