Novel Neoadjuvant and Adjuvant Strategy for Germline BRCA 1/2 Mutated Triple Negative Breast Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorOkayama University

About this trial

This is a Phase II, single-arm, open label study to evaluate Olaparib plus Pembrolizumab following platinum-based chemotherapy plus Pembrolizumab as neoadjuvant therapy for germline BRCA (gBRCA) 1/2 mutated triple negative breast cancer (TNBC).

Pembrolizumab in combination with weekly paclitaxel and carboplatin (treatment 1) is followed by Pembrolizumab in combination with Olaparib (treatment 2) in neoadjuvant setting and Pembrolizumab in combination with Olaparib in adjuvant setting will be studied

Eligibility criteria

Qualifiers

Male/female subjects who are at least 18 years of age on the day of signing informed consent with histologically confirmed diagnosis of invasive breast cancer

Have histologically confirmed TNBC, as defined by the most recent ASCO/CAP guidelines.

Confirmed germline BRCA 1/2 mutated.

T1c, N1-N2

Disqualifiers

Subjects who has a positive urine pregnancy test within 72 hours prior to registration

Has diagnosed as inflammatory breast cancer.

Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor .

Has received a live vaccine or live-attenuated vaccine within 30 days prior to the first dose of study drug.

Trial design

Treatments tested in this trial

  • Pembrolizumab
  • Paclitaxel
  • Carboplatin
  • Olaparib
  • Definitive Surgery

Treatment groups

23 Participants
are divided into 1 treatment group

Sponsors and collaborators

Okayama University

Lead sponsor

Merck Sharp & Dohme LLC

Collaborator