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Search / Trial NCT06312176

A Study of Sacituzumab Tirumotecan (MK-2870) as a Single Agent and in Combination With Pembrolizumab (MK-3475) Versus Treatment of Physician's Choice in Participants With HR+/HER2- Unresectable Locally Advanced or Metastatic Breast Cancer (MK-2870-010)

Launched by MERCK SHARP & DOHME LLC · Mar 7, 2024

Trial Information

Current as of June 27, 2025

Recruiting

Keywords

Programmed Cell Death 1 (Pd1, Pd 1) Programmed Cell Death 1 Ligand 1 (Pdl1, Pd L1) Programmed Cell Death 1 Ligand 2 (Pdl2, Pd L2)

ClinConnect Summary

This clinical trial is studying a new treatment option for patients with a specific type of breast cancer called hormone receptor positive and HER2 negative (HR+/HER2-). The researchers want to see how well a drug called sacituzumab tirumotecan works on its own and in combination with another drug called pembrolizumab. They are comparing these treatments to the standard care that doctors usually choose for patients. The main goal is to find out if these new treatments help patients live longer without their cancer getting worse.

To participate in this study, patients should have advanced breast cancer that cannot be surgically removed and have already tried hormone therapy without success. They also need to be candidates for chemotherapy and generally be in good health. If you or a loved one are dealing with this type of breast cancer and meet these criteria, joining this trial could provide access to new treatments that might be more effective. Participants will be closely monitored throughout the study and will receive the necessary care and support during their treatment journey.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • Has unresectable locally advanced or metastatic centrally-confirmed hormone receptor positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer
  • Has radiographic disease progression on one or more lines of endocrine therapy for unresectable locally advanced/metastatic HR+/HER2- breast cancer, with one in combination with a CDK4/6 inhibitor
  • Is a chemotherapy candidate
  • Has an eastern cooperative oncology group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization
  • Has adequate organ function
  • Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy
  • Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received HBV antiviral therapy for at least 4 weeks, and have undetectable HBV viral load
  • Participants with a history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable
  • Exclusion Criteria:
  • Has breast cancer amenable to treatment with curative intent
  • Has experienced an early recurrence (\<6 months after completing adjuvant/neoadjuvant chemotherapy) and therefore is eligible to receive second-line (2L) treatment
  • Has symptomatic advanced/metastatic visceral spread at risk of rapidly evolving into life-threatening complications
  • Has received prior chemotherapy for unresectable locally advanced or metastatic breast cancer
  • Active autoimmune disease that has required systemic treatment in the past 2 years
  • History of (noninfectious) pneumonitis/interstitial lung disease that requires steroids, or has current pneumonitis/interstitial lung disease
  • Has an active infection requiring systemic therapy

About Merck Sharp & Dohme Llc

Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., is a leading global biopharmaceutical company dedicated to discovering, developing, and delivering innovative medicines and vaccines that address unmet medical needs. With a strong focus on research and development, Merck Sharp & Dohme leverages advanced science and technology to enhance patient outcomes across various therapeutic areas, including oncology, infectious diseases, and cardiovascular health. Committed to ethical practices and regulatory compliance, the company actively engages in clinical trials to advance medical knowledge and improve health care for patients worldwide.

Locations

Warszawa, Mazowieckie, Poland

Kielce, Swietokrzyskie, Poland

Haifa, , Israel

Rimouski, Quebec, Canada

Nyack, New York, United States

Petah Tikva, , Israel

Tainan, , Taiwan

Hksar, , Hong Kong

Jerusalem, , Israel

Ramat Gan, , Israel

Seoul, , Korea, Republic Of

Zürich, Zurich, Switzerland

Baltimore, Maryland, United States

San José, San Jose, Costa Rica

Shatin, , Hong Kong

San José, San Jose, Costa Rica

Seoul, , Korea, Republic Of

Taipei, , Taiwan

Stony Brook, New York, United States

Rosario, Santa Fe, Argentina

Buenos Aires, , Argentina

Cordoba, , Argentina

La Rioja, , Argentina

Frankston, Victoria, Australia

Santiago, Region M. De Santiago, Chile

Santiago, Region M. De Santiago, Chile

Santiago, Region M. De Santiago, Chile

Santiago, Region M. De Santiago, Chile

Santiago, Region M. De Santiago, Chile

Santa Ana, San Jose, Costa Rica

San Jose, , Costa Rica

Seoul, , Korea, Republic Of

Seoul, , Korea, Republic Of

Kuala Lumpur, , Malaysia

Hato Rey, , Puerto Rico

San Juan, , Puerto Rico

Basel, Basel Stadt, Switzerland

Thun, Berne, Switzerland

Changhua County, Changhua, Taiwan

Taipei, , Taiwan

London, London, City Of, United Kingdom

Tyler, Texas, United States

Altamonte Springs, Florida, United States

Thomasville, Georgia, United States

Ciudad Autónoma De Buenos Aires, Caba, Argentina

Medellín, Antioquia, Colombia

Valledupar, Cesar, Colombia

Monteria, Cordoba, Colombia

Bogota, Distrito Capital De Bogota, Colombia

Cali, Valle Del Cauca, Colombia

Kaohsiung, , Taiwan

Truro, England, United Kingdom

Buenos Aires, , Argentina

Macquarie University, New South Wales, Australia

Westmead, New South Wales, Australia

Taoyuan, , Taiwan

São Paulo, Sao Paulo, Brazil

Santiago, Region M. De Santiago, Chile

Eindhoven, Noord Brabant, Netherlands

Amersfoort, Utrecht, Netherlands

Porto Alegre, Rio Grande Do Sul, Brazil

Santa Cruz Do Sul, Rio Grande Do Sul, Brazil

Montpellier, Languedoc Roussillon, France

Portland, Oregon, United States

Murdoch, Western Australia, Australia

Teresina, Piaui, Brazil

Larissa, Thessalia, Greece

Kaposvár, Somogy, Hungary

Budapest, , Hungary

Johor Bahru, Johor, Malaysia

Kuching, Sarawak, Malaysia

Amsterdam, Noord Holland, Netherlands

Auckland, , New Zealand

Bydgoszcz, Kujawsko Pomorskie, Poland

Siedlce, Mazowieckie, Poland

Wieliszew, Mazowieckie, Poland

Rzeszow, Podkarpackie, Poland

Gdynia, Pomorskie, Poland

Gliwice, Slaskie, Poland

Koszalin, Zachodniopomorskie, Poland

București, Bucuresti, Romania

Florești, Cluj, Romania

Bucuresti, , Romania

Cluj, , Romania

Singapore, Central Singapore, Singapore

Valencia, Valenciana, Comunitat, Spain

Madrid, , Spain

Baton Rouge, Louisiana, United States

Portland, Oregon, United States

Porto Alegre, Rio Grande Do Sul, Brazil

Taubaté, Sao Paulo, Brazil

Sao Paulo, , Brazil

Paris, Orne, France

Athens, Attiki, Greece

Thessaloniki, Kentriki Makedonia, Greece

Szeged, Csongrad, Hungary

Debrecen, , Hungary

Milano, Lombardia, Italy

Ciudad De México, Distrito Federal, Mexico

Mexico City, Distrito Federal, Mexico

Guadalajara, Jalisco, Mexico

Arnhem, Gelderland, Netherlands

Breda, Noord Brabant, Netherlands

Pozuelo De Alarcon, Madrid, Spain

Barcelona, , Spain

Sevilla, , Spain

Fullerton, California, United States

Orlando, Florida, United States

Montreal, Quebec, Canada

Antofagasta, , Chile

Nantes, Loire Atlantique, France

Lyon, Rhone Alpes, France

Paris, , France

Zalaegerszeg, Zala, Hungary

Petah Tikva, , Israel

Aviano, Friuli Venezia Giulia, Italy

Rozzano, Milano, Italy

Bologna, , Italy

Roma, , Italy

Arequipa, Ariqipa, Peru

Jesús María, Lima, Peru

Lima, Muni Metro De Lima, Peru

Lima, , Peru

Bialystok, Podlaskie, Poland

Lisbon, Lisboa, Portugal

Cordoba, , Spain

Madrid, , Spain

Changhua County, Changhua, Taiwan

Kaohsiung, , Taiwan

Tainan, , Taiwan

Taipei, , Taiwan

Taipei, , Taiwan

Taoyuan, , Taiwan

Nottingham, , United Kingdom

Toronto, Ontario, Canada

New Haven, Connecticut, United States

Gent, Oost Vlaanderen, Belgium

Montreal, Quebec, Canada

Caen, Calvados, France

San Pedro Garza Garcia, Nuevo Leon, Mexico

Maastricht, Limburg, Netherlands

London, London, City Of, United Kingdom

Namur, , Belgium

Marousi, Attiki, Greece

Blackpool, , United Kingdom

Chandler, Arizona, United States

Anderlecht, Bruxelles Capitale, Region De, Belgium

Brussels, Bruxelles Capitale, Region De, Belgium

Dublin, , Ireland

Genova, , Italy

Milano, , Italy

Stockholm, Stockholms Lan, Sweden

Ankara, , Turkey

Santiago, Region M. De Santiago, Chile

Vejle, Syddanmark, Denmark

Zwolle, Overijssel, Netherlands

Lisbon, Lisboa, Portugal

Singapore, North East, Singapore

Adana, , Turkey

Boston, Massachusetts, United States

Madison, Wisconsin, United States

Ciudad Autónoma De Buenos Aires, Caba, Argentina

Santiago, Region M. De Santiago, Chile

Copenhagen, Hovedstaden, Denmark

Odense C, Syddanmark, Denmark

Cork, , Ireland

Meldola, Forli Cesena, Italy

Milan, Lombardia, Italy

Uppsala, Uppsala Lan, Sweden

La Jolla, California, United States

Los Alamitos, California, United States

Chicago, Illinois, United States

Philadelphia, Pennsylvania, United States

Midlothian, Virginia, United States

Newmarket, Ontario, Canada

Quebec, , Canada

Santiago., Region M. De Santiago, Chile

Santiago., Region M. De Santiago, Chile

Santiago, Region M. De Santiago, Chile

Naestved, Sjaelland, Denmark

Athens, Attiki, Greece

New Delhi, Delhi, India

Mumbai, Maharashtra, India

Nagoya, Aichi, Japan

Sapporo, Hokkaido, Japan

Isehara, Kanagawa, Japan

Kawasaki, Kanagawa, Japan

Sagamihara, Kanagawa, Japan

Yokohama, Kanagawa, Japan

Tsu, Mie, Japan

Sendai, Miyagi, Japan

Suita, Osaka, Japan

Bunkyo, Tokyo, Japan

Shinagawa, Tokyo, Japan

Shinjuku, Tokyo, Japan

Fukushima, , Japan

Gifu, , Japan

Hiroshima, , Japan

Kagoshima, , Japan

Kumamoto, , Japan

Kyoto, , Japan

Okayama, , Japan

Porto, , Portugal

Borås, Vastra Gotalands Lan, Sweden

Ankara, , Turkey

Samsun, , Turkey

Londonderry, Derry And Strabane, United Kingdom

Hasselt, Limburg, Belgium

Hillerod, Hovedstaden, Denmark

Stanbul, Istanbul, Turkey

Ankara, , Turkey

Stamford, Connecticut, United States

Gainesville, Florida, United States

Baltimore, Maryland, United States

Fort Worth, Texas, United States

Fairfax, Virginia, United States

Richmond, Virginia, United States

Westmead, New South Wales, Australia

Ceske Budejovice, Jihocesky Kraj, Czechia

Osaka, , Japan

Auckland, , New Zealand

Arequipa, Ariqipa, Peru

Pretoria, Gauteng, South Africa

Thessaloniki, , Greece

Shinjuku, Tokyo, Japan

Istanbul, , Turkey

Saint Louis, Missouri, United States

Praha 5, , Czechia

Mumbai, Maharashtra, India

Suita, Osaka, Japan

Koto, Tokyo, Japan

Shinagawa, Tokyo, Japan

Shinjuku, Tokyo, Japan

Monterrey, Nuevo Leon, Mexico

Lisboa, , Portugal

Port Elizabeth, Eastern Cape, South Africa

Sandton, Gauteng, South Africa

Rondebosch, Western Cape, South Africa

Sao Paulo, , Brazil

Monteria., Cordoba, Colombia

Dublin, , Ireland

Hidaka, Saitama, Japan

Edgewood, Kentucky, United States

Poitiers, Vienne, France

Szczecin, Zachodniopomorskie, Poland

Stockholm, Stockholms Lan, Sweden

Uppsala, Uppsala Lan, Sweden

Tyler, Texas, United States

Surrey, British Columbia, Canada

Rimouski, Quebec, Canada

Bogota, Distrito Capital De Bogota, Colombia

New Delhi, Delhi, India

Roma, , Italy

Warszawa, Mazowieckie, Poland

Gliwice, Slaskie, Poland

Kielce, Swietokrzyskie, Poland

Olomouc, Olomoucky Kraj, Czechia

Changhua, , Taiwan

Praha, Praha 5, Czechia

Gilbert, Arizona, United States

Aurora, Colorado, United States

Silver Spring, Maryland, United States

Dallas, Texas, United States

Anderlecht, , Belgium

Brussels, , Belgium

Praha, , Czechia

Valencia, , Spain

London, , United Kingdom

London, , United Kingdom

Patients applied

0 patients applied

Trial Officials

Medical Director

Study Director

Merck Sharp & Dohme LLC

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported