A Phase 2 interventional study of Camrelizumab and Fluzoparib in Her-2 Negative Breast Cancer and HRR Gene Mutation, sponsored by Ying Lin. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-03-09.
Sponsored by Ying Lin · Phase 2, Interventional, and Treatment
This study is to evaluate the efficacy and safety of combination of Camrelizumab (Immunotherapy, PD-1 inhibitor), Fluzoparib (PARP inhibitor) and Nab-paclitaxel in neoadjuvant therapy of Her-2 negative breast cancer patients with HRR gene mutation.
This is a prospective, single-center, open-label phase II clinical trial investigating the activity of Camrelizumab+Fluzoparib+Nab-paclitaxel combination therapy in breast cancer patients with Her2-negative and HRR gene mutation for neoadjuvant therapy.
Anticipated 66 candidates meeting all study eligibility criteria will receive 8 cycles of Nab-paclitaxel (260mg/m2) every 3 weeks, which will add Camrelizumab (200mg, d1) and Fluzoparib (100mg BID) from the second cycle.
HRR gene mutation contains at least one pathogenic or likely pathogenic variant in germline or somatic BRCA1, BCRA2 and PALB2 genes, or in germline ATM, BARD1, BRIP1, CDK12, CHEK2, RAD51C, RAD51D genes.
This is the only study on the registry with Ying Lin as lead sponsor.
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Exclusion Criteria:
Participants who confirmed pathogenic or likely pathogenic HRR gene mutation received Camrelizumab and Fluzoparib with nab-paclitaxel from the second cycle followed by nab-paclitaxel for one cycle.
Drug: Camrelizumab · Drug: Fluzoparib · Drug: Nab-paclitaxel
Camrelizumab at a fixed dose of 200mg via IV infusion on Days 1 each 21-day cycle. Fluzoparibat at a fixed dose of 100mg BID, each 21-day cycle. Nab-paclitaxel at a fixed dose of 260 milligrams via intravenous (IV) infusion on Days 1 each 21-day cycle.
Fluzoparib
Nab-paclitaxel
Pathologic Complete Response (pCR)
Pathologic response will be assessed in the surgically resected cancer and lymph nodes after completion of all chemotherapy by the local pathologist as part of routine care. Pathologic complete response is defined as no invasive cancer in the resected breast tissue and lymph nodes (ypT0/Tis, ypN0).
Time frame: Up to 32 weeks
Objective Response Rate (ORR)
ORR is defined as percentage of participants with Complete Response and Partial Response
Time frame: Up to 32 weeks
Residual Cancer Burden (RCB)
Pathologilly assessed residual cancer burden according to MD Anderson protocol.
Time frame: Up to 32 weeks
Event-Free Survival (EFS)
EFS was defined as the time from the date of randomization to the date of events from any cause.
Time frame: Up to 20 years
Overall Survival (OS)
OS was defined as the time from the date of randomization to the date of death from any cause.
Time frame: Up to 20 years
Safety of drugs
Adverse effects of the candidates according to NCI-CTCAE 5.0
Time frame: Up to 32 weeks
Plan to share: Undecided
No publications or documents are linked to this record.
Started May 2022 (actual). Primary completion is estimated for Jun 2024, 25 months after the start.
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Studies of the drugs tested here: Camrelizumab · Fluzoparib · Albumin-Bound Paclitaxel