A Prospective, Phase II Trial Using ctDNA to Initiate Post-operation Boost Therapy After NAC in TNBC

NCT ID: NCT04501523

Last Updated: 2023-02-21

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

460 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-03

Study Completion Date

2032-08-31

Brief Summary

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Positive circulating tumor DNA(ctDNA) status is associated with worse prognosis in breast cancer, especially triple-negative breast cancer(TNBC). Our trial aims to improve the outcome of TNBC patients by using ctDNA to identify patients with high relapse risk. ctDNA positive patients will be randomized to receive boost therapy or standard therapy indicated in NCCN guidelines after NAC.

Detailed Description

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Conditions

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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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A

ctDNA positive, non-pCR Intervention: Tislelizumab(anti-PD1 antibody) combined with capecitabine

Group Type EXPERIMENTAL

Tislelizumab

Intervention Type DRUG

200mg, q3w, for 1 year

capecitabine

Intervention Type DRUG

600-750 mg/m2 PO Bid,continuous, for 1 year

B

ctDNA positive, non-pCR Intervention: capecitabine(standard care)

Group Type ACTIVE_COMPARATOR

capecitabine

Intervention Type DRUG

600-750 mg/m2 PO Bid,continuous, for 1 year

C

ctDNA positive, pCR Intervention: capecitabine

Group Type EXPERIMENTAL

capecitabine

Intervention Type DRUG

600-750 mg/m2 PO Bid,continuous, for 1 year

D

Follow up(standard care)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Tislelizumab

200mg, q3w, for 1 year

Intervention Type DRUG

capecitabine

600-750 mg/m2 PO Bid,continuous, for 1 year

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must have histologically or cytologically confirmed triple negative (ER-/PR-/HER2-) invasive breast cancer, clinical stage II-III at diagnosis (AJCC 6th edition) based on initial evaluation by physical examination and/or breast imaging prior to study registration.ER and PR will be considered negative if ≤ 1% of cells stain weakly positive. HER2 will be considered negative if scored 0 or 1+ by immunohistochemistry (IHC) or 2+ by IHC associated with a fluorescence in situ hybridization (FISH) ratio of \< 2.0 or \< 6 copies per cell.
* Must receive preoperative (neoadjuvant) chemotherapy. NOTE: Acceptable preoperative regimens include those recommended by NCCN guidelines. Participants who received preoperative therapy as part of a clinical trial may enroll.
* ctDNA positive at baseline, after NAC or after surgery
* Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
* Written informed consent to provide research blood samples and tumor samples
* Patients must be willing to have frequent blood tests (every 3 months ) and receive a 12 month course of tislelizumab if randomised to tislelizumab treatment on ctDNA detection
* No evidence of distant metastatic disease on staging scans conducted at the time of diagnosis

Exclusion Criteria

* Previously participated in other interventional trials
* Previous malignancy within 3 years of breast cancer diagnosis
* Pregnancy or breastfeeding
* No written consent
* Unable to receive standard NAC and subsequent radiotherapy(if needed)
* Active autoimmune disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Liu Qiang

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Qiang Liu, MD

Role: PRINCIPAL_INVESTIGATOR

Sunyat-sen Memorial Hospital

Locations

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Sunyat-sen Memorial Hospital

Guandong, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shunying Li, MD

Role: CONTACT

+86-15915939702

Yudong Li, MD

Role: CONTACT

020-34071156

Facility Contacts

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shunying Li

Role: primary

+86-15915939702

Other Identifiers

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SunYatsenU2H-LQ3

Identifier Type: -

Identifier Source: org_study_id

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