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PD-1 Inhibitor

Pembrolizumab + SRS for Brain Metastases from Breast Cancer

Phase 1 & 2
Recruiting
Led By Silvia Formenti, M.D.
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
A diagnostic contrast enhanced MRI demonstrating at least 2 and no more than 10 measurable lesions in the brain, (≥5mm in size), performed within two weeks prior to treatment
Eastern Cooperative Oncology Group (ECOG) performance status 0-1
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years
Awards & highlights

Study Summary

This trial is testing a new way to treat breast cancer that has spread to the brain. Patients will receive a drug called pembrolizumab, which will be given before they undergo a type of radiation treatment called stereotactic radiosurgery.

Who is the study for?
This trial is for adults over 18 with metastatic breast cancer and at least two untreated brain metastases visible on MRI. Participants must have good performance status, adequate organ function, and agree to use contraception. Exclusions include recent radiation therapy or immunosuppressive treatment, active infections, other cancers within the past 3 years, severe allergies to pembrolizumab components, certain viral infections like Hepatitis B/C or HIV.Check my eligibility
What is being tested?
The study tests pembrolizumab given intravenously every three weeks in combination with stereotactic radiosurgery (SRS) targeting one brain lesion. The goal is to assess the effectiveness of this combined approach in controlling brain metastases from breast cancer.See study design
What are the potential side effects?
Pembrolizumab may cause immune-related side effects such as inflammation of organs including lungs (pneumonitis), liver problems, skin reactions, hormonal gland issues (like thyroid dysfunction), infusion reactions; fatigue and appetite changes are also possible.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My MRI shows 2-10 brain lesions, each at least 5mm, identified within the last two weeks.
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I am fully active or can carry out light work.
Select...
My neurological function is normal or slightly impaired.
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I have breast cancer that has spread to my brain with at least 2 tumors larger than 5mm.
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I am older than 18 years.
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The largest area affected by my cancer is smaller than 4cm.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Correlation of abscopal responses with the radiation dose received
Overall survival - assessed from the start of study drug until death in non-irradiation metastases in the rest of the body by routine imaging.
Tumor response for non-irradiated brain lesions at 8 weeks according to RECIST1.1
Secondary outcome measures
Number of participants with abscopal response will be assessed.

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

1Treatment groups
Experimental Treatment
Group I: Pembrolizumab and SRSExperimental Treatment1 Intervention
Pembrolizumab infusion will be given on Day 4 (+/-1) after SRS treatment at the standard dose of 200mg IV over 30 minutes and repeated every 3 weeks until disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
2017
Completed Phase 2
~2010

Find a Location

Who is running the clinical trial?

Weill Medical College of Cornell UniversityLead Sponsor
1,054 Previous Clinical Trials
1,316,268 Total Patients Enrolled
30 Trials studying Breast Cancer
27,216 Patients Enrolled for Breast Cancer
Merck Sharp & Dohme LLCIndustry Sponsor
3,888 Previous Clinical Trials
5,055,016 Total Patients Enrolled
59 Trials studying Breast Cancer
7,534 Patients Enrolled for Breast Cancer
Silvia Formenti, M.D.Principal InvestigatorWeill Cornell Medicine - New York Presbyterian Hospital
13 Previous Clinical Trials
1,278 Total Patients Enrolled
7 Trials studying Breast Cancer
1,142 Patients Enrolled for Breast Cancer

Media Library

Pembrolizumab (PD-1 Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03449238 — Phase 1 & 2
Breast Cancer Research Study Groups: Pembrolizumab and SRS
Breast Cancer Clinical Trial 2023: Pembrolizumab Highlights & Side Effects. Trial Name: NCT03449238 — Phase 1 & 2
Pembrolizumab (PD-1 Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03449238 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there any vacancies left in this experiment for willing participants?

"Data sourced from clinicaltrials.gov reveals that this medical trial is actively recruiting participants as of June 29th 2022, with the initial post being on November 15th 2018."

Answered by AI

In what instances is this procedure routinely prescribed?

"This treatment is primarily used to quell malignant neoplasms, but can also be beneficial for patients suffering from unresectable melanoma and microsatellite instability high. Additionally, it has been known to provide relief after chemotherapy treatments have ceased working."

Answered by AI

Who can partake in the clinical experiment?

"This medical trial seeks 41 individuals aged 19 to 90 with brain cancer who meet the following requirements: an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1, a Neurological function status between 0 and 2, pre or post menopausal women exhibiting metastatic breast cancer with at least two intracranial untreated lesions visible on MRI scans measuring 5mm in size. The maximum diameter of these lesions should be 4cm or less while they cannot have been previously treated by Stereotactic Radiosurgery (SRS). Trial participants must demonstrate their willingness to sign a written informed consent document as well as agree to"

Answered by AI

What prior experiments have explored the efficacy of this therapy?

"Currently, 961 trials are actively researching this treatment. Of those studies, 122 have entered Phase 3 clinical trial stages. These live research efforts mainly originate from Houston, TX; however they extend to 35,727 other sites globally."

Answered by AI

What is the aggregate number of participants in this clinical investigation?

"Affirmative. The clinical trial is presently seeking out volunteers and the post on clinicaltrials.gov was initially created in November 2018, with its most recent revision taking place in June 2022. A total of 41 individuals will be recruited from 3 distinct medical centres for this research project."

Answered by AI

Does this experimental trial accept participants over the age of fifty-five?

"As stipulated by the trial's requirements, individuals aged 19-90 are qualified to participate."

Answered by AI
~10 spots leftby Dec 2025