Viscum Album for TNBC on Adjuvant Pembrolizumab

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age19+
SponsorIlsan Cha hospital

About this trial

The goal of this clinical trial is to evaluate the efficacy and safety of Viscum album extract when used in combination with pembrolizumab as adjuvant chemotherapy in adult patients (aged 19 and older) who have been diagnosed with malignant neoplasm of unilateral breast and have completed surgery.

The main questions it aims to answer are:

Does the addition of Viscum album improve clinical outcomes when combined with pembrolizumab as adjuvant chemotherapy? Is Viscum album safe and tolerable for use in this patient population?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 19 years or older

Histologically confirmed diagnosis of triple-negative breast cancer

ECOG Performance Status of 0 or 1

Completed surgery and radiotherapy for localized disease, and either (a) requires adjuvant chemotherapy including immune checkpoint inhibitors, or (b) has initiated such therapy within 3 cycles

Disqualifiers

Presence of distant metastasis

Uncontrolled pleural effusion, ascites, or pericardial effusion

Other non-cancer comorbidities (e.g., dementia, cerebrovascular disease, end-stage renal disease) that are expected to significantly impair physical function

Pregnant or breastfeeding women

Trial design

Design model

Parallel

Treatments tested in this trial

  • viscum album

    Drug

    Active Ingredient: Viscum album Excipients: Ascorbic acid, disodium phosphate dihydrate, monosodium phosphate monohydrate Formulation: Injectable solution contained in a colorless ampoule; the solution is colorless to pale yellow and clear. Manufacturer: LB Abnoba Co., Ltd. Dosage and Administration: Administered subcutaneously three times per week, with dose escalation according to the following protocol.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Viscum album groupExperimental treatment 1 intervention
Group B: Wait-list control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

cytokine panel

the result of immune-related cytokine panel kit (CCL2, CCL3, CCL4, CD40 Ligand, CXCL10, GM-CSF, Granzyme B, IFN-α, IFN-γ, IL-1α, IL-1β, IL-1ra, IL-2, IL-4, IL-6, IL-8, IL-9, IL-10, IL-12 p70, IL-13, IL-15, IL-17, IL-33, PD-L1, TNF-α)

Time frame
week 1, week 4, week 7, week 19

Secondary outcomes

1

European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30

The EORTC QLQ-C30 is a validated, widely used questionnaire developed by the European Organisation for Research and Treatment of Cancer to assess health-related quality of life in cancer patients. It includes 30 items covering functional status, symptoms, and global health and has been validated across multiple languages and cancer populations.

Time frame
week 1, week 4, week 7, week 19
2

European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Breast 23

The EORTC QLQ-BR23 is a validated breast cancer-specific module designed to be used alongside the EORTC QLQ-C30. It includes 23 items that assess breast cancer-related symptoms, treatment side effects, body image, and sexual functioning, and has been validated in diverse cultural and clinical settings.

Time frame
week 1, week 4, week 7, week 19
3

MD Anderson Symptom Inventory - core

The MD Anderson Symptom Inventory (MDASI) is a validated patient-reported outcome measure developed by MD Anderson Cancer Center to assess the severity of cancer-related symptoms and their impact on daily functioning. It consists of 13 symptom severity items and 6 interference items.

Time frame
week 1, week 4, week 7, week 19

Other outcomes

Sponsors and contacts

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