A Phase 3, Randomized, Open-label, Study to Compare the Efficacy and Safety of Adjuvant MK-2870 in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice (TPC) in Participants With Triple-Negative Breast Cancer (TNBC) Who Received Neoadjuvant Therapy and Did Not Achieve a Pathological Complete Response (pCR) at Surgery
Merck Sharp & Dohme LLC
Summary
This is a randomized, open-label study comparing the efficacy and safety of adjuvant sacituzumab tirumotecan (MK-2870) in combination with pembrolizumab compared to treatment of physician's choice (TPC) in participants with triple-negative breast cancer (TNBC) who received neoadjuvant therapy and did not achieve a pathological complete response (pCR) at surgery. The primary objective is to compare sacituzumab tirumotecan plus pembrolizumab to TPC (pembrolizumab or pembrolizumab plus capecitabine) with respect to invasive disease-free survival (iDFS) per investigator assessment. It is hypothesized that sacituzumab tirumotecan plus pembrolizumab is superior to TPC with respect to iDFS per investigator assessment.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Has centrally confirmed TNBC, as defined by the most recent American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines * Has no evidence of locoregional or distant relapse, as assessed by the treating physician * Had neoadjuvant treatment based on the KEYNOTE-522 regimen (pembrolizumab with carboplatin/taxanes and pembrolizumab with anthracycline-based chemotherapy) followed by surgery according to National Comprehensive Cancer Network (NCCN) treatment guidelines for TNBC * Had adequate excision and surgical removal of all clinically evi…
Interventions
- BiologicalPembrolizumab
Pembrolizumab 400 mg intravenous (IV) infusion q6w
- BiologicalSacituzumab tirumotecan
Sacituzumab tirumotecan 4 mg/kg IV infusion q2w
- DrugCapecitabine
Capecitabine 1000 mg/m\^2 to 1250 mg/m\^2 by mouth BID
Locations (288)
- Infirmary Cancer Care ( Site 0001)Mobile, Alabama
- Ironwood Cancer & Research Centers-Research ( Site 0054)Chandler, Arizona
- MemorialCare Orange Coast Medical Center ( Site 9501)Fountain Valley, California
- Scripps Cancer Center ( Site 0052)La Jolla, California
- Cancer and Blood Specialty Clinic ( Site 0008)Los Alamitos, California
- Kaiser Permanente - Oakland ( Site 0079)Oakland, California