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    Clinical Trial Results:
    Tocotrienol in combination with neoadjuvant chemotherapy for women with breast cancer

    Summary
    EudraCT number
    2016-000080-16
    Trial protocol
    DK  
    Global end of trial date
    14 Jan 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jan 2021
    First version publication date
    06 Jan 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    NeoToc
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02909751
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Vejle Hospital
    Sponsor organisation address
    Beriderbakken 4, Vejle, Denmark,
    Public contact
    Clinical Trial Unit, Oncology, Vejle Hospital, kfe.onko@rsyd.dk
    Scientific contact
    Clinical Trial Unit, Oncology, Vejle Hospital, kfe.onko@rsyd.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    09 Dec 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    14 Jan 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    14 Jan 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Evaluation of the frequency of pathologic complete response in breast cancer patients treated with neoadjuvant chemotherapy combined with tocotrienol.
    Protection of trial subjects
    Infusion and monitoring were performed according to institutional guidelines Anamnesis and clinical examination were performed at each cycle.
    Background therapy
    Antiemetic prophylaxis was given according to institutional guidelines
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Apr 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 80
    Worldwide total number of subjects
    80
    EEA total number of subjects
    80
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    56
    From 65 to 84 years
    24
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Danish women with breast cancer Enrollment from April 2016 until July 2018

    Pre-assignment
    Screening details
    Women with early breast cancer assigned to neoadjuvant chemotherapy according to institutional guidelines

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arm A Control
    Arm description
    Neoadjuvant chemotherapy according to institutional guidelines
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Arm B Experimental
    Arm description
    Neoadjjuvant chemotherapy according to institutional guidelines + Tocotrienol
    Arm type
    Experimental

    Investigational medicinal product name
    Tocotrienol
    Investigational medicinal product code
    Other name
    E-vitamin
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    200 mg x 3

    Number of subjects in period 1
    Arm A Control Arm B Experimental
    Started
    41
    39
    Completed
    41
    39

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial (overall period)
    Reporting group description
    -

    Reporting group values
    Overall trial (overall period) Total
    Number of subjects
    80 80
    Age categorical
    Eraly breast cancer
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    56 56
        From 65-84 years
    24 24
        85 years and over
    0 0
    Age continuous
    Overall trial
    Units: years
        median (full range (min-max))
    51.95 (28.5 to 82.8) -
    Gender categorical
    Overall trial
    Units: Subjects
        Female
    80 80
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Arm A Control
    Reporting group description
    Neoadjuvant chemotherapy according to institutional guidelines

    Reporting group title
    Arm B Experimental
    Reporting group description
    Neoadjjuvant chemotherapy according to institutional guidelines + Tocotrienol

    Primary: Rate of patological complete response to tocotrienol combined with neoadjuvant chemotherapy in women with breast cancer

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    End point title
    Rate of patological complete response to tocotrienol combined with neoadjuvant chemotherapy in women with breast cancer [1]
    End point description
    End point type
    Primary
    End point timeframe
    At the operation after 6 months of treatment
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: The study was not designed to compare the two treatment arms. Randomization was conducted to avoid selection bias. The study was completed according to "Simon's two-stage minimax design". The protocol dictates further studies only in case of more than 16 patients with pathological complete response in the experimental arm.
    End point values
    Arm A Control Arm B Experimental
    Number of subjects analysed
    41
    38
    Units: Number
    18
    15
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Toxicities were recorded at baseline, before every cycle and postoperative.
    Adverse event reporting additional description
    Toxicities were graded using the National Cancer Institute's Common Toxicity Criteria (NCI-CTC) version 4.0, year 2010
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    CTCAE
    Dictionary version
    4.0
    Reporting groups
    Reporting group title
    Toxicity
    Reporting group description
    -

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Non-serious adverse events were not part of the primary endpoint.
    Serious adverse events
    Toxicity
    Total subjects affected by serious adverse events
         subjects affected / exposed
    20 / 80 (25.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Vascular disorders
    Embolism venous
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Neutropenia
         subjects affected / exposed
    3 / 80 (3.75%)
         occurrences causally related to treatment / all
    0 / 3
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Mucositis management
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Skin necrosis
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Febrile neutropenia
         subjects affected / exposed
    11 / 80 (13.75%)
         occurrences causally related to treatment / all
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    Fever
         subjects affected / exposed
    2 / 80 (2.50%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    1 / 80 (1.25%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Toxicity
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 80 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    The study was not designed to compare the two treatment arms (control and tocotrienol). Randomisation was conducted to avoid selection bias. The study was completed according to "Simon's two-stage minimax design".
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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