A Study of Multiple Immune and Disease Treatment Combinations in Participants With ER+HER2- Breast Cancer That Has Spread

NCT ID: NCT04132817

Last Updated: 2022-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-22

Study Completion Date

2022-08-15

Brief Summary

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The hypothesis of the CA048-001 Phase 1 clinical trial is targeting multiple mechanisms involved in generating and maintaining antitumor immune response will lead to a tolerable and robust anti-tumor response. This study utilizes an innovative clinical trial design to determine the safety, tolerability, pharmacodynamic activity and efficacy of targeting multiple, distinct combination regimens that modulate several immune and non-immune mechanisms by escalating the number of therapies administered.

Detailed Description

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Conditions

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Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A Target class A-1: Nivolumab+nab-paclitaxel

The CA048-001 clinical study will utilize a master protocol and subprotocols representing distinct mechanisms of actions. Each subprotocol will contain 1 Group, representing a particular mechanism of action, and will consist of 3 treatment arms that will be simultaneously evaluated. One treatment within a group will be selected to move forward to the next sub-protocol based on safety and tolerability, pharmacodynamic and efficacy data. Thus, the number of treatments within each group is increased by one for each subsequent group, with the intent to simultaneously impact a wide range of mechanisms thought to be important for generating anti-tumor immune responses.

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

specified dose on specified days

Nab-paclitaxel

Intervention Type DRUG

specified dose on specified days

Group A Target Class A-2: Nivolumab+nab-paclitaxel+ipilimumab

The CA048-001 clinical study will utilize a master protocol and subprotocols representing distinct mechanisms of actions. Each subprotocol will contain 1 Group, representing a particular mechanism of action, and will consist of 3 treatment arms that will be simultaneously evaluated. One treatment within a group will be selected to move forward to the next sub-protocol based on safety and tolerability, pharmacodynamic and efficacy data. Thus, the number of treatments within each group is increased by one for each subsequent group, with the intent to simultaneously impact a wide range of mechanisms thought to be important for generating anti-tumor immune responses.

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

specified dose on specified days

Nab-paclitaxel

Intervention Type DRUG

specified dose on specified days

Group A Target Class A-3: Nivolumab+nab-paclitaxel+ipilimumab

The CA048-001 clinical study will utilize a master protocol and subprotocols representing distinct mechanisms of actions. Each subprotocol will contain 1 Group, representing a particular mechanism of action, and will consist of 3 treatment arms that will be simultaneously evaluated. One treatment within a group will be selected to move forward to the next sub-protocol based on safety and tolerability, pharmacodynamic and efficacy data. Thus, the number of treatments within each group is increased by one for each subsequent group, with the intent to simultaneously impact a wide range of mechanisms thought to be important for generating anti-tumor immune responses.

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

specified dose on specified days

Ipilimumab

Intervention Type BIOLOGICAL

specified dose on specified days

Nab-paclitaxel

Intervention Type DRUG

specified dose on specified days

Interventions

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Nivolumab

specified dose on specified days

Intervention Type BIOLOGICAL

Ipilimumab

specified dose on specified days

Intervention Type BIOLOGICAL

Nab-paclitaxel

specified dose on specified days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological and cytological confirmation of adenocarcinoma of the breast
* Documented HER2 negative and estrogen receptor (ER) positive status of primary or metastatic tumor tissue using the most recently assessed tumor specimen, according to the local laboratory parameters
* ER negativity is defined as \< 1% of tumor cells expressing hormonal receptors via IHC analysis
* At least one measurable lesion, as per Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST v1.1\] that can be accurately assessed at baseline and is suitable for repeated assessment by computed tomography (CT) or magnetic resonance imaging (MRI)
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Women and Men must agree to follow specific methods of contraception, if applicable, while participating in the trial

Exclusion Criteria

* Allergy or hypersensitivity to any study drugs or their excipients
* Any other sound medical, psychiatric and/or social reason as determined by the investigator
* Active, known, or suspected autoimmune disease or immune-related diseases
* History of unstable or deteriorating cardiac disease within the previous 12 months prior to screening
* Prior therapy with anti-programmed death 1 (PD-1), anti-programmed death-ligand 1 (PD-L1) or anti-Cytotoxic T Lymphocyte Antigen 4 (CTLA-4) class antibody
* Any major surgery within 4 weeks of the first dose of study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution

Los Angeles, California, United States

Site Status

Local Institution - 0003

Sacramento, California, United States

Site Status

Local Institution - 0009

Aurora, Colorado, United States

Site Status

Local Institution - 0002

St Louis, Missouri, United States

Site Status

Local Institution - 0008

New York, New York, United States

Site Status

Local Institution

Pittsburgh, Pennsylvania, United States

Site Status

Local Institution

Dallas, Texas, United States

Site Status

South Texas Accelerated Research Therapeutics

San Antonio, Texas, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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CA048-001

Identifier Type: -

Identifier Source: org_study_id

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