Actively Recruiting

Early Phase 1
Age: 18Years +
All Genders
NCT06637306

Neoadjuvant Dupilumab, Pembrolizumab, Paclitaxel, and Carboplatin in Locally Advanced Triple Negative Breast Cancer

Led by Rima Patel · Updated on 2026-05-14

15

Participants Needed

1

Research Sites

105 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Pilot trial of the IL-4 receptor antagonist dupilumab plus pembrolizumab, paclitaxel, and carboplatin in locally advanced triple negative breast cancer (TNBC). Primary Objective: To assess the safety of neoadjuvant dupilumab and pembrolizumab plus weekly paclitaxel and carboplatin as measured by the proportion of severe immune-related adverse events (irAEs) in patients with locally advanced TNBC. Secondary Objectives: To determine the rates of pathologic complete response with the addition of dupilumab to NAC and pembrolizumab; to determine the rate of residual cancer burden 0-1; to estimate the recurrence-free survival and overall survival; to assess the toxicity of the combination of dupilumab, pembrolizumab, and paclitaxel-carboplatin.

CONDITIONS

Official Title

Neoadjuvant Dupilumab, Pembrolizumab, Paclitaxel, and Carboplatin in Locally Advanced Triple Negative Breast Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with confirmed triple negative breast cancer as defined by ASCO/CAP guidelines
  • Previously untreated localized TNBC with tumor size �3e= 2 cm or lymph node involvement with at least 1 cm tumor
  • No prior breast surgery, radiation, or systemic chemotherapy with therapeutic intent for this cancer
  • Eligible to receive paclitaxel and carboplatin chemotherapy
  • Willing and able to provide blood samples as scheduled
  • Willing and able to have core needle tumor biopsies before treatment
  • Age 18 years or older
  • ECOG performance status 0 or 1
  • Adequate organ and marrow function including specified blood counts and liver/kidney tests within normal limits
  • Women of child-bearing potential and men must agree to use effective contraception during and for 6 months after study
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • Prior chemotherapy or radiotherapy within 4 weeks before study entry or any prior breast cancer treatment with therapeutic intent
  • Receiving other investigational agents
  • Presence of distant metastases (Stage IV disease)
  • Diagnosis of immunodeficiency or recent systemic steroid or immunosuppressive therapy within 7 days before study treatment
  • Active autoimmune disease requiring systemic treatment in past year
  • Conditions or therapies that may interfere with study or pose risk as judged by investigator
  • Allergic reactions to study drugs or similar compounds
  • HIV positive with detectable viral load or unstable antiviral treatment
  • Active Hepatitis B or C infection unless controlled on therapy
  • Untreated helminth infections
  • History of bone marrow or organ transplantation
  • Receipt of live vaccine within 30 days before study drug
  • Previous immune-related adverse events from immunotherapy not resolved to Grade 0 or 1
  • History of interstitial lung disease or immune-related pneumonitis requiring steroids
  • Uncontrolled illnesses including active infections, heart conditions, arrhythmias, or psychiatric/social situations limiting study compliance
  • Pregnant or nursing women due to potential risks to fetus or infant

AI-Screening

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Trial Site Locations

Total: 1 location

1

Mount Sinai Health System

New York, New York, United States, 10029

Actively Recruiting

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Research Team

R

Rima Patel, MD

CONTACT

K

Katherine Vandris

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Neoadjuvant Dupilumab, Pembrolizumab, Paclitaxel, and Carboplatin in Locally Advanced Triple Negative Breast Cancer | DecenTrialz