Clinical trial Recruiting at 2 sites Phase 2 Interventional Ages 18 and up Women only

Using PET scans to guide treatment for triple negative breast cancer

Official title: A Pilot Study of Neoadjuvant Response-Adapted Chemotherapy With Pembrolizumab in Patients With Stage 2 and 3 Triple Negative Breast Cancer to Determine Early PET and Biomarker Dynamics

Run by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · NCT06245889 · Data updated 2026-11-12

This study tests if using PET scans can help doctors tailor treatment for people with stage 2 and 3 triple negative breast cancer to improve their chances of a successful surgery.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment30 (estimated)
SponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Academic / other
Drugs / interventionsimmunotherapy, pembrolizumab, cyclophosphamide, doxorubicin
Locations2 sites (Baltimore, Maryland and 1 other locations)
StatusRecruiting
StartedMay 1, 2024
Main results expectedJune 2029
Study endsJune 2030
Registry record updatedSeptember 3, 2026
Trial IDNCT06245889 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with stage II-III triple negative breast cancer.

Probably not a fit

Patients with metastatic disease, inflammatory breast cancer, or those who have previously received certain treatments may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial focuses on patients with stage 2 and 3 triple negative breast cancer (TNBC) who will receive a combination of paclitaxel, carboplatin, and pembrolizumab as neoadjuvant therapy. Participants will undergo PET scans and MRIs at various stages to assess their response to treatment. Those achieving a complete clinical response will proceed to surgery, while those with residual disease will receive additional neoadjuvant therapy before surgery. The study aims to optimize treatment based on individual responses to therapy.

Why it matters

Potential benefit: If successful, this approach could lead to more personalized and effective treatment strategies for patients with triple negative breast cancer.

How similar studies have gone: Other studies have shown promise in using imaging to adapt treatment strategies, making this approach both innovative and supported by prior research.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Stage II-III TNBC - estrogen receptor (ER) and progesterone receptor (PR) up to and including 10% is eligible
2. Age ≥ 18 years
3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
4. Eligible for standard chemo-immunotherapy as determined by treating physician, including consideration of:

   1. Adequate marrow and organ function
   2. Co-morbid conditions do not preclude the use of chemo-immunotherapy (such as uncontrolled autoimmune disease, or the use of immunosuppressive medications)
5. Patients must have the ability to understand and the willingness to sign a written informed consent prior to registration on study

Exclusion Criteria:

1. Patients unable to undergo PET or MRI
2. Evidence of metastatic disease or loco-regional recurrence (i.e. distant or chest wall recurrence)
3. Inflammatory breast cancer
4. Previous treatment with paclitaxel, carboplatin, or immune checkpoint inhibitors

Where it's running

  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland, United States
    Recruiting
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.