Intratumoral INT230-6 Followed by Neoadjuvant Immuno-chemotherapy in Patients With Early Triple-negative Breast Cancer (TNBC). An Open-label Randomized Two-cohort Phase 2 Clinical Trial. INVINCIBLE-4-SAKK

Status: Recruiting
Location: See all (9) locations...
Intervention Type: Other, Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

About 10-20% of all individuals with breast cancer have a so-called triple-negative tumor (TNBC). This type of breast cancer has a particularly unfavorable course and a higher mortality rate compared to other forms of breast cancer. Research studies show that it is important for individuals with TNBC to achieve a so-called pathologic complete response (pCR) to treatment. In the phase II study SAKK 66/22, it is being investigated whether the administration of the drug INT230-6 before surgery for breast cancer can increase the rate of pCR in the tumor and affected lymph nodes. The tolerability of INT230-6 as well as other factors such as response to treatment and the possibility of breast-conserving surgery are also being examined.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Written informed consent according to country specific law and ICH GCP E6(R2) regulations before registration and prior to any trial specific procedures.

• Newly histologically diagnosed, previously untreated locally advanced non-metastatic TNBC as defined by the most recent American Society of Clinical Oncology (ASCO) / College of American Pathologist (CAP) guidelines .

• The following stages according to staging per American Joint Committee on Cancer (AJCC) for breast cancer staging criteria version 8 are included: cT1c (1.5-2cm) N1-3 M0 or cT2-4c N0-3 M0.

• Multifocal and multicentric primary tumors are allowed and the tumor with the most advanced T stage should be used to assess eligibility. If multifocal or multicentric disease TNBC needs to be confirmed for each focus.

• Measurable disease in the breast with at least one lesion with a diameter ≥ 1.5cm that is evaluable per RECIST v1.1, visible in ultrasound and injectable.

• Male or female subject Age ≥ 18 years.

• ECOG performance status 0-1

• Adequate bone marrow function (administration of G-CSF, EPO and/or blood transfusion within 14 days before registration is not allowed):

‣ neutrophil count ≥ 1.5 x 109/L

⁃ platelet count ≥ 100 x 109/L

⁃ hemoglobin ≥ 90 g/L

• Adequate hepatic function:

‣ total bilirubin ≤ 1.5 x ULN, or direct bilirubin ≤ ULN for subjects with total bilirubin levels \> 1.5 x ULN

⁃ AST and ALT ≤ 2.5 x ULN,

⁃ Albumin 30 ≥ g/L

⁃ Lactate Dehydrogenase (LDH) \<2.5 ULN

• Adequate renal function: estimated glomerular filtration rate (eGFR) ≥ 50 ml/min/1.73 m2 (according to CKD-EPI formula)

• Adequate cardiac function: Left ventricular Ejection Fraction (LVEF) ≥ 50% as determined by echocardiography (ECHO)

• Adequate coagulation function:

‣ INR ≤ 1.5 x ULN unless the patient is receiving anticoagulant therapy

⁃ aPTT ≤ 1.5 x ULN unless the patient is receiving anticoagulant therapy

⁃ If the patient is receiving anticoagulant therapy, the treating physician must determine that the anticoagulation can be stopped at least 24 hours prior to injection.

• Women of childbearing potential must use highly effective contraception, are not pregnant or lactating and agree not to become pregnant during trial treatment and until 7 months after the last dose of INT230-6 or 6 months after standard of care treatment. A negative pregnancy test before inclusion into the trial is required for all women of childbearing potential. (www.swissmedicinfo.ch).

• Men agree not to donate sperm or to father a child by using effective contraception during trial treatment and until 6 months after the last dose of INT230-6 or standard of care treatment (www.swissmedicinfo.ch).

Locations
Other Locations
Switzerland
Tumor Zentrum Aarau
RECRUITING
Aarau
St. Claraspital
RECRUITING
Basel
EOC - IOSI Ospedale regionale Bellinzona e valli - San Giovanni
RECRUITING
Bellinzona
Kantonsspital Graubünden
RECRUITING
Chur
Kantonsspital Baselland
RECRUITING
Liestal
HOCH Health Ostschweiz
RECRUITING
Sankt Gallen
TBZO - Tumor- & Brustzentrum Ostschweiz
RECRUITING
Sankt Gallen
Kantonsspital Winterthur
RECRUITING
Winterthur
Universitätsspital Zürich - Klinik für Gynäkologie
RECRUITING
Zurich
Contact Information
Primary
Jana Musilova, PhD
trials@swisscancerinstitute.ch
+41 31 389 91 91
Time Frame
Start Date: 2024-10-24
Estimated Completion Date: 2029-12
Participants
Target number of participants: 54
Treatments
Experimental: Cohort A experimental
Intervention 1-2 weeks:~\- 2 Injections of INT230-6 into primary tumor of the breast~Thereafter~* Standard of Care including surgery (30 weeks)~* Immuno-chemotherapy -\> 24 weeks~Neoadjuvant therapy as Keynote-522 (Standard of Care) - 24 Weeks~Pembrolizumab q3W in combination with~* Cycles 1-4: Paclitaxel q1W + Carboplating q1W or q3W~* Cycle 5-8: Doxorubicin or Epirubicin q3W + Cyclophospahmide q3W~* MRI~* Surgery
Other: Cohort B Standard of Care
Intervention 1-2 weeks:~\- No intervention - start of immune-chemotherapy after randomization~Thereafter~* Standard of Care including surgery (30 weeks)~* Immuno-chemotherapy -\> 24 weeks~Neoadjuvant therapy as Keynote-522 (Standard of Care) - 24 Weeks~Pembrolizumab q3W in combination with~* Cycles 1-4: Paclitaxel q1W + Carboplating q1W or q3W~* Cycle 5-8: Doxorubicin or Epirubicin q3W + Cyclophospahmide q3W~* MRI~* Surgery
Sponsors
Leads: Swiss Cancer Institute

This content was sourced from clinicaltrials.gov