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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.

Phase 3RecruitingGuangdong Provincial People's HospitalNCT06533384Data as of May 2026

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.

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Extracted 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

No prior treatment (treatment-naive required)
Max 0 prior lines

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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