NCT06829199

Brief Summary

Researchers want to learn if giving boserolimab (MK-5890) with standard treatment (pembrolizumab and chemotherapy) before surgery can help treat triple negative breast cancer (TNBC). The goals of this study are to learn about the safety of boserolimab given with standard treatment before surgery and to learn if people tolerate it and how many people have no signs of cancer in the tissues and lymph nodes removed during surgery.

Trial Health

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Trial Health Score

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

Timeline
59mo left

Started Mar 2025

Longer than P75 for phase_2

Geographic Reach
2 countries

2 active sites

Status
withdrawn

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress19%
Mar 2025Mar 2031

First Submitted

Initial submission to the registry

February 11, 2025

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 17, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

March 26, 2025

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 18, 2029

Expected
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 18, 2031

Last Updated

February 19, 2026

Status Verified

February 1, 2026

Enrollment Period

3.8 years

First QC Date

February 11, 2025

Last Update Submit

February 17, 2026

Conditions

Keywords

Triple Negative Breast CancerBreast cancerNeoadjuvantBoserolimabPembrolizumabUmbrella study

Outcome Measures

Primary Outcomes (3)

  • Number of participants with one or more adverse events (AEs)

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Up to approximately 34 months

  • Number of participants who discontinue study intervention due to an AE

    An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment.

    Up to approximately 27 months

  • Pathological complete response (pCR) rate at the time of definitive surgery

    pCR (ypT0/Tis ypN0) is defined as the absence of residual invasive cancer on hematoxylin and eosin evaluation of the complete resected breast specimen and all sampled regional lymph nodes after completion of neoadjuvant systemic therapy per current American Joint Committee on Cancer (AJCC) staging criteria assessed by the local pathologist at the time of definitive surgery.

    Up to approximately 9 months

Secondary Outcomes (3)

  • pCR-no ductal carcinoma in situ (DCIS) rate at the time of definitive surgery

    Up to approximately 9 months

  • Event-Free Survival (EFS)

    Up to approximately 72 months

  • Overall Survival (OS)

    Up to approximately 72 months

Study Arms (2)

Pembrolizumab+ Paclitaxel+ Carboplatin

ACTIVE COMPARATOR

Participants will receive pembrolizumab PLUS paclitaxel PLUS carboplatin followed by pembrolizumab PLUS doxorubicin hydrochloride or epirubicin hydrochloride and cyclophosphamide as neoadjuvant therapy prior to surgery. In adjuvant therapy participants will receive pembrolizumab PLUS optional additional adjuvant treatment of physician's choice (TPC), capecitabine or olaparib.

Biological: PembrolizumabDrug: PaclitaxelDrug: CarboplatinDrug: Doxorubicin (hydrochloride)Drug: Epirubicin HydrochlorideDrug: CyclophosphamideDrug: CapecitabineDrug: Olaparib (if approved/available locally)

Pembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

EXPERIMENTAL

Participants will receive pembrolizumab PLUS boserolimab PLUS paclitaxel PLUS carboplatin followed by pembrolizumab PLUS doxorubicin hydrochloride or epirubicin hydrochloride and cyclophosphamide PLUS boserolimab as neoadjuvant therapy prior to surgery. In adjuvant therapy participants will receive pembrolizumab PLUS optional additional adjuvant treatment of physician's choice (TPC), capecitabine or olaparib.

Biological: PembrolizumabDrug: PaclitaxelDrug: CarboplatinDrug: Doxorubicin (hydrochloride)Biological: BoserolimabDrug: Epirubicin HydrochlorideDrug: CyclophosphamideDrug: CapecitabineDrug: Olaparib (if approved/available locally)

Interventions

AUC 1.5 mg/mL/min by IV infusion every week for up to 12 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

300 mg by oral administration twice a day for up to approximately 52 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

60 mg/m\^2 by IV infusion Q3W for up to 12 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin
BoserolimabBIOLOGICAL

30 mg by IV infusion every 6 weeks (Q6W) for up to 12 Weeks.

Also known as: MK-5890
Pembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

90 mg/m\^2 by IV infusion every 3 weeks (Q3W) for up to 12 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

600 mg/m\^2 by IV infusion every 3 weeks (Q3W) for up to 12 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

1000 mg/m\^2 to 1250 mg/m\^2 by oral administration twice a day (2 weeks on and 1 week off) for up to approximately 24 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin
PembrolizumabBIOLOGICAL

Neoadjuvant therapy - 200 mg intravenous (IV) infusion every 3 weeks (Q3W) for up to approximately 24 weeks Adjuvant therapy - 200 mg IV infusion Q3W or 400 mg IV infusion every 6 weeks (Q6W) for up to approximately 30 weeks.

Also known as: MK-3475, Keytruda®, SCH 900475
Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

80 mg/m\^2 by IV infusion every week for up to 12 weeks.

Pembrolizumab+ Paclitaxel+ CarboplatinPembrolizumab+Boserolimab+Paclitaxel+ Carboplatin

Eligibility Criteria

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

You may qualify if:

  • Has previously untreated high-risk, early-stage, non-metastatic (M0) breast cancer (BC), defined as tumor stage T1c, nodal stage N1-2, or tumor stage T2-4, nodal stage N0-2
  • Has provided a core needle biopsy for tissue diagnosis of the current breast cancer less than 29 days prior to the date of informed consent
  • Has centrally confirmed diagnosis of BC that is triple-negative based on the American Society of Clinical Oncology/College of American Pathologists guidelines
  • Has Eastern Cooperative Oncology Group performance status of 0 or 1 performed within 28 days before treatment randomization
  • Has left ventricle ejection fraction of ≥50% as assessed by echocardiogram or multigated acquisition scan performed at screening
  • Has a history of exposure to anthracycline; participants can be eligible after completion of a Sponsor consultation form, if cumulative lifetime doses are as follows: Doxorubicin \<100 mg/m2, Epirubicin \<180 mg/m2, Mitoxantrone \<40 mg/m2, Idarubicin \<22.5 mg/m2. Note: If another anthracycline or more than one anthracycline has been used, the cumulative dose must not exceed the equivalent of 100 mg/m2 of doxorubicin

You may not qualify if:

  • Has documented Grade ≥2 peripheral neuropathy
  • Has uncontrolled or significant cardiovascular disease
  • Has received prior therapy with an anti-programmed cell death protein 1 (anti-PD-1), anti-programmed cell death-ligand 1 (anti-PD-L1), or anti-PD-L2 agent, or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g., cytotoxic T-lymphocyte-associated protein-4 \[CTLA-4\], OX-40 \[cluster of differentiation (CD) 134\], or CD137)
  • Has received any prior treatment, including radiation, systemic therapy, and/or definitive surgery for currently diagnosed breast cancer
  • Has received prior systemic anticancer therapy
  • Has undergone excisional biopsy of the primary tumor and/or axillary lymph node dissection prior to study treatment
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention
  • Has a known additional malignancy that is progressing or has required active treatment within the past 5 years
  • Has active autoimmune disease that has required systemic treatment in the past 2 years with need for disease modifying agents such as corticosteroids or immunosuppressive drugs
  • Has history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
  • Has an active infection requiring systemic therapy
  • HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease
  • Has severe hypersensitivity (Grade ≥3) to pembrolizumab, any investigational agent or study intervention, any of its excipients, and/or to another biologic therapy
  • Has a history of allogeneic tissue/solid organ transplant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Optum Care Cancer Center ( Site 0004)

Las Vegas, Nevada, 89102, United States

Location

National Cheng Kung University Hospital ( Site 0901)

Tainan, 704, Taiwan

Location

Related Links

MeSH Terms

Conditions

Triple Negative Breast NeoplasmsBreast Neoplasms

Interventions

pembrolizumabPaclitaxelCarboplatinDoxorubicinEpirubicinCyclophosphamideCapecitabineolaparib

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesCoordination ComplexesDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedPhosphoramidesOrganophosphorus CompoundsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Officials

  • Medical Director

    Merck Sharp & Dohme LLC

    STUDY DIRECTOR
0

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2025

First Posted

February 17, 2025

Study Start

March 26, 2025

Primary Completion (Estimated)

January 18, 2029

Study Completion (Estimated)

March 18, 2031

Last Updated

February 19, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

More information

Locations