A Phase 3 Study Comparing Carelizumab Plus Nab-paclitaxel and Apatinib, Carelizumab Plus Nab-paclitaxel, and Nab-paclitaxel in Patients With Advanced Triple Negative Breast Cancer.

NCT ID: NCT04335006

Last Updated: 2023-05-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-14

Study Completion Date

2023-04-14

Brief Summary

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This randomized, open-label phase 3 study will evaluate the safety and efficacy of Carelizumab (an engineered anti-programmed death-ligand 1 \[PD-1\] antibody) in combination with Nab-paclitaxel and Apatinib, carelizumab plus nab-paclitaxel, and Nab-paclitaxel in Patients with Unresectable Locally Advanced or Metastatic Triple Negative Breast Cancer. Participants will be randomized in a 1:1:1 ratio to Arm A (Carelizumab + Nab-paclitaxel + Apatinib), Arm B (Carelizumab + Nab-paclitaxel), or Arm C (Nab-paclitaxel).

Detailed Description

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Conditions

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Breast Cancer Triple Negative Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental A

Subjects receive Carelizumab in combination with Nab-paclitaxel plus Apatinib,each 4-week cycle

Group Type EXPERIMENTAL

Carelizumab

Intervention Type DRUG

Participants receive SHR-1210 intravenously (IV)

Nab-paclitaxel

Intervention Type DRUG

administered intravenously every 4-week cycle

Apatinib

Intervention Type DRUG

administered orally every 4-week cycle

Experimental B

Subjects receive Carelizumab in combination with Nab-paclitaxel,each 4-week cycle

Group Type EXPERIMENTAL

Carelizumab

Intervention Type DRUG

Participants receive SHR-1210 intravenously (IV)

Nab-paclitaxel

Intervention Type DRUG

administered intravenously every 4-week cycle

Comparator C

Subjects receive nab-paclitaxel intravenously each 4-week cycle.

Group Type ACTIVE_COMPARATOR

Nab-paclitaxel

Intervention Type DRUG

administered intravenously every 4-week cycle

Interventions

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Carelizumab

Participants receive SHR-1210 intravenously (IV)

Intervention Type DRUG

Nab-paclitaxel

administered intravenously every 4-week cycle

Intervention Type DRUG

Apatinib

administered orally every 4-week cycle

Intervention Type DRUG

Other Intervention Names

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SHR-1210

Eligibility Criteria

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Inclusion Criteria

* ECOG Performance Status of 0-1.
* Expected lifetime of not less than three months
* Metastatic or locally advanced, histologically documented TNBC (absence of HER2, ER, and PR expression)
* Cancer stage: locally advanced or metastatic breast cancer; Locally advanced breast cancer not amenable to radical resection.
* No prior systemic antitumor therapy for metastatic triple-negative breast cancer.
* Adequate hematologic and organ function
* Measurable disease according to Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1)

Exclusion Criteria

* Known central nervous system (CNS) disease.
* Previously received anti-VEGFR small molecule tyrosine kinase inhibitors or anti-PD-1/PD-L1 antibody.
* A history of bleeding, any serious bleeding events.
* Uncontrolled pleural effusion, pericardial effusion.
* Malignancies other than TNBC within 5 years prior to randomisation, or ascites requiring recurrent drainage procedures
* History of interstitial pneumonitis.
* Severe chronic or active infections in need of systemic antibacterial, antifungal, or antiviral treatment, including TB, etc.
* Prior allogeneic stem cell or solid organ transplantation.
* History of autoimmune disease
* Active hepatitis B or hepatitis C
* Pregnancy or lactation.
* Peripheral neuropathy grade ≥2.
* Participants with poor blood pressure control;
* Myocardial infarction incident within 6 months prior to randomisation;
* Treatment with systemic immunostimulatory agents within 4 weeks prior to randomisation
* Treatment with systemic immunosuppressive medications within 2 weeks prior to randomisation
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Jiangsu HengRui Medicine Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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SHR-1210-III-318

Identifier Type: -

Identifier Source: org_study_id

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