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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 30 (estimated) |
| Sponsor | Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Academic / other |
| Drugs / interventions | immunotherapy, pembrolizumab, cyclophosphamide, doxorubicin |
| Locations | 2 sites (Baltimore, Maryland and 1 other locations) |
| Status | Recruiting |
| Started | May 1, 2024 |
| Main results expected | June 2029 |
| Study ends | June 2030 |
| Registry record updated | September 3, 2026 |
| Trial ID | NCT06245889 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
- Study coordinator: Cesar A Santa-Maria, MD
- Email: csantam2@jhmi.edu
- Phone: 410-614-0874
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Using mistletoe extract with pembrolizumab for treating triple negative breast cancer
This study is testing if adding mistletoe extract to pembrolizumab can help adults with triple negative breast cancer feel better after surgery.
-
Combination treatment for triple-negative breast cancer after surgery
This study is testing a new combination treatment for people with triple-negative breast cancer who didn't fully respond to earlier therapy after surgery to see if it helps them stay cancer-free longer.
-
Combination of INBRX-106 and Pembrolizumab for Treating Stage II Triple Negative Breast Cancer
This study is testing a new combination of two drugs, INBRX-106 and pembrolizumab, to see if it can help people with Stage II Triple Negative Breast Cancer avoid chemotherapy.
-
Neoadjuvant treatment for early-stage triple negative breast cancer
This study is testing if a new combination of treatments can help people with early-stage triple negative breast cancer respond better to therapy before surgery.
-
Combining pembrolizumab with cryoablation for metastatic breast cancer
This study is testing if combining a drug called pembrolizumab with a freezing treatment can help people with advanced triple negative breast cancer feel better compared to just using the drug alone.
-
Comparing two treatments for low-risk triple-negative breast cancer
This study is testing whether adding pembrolizumab to sacituzumab govitecan can help people with low-risk triple-negative breast cancer do better after their initial treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.