Status:

WITHDRAWN

Paclitaxel Plus Pembrolizumab vs. Paclitaxel Weekly in ER+ Luminal B Metastatic Breast Cancer

Lead Sponsor:

Queen Mary University of London

Collaborating Sponsors:

Merck Sharp & Dohme LLC

European Institute of Oncology

Conditions:

Breast Cancer

Eligibility:

FEMALE

18+ years

Phase:

PHASE2

Brief Summary

PELICAN is a randomised phase II trial that aims to evaluate the efficacy and safety of paclitaxel plus pembrolizumab relative to paclitaxel alone, in patients with locally advanced or metastatic ER-p...

Eligibility Criteria

Inclusion

  • Willing and able to provide written informed consent
  • Ability to comply with the protocol
  • Female ≥ 18 years of age
  • Histologically confirmed metastatic or locally advanced breast cancer that is Luminal B, ER+ve, HER2-ve.
  • Patients must have measurable disease.
  • Representative formalin-fixed paraffin embedded breast tumour samples from the primary or recurrent cancer.
  • ECOG performance status 0-1
  • Adequate haematologic and end-organ function within 28 days prior to the first study treatment
  • Patients of childbearing potential are eligible provided they have a negative serum or urine pregnancy test on Day 1 Cycle 1 (within 72 hours) of study treatment, preferably as close to the first dose as possible.

Exclusion

  • Luminal A breast cancer
  • Prior chemotherapy for advanced or metastatic disease
  • Prior treatment with paclitaxel in the (neo)adjuvant setting within 12 months from the end of paclitaxel treatment and randomisation into this study
  • Patients with neuropathy ≥ Grade 2
  • Previous systemic treatment for other neoplasms within 5 years prior to randomisation.
  • Patients with prior allogeneic stem cell or solid organ transplantation.
  • Prior treatment with CD137 agonists, AKT inhibitors, anti-CTLA-4, anti-OX-40, anti-programmed death-1 (PD-1), or anti-PD-L1 therapeutic antibody or pathway-targeting agents.
  • Patients must not have a diagnosis of immunodeficiency or receiving chronic systemic steroid therapy.
  • Received therapeutic oral or intravenous antibiotics within 14 days prior to randomisation.
  • Administration of a live vaccine within 30 days prior to the first dose of study drug.
  • Treatment with systemic immunostimulatory agents (including but not limited to interferons or interleukin \[IL\] -2) within 28days or five half-lives of the drug, whichever is shorter, prior to randomisation.
  • History of autoimmune disease.
  • History of idiopathic pulmonary fibrosis, drug-induced pneumonitis, organizing pneumonia requiring steroids, or evidence of active pneumonitis on screening chest CT scan.
  • Active infection requiring systemic therapy.
  • History of HIV infection
  • Known active hepatitis infection.
  • Known history of active tuberculosis

Key Trial Info

Start Date :

December 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2025

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03841747

Start Date

December 1 2020

End Date

June 1 2025

Last Update

March 12 2024

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