RecruitingPhase 1Phase 2NCT06880029

Circadian Rhythm Impact on TNBC Response to Neoadjuvant Immunotherapy

Circadian Rhythm Impact on Triple Negative Breast Cancer Response to Neoadjuvant Immunotherapy - a Feasibility Randomized Trial


Sponsor

Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E.

Enrollment

20 participants

Start Date

Sep 1, 2024

Study Type

INTERVENTIONAL

Summary

CIRCADIAN is a prospective randomized clinical trial designed to evaluate the impact of pembrolizumab infusions' time-of-day on pathological complete response (pCR) rate among TNBC patients undergoing neoadjuvant treatment.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 75 Years

Inclusion Criteria3

  • Female sex
  • Age 18 - 75 years old
  • Diagnosed with Stage II or III TNBC and candidates for neoadjuvant treatment with ChT+pembrolizumab after multidisciplinary group discussion.

Exclusion Criteria3

  • Patients unable to understand or consent to the study;
  • Patients not completing ≥2 cycles of planned neoadjuvant pembrolizumab cycles or ≥50% of planned neoadjuvant ChT cycles;
  • Patients under daily ≥10 mg of prednisolone or equivalent

Interventions

OTHERMorning pembrolizumab infusions

Patients will be randomized 1:1 to receive all three neoadjuvant pembrolizumab cycles in the morning (before noon) or in the afternoon (after noon).


Locations(1)

Centro Hospitalar Vila Nova de Gaia/Espinho

Vila Nova de Gaia, Região, Portugal

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NCT06880029