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NeoAdjuvant Dynamic marker - Adjusted Personalized Therapy comparing sacituzumab govitecan+pembrolizumab vs. SoC chemotherapy in clinical stage II-III, triple-negative early breast cancer (ADAPT-TN-IV)

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-516734-35-00
Enrollment
690
Registered
2026-05-15
Start date
Unknown
Completion date
Unknown
Last updated
2026-05-15

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

Conditions

triple-negative early breast cancer

Brief summary

Primary endpoint in cohort I: • EFS after 36 months defined as time from registration to any invasive breast cancer event, death, or secondary malignancy (same definition as iDFS) according to STEEP 2.0 criteria, Primary endpoints in cohort II: • EFS after 36 months defined as time from registration to any invasive breast cancer event, death, or secondary malignancy or local progress precluding surgery in neoadjuvant treated patients • pCR defined as no invasive disease in breast and lymph nodes (ypT0/is, ypN0) in patients of both arms

Detailed description

Clinical response measured by palpation, ultrasound, mammography, or MRI, OS defined as time from first diagnosis to death, 3-year dDFS, 3-year RFS each as defined in STEEP 2.0, 3-year LRFS, Change of HRQoL between baseline, after completion of SoC neoadjuvant treatment, and on following defined timepoints: for details see protocol, For cohort II only: Comparison of toxicity of regimen by evaluation of treatment-emergent adverse event (TEAE), adverse drug reactions (ADR), serious ADR (SADR), and serious adverse events (SAE)-rates

Interventions

DRUGKEYTRUDA 25 mg/mL concentrate for solution for infusion.
DRUGTrodelvy 200 mg powder for concentrate for solution for infusion

Sponsors

WSG Westdeutsche Studiengruppe GmbH
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Primary endpoint in cohort I: • EFS after 36 months defined as time from registration to any invasive breast cancer event, death, or secondary malignancy (same definition as iDFS) according to STEEP 2.0 criteria, Primary endpoints in cohort II: • EFS after 36 months defined as time from registration to any invasive breast cancer event, death, or secondary malignancy or local progress precluding surgery in neoadjuvant treated patients • pCR defined as no invasive disease in breast and lymph nodes (ypT0/is, ypN0) in patients of both arms

Secondary

MeasureTime frame
Clinical response measured by palpation, ultrasound, mammography, or MRI, OS defined as time from first diagnosis to death, 3-year dDFS, 3-year RFS each as defined in STEEP 2.0, 3-year LRFS, Change of HRQoL between baseline, after completion of SoC neoadjuvant treatment, and on following defined timepoints: for details see protocol, For cohort II only: Comparison of toxicity of regimen by evaluation of treatment-emergent adverse event (TEAE), adverse drug reactions (ADR), serious ADR (SADR), and serious adverse events (SAE)-rates

Outcome results

None listed

Source: EU CTIS · Data processed: May 16, 2026