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Breast: ADJUVANT: TNBC: Post-neoadjuvant: No pCR: MK 2870-012

A Phase 3, Randomized, Open-label, Study to Compare the Efficacy and Safety of Adjuvant MK-2870 in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice (TPC) in Participants With Triple-Negative Breast Cancer (TNBC) Who Received Neoadjuvant Therapy and Did Not Achieve a Pathological Complete Response (pCR) at Surgery

Title
Merck MK-2870-012 (Adjuvant Breast no pathCR from neoadj)
Study Title

A Phase 3, Randomized, Open-label, Study to Compare the Efficacy and Safety of Adjuvant MK-2870 in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice (TPC) in Participants With Triple-Negative Breast Cancer (TNBC) Who Received Neoadjuvant Therapy and Did Not Achieve a Pathological Complete Response (pCR) at Surgery

Site Link
Malignancy
Breast cancer, triple negative breast cancer, TNBC
Stage
Disease Setting
Adjuvant/Post-surgical
Line Of Therapy
Adjuvant
Investigational Agent
sacituzumab tirumotecan
Drug Class
Antibody drug conjugate
PI
Greg Vidal, MD, PhD
Sponsor
Merck Sharp and Dohme
Phase
Status
Key Eligibility Criteria
Key Eligibility Criteria Details
  • Centrally confirmed TNBC
  • No evidence of locregional or distant relapse
  • Had neoadjuvant treatment based on the KEYNOTE-522 regimen (pembrolizumab with carboplatin/taxane and pembrolizumab with anthracycline-based chemotherapy) followed by surgery per NCCN guidelines for TNBC
  • Had adequate excision and surgical removal of all clinically evident disease in the breast and/or lymph nodes and have adequately recovered from surgery
  • Is able to continue on adjuvant pembrolizumab
  • Has non-pathologic complete response at surgery
  • Completed adjuvant radiation therapy if indicated and recovered before randomization
  • Must be randomized within 16 weeks from surgery
  • ECOG PS 0-1
  • No known BRCA mutation
  • Cannot have received anticancer therapy in adjuvant setting
  • No additional malignancy that is progressing or has required active treatment within the last 5 years
Objective
  • Primary
    • Invasive DFS
  • Secondary
    • OS
    • Distant DFS
    • Safety
    • QOL
Assessment Frequency
_
Assessment Frequency 2
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Assessment Frequency Link
Path
triple negative, ER-, PR-, HER2-
Dosing Frequency
Control Agents
Study Protocol
Randomized
Yes
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