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PD-1 Inhibitor Concurrent With Chemotherapy as Neoadjuvant Therapy for TNBC

Phase 2
Conditions
Triple Negative Breast Cancer
Interventions
Registration Number
NCT04809779
Lead Sponsor
First Affiliated Hospital, Sun Yat-Sen University
Brief Summary

The purpose of the study is to address the following hypotheses: the PD-1 inhibitor Sintilimab 200mg for intravenous (IV) administration will be given together with three-week epirubincin, cyclophosphamide (EC) × 4 treatments from the second cycle followed by weekly nab-paclitaxel x12 treatments or three-week nab-paclitaxel x4 treatments. This regimen will induce higher pathologic complete response (pCR) rate in triple negative breast cancer than historical pCR rates (30-40%) observed with chemotherapy alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
49
Inclusion Criteria
  • Newly diagnosed histologically confirmed stage I-III, ER, PR and HER2 negative invasive breast cancer as defined by the ASCO CAP guidelines for whom systemic chemotherapy would be indicated based on physician judgment following standard NCCN practice guidelines.
Exclusion Criteria
  • Patients for whom anthracycline, nab-paclitaxel or antibody therapies are contraindicated.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SintilimabSintilimab-
Primary Outcome Measures
NameTimeMethod
Pathologic Complete Response (pCR)21 weeks

Pathologic response will be assessed in the surgically resected cancer and lymph nodes after completion of all chemotherapy by the local pathologist as part of routine care. Pathologic complete response is defined as no invasive cancer in the resected breast tissue and lymph nodes (ypT0/Tis, ypN0).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

The First Affiliated Hospital of Sun Yat-sen University

🇨🇳

Guangzhou, China

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