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| ID | Type | Description | Link |
|---|---|---|---|
| MK-5890-003 | Other Identifier | MSD | |
| 2024-517505-87-00 | Registry Identifier | EU CT | |
| U1111-1312-3982 | Registry Identifier | UTN |
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Since patients were not recruited yet, we would mark this as a Withdrawn status per the NIH definition of that status. Study halted prematurely, prior to enrollment of first participant.
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Researchers want to learn if giving boserolimab (MK-5890) with standard treatment (pembrolizumab and chemotherapy) before surgery can help treat triple negative breast cancer (TNBC). The goals of this study are to learn about the safety of boserolimab given with standard treatment before surgery and to learn if people tolerate it and how many people have no signs of cancer in the tissues and lymph nodes removed during surgery.
The umbrella design of this study provides the framework to evaluate the safety, tolerability and clinical activity of different investigational agents in participants with newly diagnosed, high-risk, early-stage TNBC who might benefit from adding these investigational agents to pembrolizumab plus chemotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pembrolizumab+ Paclitaxel+ Carboplatin | Active Comparator | Participants will receive pembrolizumab PLUS paclitaxel PLUS carboplatin followed by pembrolizumab PLUS doxorubicin hydrochloride or epirubicin hydrochloride and cyclophosphamide as neoadjuvant therapy prior to surgery. In adjuvant therapy participants will receive pembrolizumab PLUS optional additional adjuvant treatment of physician's choice (TPC), capecitabine or olaparib. |
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| Pembrolizumab+Boserolimab+Paclitaxel+ Carboplatin | Experimental | Participants will receive pembrolizumab PLUS boserolimab PLUS paclitaxel PLUS carboplatin followed by pembrolizumab PLUS doxorubicin hydrochloride or epirubicin hydrochloride and cyclophosphamide PLUS boserolimab as neoadjuvant therapy prior to surgery. In adjuvant therapy participants will receive pembrolizumab PLUS optional additional adjuvant treatment of physician's choice (TPC), capecitabine or olaparib. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pembrolizumab | Biological | Neoadjuvant therapy - 200 mg intravenous (IV) infusion every 3 weeks (Q3W) for up to approximately 24 weeks Adjuvant therapy - 200 mg IV infusion Q3W or 400 mg IV infusion every 6 weeks (Q6W) for up to approximately 30 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with one or more adverse events (AEs) | An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. | Up to approximately 34 months |
| Number of participants who discontinue study intervention due to an AE | An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. | Up to approximately 27 months |
| Pathological complete response (pCR) rate at the time of definitive surgery | pCR (ypT0/Tis ypN0) is defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled regional lymph nodes after completion of neoadjuvant systemic therapy per current American Joint Committee on Cancer (AJCC) staging criteria assessed by the local pathologist at the time of definitive surgery. | Up to approximately 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| pCR-no ductal carcinoma in situ (DCIS) rate at the time of definitive surgery | pCR-no ductal carcinoma in situ (DCIS) (ypT0 ypN0) is defined as the absence of residual invasive and in situ cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled regional lymph nodes after completion of neoadjuvant systemic therapy per current AJCC staging criteria assessed by the local pathologist at the time of definitive surgery. |
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Inclusion Criteria:
The main inclusion criteria include but are not limited to the following:
Exclusion Criteria:
The main exclusion criteria include but are not limited to the following:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck Sharp & Dohme LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Optum Care Cancer Center ( Site 0004) | Las Vegas | Nevada | 89102 | United States | ||
| National Cheng Kung University Hospital ( Site 0901) |
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| Label | URL |
|---|---|
| Merck Clinical Trials Information | View source |
| Plain Language Summary | View source |
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| Paclitaxel | Drug | 80 mg/m^2 by IV infusion every week for up to 12 weeks. |
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| Carboplatin | Drug | AUC 1.5 mg/mL/min by IV infusion every week for up to 12 weeks. |
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| Doxorubicin (hydrochloride) | Drug | 60 mg/m^2 by IV infusion Q3W for up to 12 weeks. |
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| Boserolimab | Biological | 30 mg by IV infusion every 6 weeks (Q6W) for up to 12 Weeks. |
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| Epirubicin Hydrochloride | Drug | 90 mg/m^2 by IV infusion every 3 weeks (Q3W) for up to 12 weeks. |
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| Cyclophosphamide | Drug | 600 mg/m^2 by IV infusion every 3 weeks (Q3W) for up to 12 weeks. |
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| Capecitabine | Drug | 1000 mg/m^2 to 1250 mg/m^2 by oral administration twice a day (2 weeks on and 1 week off) for up to approximately 24 weeks. |
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| Olaparib (if approved/available locally) | Drug | 300 mg by oral administration twice a day for up to approximately 52 weeks. |
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| Up to approximately 9 months |
| Event-Free Survival (EFS) | EFS is defined as the time from randomization to disease progression that precludes surgery, local or distant recurrence, or death due to any cause, whichever occurs first. | Up to approximately 72 months |
| Overall Survival (OS) | OS is defined as the time from randomization to death due to any cause. | Up to approximately 72 months |
| Tainan |
| 704 |
| Taiwan |
| ID | Term |
|---|---|
| D064726 | Triple Negative Breast Neoplasms |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C582435 | pembrolizumab |
| D017239 | Paclitaxel |
| D016190 | Carboplatin |
| D004317 | Doxorubicin |
| D015251 | Epirubicin |
| D003520 | Cyclophosphamide |
| D000069287 | Capecitabine |
| C531550 | olaparib |
| ID | Term |
|---|---|
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D056831 | Coordination Complexes |
| D003630 | Daunorubicin |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
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