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Completed

NCT Number: NCT04613674

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

The purpose of this study is to evaluate the efficacy and safety of camrelizumab (an engineered anti-programmed death-ligand 1 [PD-1] antibody) plus chemotherapy vs placebo plus chemotherapy as neoadjuvant therapy in participants with triple negative breast cancer (TNBC). Participants will be randomized in a 1:1 ratio to Arm A (camrelizumab +chemotherapy) or Arm B (placebo + chemotherapy).

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Key information

Age range

18 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

Fudan University Cancer Hospital

Shanghai, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ECOG Performance Status of 0-1.
  • Early or locally advanced, histologically documented TNBC (absence of HER2, ER, and PR expression).
  • Tumor stage: II-III.
  • Adequate hematologic and organ function.
  • Must be willing to use an adequate method of contraception for the course of the study.

Exclusion criteria

  • Has a history of breast cancer.
  • 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.
  • Has received prior chemotherapy, targeted therapy, and radiation therapy within the past 12 months.
  • 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 diagnosis of immunodeficiency or autoimmune diseases.
  • Has received any form of immunosuppressive therapy within 4 weeks prior to the first dose of study treatment.
  • Severe pulmonary or cardiac disease.
  • Known active hepatitis C virus, or known active hepatitis B virus.
  • History of organ or bone marrow transplantation.
  • Pregnant or breast-feeding women.

Treatment and study plan

Camrelizumab Plus Chemotherapy

Drug

camrelizumab+chemotherapy

placebo+chemotherapy

Drug

placebo+chemotherapy

Primary outcomes

  1. Pathological complete response (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.

    Time frame: Up to approximately 24 weeks

Secondary outcomes

  1. Event-free Survival (EFS) as assessed by Investigator.

    Time frame: At least 2 years

    EFS is defined as the time from randomization 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.

  2. Disease-free Survival (DFS) as assessed by Investigator

    Time frame: At least 2 years

    DFS is defined as the time from surgery to any of the following events: local or distant recurrence, or death due to any cause.

  3. Distant Disease-free Survival (DDFS) as assessed by Investigator

    Time frame: At least 2 years

    DDFS is defined as the time from surgery to distant recurrence, or death due to any cause.

  4. Objective response rate (ORR) in accordance with RECIST v1.1

    Time frame: Up to approximately 24 weeks

    Number of responders Assessed by Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1) for target lesions assessed by MRI.

  5. Percentage of Participants with Adverse Events (AEs)

    Time frame: Up to approximately 67 weeks

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Multicentre, Randomized, Double-blind, Parallel-controlled Phase Ⅲ Study to Evaluate Camrelizumab Plus Chemotherapy vs Placebo Plus Chemotherapy as Neoadjuvant Therapy in Patients With Early or Locally Advanced Triple Negative Breast Cancer (TNBC).

Important dates

Study start
2020
Primary completion
2023
Study completion
2024
First posted
Nov 3, 2020
Registry last updated
Mar 27, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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