ARX788 in HER2-positive, Metastatic Breast Cancer Subjects (ACE-Breast-03)

NCT ID: NCT04829604

Last Updated: 2025-11-14

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

71 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-26

Study Completion Date

2027-06-30

Brief Summary

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A Global, Phase 2 Study of ARX788 in HER2-positive Metastatic Breast Cancer Patients who were previously treated with T-DXd

Detailed Description

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A Global, Single Arm, Phase 2 Study of ARX788 in HER2-positive Metastatic Breast Cancer Patients who were previously treated with T-DXd. The ARX788 will be administered every 3 weeks (Q3W) intravenous (IV) infusion.

Conditions

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HER2 Positive Metastatic Breast Cancer

Keywords

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HER2-postive Breast cancer Antibody drug Metastatic ARX788 HER2

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

One single arm, open label with intravenous infusion of ARX788 to assess the anticancer activity and safety of ARX788 in subjects with unresectable or metastatic human epidermal growth factor receptor 2 (HER2)-positive (HER2+) breast cancer.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ARX788

The investigational medicinal product (IMP), ARX788, will be administered every 3 weeks (Q3W) by intravenous (IV) infusion.

Group Type EXPERIMENTAL

ARX788

Intervention Type DRUG

The active pharmaceutical ingredient in ARX788 is an antibody drug conjugate (ADC) consisting of a humanized anti-HER2 monoclonal antibody (mAb) (IgG1κ) covalently conjugated to two microtubule-disrupting payloads AS269

Interventions

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ARX788

The active pharmaceutical ingredient in ARX788 is an antibody drug conjugate (ADC) consisting of a humanized anti-HER2 monoclonal antibody (mAb) (IgG1κ) covalently conjugated to two microtubule-disrupting payloads AS269

Intervention Type DRUG

Other Intervention Names

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antibody drug conjugate (ADC)

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years and older
* Life expectancy ≥ 6 months
* Unresectable or metastatic breast cancer subjects
* Presence of at least one measurable lesion per RECIST v 1.1
* Subjects must have HER2 positive breast cancer per ASCO-CAP guidelines, documented in a CLIA lab pathology report
* Subjects must have had prior treatment with no more than 5 prior regimens of systemic treatment HER-2 targeting therapy or chemotherapy in the metastatic setting. One of these prior treatments must have been treatment with T-DXd.
* Subjects with stable brain metastases
* Acute toxicities from any prior therapy, surgery, or radiotherapy must have resolved to Grade ≤1 as per the NCI-CTCAE v 5.0, except alopecia, vitiligo, Grade 2 peripheral neuropathy, or endocrine toxicities that are stable on hormone replacement.
* Adequate organ functions
* Willing and able to understand and sign an informed consent inform and to comply with all aspects of the protocol

Exclusion Criteria

Any subject who meets any of the following criteria is excluded from the study:

* History of allergic reactions to any component of ARX788.
* Prior history of interstitial lung disease, pneumonitis, or other clinically significant lung disease. Any requirement for supplemental oxygen.
* Any active ocular infections or chronic corneal disorders
* History of congestive heart failure, unstable angina pectoris, unstable atrial fibrillation, cardiac arrhythmia, or myocardial infarction within 6 months prior to enrollment
* Grade 3 to 4 peripheral neuropathy (NCI CTCAE v 5.0).
* History of unstable central nervous system (CNS) metastases
* Radiotherapy outside of the brain administered \< 7 days prior to first dose of ARX788
* Current severe, uncontrolled systemic disease (eg, clinically significant cardiovascular, pulmonary, or metabolic diseases)
* Any uncontrollable intercurrent illness, infection (including subjects with active, symptomatic Covid-19 infections), or other conditions that could limit study compliance or interfere with assessments
* Exposure to any other investigational or commercial anticancer agents or therapies administered with the intention to treat malignancy within 14 days before the first dose of ARX788
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ambrx, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ambrx

Role: STUDY_DIRECTOR

Ambrx, Inc.

Locations

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Research Site

Los Angeles, California, United States

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Newport Beach, California, United States

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San Francisco, California, United States

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Whittier, California, United States

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Athens, Georgia, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Louisville, Kentucky, United States

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Silver Spring, Maryland, United States

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Boston, Massachusetts, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, United States

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Camden, New Jersey, United States

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New Hyde Park, New York, United States

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New York, New York, United States

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Shirley, New York, United States

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The Bronx, New York, United States

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Portland, Oregon, United States

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Tigard, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Norfolk, Virginia, United States

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Tacoma, Washington, United States

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Frankston, Victoria, Australia

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Geelong, Victoria, Australia

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Nedlands, Western Australia, Australia

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Daegu, , South Korea

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Seongnam-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Countries

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France United States Australia South Korea

Other Identifiers

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ACE-Breast-03

Identifier Type: -

Identifier Source: org_study_id