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TNBC - Triple-Negative Breast CancerPhase 1NCT03719326

A Study to Evaluate Safety/Tolerability of Immunotherapy Combinations in Participants With Triple-Negative Breast Cancer or Gynecologic Malignancies

A Phase 1 study testing Etrumadenant, IPI-549 and Pegylated liposomal doxorubicin (PLD) in people with TNBC - Triple-Negative Breast Cancer and Ovarian Cancer, run by Arcus Biosciences, Inc. at 27 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase 1/1b, open-label, dose-escalation, and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and clinical activity of etrumadenant (AB928) in combination with pegylated liposomal doxorubicin (PLD) with or without IPI-549 in participants with advanced… Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Etrumadenant, IPI-549 and Pegylated liposomal doxorubicin (PLD)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
27 sitesin 2 countries
Study dates
15 Oct 2018to 2 Jul 2021
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female participants, 18 years or older
  • Measurable disease per radiographic evaluation
  • Performance status 0 or 1
  • Available archival tissue sample (within 2 years) or a fresh tumor biopsy may be required
  • Adequate organ, cardiac, and bone marrow function
  • Dose escalation
Show all 21Show fewer
  • Participants with breast cancer:
  • Locally advanced or metastatic triple negative breast cancer (ER-negative, PgR-negative, and HER2-negative according to ASCO/CAP guidelines) with disease progression
  • No available alternative or curative therapy
  • Participants may have received any number of prior therapies for advanced/recurrent and progressive disease
  • Participants with ovarian cancer:
  • Locally advanced or metastatic ovarian cancer with disease progression
  • No available alternative or curative therapy
  • Participants may have received any number of prior therapies for advanced/recurrent and progressive disease
  • Dose expansion
  • Participants with breast cancer:
  • Locally advanced or metastatic triple negative breast cancer (ER-negative, PgR-negative, and HER2-negative according to ASCO/CAP guidelines)
  • Disease progression after no more than 3 prior lines of therapy
  • Participants with ovarian cancer:
  • Locally advanced or metastatic ovarian cancer that is platinum-resistant
  • Disease progression after no more than 3 prior lines of therapy

Who cannot join

  • Received a live, attenuated vaccine within 4 weeks prior to first study treatment
  • Prior anticancer treatment including approved agents, systemic radiotherapy, or investigational therapy within 4 weeks prior first study treatment
  • Cancer other than the disease under study within 2 years prior to study entry, except for some cancers with a low risk of spreading like non-melanoma skin cancers
  • Inability to swallow oral medications
  • Participant is breastfeeding, pregnant, or expects to become pregnant during the study
  • Active autoimmune disease or documented history of autoimmune disease within 2 years prior to first study treatment
Show all 13Show fewer
  • History of peptic ulcer or stomach bleeding within 6 months prior to first study treatment
  • Use of drugs contraindicated by the protocol within 4 weeks prior to and during study treatment
  • Prior treatment with drugs that suppress the immune system within 2 weeks prior to first study treatment
  • Presence of metastases in the brain or cancer spreading into the cerebrospinal fluid - CSF (leptomeningeal disease)
  • HIV, Hepatitis B, and C test results negative prior to first study treatment
  • Major surgery within 4 weeks prior to first study treatment
  • Participants who have previously received maximum cumulative lifetime anthracycline dosage or baseline ejection fraction <50% (on heart echography)

Trial locations and contacts

27 sites in 2 countries.

27 sites in 2 countries

United States20 sites
  • Rocky Mountain Cancer Centers (Aurora)

    Aurora, Colorado, 80012

  • Texas Oncology, P.A. - Austin (Midtown)

    Austin, Texas, 78705

  • Texas Oncology, P.A. - Baylor Charles A. Sammons Cancer Center

    Dallas, Texas, 75246

  • Willamette Valley Cancer Institute and Research Center

    Eugene, Oregon, 97401

  • Virginia Cancer Specialists, PC

    Fairfax, Virginia, 22031

  • Texas Oncology, P.A. - Fort Worth Cancer Center

    Fort Worth, Texas, 76104

  • Carolina BioOncology Institute

    Huntersville, North Carolina, 28078

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89169

  • University of California, Los Angeles

    Los Angeles, California, 90095

  • Miami Cancer Institute at Baptist Health

    Miami, Florida, 33176

  • Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Maryland Oncology Hematology, PA

    Rockville, Maryland, 20850

  • HealthPartners Institute Cancer Care Center

    Saint Paul, Minnesota, 55101

  • Texas Oncology, P.A. - San Antonio Northeast

    San Antonio, Texas, 78217

  • Texas Oncology, P.A. - San Antonio Medical Center

    San Antonio, Texas, 78240

  • Scottsdale Healthcare Hospitals dba Honor Health Research Institute

    Scottsdale, Arizona, 85258

  • Medical Oncology Associates dba Summit Cancer Centers

    Spokane, Washington, 99216

  • MultiCare Regional Cancer Center

    Tacoma, Washington, 98405

  • Arizona Clinical Research Center

    Tucson, Arizona, 85715

  • Texas Oncology, P.A. - Tyler

    Tyler, Texas, 75702

Other trials in United States

Australia7 sites
  • Pindara Private Hospital

    Benowa, Queensland, 4217

  • Chris O'Brien Lifehouse

    Camperdown, New South Wales, 2050

  • The Kinghorn Cancer Centre

    Darlinghurst, New South Wales, 2010

  • Peninsula & South Eastern Haematology and Oncology Group

    Frankston, Victoria, 3199

  • St. George Private Hospital

    Kogarah, New South Wales, 2217

  • Macquarie University

    Macquarie, New South Wales, 2109

  • Cabrini Hospital

    Malvern, Victoria, 3144

Other trials in Australia

About this study

Official title: A Phase 1/1b Study to Evaluate the Safety and Tolerability of Immunotherapy Combinations in Participants With Breast or Gynecologic Malignancies

This is a Phase 1/1b, open-label, dose-escalation, and dose-expansion study to evaluate the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and clinical activity of etrumadenant (AB928) in combination with pegylated liposomal doxorubicin (PLD) with or without IPI-549 in participants with advanced metastatic triple-negative breast cancer (TNBC) or ovarian cancer, and etrumadenant in combination with nanoparticle albumin-bound-paclitaxel (NP) in participants with advanced metastatic TNBC.

Read the detailed description

In the dose escalation phase, the following will be assessed:

  • Arm A: escalating doses of etrumadenant in combination with PLD at standard doses will be assessed in participants with advanced metastatic triple-negative breast cancer or ovarian cancer. Eligible participants will receive oral administration of etrumadenant as well as intravenous (IV) infusion of PLD. The recommended dose (RDE) for expansion Arms 1 and 2 and escalation Arm C will be determined upon completion of this dose escalation arm.
  • Arm B: escalating doses of etrumadenant in combination with the NP at standard doses will also be assessed in participants with advanced metastatic TNBC. Eligible participants will receive oral administration of etrumadenant as well as NP infusion. The RDE of etrumadenant will be determined upon completion of this dose escalation arm.
  • Arm C: escalating doses of IPI-549 in combination with the RDE of etrumadenant (from Arm A) and PLD at standard doses will be assessed in participants with advanced metastatic TNBC or ovarian cancer. Eligible participants will receive oral administration of both etrumadenant and IPI-549 as well as IV infusion of PLD. The RDE of IPI-549 for expansion Arm 4 will be determined upon completion of this dose escalation arm.

In the dose expansion phase, the following will be assessed:

  • Arms 1 and 2: Etrumadenant at the RDE in combination with PLD at standard doses may be assessed in participants with advanced metastatic TNBC or ovarian cancer.
  • Arm 3: Etrumadenant at the RDE in combination with NP at standard doses may be assessed in participants with advanced metastatic TNBC.
  • Arm 4: Etrumadenant and IPI-549 at the RDE in combination with PLD at standard doses may be assessed in participants with advanced metastatic TNBC.

Overall duration of treatment will depend on how well the treatment is tolerated. Treatment may continue until unacceptable toxicity or progressive disease or other reasons specified in the protocol.

Being tested
Etrumadenant, IPI-549, Pegylated liposomal doxorubicin (PLD), nanoparticle albumin-bound paclitaxel (NP)
Keywords
Triple Negative Breast Cancer, TNBC, Ovarian Cancer
Medical subject headings
Triple Negative Breast Neoplasms, Ovarian Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EtrumadenantDrug

    Also called AB928

    Etrumadenant is an A2aR and A2bR antagonist for oral use

  • IPI-549Drug

    IPI-549 is a phosphoinositide-3-kinase-gamma inhibitor for oral use

  • Pegylated liposomal doxorubicin (PLD)Drug

    Doxil is an anthracycline topoisomerase II inhibitor that is encapsulated in liposomes for intravenous (IV) use

  • nanoparticle albumin-bound paclitaxel (NP)Drug

    NP is a microtubule inhibitor for intravenous (IV) use

Study groups in NCT03719326
Study groupRoleWhat they receive
Dose Escalation-Arm AExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
Receives: Drug: Etrumadenant; Drug: Pegylated liposomal doxorubicin (PLD)
Dose Escalation-Arm BExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
Receives: Drug: Etrumadenant; Drug: nanoparticle albumin-bound paclitaxel (NP)
Dose Escalation-Arm CExperimentalDose escalation is a 3+3 design, including a Dose Limiting Toxicity (DLT) evaluation period.
Receives: Drug: Etrumadenant; Drug: IPI-549; Drug: Pegylated liposomal doxorubicin (PLD)
Dose Expansion-TNBC-Arm 1ExperimentalThe dose given will be determined from the dose escalation part (Arm A).
Receives: Drug: Etrumadenant; Drug: Pegylated liposomal doxorubicin (PLD)
Dose Expansion-Ovarian Cancer-Arm 2ExperimentalThe dose given will be determined from the dose escalation part (Arm A).
Receives: Drug: Etrumadenant; Drug: Pegylated liposomal doxorubicin (PLD)
Dose Expansion-TNBC-Arm 3ExperimentalThe dose given will be determined from the dose escalation part (Arm B). .
Receives: Drug: Etrumadenant; Drug: nanoparticle albumin-bound paclitaxel (NP)
Dose Expansion-TNBC-Arm 4ExperimentalThe dose expansion will be determined from the dose escalation part (Arm C).
Receives: Drug: Etrumadenant; Drug: IPI-549; Drug: Pegylated liposomal doxorubicin (PLD)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Adverse Events (AEs)

    Measured: From first dose date to 30 days after the last dose (Approximately 1 year)

  2. Incidence of dose-limiting toxicities (DLTs) during the dose escalation phase

    Measured: From first dose date to 28 days after the first dose

Secondary outcomes (9)
  1. Plasma concentration of etrumadenant

    Measured: Recorded at baseline (prior to first dose), during the first 4 cycles of treatment (4 months) and at the end of treatment (i.e. in total approximately 5 months)

  2. Plasma concentration of IPI-549

    Measured: Recorded at baseline (prior to first dose), during the first 4 cycles of treatment (4 months) and at the end of treatment (i.e. in total approximately 5 months)

  3. Percentage of participants with a best overall response of Complete Response (CR) or Partial Response (PR), as determined by Investigator according to Response Evaluation in Solid Tumors (RECIST) v 1.1

    Measured: From study enrollment until participation discontinuation, first occurrence of progressive disease or death from any cause, whichever occurs first (approximately 3-5 years)

  4. Percentage of participants with Disease Control (complete response, partial response, or stable disease) for > 6 months as determined by RECIST v1.1

    Measured: From study enrollment until disease progression or loss of clinical benefit (up to approximately 3-5 years)

  5. Duration of Response as determined by the Investigator according to RECIST v1.1

    Measured: From the date of the first occurrence of a documented objective response to first documentation of disease progression or death from any cause, whichever occurs first (up to approximately 3-5 years)

  6. Progression Free Survival (PFS) as determined by the Investigator according to RECIST v1.1

    Measured: From start of the treatment up to first occurrence of progressive disease or death from any cause, whichever occurs first (up to approximately 3-5 years)

  7. Overall Survival (OS) as determined by the Investigator according to RECIST v1.1

    Measured: From start of treatment up to death from any cause (up to approximately 3-5 years)

  8. Percentage of etrumadenant target inhibition in peripheral blood

    Measured: Cycle 1 Day 1 through Cycle 4 Day 1 (4 months) and at the end of treatment (in total approximately 5 months)

  9. Immunophenotyping activity in select immune subsets for etrumadenant and IPI-549 in peripheral blood

    Measured: Cycle 1 Day 1 through Cycle 4 Day 1 (4 months) and at the end of treatment (in total approximately 5 months).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Oct 2018
  2. Study start15 Oct 2018
  3. Primary completion1 Jul 2021
  4. Study completion2 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Model description
3+3 dose escalation
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03719326
Sponsor's protocol ID
ARC-2 (AB928CSP0002)
Status last verified
May 2024
First submitted
15 Oct 2018
Last updated
24 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan \[SAP\], Clinical Study Report \[CSR\]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Etrumadenant, IPI-549 and Pegylated liposomal doxorubicin (PLD) in people with TNBC - Triple-Negative Breast Cancer and Ovarian Cancer, run by Arcus Biosciences, Inc. at 27 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Adverse Events (AEs) (time frame: From first dose date to 30 days after the last dose (Approximately 1 year)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 May 2024; AzTrials last refreshed its copy on 26 Oct 2026.

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