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Oral Paclitaxel Trial In Recurrent and Metastatic Breast Cancer As 1st Line Therapy

A Multinational, Multicenter, Open-label, Phase II/III Clinical Trial to Evaluate the Efficacy and Safety of Liporaxel® (Oral Paclitaxel) Compared to Taxol® (IV Paclitaxel) as First-line Therapy in Patients With Recurrent or Metastatic HER2 Negative Breast Cancer

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03315364
Acronym
OPTIMAL
Enrollment
549
Registered
2017-10-20
Start date
2017-12-18
Completion date
2028-11-30
Last updated
2026-04-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Recurrent or Metastatic Breast Cancer

Keywords

Recurrent breast cancer, Metastatic breast cancer, MBC, Firstline chemotherapy, Paclitaxel, Liporaxel, Taxol

Brief summary

To compare and evaluate the efficacy and safety of Liporaxel® solution (oral paclitaxel) and Taxol® (IV paclitaxel) on recurrent or metastatic breast cancer.

Interventions

Oral administration on D1, D8 and D15 of 4-week cycle until progression, unacceptable toxicity or withdrawal of informed concent

DRUGPaclitaxel injection

Premedication, intravenous infusion on D1, D8 and D15 of 4-week cycle until progression, unacceptable toxicity or withdrawal of informed concent

Sponsors

Daehwa Pharmaceutical Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

1. Phase II clinical trial * Multicenter, Open-label, Single arm, Simon's optimal two-stage design 2. Phase III clinical trial * Multicenter, Prospective Randomized Open-label Blinded Endpoint (PROBE) design

Eligibility

Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key inclusion/

Exclusion criteria

* Histologically or cytologically confirmed to have recurrent, or metastatic breast cancer. * Measurable disease (revised RECIST, version 1.1). * Hormone receptor (ER/PR) positive or negative, HER2 negative. * Subjects were eligible for the study regardless of their previous lines of endocrine therapy. * No prior chemotherapy is allowed in metastatic disease. * Subjects who administrated the last dose of taxane class drug ≥12months ago as from the first administration day. * ECOG performance status ≤1. * Neuropathy grade \<2. * Subjects with central nervous system metastasis should be excluded.

Design outcomes

Primary

MeasureTime frameDescription
[Phase II] Objective Response Rate (ORR)Participants will be followed every 6 weeks until progression, an expected average of 9 months.Objective Response Rate (ORR) is defined by Response Evaluation Criteria in Solid Tumors (RECIST) (v.1.1) criteria.
[Phase III] Progression Free Survival (PFS)From date of randomization, assessed up to 18 months.Progression Free Survival (PFS) is defined as the time from date of randomization until the date of first documented progression or death

Secondary

MeasureTime frameDescription
[Phase II] Progression Free Survival (PFS)From date of randomization, assessed up to 18 months.Progression Free Survival (PFS) is defined as the time from date of randomization until the date of first documented progression or death
[Phase III] Objective Response Rate (ORR)Participants will be followed every 6 weeks until progression, an expected average of 9 months.Objective Response Rate (ORR) is defined by Response Evaluation Criteria in Solid Tumors (RECIST) (v.1.1) criteria.
[Phase II&III] Overall Survival(OS)Until 6 months after the last participant is enrolled, assessed minimum to 18 months.Overall survival(OS) is defined as the time from the date of inclusion to the date of death, regardless of the cause of death.
[Phase II&III] Time to Treatment Failure(TTF)through study completion, an expected average of 4.5 year.TTF is defined as the time from the randomization date to the date of discontinuation of treatment, regardless of the cause.
[Phase II&III] Disease Control Rate(DCR)through study completion, an expected average of 4.5 year.DCR is defined as the percentage of subjects who were evaluated for complete response(CR), partial response(PR), and stable disease(SD) as the best response among from randomization to End of treatment(EOT).
[Phase II&III] Quality of life(QoL)C1D1, C2D1, C4D1, C7D1, C10D1 (each cycle is 28 days) and study completion, up to 18 months.To evaluate changes versus baseline using the EQ-5D.
Incidence of Treatment-Emergent Adverse Events [Safety]Up to 28 days after last investigational product administraion.Number and Description of Adverse Events

Countries

Bulgaria, China, Hungary, Serbia, South Korea

Contacts

PRINCIPAL_INVESTIGATORSung-bae Kim, M.D., Ph.D

Asan Medical Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 2, 2026