Combining standard chemotherapy with moxifloxacin for treating metastatic triple-negative breast cancer
Official title: Standard Chemotherapy Plus Moxifloxacin as First-line Treatment for Metastatic Triple-negative Breast Cancer : a Multicenter, Double-blind, Placebo-controlled, Phase 3 Trial
Run by Sun Yat-sen University · NCT04722978 · Data updated 2026-11-12
This study is testing if adding moxifloxacin to standard chemotherapy can help people with metastatic triple-negative breast cancer live longer without their cancer getting worse.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | Women only |
| Enrollment | 228 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Drugs / interventions | immunotherapy, chemotherapy |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | April 20, 2021 |
| Main results expected | June 2026 |
| Study ends | July 2026 |
| Registry record updated | December 17, 2025 |
| Trial ID | NCT04722978 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with metastatic triple-negative breast cancer who have not received prior therapy after diagnosis.
✕Probably not a fit
Patients who are pregnant, breastfeeding, or have certain health conditions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 3 trial aims to evaluate the effectiveness and safety of standard chemotherapy combined with moxifloxacin compared to a placebo in patients with metastatic triple-negative breast cancer. The study is multicenter, randomized, and double-blind, involving up to 228 participants. The primary focus is on measuring progression-free survival (PFS) among the different treatment groups. Eligible patients must have specific cancer characteristics and meet certain health criteria.
Why it matters
Potential benefit: If successful, this treatment could improve progression-free survival for patients with metastatic triple-negative breast cancer.
How similar studies have gone: Other studies have explored similar combinations of chemotherapy and antibiotics, but this specific approach is novel in the context of metastatic triple-negative breast cancer.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) score of 0 to 1. * Histologically confirmed invasive ductal carcinoma, no specific type (NOS) * ER negative and progesterone receptor (PR) negative (defined as \< 1% positive cells by IHC), human epidermal growth factor receptor 2 (HER2) negative (defined as IHC 0-1 staining or fluorescent in situ hybridization (FISH) negative). * No prior therapy after first recurrence or diagnosis of metastatic disease. * At least 1 measurable lesion as defined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria. * Neutrophil-to-lymphocyte ratios (NLR) in peripheral blood ≥ 2. * Adequate organ function including bone marrow, renal function, hepatic function, and cardiac reserve (Left ventricular ejection fraction (LVEF) by echocardiogram ≥45%). * Compliance with the study protocol. * Have provided written and signed informed consent. Exclusion Criteria: * Pregnant or breast feeding. * Definitive breast cancer susceptibility gene (BRCA) mutation, Programmed Cell Death-Ligand 1 (PD-L1) positive, microsatellite instability-high (MSI-H), and mismatch repair deficient (dMMR). * Patients who are receiving or will receive other biological agents or immunotherapy. * Uncontrolled medical problems. * Evidence of active acute or chronic infection. * Hepatic, renal, cardiac, or bone marrow dysfunction as detailed above. * Concurrent malignancy or history of other malignancy within the last five years. * Known severe hypersensitivity to moxifloxacin * Patients were unable or unwilling to comply with program requirements.
Where it's running
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Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting
Study contacts
- Study coordinator: Zhong-yu Yuan, M.D.
- Email: yuanzhy@sysucc.org.cn
- Phone: 862087342794
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.