Primary completion date2020-12→2021-12
Completion date2020-12→2021-12
Study sites1→2
InterventionsAvelumab (Drug), Palbociclib (Drug), Tamoxifen (Drug)→Avelumab (Drug), Endocrine therapy (Drug), Palbociclib (Drug)
Eligibility criteria+475 characters
[...] ts not felt to be sensitive to endocrine therapy, such that a neoadjuvant endocrine-based approach would not be appropriate (i.e.g.
PR-negative, high grade/Ki67, high gene expression profile, clinically aggressive presentation, low ER or PR, high proliferation).
Previous treatment with endocrine therapy within the last 1 [...] nt with CDK4/6 inhibitors, or immune checkpoint inhibitors.
Use of SSRIs and/or any concomitant use of medications outlined in section 6.5 within 4 days prior to enrollment.
If patients are on stable doses and there are no good alternatives, the treating physician may discuss w [...] [...]
Study description+420 characters
Patients will be treated with tamoxifenendocrine (20mg PO daily)therapy +/- palbociclib (125mg, POtaken orally, daily for 21 days, 7 days off ) for 1 cycle (1 cycle =28 da [...] ys).
Patients will be treated for 3 cycles of avelumab with tamoxifenendocrine therapy +/- palbociclib (thus 4 cycles total, including run-in without avelumab).
The kind of endocrine therapy given will depend on menopausal status and will be a standard treatment.
For premenopausal women, the endocrine therapy will be daily tamoxifen (20mg taken orally daily for 28 days), plus either Leuprolide (3.75mg taken intramuscularly) o [...] [...]
Study title+8 characters
Neoadjuvant TamoxifenEndocrine Therapy, Palbociclib, Avelumab in Estrogen Receptor Positive Breast Cancer