OncoMatch/Clinical Trials/NCT06533384
PARPi or Capecitabine Combined With PD-1 Inhibitors as Adjuvant Therapy in High-risk TNBC
Is NCT06533384 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including As per the germline BRCA1/2 mutation status, the selection of either Fuzuloparib or capecitabine in combination with Camrelizumab is made for adjuvant therapy. and 9 cycles of Camrelizumab as adjuvant therapy. for triple-negative breast cancer.
Treatment: As per the germline BRCA1/2 mutation status, the selection of either Fuzuloparib or capecitabine in combination with Camrelizumab is made for adjuvant therapy. · 9 cycles of Camrelizumab as adjuvant therapy. — In TNBC patients who have completed neoadjuvant immunotherapy and local treatment, a 9-cycle regimen of PD-1 inhibitor adjuvant immunotherapy is currently considered the standard approach. Based on the classification according to their BRCA mutation status, patients with BRCA mutations choose the PD-1 inhibitor + PARPi regimen, while patients without BRCA mutations opt for the PD-1 inhibitor + capecitabine regimen. Compared to monotherapy with PD-1 inhibitors, these combination regimens may offer improved efficacy and acceptable tolerability. This study is designed as a prospective, randomized, controlled, open-label, single-center phase III trial aimed at assessing the efficacy and safety of selecting PARPi or capecitabine in combination with PD-1 inhibitors based on germline BRCA1/2 mutations as adjuvant therapy in high-risk TNBC patients who have achieved non-pCR after completion of neoadjuvant immunotherapy in conjunction with chemotherapy and local treatment.
Check if I qualifyExtracted eligibility criteria
Cancer type
Triple-Negative Breast Cancer
Breast Carcinoma
Biomarker criteria
Required: HER2 (ERBB2) negative status (her2 score of 0/1+ or, if the score is 2+, her2/cep17 ratio less than 2.0 or her2 gene copy number less than 4)
Required: ESR1 negative expression (positive staining in less than 1% of all tumor cells)
Required: PR (PGR) negative expression (positive staining in less than 1% of all tumor cells)
Disease stage
Required: Stage T1C, N1-N2, T2, N0-N2, T3, N0-N2, T4A-D, N0-N2
Prior therapy
Cannot have received: antitumor treatment
Exception: excluding previously cured cervical carcinoma in situ and basal cell carcinoma
Previous receipt of antitumor treatment or radiation therapy for any malignancy (excluding previously cured cervical carcinoma in situ and basal cell carcinoma).
Lab requirements
Blood counts
Hb ≥ 90 g/L; ANC ≥ 1.5 × 10^9/L; ALC ≥ 0.5 × 10^9/L; PLT ≥ 100 × 10^9/L; WBC ≥ 3.0 × 10^9/L and ≤ 15 × 10^9/L
Kidney function
Serum creatinine ≤ 1.5x ULN, with creatinine clearance (CrCL) ≥ 50 mL/min (Cockcroft-Gault)
Liver function
ALT and AST ≤ 1.5x ULN; ALP ≤ 2.5x ULN; TBIL ≤ 1.5x ULN
Cardiac function
LVEF ≥ 55%; QTcF < 470 msec
The subjects were required to have good organ function, as evidenced by the following tests conducted within 7 days before randomization: ... (see full criteria for details)
Structured fields extracted by AI. May contain errors — verify against the official protocol.
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