Informations générales (source: ClinicalTrials.gov)
OPTimizing Adjuvant Prescription of PEMBROlizumab in Patients With Early-stage Triple-negative Breast Cancer Achieving Pathologic Complete Response After Standard Neoadjuvant Chemotherapy and Pembrolizumab
Interventional
Phase 3
UNICANCER (Voir sur ClinicalTrials)
juillet 2025
juin 2039
29 juillet 2026
OPT-PEMBRO trial is a pragmatic, multicentre, international, prospective,
non-inferiority, two-arms, randomised (1:1), open-label, Phase III clinical study.
The main goal of this research is to determine if patients with triple-negative breast
cancer, who experience a complete response after neoadjuvant treatment, have the same
chance of avoiding cancer recurrence whether they stop pembrolizumab or continue taking
it for an additional 6 months.
This research will also take into account patients tolerance to treatment and quality of
life.
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| CLCC INSTITUT GUSTAVE ROUSSY | Joana Mourato RIBEIRO | 04/06/2026 10:10:05 | Contacter | ||
Critères
Tous
1. Patient must have signed a written informed consent prior to any trial-related
procedures. When the patient is physically unable to give his written consent, a
trusted person of his choice, independent from the investigator or the sponsor, can
confirm in writing the patient's consent;
2. Age ≥ 18 years;
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2;
4. Histologically documented stage II-III breast cancer according to the primary
tumour-regional lymph node anatomic staging criteria of the American Joint Committee
on Cancer (AJCC), 8th edition as determined by the investigator during radiologic
assessment, clinical assessment or both;
5. Estrogen receptor (ER) and Progesterone receptor (PR) ≤10%; HER2-negative as per
ASCO/CAP guidelines Note: In case of bilateral breast cancer, participation in the
study is permitted as long as both tumours are triple negative;
6. Patients previously treated with neoadjuvant chemotherapy in combination with
pembrolizumab for a minimum of 6 cycles (All systemic chemotherapy must have been
completed preoperatively);
7. Absence of residual invasive disease in the breast or lymph nodes after the
completion of neoadjuvant therapy (Residual ductal carcinoma in situ [DCIS] is
allowed);
8. Have had an adequately excised breast cancer (surgical removal of all clinically
evident disease in the breast and lymph nodes) :
1. Breast surgery: patients must have undergone either breast-conserving surgery
or total mastectomy with histologically negative margins for invasive tumour
and DCIS. Patients with margins positive for lobular carcinoma in situ (LCIS)
are eligible without additional resection.
2. Lymph node surgery: patients must have had sentinel lymph node biopsy (SLNB)
and/or axillary lymph node dissection (ALND) to evaluate the pathologic nodal
status;
9. Patients that have received adequate locoregional radiation therapy or with planned
adequate locoregional radiation therapy;
10. Adequate organ and bone marrow functions. All screening lab tests should be
performed within 28 days before randomisation;
1. Absolute Neutrophil Count (ANC) ≥ 1,000 /µL
2. Platelets ≥ 100,000 /µL
3. Hemoglobin ≥ 9 g/dL
4. Creatinine clearance ≥ 30 mL/min for subject with creatinine levels > 1.5 x
institutional upper limit of normal (ULN)
5. Total bilirubin ≤ 1.5 x ULN or direct bilirubin ≤ ULN for subjects with total
bilirubin levels > 1.5 ULN (Patients with Gilbert's disease with a total
bilirubin ≤ 2.5 x ULN and direct bilirubin within normal limits are permitted)
6. Aspartate aminotransferase (ASAT) and alanine aminotransferase (ALAT) ≤ 2.5 x
ULN
11. Randomisation must take place no more than 12 weeks after breast surgery. Adjuvant
radiotherapy is authorized. If given, as per investigator discretion it can be given
concurrently with pembrolizumab;
12. Patients must not be pregnant or nursing (for women of childbearing potential only,
a negative serum pregnancy test must be obtained within 7 days of Cycle 1 Day 1);
13. Women of childbearing potential and male patients must agree to use 1 effective form
of contraception and up to 4 months after the last dose of study drugs;
14. Patients should be able and willing to comply with study visits and procedures as
per protocol;
15. Patients must be affiliated to a Social Security System (or equivalent).
Exclusion Criteria:
1. Radiological or clinical evidence of metastatic disease (stage IV) documented by
imaging or clinical examination;
2. Evidence of recurrent disease following preoperative therapy and surgery;
3. Any prior history of (ipsi- or contralateral) invasive breast cancer;
4. Patients with a prior or concurrent malignancy (other than invasive breast cancer)
whose natural history or treatment have the potential to interfere with the safety
or efficacy assessment of the investigational regimen;
5. Patients for whom pembrolizumab has been permanently discontinued during the
neoadjuvant phase of treatment due to pembrolizumab-related AE;
6. History of intolerance, including Grade 3 or 4 infusion reaction or hypersensitivity
to pembrolizumab or murine proteins or any component of the product;
7. Medical conditions that require chronic systemic steroids (> 10 mg prednisone or
equivalent) or any other form of immunosuppressive medication in the past 2 years.
Replacement therapy (e.g., thyroxine, insulin, physiologic corticosteroid
replacement therapy for adrenal or pituitary insufficiency) is not considered a form
of systemic treatment;
8. Known active liver disease, e.g. due to HBV, HCV, autoimmune hepatic disorders, or
sclerosing cholangitis;
9. HIV-infected patients on effective anti-retroviral therapy with detectable viral
load within 6 months prior to enrollment;
10. Patients with known history or current symptoms of cardiac disease, or history of
treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac
function using the New York Heart Association Functional Classification. To be
eligible for this trial, patients should be class 2B or better;
11. Patients unwilling or unable to comply with the medical follow-up required by the
trial due to geographic, familial, social, or psychological reasons;
12. Persons deprived of their liberty or under protective custody or guardianship;
13. Participation in another therapeutic trial within the 30 days prior to
randomisation.