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Ongoing, recruitingTherapeutic confirmatory (Phase III)Interventional

A Phase III, Randomized, Double-blind Study to Evaluate Pembrolizumab plus Chemotherapy vs Placebo plus Chemotherapy as Neoadjuvant Therapy and Pembrolizumab vs Placebo as Adjuvant Therapy for Triple Negative Breast Cancer (TNBC)

This important study is investigating a new treatment approach for Triple Negative Breast Cancer (TNBC), a particularly challenging form of breast cancer. It's a 'Phase III' trial, which means it's testing a treatment that has shown promise in earlier stages and is now being compared to current standard care to definitively see if it's better. The study aims to see if adding an immune-boosting drug called Pembrolizumab (also known as Keytruda) to chemotherapy can more effectively shrink tumours before surgery. After surgery, patients will continue with either Pembrolizumab or a look-alike inactive substance (placebo) to see if it helps stop the cancer from coming back. The main goals are to see how many people have no cancer remaining after surgery, and if the treatment helps people live longer without the cancer returning.

At a glance

Status
Ongoing, recruiting
Phase
Therapeutic confirmatory (Phase III)
Sponsor
Merck Sharp & Dohme LLC
Enrolment target
439
Start
21 Feb 2023

What is this study about?

This study is a research project focusing on Triple Negative Breast Cancer (TNBC). This type of breast cancer is known for being aggressive and doesn't respond to some common treatments like hormone therapy or drugs targeting HER2. This makes finding effective treatments especially important.

The study is exploring a new way to treat TNBC. It combines standard chemotherapy, which uses powerful drugs to kill cancer cells, with a newer type of drug called Pembrolizumab. Pembrolizumab, also known as Keytruda, works by helping your own immune system find and fight cancer cells. The idea is that using these two treatments together might be more effective than chemotherapy alone.

Patients in this study would receive treatment in two main stages. First, they'd have chemotherapy along with either Pembrolizumab or an inactive substance (placebo) before surgery. This is called 'neoadjuvant therapy' and aims to shrink the tumour as much as possible. After surgery, they would then continue with either Pembrolizumab or placebo again. This 'adjuvant therapy' aims to reduce the chance of the cancer coming back. Researchers will be carefully checking if this combined approach leads to better outcomes, like a significant reduction or complete disappearance of cancer in the breast and lymph nodes.

Key takeaways

  • This study is testing a new combination treatment for Triple Negative Breast Cancer.
  • It combines standard chemotherapy with an immune-boosting drug (Pembrolizumab).
  • Treatment is given before surgery (neoadjuvant) and continued after surgery (adjuvant).
  • The main goals are to see if the cancer disappears after treatment and if it prevents recurrence.
  • It's a large-scale 'Phase III' trial, aiming to provide definitive answers.

Who may be eligible?

To join this study, you would generally need to be an adult, 18 years old or older, with a diagnosis of Triple Negative Breast Cancer.

While the study aims to include a wide range of adults, there might be other specific criteria, such as the stage of your cancer, your general health, and whether you've had certain other treatments in the past. These details help ensure the study is safe for you and that the results are clear and reliable.

Both men and women can participate, as breast cancer can affect anyone.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Have you been diagnosed with Triple Negative Breast Cancer?
  3. Are you generally well enough to undergo cancer treatment?
  4. Are you able to attend regular hospital appointments?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, you would receive several different medications. These include standard chemotherapy drugs like Cyclophosphamide, Epirubicin, Doxorubicin, Carboplatin, and Paclitaxel, along with medications to help manage side effects like Pegfilgrastim or Filgrastim. You would also receive either Pembrolizumab (Keytruda), the immune-boosting drug being tested, or a placebo (an inactive substance that looks just like Pembrolizumab, given with saline or dextrose).

The study involves regular visits to the clinic for your treatments and to have your health checked. Doctors would monitor your response to treatment through various assessments, including blood tests, scans, and physical examinations. A key part of the study involves surgery after the initial treatment phase. After surgery, you would continue with either Pembrolizumab or the placebo for a period to see if it prevents the cancer from returning. You would also fill out questionnaires about your quality of life to see how the treatments affect your daily living. The total duration of your involvement could be several months for active treatment, followed by a longer period of follow-up visits to monitor your health and any cancer recurrence.

Potential risks and benefits

Taking part in a clinical trial offers potential benefits, such as access to new treatments before they are widely available, and close monitoring by a medical team. However, there are also potential risks; the new treatment might not be more effective than standard care, or it could cause side effects that are not yet fully known. All medications, including standard chemotherapy and Pembrolizumab, can have side effects. You will receive detailed information about all possible risks. You are free to withdraw from the study at any time, for any reason, without it affecting your future medical care.

Locations (8)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Unverified
    Portugal
  • Unverified
    Germany
  • Unverified
    Poland
  • Unverified
    France
  • Unverified
    Spain
  • Unverified
    Ireland
  • Unverified
    Sweden
  • Unverified
    Italy

Common questions

What is Triple Negative Breast Cancer (TNBC)?

It's an aggressive type of breast cancer that doesn't have the three most common 'receptors' that other breast cancers have. This means it doesn't respond to some targeted therapies, making it more challenging to treat.

What is Pembrolizumab (Keytruda)?

It's an 'immunotherapy' drug that helps your body's own immune system recognise and fight cancer cells more effectively. It's often used for various cancers.

What does 'neoadjuvant' and 'adjuvant' therapy mean?

'Neoadjuvant' means treatment given before surgery to shrink the tumour. 'Adjuvant' means treatment given after surgery to kill any remaining cancer cells and reduce the chance of the cancer coming back.

What is a 'placebo'?

A placebo is an inactive substance that looks identical to the actual drug being tested. It's used in some trials to compare the effects of the new drug against a 'dummy' treatment, so researchers can clearly see if the new drug is truly making a difference.

Will I know if I'm getting Pembrolizumab or the placebo?

No, this is a 'double-blind' study, meaning neither you nor your doctors will know whether you are receiving Pembrolizumab or the placebo. This helps ensure the study results are unbiased.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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