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NCT03051672

Phase II PEMBROLIZUMAB + PALLIATIVE RADIOTHERAPY IN BC

Terminated Phase 2 Results posted Last updated 27 April 2021
What this trial tests

Phase 2 trial testing Pembrolizumab in Metastatic Breast Cancer in 8 participants. Terminated before completion.

Timeline
22 May 2017
Primary endpoint
4 September 2018
11 January 2019

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment8
Start date22 May 2017
Primary completion4 September 2018
Estimated completion11 January 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, any sex, with Metastatic Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Objective Response Rate Primary · Tumor measurements are repeated every 6 weeks for the first 24 weeks and then every 9 weeks thereafter. Treatment continued until disease progression or unacceptable toxicity. Treatment duration was 1 cycle. Response was evaluated up to 3 months.

The objective response rate (ORR) was defined as the proportion of participants achieving complete response (CR) or partial response (PR) outside the field of radiation based on RECIST 1.1 criteria on treatment. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions. Complete Respons

GroupValue95% CI
Pembrolizumab With Radiation00 – 31.25
Incidence of Grade 4 Treatment-Related Toxicity Secondary · Tumor measurements are repeated every 6 weeks for the first 24 weeks and then every 9 weeks thereafter. Treatment continued until disease progression or unacceptable toxicity. Response was evaluated up to 3 months.

All grade 4 adverse events (AE) with treatment attribution of possibly, probably or definite based on CTCAEv3 as reported on case report forms were counted. Incidence is the number of patients experiencing at least one treatment-related grade 4 AE of any type during the time of observation.

GroupValue95% CI
Pembrolizumab With Radiation0
Median Progression-free Survival (PFS) Secondary · Tumor measurements are repeated every 6 weeks for the first 24 weeks and then every 9 weeks thereafter. Treatment continued until disease progression or unacceptable toxicity. The maximum follow-up time is 3 months.

Progression-free survival based on the Kaplan-Meier method is defined as the duration of time from study entry to documented disease progression (PD) or death. Per RECIST 1.1 criteria: progressive disease (PD) is at least a 20% increase in the sum of longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. PD for the evaluation of non-target lesions is the appearance of one or more new lesions and/or unequivocal progression of non-target lesions.

GroupValue95% CI
Pembrolizumab With Radiation1.40.4 – 2.1
Median Overall Survival (OS) Secondary · Tumor measurements are repeated every 6 weeks for the first 24 weeks and then every 9 weeks thereafter. Treatment continued until disease progression or unacceptable toxicity. The maximum follow-up time is 13 months.

OS based on the Kaplan-Meier method is defined as the time from study entry to death or censored at date last known alive.

GroupValue95% CI
Pembrolizumab With Radiation2.90.9 – 3.6

Adverse events — posted to ClinicalTrials.gov

Time frame: AE data collected every cycle (21 days) from time of the first dose of study treatment, through the study and until removal from study or death, whichever occurs first. AEs were observed up to 3 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pembrolizumab With Radiation
Serious: 0/8 (0%)
Deaths: 0/8
Other adverse events (33 terms — click to expand)

ReactionSystemPembrolizumab With Radiation
FatigueGeneral disorders
Aspartate aminotransferase increasedInvestigations
AnemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Bone painMusculoskeletal and connective tissue disorders
Peripheral motor neuropathyNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
VertigoEar and labyrinth disorders
Febrile neutropeniaBlood and lymphatic system disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Metabolism and nutrition disorders - OtherMetabolism and nutrition disorders
HyperthyroidismEndocrine disorders
HypothyroidismEndocrine disorders
Eye disorders - Other, specifyEye disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
GastritisGastrointestinal disorders
VomitingGastrointestinal disorders
Flu like symptomsGeneral disorders
PainGeneral disorders
Upper respiratory infectionInfections and infestations
Platelet count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
OsteoporosisMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
AnxietyPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT03051672 adverse events section.

Sponsor's own description

This research study is studying radiation therapy in combination with an immunotherapy as a possible treatment for metastatic hormone receptor (HR) positive, HER2-negative breast cancer. The interventions involved in this study are: * Palliative Radiotherapy * Pembrolizumab

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current Landscape of Immunotherapy in Breast Cancer: A Review.
    Adams S, Gatti-Mays ME, Kalinsky K, Korde LA, et al · · 2019 · cited 297× · PMID 30973611 · DOI 10.1001/jamaoncol.2018.7147
  2. Targeting immune checkpoints in breast cancer: an update of early results.
    Solinas C, Gombos A, Latifyan S, Piccart-Gebhart M, et al · · 2017 · cited 122× · PMID 29177095 · DOI 10.1136/esmoopen-2017-000255
  3. The Immunology of Hormone Receptor Positive Breast Cancer.
    Goldberg J, Pastorello RG, Vallius T, Davis J, et al · · 2021 · cited 115× · PMID 34135901 · DOI 10.3389/fimmu.2021.674192
  4. Immunotherapy for HER2-positive breast cancer: recent advances and combination therapeutic approaches.
    Ayoub NM, Al-Shami KM, Yaghan RJ. · · 2019 · cited 69× · PMID 30697064 · DOI 10.2147/bctt.s175360
  5. An Overview of Antibody Conjugated Polymeric Nanoparticles for Breast Cancer Therapy.
    Juan A, Cimas FJ, Bravo I, Pandiella A, et al · · 2020 · cited 68× · PMID 32854255 · DOI 10.3390/pharmaceutics12090802
  6. Luminal Breast Cancer: Risk of Recurrence and Tumor-Associated Immune Suppression.
    Pellegrino B, Hlavata Z, Migali C, De Silva P, et al · · 2021 · cited 52× · PMID 33974235 · DOI 10.1007/s40291-021-00525-7
  7. Breast Cancer Immunotherapy: An Update.
    Makhoul I, Atiq M, Alwbari A, Kieber-Emmons T. · · 2018 · cited 47× · PMID 29899661 · DOI 10.1177/1178223418774802
  8. Kickstarting Immunity in Cold Tumours: Localised Tumour Therapy Combinations With Immune Checkpoint Blockade.
    Appleton E, Hassan J, Chan Wah Hak C, Sivamanoharan N, et al · · 2021 · cited 46× · PMID 34733287 · DOI 10.3389/fimmu.2021.754436

Verify or expand the search:

Other trials of Pembrolizumab

Trials testing the same drug.

Other recruiting trials for Metastatic Breast Cancer

Currently open trials in the same condition.

Other Dana-Farber Cancer Institute trials

Trials by the same sponsor.

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