About this trial
Randomized phase II trial targeting early-stage breast cancer (stage II-III) applicable to preoperative chemotherapy (NAC), comparing standard treatment with multiple experimental treatments.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed invasive breast carcinoma
Stage II or III
ECOG performance status of 0 or 1
Age 18-80
Disqualifiers
Continuous systemic administration (oral or intravenous) of steroid drugs or other immunosuppressants.
History or complication of interstitial lung disease or pulmonary fibrosis diagnosed by imaging or clinical findings.
Infection requiring systemic treatment.
Active double cancer (however, the following are not excluded: (1) Completely resected cancers: basal cell carcinoma, squamous cell carcinoma at clinical stage I, carcinoma in situ, mucosal carcinoma, superficial bladder carcinoma, (2) Gastrointestinal cancer that has been curatively resected by ESD or EMR, (3) Other cancers that have not recurred for more than 5 years).
Trial design
Parallel
Treatments tested in this trial
TN
DrugCarboplatin + paclitaxel + pembrolizumab followed by doxorubicin + cyclophosphamide + pembrolizumab
TN-1
DrugCarboplatin + paclitaxel + pembrolizumab followed by niraparib + pembrolizumab Niraparib Pembrolizumab AC
Treatment groups
Trial outcomes
Primary outcomes
pathological complete response (pCR)
pCR is defined as the absence of invasive cancer in the breast and sampled regional lymph nodes.
ctDNA clearance rate
ctDNA test was performed by Natera
Sponsors and contacts
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Nagoya City University
Lead sponsor
Japan Clinical Oncology Group
Collaborator