RecruitingPhase 2NCT06797635

Study of Patritumab Deruxtecan Plus Pembrolizumab With Other Anticancer Agents in Participants With High-Risk Early-Stage Triple-Negative or Hormone Receptor-Low Positive/HER-2 Negative Breast Cancer (MK-1022-010, HERTHENA-Breast-03)

An Open-label Randomized Phase 2 Study to Evaluate Safety and Efficacy of Patritumab Deruxtecan Plus Pembrolizumab Administered Either Before or After Carboplatin/Paclitaxel Plus Pembrolizumab Compared With Pembrolizumab in Combination With Chemotherapy Followed by Surgery and Adjuvant Pembrolizumab for High-Risk Early-Stage Triple-Negative or Hormone Receptor-Low Positive/Human Epidermal Growth Factor Receptor-2 Negative Breast Cancer (HERTHENA-Breast03)


Sponsor

Merck Sharp & Dohme LLC

Enrollment

372 participants

Start Date

Mar 20, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Researchers are looking for new ways to treat triple-negative breast cancer (TNBC) and hormone receptor (HR) low positive/human epidermal growth factor receptor-2 (HER2) negative breast cancer. The main goals of this study are to learn: * About the safety of the study treatments and if people tolerate them * If people who receive patritumab deruxtecan, pembrolizumab, and chemotherapy before surgery have fewer cancer cells removed during surgery compared to those who receive only pembrolizumab (pembro) and chemotherapy.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study tests a combination of drugs — patritumab deruxtecan (an antibody that delivers chemotherapy directly to cancer cells), pembrolizumab (immunotherapy), and other agents — before surgery in people with high-risk, early-stage triple-negative or HER2-negative breast cancer. The goal is to shrink the tumor before surgery (neoadjuvant therapy). **You may be eligible if...** - You have locally advanced, non-metastatic (has not spread to distant organs) breast cancer that is triple-negative or HR-low/HER2-negative - Your breast cancer staging fits specific criteria for tumor size and lymph node involvement - You are in adequately good health for treatment - If you have Hepatitis B, it must be treated and undetectable **You may NOT be eligible if...** - You have metastatic (widely spread) breast cancer - You have significant heart, lung, or liver conditions that make the treatment unsafe - You are pregnant or breastfeeding - You have already received systemic treatment for this breast cancer Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BIOLOGICALPatritumab deruxtecan

Administered via IV infusion as neoadjuvant treatment

BIOLOGICALPembrolizumab

Administered via IV infusion as neoadjuvant treatment in Part 1 and via IV infusion as neoadjuvant and adjuvant treatment in Part 2

DRUGPaclitaxel

Administered via IV infusion as neoadjuvant treatment

DRUGCarboplatin

Administered via IV infusion as neoadjuvant treatment

DRUGDoxorubicin hydrochloride

Administered via IV infusion as neoadjuvant treatment in Arm C and an option for adjuvant treatment for participants with residual disease in Arms A and B in Part 2

DRUGEpirubicin hydrochloride

Administered via IV infusion as neoadjuvant treatment in Arm C and an option for adjuvant treatment for participants with residual disease in Arms A and B in Part 2

DRUGCyclophosphamide

Administered via IV infusion as neoadjuvant treatment in Arm C and an option for adjuvant treatment for participants with residual disease in Arms A and B in Part 2

DRUGCapecitabine

Administered via oral tablets as an option for adjuvant treatment for participants with residual disease in Part 2

DRUGOlaparib

Administered via oral tablets as an option for adjuvant treatment for participants with germline BRCA mutations and residual disease in Part 2


Locations(17)

UCLA Hematology/Oncology - Parkside ( Site 0021)

Santa Monica, California, United States

Orchard Healthcare Research Inc. ( Site 0006)

Skokie, Illinois, United States

Intermountain Health St. Vincent Regional Hospital - Cancer Centers of Montana ( Site 0003)

Billings, Montana, United States

Northwest Cancer Specialists (Compass Oncology) ( Site 8003)

Tigard, Oregon, United States

SCRI Oncology Partners ( Site 7000)

Nashville, Tennessee, United States

Texas Oncology - DFW ( Site 8000)

Dallas, Texas, United States

Houston Methodist Hospital ( Site 0022)

Houston, Texas, United States

Virginia Oncology Associates (VOA) ( Site 8001)

Norfolk, Virginia, United States

Seoul National University Hospital ( Site 2400)

Seoul, South Korea

Severance Hospital, Yonsei University Health System ( Site 2402)

Seoul, South Korea

Asan Medical Center ( Site 2401)

Seoul, South Korea

Institut Català d'Oncologia (ICO) - Badalona ( Site 1700)

Badalona, Catalonia, Spain

Clinica Universidad de Navarra ( Site 1703)

Madrid, Madrid, Comunidad de, Spain

Hospital Universitario Reina Sofia ( Site 1702)

Córdoba, Spain

Taichung Veterans General Hospital ( Site 2502)

Taichung, Taiwan

National Cheng Kung University Hospital ( Site 2503)

Tainan, Taiwan

Koo Foundation Sun Yat-Sen Cancer Center ( Site 2501)

Taipei, Taiwan

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06797635


Related Trials