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Trial Title: Neoadjuvant Camrelizumab and Fluzoparib and Nab-paclitaxel in Early Breast Cancer With HRR Gene Mutation

NCT ID: NCT05761470

Condition: Her-2 Negative Breast Cancer
HRR Gene Mutation

Conditions: Official terms:
Breast Neoplasms
Paclitaxel
Fluzoparib

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Camrelizumab
Description: Camrelizumab at a fixed dose of 200mg via IV infusion on Days 1 each 21-day cycle. Fluzoparibat at a fixed dose of 100mg BID, each 21-day cycle. Nab-paclitaxel at a fixed dose of 260 milligrams via intravenous (IV) infusion on Days 1 each 21-day cycle.
Arm group label: Camrelizumab, Fluzoparib and Nab-paclitaxel

Intervention type: Drug
Intervention name: Fluzoparib
Description: Fluzoparib
Arm group label: Camrelizumab, Fluzoparib and Nab-paclitaxel

Intervention type: Drug
Intervention name: Nab-paclitaxel
Description: Nab-paclitaxel
Arm group label: Camrelizumab, Fluzoparib and Nab-paclitaxel

Summary: This study is to evaluate the efficacy and safety of combination of Camrelizumab (Immunotherapy, PD-1 inhibitor), Fluzoparib (PARP inhibitor) and Nab-paclitaxel in neoadjuvant therapy of Her-2 negative breast cancer patients with HRR gene mutation.

Detailed description: This is a prospective, single-center, open-label phase II clinical trial investigating the activity of Camrelizumab+Fluzoparib+Nab-paclitaxel combination therapy in breast cancer patients with Her2-negative and HRR gene mutation for neoadjuvant therapy. Anticipated 66 candidates meeting all study eligibility criteria will receive 8 cycles of Nab-paclitaxel (260mg/m2) every 3 weeks, which will add Camrelizumab (200mg, d1) and Fluzoparib (100mg BID) from the second cycle. HRR gene mutation contains at least one pathogenic or likely pathogenic variant in germline or somatic BRCA1, BCRA2 and PALB2 genes, or in germline ATM, BARD1, BRIP1, CDK12, CHEK2, RAD51C, RAD51D genes.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically documented Her-2 negative - TNM stage: T1c, N1-N2;T2-4, N0-N2;any T, N3 - No distant metastatic disease - Eastern Cooperative Oncology Group Performance Status: 0~1 - HRR gene mutation: at least one pathogenic or likely pathogenic variant in germline or somatic BRCA1, BCRA2 and PALB2 genes, or in germline ATM, BARD1, BRIP1, CDK12, CHEK2, RAD51C, RAD51D genes. Exclusion Criteria: - Patients who are pregnant or lactating at the time of randomization or refuse to contraception. - Patients who have other malignant diseases within 2 years, except for cured skin basal cell carcinoma, breast carcinoma in situ or cervical carcinoma in situ - Patients with psychiatric disorder, peripheral or central nerve system disease or any disorder, which compromises ability to give informed consent or participate in this study. - Patients who have myocardial infarction or congestive heart failure, or other serious cardiac disease. - Patients who have used immunosuppressive drug or corticosteroids within 14 days. - Patients who have other diseases which researchers. - Patients who allergy to any of the drugs in this trail.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: First Affiliated Hospital, Sun Yat-Sen University

Address:
City: Guangzhou
Zip: 510080
Country: China

Status: Recruiting

Contact:
Last name: Ying Lin, MD

Phone: +8602087755766

Phone ext: 8212
Email: linying3@mail.sysu.edu.cn

Start date: May 6, 2022

Completion date: December 31, 2028

Lead sponsor:
Agency: Ying Lin
Agency class: Other

Source: First Affiliated Hospital, Sun Yat-Sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05761470

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