A Phase II, Open-Label, Randomized Study Comparing Antiangiogenic Therapy Combined With Immunotherapy and Capecitabine Versus Investigator's Choice in Patients With Circulating Tumor DNA-Positive Stage II-III Triple-Negative Breast Cancer Who With Residual Disease After Neoadjuvant Therapy
Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY
Early triple negative breast cancer patients who do not achieve pathologic complete response after neoadjuvant chemotherapy with or without immunotherapy have bad prognosis. ctDNA effectively identified patients with highest relapse risk. This trial aims to explore whether the combination of antiangiogenic therapy, immunotherapy and capecitabine could improve the outcome of this subgroup of high relapse risk patients compared with investigator's choice of therapy.
Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:
• Stage II-III breast cancer patients, excluding occult breast cancer, inflammatory breast cancer, metaplasia breast cancer
• TNBC patients. TNBC was defined as ER \<= 10%, PR \<=10%, HER 0-1, or HER2 2+ and FISH negative.
Locations
Other Locations
China
Sun Yat-sen Memorial Hospital
RECRUITING
Guangzhou
Time Frame
Start Date: 2025-04-10
Estimated Completion Date: 2036-01-01
Participants
Target number of participants: 430
Treatments
Experimental: A
Apatinib 8mg qd PO，357days Camrelizumab 200mg i.v. Q3W or immunotherapy continued as in the NAC(17cycles in total).~Capecitabine 1000 or 1250 mg/m2 BID day1-14
Active_comparator: B
Investigator's choice. If immunotherapy was used in the NAC setting, it was required to be used after NAC for up to 1 years.
Related Therapeutic Areas
Sponsors
Leads: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University