A Phase 3, Randomized, Open-label Study Comparing Efficacy and Safety of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) as a Monotherapy and in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice in Participants With Previously Untreated Locally Recurrent Unresectable or Metastatic Triple-Negative Breast Cancer Expressing PD-L1 at CPS Less Than 10 (TroFuse-011)
Merck Sharp & Dohme LLC
Summary
Researchers want to know if sacituzumab tirumotecan given alone or with pembrolizumab can treat triple negative breast cancer (TNBC). The main goal of this study is to learn if people treated with sacituzumab tirumotecan alone or with pembrolizumab live longer overall or without the cancer growing or spreading compared to people treated with chemotherapy.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has locally recurrent unresectable or metastatic TNBC that cannot be treated with curative intent * Has not received systemic treatment for locally recurrent unresectable or metastatic breast cancer * Participants previously treated for early-stage breast cancer must have completed all prior therapy for early-stage breast cancer with curative intent at least 6 months before the first disease recurrence * Is a candidate for treatment with pembrolizumab and one of the TPC options: paclitaxel or nab-…
Interventions
- BiologicalSacituzumab tirumotecan
IV Infusion
- BiologicalPembrolizumab
IV Infusion
- DrugRescue Medication
Participants receive the following pre-medications before sacituzumab tirumotecan infusion: Histamine-1 (H1) receptor agonist, histamine-2 (H2) receptor antagonist, acetaminophen or equivalent, dexamethasone or equivalent infusion. Participants are also recommended to receive prophylactic steroid mouthwash (dexamethasone or equivalent).
- DrugPaclitaxel
IV Infusion
- DrugNab-paclitaxel
IV Infusion
- DrugGemcitabine
IV Infusion
- Drug
Locations (258)
- USA Mitchell Cancer Institute ( Site 0090)Mobile, Alabama
- Ironwood Cancer & Research Centers ( Site 0036)Chandler, Arizona
- City of Hope ( Site 0097)Duarte, California
- City of Hope Lennar Foundation Cancer Center ( Site 0099)Irvine, California
- UCLA Department of Medicine - Hematology & Oncology ( Site 0047)Los Angeles, California
- UCSF Helen Diller Family Comprehensive Cancer Center ( Site 0016)San Francisco, California