Neoadjuvant Phase II Study of Pembrolizumab And Carboplatin Plus Docetaxel in Triple Negative Breast Cancer

NCT ID: NCT03639948

Last Updated: 2024-04-11

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-04

Study Completion Date

2024-11-30

Brief Summary

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The standard treatment for women with stage I, II, and III triple-negative breast cancer (TNBC) includes chemotherapy and surgery, with or without radiation therapy. However, because TNBC is usually more aggressive, harder to treat, and more likely to come back, it is associated with poor long-term outcomes (survival rates) when compared to other types of breast cancer. Therefore, researchers are studying how new drugs and treatment combinations can improve the outcome of patients with TNBC. This study will test effectiveness of immune therapy (Pembrolizumab is an "immunotherapy" that is expected to work with the body's immune system to help fight cancer) in combination with chemotherapy given before surgery.

Detailed Description

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Conditions

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Triple-negative Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: Carboplatin & Docetaxel plus Pembroluzimab

Carboplatin (Area under the curve \[AUC\] 6 intravenously \[IV\]) and Docetaxel (75 milligrams per meter squared \[mg/m2\], IV) plus Pembrolizumab (200 milligrams \[mg\], IV) every 21 days for 6 cycles.

Pegfilgrastim 6 mg subcutaneous (SC) Day 2 of each cycle.

Group Type EXPERIMENTAL

Carboplatin

Intervention Type DRUG

Intravenous solution

Docetaxel

Intervention Type DRUG

Intravenous solution

Pembrolizumab

Intervention Type DRUG

Intravenous solution

Pegfilgrastim

Intervention Type DRUG

Injectable product

Interventions

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Carboplatin

Intravenous solution

Intervention Type DRUG

Docetaxel

Intravenous solution

Intervention Type DRUG

Pembrolizumab

Intravenous solution

Intervention Type DRUG

Pegfilgrastim

Injectable product

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ability of participant to understand this study, and participant willingness to sign a written informed consent for this trial.
* Histologically confirmed stage I , II or III TNBC (triple-negative breast cancer).
* No previous definitive ipsilateral breast surgery for the current breast cancer.
* No previous chemotherapy, endocrine therapy, or radiation therapy with therapeutic intent for this cancer.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Adequate organ function
* Adequate cardiac function
* A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies:

* Not a woman of childbearing potential (WOCBP)
* A WOCBP who agrees to follow contraceptive guidelines.

Exclusion Criteria

* Current or anticipated use of other investigational agents while participating in this study.
* Participant has received chemotherapy, radiotherapy, or surgery for the treatment of breast cancer.
* Participant has metastatic disease.
* Participant has inflammatory breast cancer.
* Participants with concomitant or previous malignancies within the last 5 years are excluded from the study.

* Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (e.g. ductal carcinoma in situ (DCIS), carcinoma in situ of the cervix) that have undergone potential curative therapy are not excluded.
* History of allergic reactions or hypersensitivity attributed to compounds of similar chemical or biologic composition to agents used in this study.
* Participant has received prior therapy with an anti-programmed death (PD) -1, anti-PD-ligand (L)-1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory thymus lymphocyte (T-cell) receptor.
* Subject has received a live vaccine within 30 days prior to the first dose of study drug.
* Participant is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment
* Participant has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of Pembrolizumab.
* Has active autoimmune disease that has required systemic treatment in the past 2 years.
* Has a history of (non-infectious) pneumonitis that required steroids, or has current pneumonitis.
* Has an active infection requiring systemic therapy.
* Has a known history of Human Immunodeficiency Virus (HIV).
* Has a known history of Hepatitis B or known active Hepatitis C virus.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

University of Kansas Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Priyanka Sharma, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Kansas Cancer Center

Locations

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The University of Kansas Cancer Center (KUCC)

Fairway, Kansas, United States

Site Status

The University of Kansas Cancer Center, West Clinic

Kansas City, Kansas, United States

Site Status

The University of Kansas Cancer Center, Westwood Campus

Kansas City, Kansas, United States

Site Status

University of Kansas Cancer Center

Kansas City, Kansas, United States

Site Status

The University of Kansas Cancer Center, Overland Park Clinic

Overland Park, Kansas, United States

Site Status

The University of Kansas Cancer Center, North Clinic

Kansas City, Missouri, United States

Site Status

The University of Kansas Cancer Center, Lee's Summit Clinic

Lee's Summit, Missouri, United States

Site Status

The University of Kansas Medical Center

North Kansas City, Missouri, United States

Site Status

Texas Oncology- Baylor

Dallas, Texas, United States

Site Status

Countries

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United States

References

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Sharma P, Stecklein SR, Yoder R, Staley JM, Schwensen K, O'Dea A, Nye L, Satelli D, Crane G, Madan R, O'Neil MF, Wagner J, Larson KE, Balanoff C, Kilgore L, Phadnis MA, Godwin AK, Salgado R, Khan QJ, O'Shaughnessy J. Clinical and Biomarker Findings of Neoadjuvant Pembrolizumab and Carboplatin Plus Docetaxel in Triple-Negative Breast Cancer: NeoPACT Phase 2 Clinical Trial. JAMA Oncol. 2024 Feb 1;10(2):227-235. doi: 10.1001/jamaoncol.2023.5033.

Reference Type DERIVED
PMID: 37991778 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IIT-2017-NeoPACT

Identifier Type: -

Identifier Source: org_study_id

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