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Study of Camrelizumab Plus Chemotherapy as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (TNBC)

Primary Purpose

Triple Negative Breast Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Camrelizumab
Nab-Paclitaxel
Carboplatin
Sponsored by
Tianjin Medical University Cancer Institute and Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Triple Negative Breast Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Newly diagnosed breast cancer;
  • 18-75 Years, female;
  • ECOG Performance Status of 0-1;
  • Life expectancy is not less than 3 months;
  • Histologically documented TNBC (negative human epidermal growth factor receptor 2 [HER2], estrogen receptor [ER], and progesterone receptor [PgR] status);
  • Tumor stage: II-III;
  • At least one measurable lesion according to RECIST 1.1;
  • Adequate hematologic and organ function.;
  • Must be willing to use an adequate method of contraception for the course of the study.

Exclusion Criteria:

  • Stage Ⅳ (metastatic) breast cancer or bilateral breast cancer;
  • Inflammatory breast cancer;
  • Has received prior any anti-tumor therapy within the past 12 months prior to signing informed consent, including chemotherapy, targeted therapy, radiation therapy, immunotherapy, biotherapy and TACE;
  • Has received prior therapy with an anti-programmed cell death protein 1 (anti-PD-1), anti-programmed death - ligand 1 (anti-PD-L1), or anti-PD-L2 agent or with an agent directed to another co-inhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated antigen-4 [CTLA-4];
  • Has a history of invasive malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer;
  • Major surgical procedure within 4 weeks prior to initiation of study treatment;
  • Active or history of autoimmune disease or immune deficiency diseases except history of autoimmune-related hypothyroidism, controlled Type 1 diabetes mellitus;
  • Has a history of (non-infectious) pneumonitis, interstitial lung disease or uncontrollable systematicness diseases;
  • Administration of a live attenuated vaccine within 28 days prior to initiation of study treatment or anticipation of need for such a vaccine during the study;
  • Has a known history of Human Immunodeficiency Virus (HIV);
  • Has known active Hepatitis B, Hepatitis C or Autoimmune hepatitis;
  • Severe infections within 4 weeks prior to initiation of study treatment, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia;
  • Has active infection (CTCAE≥2) needed the treatment of antibiotic within 2 weeks prior to initiation of study treatment;
  • Has evidence of active tuberculosis within 1year prior to initiation of study treatment;
  • Prior allogeneic stem cell or solid organ transplantation;
  • Pre-existing motor or sensory neuropathy of a severity≥grade 2;
  • Has significant cardiovascular disease;
  • Has a known hypersensitivity to the components of the study treatment or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins;
  • Female patients during pregnancy and lactation, fertile women with positive baseline pregnancy tests or women of childbearing age who are unwilling to take effective contraceptive measures throughout the trial;
  • History of neurological or psychiatric disorders, including epilepsy or dementia;
  • Any other situation evaluated by researchers.

Sites / Locations

  • Breast Cancer Department I, Tianjin Medical University Cancer Institute and Hospital
  • Breast Oncology, Tianjin Medical University Cancer Institute and Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Part 1: Camrelizumab + Chemotherapy

Part 2: Camrelizumab + Chemotherapy

Part 2: Chemotherapy

Arm Description

Outcomes

Primary Outcome Measures

pCR rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery
pCR rate (ypT0/Tis ypN0) is defined as the percentage of participants without residual invasive tumor on hematoxylin and eosin evaluation of breast specimen and all sampled regional lymph nodes following completion of neoadjuvant systemic therapy by current AJCC staging criteria assessed by the local pathologist at the time of definitive surgery in all participants.

Secondary Outcome Measures

pCR rate using the definition of ypT0/Tis (i.e., absence of invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement) at the time of definitive surgery
pCR rate (ypT0/Tis) is defined as the percentage of participants without invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement following completion of neoadjuvant systemic therapy by current AJCC staging criteria assessed by the local pathologist at the time of definitive surgery in all participants
Objective Response Rate (ORR)
ORR was defined as percentage of participants with best (confirmed) overall response (BOR) of either CR or PR. ORR was assessed by the investigator according to RECIST version 1.1 and is based on BOR, which is defined as best response recorded from start of study treatment until definitive surgery or disease progression.
Event-Free Survival (EFS)
EFS is defined as the time from start of study treatment to any of the following events: progression of disease that precludes surgery, local or distant recurrence, second primary malignancy (breast or other cancers) or death due to any cause.
Invasive Disease-Free Survival (iDFS)
iDFS events are defined as follows: (1)Ipsilateral invasive breast tumor recurrence. (2) Ipsilateral local-regional invasive breast cancer recurrence. (3) Ipsilateral second primary invasive breast cancer. (4) Contralateral invasive breast cancer. (5) Distant recurrence. (6) Death attributable to any cause.
Overall survival (OS)
OS is defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis will be censored at the date of the last follow-up.
Adverse events (AEs)
AEs were graded according to the National Cancer Institute's Common Toxicity Criteria for Adverse Events (CTCAE) version 5.0. In general, AEs are graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE. The type, grade and frequency of AEs will be reported.

Full Information

First Posted
May 25, 2021
Last Updated
May 25, 2021
Sponsor
Tianjin Medical University Cancer Institute and Hospital
Collaborators
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04907344
Brief Title
Study of Camrelizumab Plus Chemotherapy as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (TNBC)
Official Title
A Multicenter, Open, Randomized Controlled Study of Camrelizumab+ Nab-paclitaxel + Carboplatin Versus Nab-paclitaxel + Carboplatin as Neoadjuvant Therapy for Triple Negative Breast Cancer (TNBC)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
June 15, 2021 (Anticipated)
Primary Completion Date
June 30, 2025 (Anticipated)
Study Completion Date
June 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tianjin Medical University Cancer Institute and Hospital
Collaborators
Jiangsu HengRui Medicine Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of Camrelizumab in Combination With Nab-Paclitaxel and carboplatin as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (TNBC).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Triple Negative Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
420 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Camrelizumab + Chemotherapy
Arm Type
Experimental
Arm Title
Part 2: Camrelizumab + Chemotherapy
Arm Type
Experimental
Arm Title
Part 2: Chemotherapy
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Camrelizumab
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
Nab-Paclitaxel
Intervention Description
IV infusion
Intervention Type
Drug
Intervention Name(s)
Carboplatin
Intervention Description
IV infusion
Primary Outcome Measure Information:
Title
pCR rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery
Description
pCR rate (ypT0/Tis ypN0) is defined as the percentage of participants without residual invasive tumor on hematoxylin and eosin evaluation of breast specimen and all sampled regional lymph nodes following completion of neoadjuvant systemic therapy by current AJCC staging criteria assessed by the local pathologist at the time of definitive surgery in all participants.
Time Frame
Up to approximately 24 weeks
Secondary Outcome Measure Information:
Title
pCR rate using the definition of ypT0/Tis (i.e., absence of invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement) at the time of definitive surgery
Description
pCR rate (ypT0/Tis) is defined as the percentage of participants without invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement following completion of neoadjuvant systemic therapy by current AJCC staging criteria assessed by the local pathologist at the time of definitive surgery in all participants
Time Frame
Up to approximately 24 weeks
Title
Objective Response Rate (ORR)
Description
ORR was defined as percentage of participants with best (confirmed) overall response (BOR) of either CR or PR. ORR was assessed by the investigator according to RECIST version 1.1 and is based on BOR, which is defined as best response recorded from start of study treatment until definitive surgery or disease progression.
Time Frame
Up to approximately 24 weeks
Title
Event-Free Survival (EFS)
Description
EFS is defined as the time from start of study treatment to any of the following events: progression of disease that precludes surgery, local or distant recurrence, second primary malignancy (breast or other cancers) or death due to any cause.
Time Frame
Up to approximately 5 years
Title
Invasive Disease-Free Survival (iDFS)
Description
iDFS events are defined as follows: (1)Ipsilateral invasive breast tumor recurrence. (2) Ipsilateral local-regional invasive breast cancer recurrence. (3) Ipsilateral second primary invasive breast cancer. (4) Contralateral invasive breast cancer. (5) Distant recurrence. (6) Death attributable to any cause.
Time Frame
Up to approximately 5 years
Title
Overall survival (OS)
Description
OS is defined as the time from randomization to death due to any cause. Participants without documented death at the time of the analysis will be censored at the date of the last follow-up.
Time Frame
Up to approximately 5 years
Title
Adverse events (AEs)
Description
AEs were graded according to the National Cancer Institute's Common Toxicity Criteria for Adverse Events (CTCAE) version 5.0. In general, AEs are graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Severe AE Grade 4 Life-threatening or disabling AE Grade 5 Death related to AE. The type, grade and frequency of AEs will be reported.
Time Frame
Up to approximately 35 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Newly diagnosed breast cancer; 18-75 Years, female; ECOG Performance Status of 0-1; Life expectancy is not less than 3 months; Histologically documented TNBC (negative human epidermal growth factor receptor 2 [HER2], estrogen receptor [ER], and progesterone receptor [PgR] status); Tumor stage: II-III; At least one measurable lesion according to RECIST 1.1; Adequate hematologic and organ function.; Must be willing to use an adequate method of contraception for the course of the study. Exclusion Criteria: Stage Ⅳ (metastatic) breast cancer or bilateral breast cancer; Inflammatory breast cancer; Has received prior any anti-tumor therapy within the past 12 months prior to signing informed consent, including chemotherapy, targeted therapy, radiation therapy, immunotherapy, biotherapy and TACE; Has received prior therapy with an anti-programmed cell death protein 1 (anti-PD-1), anti-programmed death - ligand 1 (anti-PD-L1), or anti-PD-L2 agent or with an agent directed to another co-inhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated antigen-4 [CTLA-4]; Has a history of invasive malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer; Major surgical procedure within 4 weeks prior to initiation of study treatment; Active or history of autoimmune disease or immune deficiency diseases except history of autoimmune-related hypothyroidism, controlled Type 1 diabetes mellitus; Has a history of (non-infectious) pneumonitis, interstitial lung disease or uncontrollable systematicness diseases; Administration of a live attenuated vaccine within 28 days prior to initiation of study treatment or anticipation of need for such a vaccine during the study; Has a known history of Human Immunodeficiency Virus (HIV); Has known active Hepatitis B, Hepatitis C or Autoimmune hepatitis; Severe infections within 4 weeks prior to initiation of study treatment, including but not limited to hospitalization for complications of infection, bacteremia, or severe pneumonia; Has active infection (CTCAE≥2) needed the treatment of antibiotic within 2 weeks prior to initiation of study treatment; Has evidence of active tuberculosis within 1year prior to initiation of study treatment; Prior allogeneic stem cell or solid organ transplantation; Pre-existing motor or sensory neuropathy of a severity≥grade 2; Has significant cardiovascular disease; Has a known hypersensitivity to the components of the study treatment or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins; Female patients during pregnancy and lactation, fertile women with positive baseline pregnancy tests or women of childbearing age who are unwilling to take effective contraceptive measures throughout the trial; History of neurological or psychiatric disorders, including epilepsy or dementia; Any other situation evaluated by researchers.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhongsheng Tong, MD
Phone
+8618622221181
Email
18622221181@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Xuchen Cao, MD
Phone
+8618622221160
Email
caoxuchen@tmu.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhongsheng Tong, MD
Organizational Affiliation
Breast Oncology, Tianjin Medical University Cancer Institute and Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Xuchen Cao, MD
Organizational Affiliation
Breast Cancer Department I, Tianjin Medical University Cancer Institute and Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Breast Cancer Department I, Tianjin Medical University Cancer Institute and Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xuchen Cao, MD
Phone
+8618622221160
Email
caoxuchen@tmu.edu.cn
Facility Name
Breast Oncology, Tianjin Medical University Cancer Institute and Hospital
City
Tianjin
State/Province
Tianjin
ZIP/Postal Code
300060
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhongsheng Tong, MD
Phone
+8618622221181
Email
18622221181@163.com

12. IPD Sharing Statement

Learn more about this trial

Study of Camrelizumab Plus Chemotherapy as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (TNBC)

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