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A Phase III, Randomized, Double-blind Study to Evaluate Pembrolizumab plus Chemotherapy vs Placebo plus Chemotherapy as Neoadjuvant Therapy and Pembrolizumab vs Placebo as Adjuvant Therapy for Triple Negative Breast Cancer (TNBC)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2022-501382-49-00
Acronym
MK-3475-522
Enrollment
439
Registered
2023-02-21
Start date
2017-03-07
Completion date
2025-10-14
Last updated
2025-08-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Triple Negative Breast Cancer (TNBC)

Brief summary

Pathological complete response (pCR) rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery, Event-free Survival (EFS) as assessed by Investigator

Detailed description

pCR rate using an alternative definition, ypT0 ypN0 (i.e., no invasive or noninvasive residual in breast or nodes) at the time of definitive surgery, pCR rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery, EFS in participants with tumors expressing PD-L1, pCR rate using an alternative definition, ypT0/Tis (i.e., absence of invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement) at the time of definitive surgery, Overall survival (OS), Percentage of participants who experience an adverse event (AE), Percentage of participants who discontinue study treatment due to an AE, European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Core 30 Questionnaire (QLQ-C30) score, EORTC Breast Cancer-Specific QoL Questionnaire (QLQ-BR23) score

Interventions

DRUGCYCLOPHOSPHAMIDE
DRUGPEGFILGRASTIM
DRUGEPIRUBICIN
DRUGPlacebo to keytruda-normal saline or dextrose
DRUGFILGRASTIM
DRUGDOXORUBICIN
DRUGPACLITAXEL
DRUGKEYTRUDA 25 mg/mL concentrate for solution for infusion
DRUGCARBOPLATIN

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Pathological complete response (pCR) rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery, Event-free Survival (EFS) as assessed by Investigator

Secondary

MeasureTime frame
pCR rate using an alternative definition, ypT0 ypN0 (i.e., no invasive or noninvasive residual in breast or nodes) at the time of definitive surgery, pCR rate using the definition of ypT0/Tis ypN0 (i.e., no invasive residual in breast or nodes; noninvasive breast residuals allowed) at the time of definitive surgery, EFS in participants with tumors expressing PD-L1, pCR rate using an alternative definition, ypT0/Tis (i.e., absence of invasive cancer in the breast irrespective of ductal carcinoma in situ or nodal involvement) at the time of definitive surgery, Overall survival (OS), Percentage of participants who experience an adverse event (AE), Percentage of participants who discontinue study treatment due to an AE, European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Core 30 Questionnaire (QLQ-C30) score, EORTC Breast Cancer-Specific QoL Questionnaire (QLQ-BR23) score

Countries

France, Germany, Ireland, Italy, Poland, Portugal, Spain, Sweden

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026