Last reviewed · How we verify

NCT03121352

Carboplatin, Nab-Paclitaxel and Pembrolizumab for Metastatic Triple-Negative Breast Cancer

Completed Phase 2 Results posted Last updated 6 October 2023
What this trial tests

Phase 2 trial testing Carboplatin in Metastatic Triple Negative Breast Cancer in 30 participants. Completed in 23 May 2022.

Timeline
19 May 2017
Primary endpoint
20 February 2022
23 May 2022

Quick facts

Lead sponsorCase Comprehensive Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date19 May 2017
Primary completion20 February 2022
Estimated completion23 May 2022
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Case Comprehensive Cancer Center — full company profile →

Who can join

18 and older, any sex, with Metastatic Triple Negative 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.

Overall Response Rate (ORR) in Patients Treated With CNP Primary · Up to 24 months

The number of people with tumor responses according to RECIST (V1.1). These responses include Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on stu

Complete Response (CR)
GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab2
Partial Response (PR)
GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab11
Progressive Disease (PD)
GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab6
Stable Disease (SD)
GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab8
Progression-free Survival (PFS) in Patients Treated With CNP Secondary · Up to 24 months

Average time (in months) patient's tumors did not progress according to the RECIST criteria (V1.1). Progressive disease is defined as Progressive Disease (PD): At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm

GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab5.84.7 – 8.5
Disease Control Rate (DCR) in Patients Treated With CNP Secondary · Up to 24 months

the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease to a therapeutic intervention. Responses are defined as Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm or Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify

GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab21
Duration of Response in Patients Treated With CNP Secondary · Up to 24 months

Average time patients have a response, as defined by the RECIST criteria (V1.1). Response includes: Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm or Partial Response (PR): At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Complete
GroupValue95% CI
Carboplatin + Nab-paclitaxel + PembrolizumabNANA – NA
Partial
GroupValue95% CI
Carboplatin + Nab-paclitaxel + Pembrolizumab6.33 – 7

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to five years after cycle six of treatment. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Carboplatin + Nab-paclitaxel + Pembrolizumab
Serious: 13/30 (43%)
Deaths: 27/30

Serious adverse events (25 terms)

ReactionSystemCarboplatin + Nab-paclitax…
DyspneaRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
Alanine aminotransferase increasedInvestigations
Lung infection (pneumonia)Infections and infestations
PneumonitisRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Severe Left Thigh Pain Due to a HematomaMusculoskeletal and connective tissue disorders
Creatinine increasedInvestigations
Acute kidney injuryRenal and urinary disorders
Breast infectionInfections and infestations
INR increasedBlood and lymphatic system disorders
Autoimmune disorder-hepatitisImmune system disorders
Urinary tract infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Chest wall painMusculoskeletal and connective tissue disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
Device related infectionInfections and infestations
Soft tissue infectionInfections and infestations
Death due to disease progressionGeneral disorders
Non-cardiac chest painGeneral disorders
Psychosis-altered mental statusPsychiatric disorders
InfectionInfections and infestations
Allergic reactionImmune system disorders
Generalized pain-hip and lower extremitiesMusculoskeletal and connective tissue disorders
Other adverse events (144 terms — click to expand)

ReactionSystemCarboplatin + Nab-paclitax…
AnemiaBlood and lymphatic system disorders
White blood cell decreasedInvestigations
AlopeciaSkin and subcutaneous tissue disorders
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
AnorexiaMetabolism and nutrition disorders
Platelet count decreasedInvestigations
ConstipationGastrointestinal disorders
HypomagnesemiaMetabolism and nutrition disorders
Peripheral sensory neuropathyNervous system disorders
Lymphocyte count decreasedInvestigations
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypokalemiaMetabolism and nutrition disorders
PainGeneral disorders
VomitingGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
DizzinessNervous system disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypothyroidismEndocrine disorders
Weight lossInvestigations
AnxietyPsychiatric disorders
Aspartate aminotransferase increasedInvestigations
Edema limbsGeneral disorders
HeadacheNervous system disorders
HypertensionVascular disorders
Sinus tachycardiaCardiac disorders
Breast painReproductive system and breast disorders
Hot flashesVascular disorders
Alkaline phosphatase increasedInvestigations
Allergic rhinitisRespiratory, thoracic and mediastinal disorders
Creatinine increasedInvestigations
HypotensionVascular disorders
InsomniaPsychiatric disorders
Mucositis oralGastrointestinal disorders

Most-reported serious reactions: Dyspnea, Fever, Alanine aminotransferase increased, Lung infection (pneumonia), Pneumonitis, Anemia, Nausea, Severe Left Thigh Pain Due to a Hematoma.

Data from ClinicalTrials.gov NCT03121352 adverse events section.

Sponsor's own description

The purpose of this study is to see how effective the combination of the two chemotherapy drugs (carboplatin and nab-paclitaxel) are when added to a third drug, pembrolizumab. Pembrolizumab is an investigational (experimental) drug that works by reinvigorating the immune system, allowing it to target and destroy cancer cells. Pembrolizumab is experimental because it is not approved by the Food and Drug Administration (FDA) for this type of breast cancer treatment.

Publications & conference data

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

  1. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer.
    Ye F, Dewanjee S, Li Y, Jha NK, et al · · 2023 · cited 361× · PMID 37415164 · DOI 10.1186/s12943-023-01805-y
  2. Breast Cancer Treatments: Updates and New Challenges.
    Burguin A, Diorio C, Durocher F. · · 2021 · cited 297× · PMID 34442452 · DOI 10.3390/jpm11080808
  3. Recent advances in triple negative breast cancer: the immunotherapy era.
    Marra A, Viale G, Curigliano G. · · 2019 · cited 260× · PMID 31068190 · DOI 10.1186/s12916-019-1326-5
  4. Immunotherapeutic interventions of Triple Negative Breast Cancer.
    Li Z, Qiu Y, Lu W, Jiang Y, et al · · 2018 · cited 99× · PMID 29848327 · DOI 10.1186/s12967-018-1514-7
  5. Triple Negative Breast Cancer: A Mountain Yet to Be Scaled Despite the Triumphs.
    Wu Q, Siddharth S, Sharma D. · · 2021 · cited 66× · PMID 34359598 · DOI 10.3390/cancers13153697
  6. Breast Cancer Immunotherapy: An Update.
    Makhoul I, Atiq M, Alwbari A, Kieber-Emmons T. · · 2018 · cited 47× · PMID 29899661 · DOI 10.1177/1178223418774802
  7. Clinical trials of immunotherapy in triple-negative breast cancer.
    Howard FM, Pearson AT, Nanda R. · · 2022 · cited 41× · PMID 35834065 · DOI 10.1007/s10549-022-06665-6
  8. Druggable Molecular Targets for the Treatment of Triple Negative Breast Cancer.
    Nakhjavani M, Hardingham JE, Palethorpe HM, Price TJ, et al · · 2019 · cited 37× · PMID 31598336 · DOI 10.4048/jbc.2019.22.e39

Verify or expand the search:

Other trials of Carboplatin

Trials testing the same drug.

Other recruiting trials for Metastatic Triple Negative Breast Cancer

Currently open trials in the same condition.

Other Case Comprehensive Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03121352.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing