NCT06535893

Brief Summary

Randomized phase II trial targeting early-stage breast cancer (stage II-III) applicable to preoperative chemotherapy (NAC), comparing standard treatment with multiple experimental treatments.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_2 breast-cancer

Timeline
172mo left

Started Jul 2024

Longer than P75 for phase_2 breast-cancer

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress11%
Jul 2024Jun 2040

First Submitted

Initial submission to the registry

July 30, 2024

Completed
Same day until next milestone

Study Start

First participant enrolled

July 30, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 2, 2024

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2027

Expected
13 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2040

Last Updated

November 20, 2025

Status Verified

November 1, 2025

Enrollment Period

2.9 years

First QC Date

July 30, 2024

Last Update Submit

November 19, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • pathological complete response (pCR)

    pCR is defined as the absence of invasive cancer in the breast and sampled regional lymph nodes.

    Baseline to surgery

  • ctDNA clearance rate

    ctDNA test was performed by Natera

    Before Neoadjuvant chemotherapy to surgery

Study Arms (2)

JCOG2205-TN

ACTIVE COMPARATOR

KEYNOTE-522 regimen: Carboplatin + paclitaxel + pembrolizumab followed by doxorubicin + cyclophosphamide + pembrolizumab

Drug: TN

JCOG2205-TN-1

EXPERIMENTAL

Carboplatin + paclitaxel + pembrolizumab followed by niraparib + pembrolizumab

Drug: TN-1

Interventions

TNDRUG

Carboplatin + paclitaxel + pembrolizumab followed by doxorubicin + cyclophosphamide + pembrolizumab

JCOG2205-TN
TN-1DRUG

Carboplatin + paclitaxel + pembrolizumab followed by niraparib + pembrolizumab Niraparib Pembrolizumab AC

Also known as: KEYNOTE-522 regimen
JCOG2205-TN-1

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed invasive breast carcinoma
  • Stage II or III
  • ECOG performance status of 0 or 1
  • Age 18-80

You may not qualify if:

  • Continuous systemic administration (oral or intravenous) of steroid drugs or other immunosuppressants.
  • History or complication of interstitial lung disease or pulmonary fibrosis diagnosed by imaging or clinical findings.
  • Infection requiring systemic treatment.
  • Active double cancer (however, the following are not excluded: (1) Completely resected cancers: basal cell carcinoma, squamous cell carcinoma at clinical stage I, carcinoma in situ, mucosal carcinoma, superficial bladder carcinoma, (2) Gastrointestinal cancer that has been curatively resected by ESD or EMR, (3) Other cancers that have not recurred for more than 5 years).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nagoya City University

Nagoya, Aichi-ken, 467-8601, Japan

RECRUITING

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

July 30, 2024

First Posted

August 2, 2024

Study Start

July 30, 2024

Primary Completion (Estimated)

June 30, 2027

Study Completion (Estimated)

June 30, 2040

Last Updated

November 20, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations