Triple Negative Breast CancerPhase 2AREALNCT07108309
BCD-236 in Combination With Chemotherapy in Patients With Relapsed and/or Metastatic Triple Negative Breast Cancer
A Phase 2 study testing BCD-236 and Chemotherapy in people with Triple Negative Breast Cancer, run by Biocad at 47 sites in 2 countries.
Trial summary
To study the efficacy, safety, pharmacokinetics and immunogenicity of BCD-236 in combination with chemotherapeutic agents (CHT) in 2nd and subsequent lines of therapy of subjects with relapsed and/or metastatic triple negative breast cancer (TNBC). Read more about this study
- Who is it for?
- Ages 18 to 74 years, women only
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- BCD-236 and Chemotherapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 124 participants
- Where
- 47 sitesin 2 countries
- Study dates
- 15 Jul 2024to May 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 to 74 years
- Women only
- No healthy volunteers
- Adult, Older adult
Main Inclusion Criteria:
- Signed informed consent and the subject's ability to comply with the requirements of the Clinical Study Protocol.
- Age ≥18 years and <75 years at the time of signing the informed consent form.
- Histologically verified diagnosis (there are documented results of relevant studies) of TNBC: ER 0-2 points, PR 0-2 points or ER <1%, PR <1% (ASCO/CAP); HER2 (≤1+) or HER2 (2+) in the absence of amplification of the Her-2-neu gene by ISH.
- TNBC is progressive or relapsing on or after systemic therapy.
- The subject received at least 1 line of systemic therapy for locally advanced unresectable or metastatic TNBC, or she experienced a relapse / progressive disease during or within 6 months after completion of post-operative (adjuvant) chemotherapy.
- Confirmed AXL expression in tumor cells according to immunohistochemistry.
- Availability of fresh (obtained as part of screening or before its start, but after disease progression or relapse on the last line of therapy) and archival (obtained before disease progression or relapse on the last line of therapy, if available) tumor material samples suitable for immunohistochemical examination to determine AXL expression.
- Presence of at least 1 measurable tumor lesion according to RECIST 1.1. criteria for CIR.
- ECOG score 0-1.
- Life expectancy ≥ 4 months from the date of signing of the informed consent form in the opinion of the Investigator.
Main Exclusion Criteria:
- Indications for radical therapy or radiotherapy (excluding minor surgery or radiation therapy for palliative purposes).
- Active CNS metastases and/or carcinomatous meningitis. Subjects with brain metastases may participate in the study provided that the metastases have been adequately treated with surgery or radiotherapy, and if they have been clinically stable for at least 4 weeks prior to randomization (i.e. no neurological symptoms, no need for corticosteroids, and no lesions >1.5 cm) and no evidence of new or increasing CNS metastases. Patients with newly diagnosed CNS metastases during screening may not be included in the study.
Trial locations and contacts
47 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
47 sites in 2 countries
Russia44 sites, 37 recruiting
- Active, not recruiting
State Budgetary Institution of Healthcare of the Arkhangelsk Region "Arkhangelsk Clinical Oncology Dispensary"
Arkhangelsk
- Active, not recruiting
Regional State Budgetary Healthcare Institution "Altai Regional Oncology Dispensary"
Barnaul
- Recruiting
SBHI "Chelyabinsk regional clinical center Oncology and nuclear medicines"
Chelyabinsk
Natalya V Fadeeva
- Recruiting
Budgetary healthcare institution of the Udmurt Republic "Republican clinical oncology dispensary named after Sergei Grigorievich Primushko of the Ministry of Health of the Udmurt Republic
Izhevsk
Sergey A Emelyanov, +7 (3412) 50 88 00
- Recruiting
SBHI of the Kaluga Region "Kaluga Regional Clinical Oncology Center"
Kaluga
Igor Yu Kudryavtsev, +7 (4842) 40 33 03, Gbuz_onkodisp@adm.kaluga.ru
- Recruiting
State Autonomous Institution of Health "Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Tatarstan named after prof. M.Z.Sigal"
Kazan'
Sufiya Z Safina, +7 (843) 202 32 02, rkod.mzrt@tatar.ru
- Recruiting
SBHI "Clinical oncological Dispensary № 1" of the Ministry of Health of the Krasnodar Territory
Krasnodar
Alexey A Leonov, +7 (861) 233 66 04, kkod@kkod.ru
- Recruiting
Branch of company "Hadassah Medical LCC"
Moscow
Igor A Utyashev, +7 (495) 186 41 48, info@hadassah.moscow
- Recruiting
Federal State Budgetary Scientific Institution "Russian Scientific Center of Surgery named after Academician B.V. Petrovsky"
Moscow
Lyubov V Krivolapova, +7 (499) 248 15 55, info@med.ru
- Recruiting
FSAEI of Higher Education "First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation
Moscow
Elena V Poddubskaya, +7 (495) 609 14 00, rectorat@staff.sechenov.ru
- Recruiting
FSAEI of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Moscow
Marina I Sekacheva, +7 (495) 609 14 00, rectorat@staff.sechenov.ru
- Recruiting
FSAI "National Medical Research Center for Therapeutic and Rehabilitation Center" of the Ministry of Health of the Russian Federation
Moscow
Sergei P Medvedev, +7 (495) 730 98 89, info@med-rf.ru
- Recruiting
FSBI "Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency"
Moscow
Andrey A Meshcheryakov, +7 (495) 593 52 19, mailto:kb123@rcpcm.org
- Recruiting
FSBI "National Medical Research Center of Oncology named after N. N. Blokhin" of the Ministry of Health of the Russian Federation
Moscow
Elena V Artamonova, +7 (499) 444 24 24, info@ronc.ru
- Recruiting
Joint Stock Company "Medsi Group of Companies"
Moscow
Anastasia S Mochalova, +7 (495) 152 47 53
- Recruiting
JSC "Modern medical technologies"
Moscow
Svetlana V Odintsova, +7 (812) 210 40 28, info@cmtmed.com
- Recruiting
Limited Liability Company "Moscow Center for Rehabilitation Treatment"
Moscow
Igor S Bazin, +7 (499) 460 15 61, reab@lc.clinic
- Recruiting
SBHI of the City of Moscow "Moscow Clinical Scientific and Practical Center named after A.S. Loginov of the Moscow City Health Department"
Moscow
Lyudmila G Zhukova, +7 (495) 304 30 39, info@mknc.ru
- Recruiting
State Budgetary Institution of Healthcare of the City of Moscow "City Clinical Hospital named after S.S. Yudin of the Moscow City Health Department
Moscow
Marina A Lyadova, +7 (499) 612 45 66, gkb-yudina@zdrav.mos.ru
- Recruiting
State Budgetary Institution of Healthcare of the City of Moscow "Moscow City Oncology Hospital No. 62 of the Moscow City Healthcare Department"
Moscow
Daniil L Stroyakovsky, +7 (495) 536 01 00, gob62@zdrav.mos.ru
- Recruiting
SAHI of the Nizhny Novgorod region "Research Institute of Clinical Oncology "Nizhny Novgorod Regional Clinical Oncological Dispensary"
Nizhny Novgorod
Irina S Shumskaya, +7 (831) 282 00 01, sekretar_gu@nnood.ru
- Recruiting
FBHI of the Novosibirsk Region "Novosibirsk Regional Clinical Oncological Dispensary"
Novosibirsk
Vadim V Kozlov, +7 (383) 382 80 46, nood@nso.ru
- Recruiting
FSBI "National Medical Research Center for Radiology" of the Ministry of Health of the Russian Federation
Obninsk
Alexander A Fedenko, +7 (495) 150 11 22, contact@nmicr.ru
- Active, not recruiting
FSBI "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation Medical Radiological Research Center named after A.F. Tsyb
Obninsk
- Recruiting
Budget Healthcare Institution of the Omsk region "Clinical Oncological Dispensary"
Omsk
Anastasia V Zimina, +7 (3812) 60 16 95, omonkol_mail@minzdrav.omskportal.ru
- Recruiting
FSBI "National Medical Research Center of Oncology" of the Ministry of Health of the Russian Federation
Rostov-on-Don
Lyubov Yu Vladimirova, +7 (800) 250 37 40, onko-sekretar@mail.ru
- Recruiting
State budgetary institution of the Ryazan region "Regional clinical oncology dispensary"
Ryazan
Marina М Shomova, +7 (4912) 60 00 20, okod@ryazan.gov.ru
- Recruiting
FSBEI of Higher Education "North-Western State Medical University named after I. I. Mechnikov" of the Ministry of Health of the Russian Federation
Saint Petersburg
Eskender G Topuzov, +7 (812) 303 50 00, rectorat@szgmu.ru
- Recruiting
FSBI "National medical research center of Oncology named after N.N. Petrov" Of Ministry of Health of the Russian Federation, Department of Breast Cancer Surgery
Saint Petersburg
Petr V Krivorotko, +7 (812) 439 95 55, oncl@rion.spb.ru
- Recruiting
FSBI "National medical research center of Oncology named after N.N. Petrov" Of Ministry of Health of the Russian Federation, Research Division of Innovative Techniques in Medical Oncology and Rehabilitation Medicine
Saint Petersburg
Tatyana Yu Semiglazova, +7 (812) 439 95 55, oncl@rion.spb.ru
- Recruiting
LLC "NRC Eco-Safety"
Saint Petersburg
Svetlana V Ogorodnikova, +7 (812) 500 52 03, nic@ecosafety.ru
- Recruiting
LLC "VitaMed"
Saint Petersburg
Svetlana Yu Sletina, +7 (499) 550 28 01, medclinic-vita@yandex.ru
- Recruiting
Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of St. Petersburg"
Saint Petersburg
Alexander G Vasiliev, +7 (812) 62 29 762
- Recruiting
Private medical institution "Euromedservice"
Saint Petersburg
Konstantin D Penkov, +7 (812) 644 10 27, emeds.spb@yandex.ru
- Recruiting
SBHI "St. Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncological) named after N.P. Napalkov"
Saint Petersburg
Vladimir M Moiseenko, +7 (812) 573 91 31, nponkcentr@zdrav.spb.ru
- Recruiting
SBHI of St. Petersburg "City Clinical Oncology Dispensary"
Saint Petersburg
Rashida V Orlova, +7 (812) 607 03 03, goronkod@zdrav.spb.ru
- Active, not recruiting
State Budgetary Healthcare Institution Leningrad Regional Clinical Hospital
Saint Petersburg
- Recruiting
Federal State Budgetary Educational Institution of Higher Education "National Research Mordovian State University named after N.P. Ogarev"
Saransk
Pavel I Skopin, +7 (8342) 24 37 32, mrsu@mrsu.ru
- Recruiting
SBHI Arkhangelsk Region "Severodvinsk City Clinical Hospital No. 2 for Emergency Medicine"
Severodvinsk
Marina N Nechaeva, +7 (8184) 53 77 40, hospit2@yandex.ru
- Active, not recruiting
State Budgetary Healthcare Institution "Tambov Regional Oncology Clinical Dispensary"
Tambov
- Recruiting
SAHI Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Bashkortostan
Ufa
Regina I Kunafina, +7 (347) 237 23 09, ufa.rkod@doctorrb.ru
- Active, not recruiting
SBHI "Volgograd Regional Clinical Oncological Dispensary"
Volgograd
- Recruiting
SBHI of the Yaroslavl region "Regional Clinical Oncological Hospital"
Yaroslavl
Sergey B Belonogov, +7 (4852) 20 81 00, yar.okob@yarregion.ru
- Active, not recruiting
SAHI of the Sverdlovsk region "Sverdlovsk Regional Oncological Center"
Yekaterinburg
Belarus3 sites, 3 recruiting
- Recruiting
Health Institution "Brest Regional Oncology Center"
Brest
Vitaly S Volkov, +375 162 53 13 87, brcoc@brest.by
- Recruiting
"Gomel Regional Clinical Oncology Dispensary"
Homyel
Vasily N Belyakovsky, +375 232 20 76 00, mail@gokod.by
- Recruiting
Minsk City Oncology Center
Minsk
Svetlana A Demidova, +375 17 355 61 97, onko@mgkoc.by
About this study
Official title: A Randomized, Open-label, Comparative Clinical Study of the Efficacy, Safety, Pharmacokinetics, and Immunogenicity of BCD-236 in Combination With Chemotherapy in Patients With Relapsed and/or Metastatic Triple Negative Breast Cancer
To study the efficacy, safety, pharmacokinetics and immunogenicity of BCD-236 in combination with chemotherapeutic agents (CHT) in 2nd and subsequent lines of therapy of subjects with relapsed and/or metastatic triple negative breast cancer (TNBC).
- Conditions
- Triple Negative Breast Cancer
- Being tested
- BCD-236, Chemotherapy
- Medical subject headings
- Triple Negative Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BCD-236Biological
as an intravenous infusion
ChemotherapyDrug
CHT (at the investigator's discretion):
| Study group | Role | What they receive |
|---|---|---|
| BCD-236 + Chemotherapy (CHT) | Experimental | Subjects will receive BCD-236 +CHT
Duration of treatment: until disease progression or intolerable toxicity or EOS Receives: Biological: BCD-236; Drug: Chemotherapy |
| Chemotherapy (CHT) | Active comparator | Subjects will receive CHT.
Duration of treatment: until disease progression or intolerable toxicity or EOS Receives: Drug: Chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall response rate (ORR)
According to RECIST 1.1 criteria by the central independent review (CIR)
Measured: 24 weeks
Secondary outcomes (5)
Progression-free survival (PFS)
According to RECIST 1.1 criteria by the central independent review (CIR)
Measured: 51 and 102 weeks
Overall survival (OS)
Measured: 102 weeks
Disease control rate (DCR)
According to RECIST 1.1 criteria by the central independent review (CIR)
Measured: 24 weeks
Time to response
According to RECIST 1.1 criteria by the central independent review (CIR)
Measured: 24 weeks
Duration of response
According to RECIST 1.1 criteria by the central independent review (CIR)
Measured: 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2025
- Study start15 Jul 2024
- Primary completionDec 2025 (estimated)
- Study completionMay 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Triple Negative Breast CancerStudies of the same condition, open and under way.
- More trials run by BiocadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 124 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Biocad
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Arina V Zinkina-Orikhan, PhD, Study director, Director of Clinical Development Department, BIOCAD
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07108309
- Sponsor's protocol ID
- BCD-236-2
- Acronym
- AREAL
- Status last verified
- Feb 2025
- First submitted
- 4 Aug 2025
- Last updated
- 7 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-label, Comparative Clinical Study of the Efficacy, Safety, Pharmacokinetics, and Immunogenicity of BCD-236 in Combination With Chemotherapy in Patients With Relapsed and/or Metastatic Triple Negative Breast Cancer
- ClinicalTrials.gov ID
- NCT07108309
- Acronym / sponsor ID
- AREAL / BCD-236-2
- Conditions
- Triple Negative Breast Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 124 participants (estimated)
- Lead sponsor
- BiocadIndustry (pharma, biotech, devices)
- Study start
- 15 Jul 2024 (actual)
- Primary completion
- Dec 2025 (estimated)
- Study completion
- May 2027 (estimated)
- First posted
- 7 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To study the efficacy, safety, pharmacokinetics and immunogenicity of BCD-236 in combination with chemotherapeutic agents (CHT) in 2nd and subsequent lines of therapy of subjects with relapsed and/or metastatic triple negative breast cancer (TNBC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| BCD-236 + Chemotherapy (CHT) | Experimental | Biological: BCD-236, Drug: ChemotherapySubjects will receive BCD-236 +CHT Duration of treatment: until disease progression or intolerable toxicity or EOS |
| Chemotherapy (CHT) | Active comparator | Drug: ChemotherapySubjects will receive CHT. Duration of treatment: until disease progression or intolerable toxicity or EOS |
Who may qualify
- Ages
- 18 to 74 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BCD-236as an intravenous infusion | Biological | BCD-236 + Chemotherapy (CHT) |
| ChemotherapyCHT (at the investigator's discretion): | Drug | BCD-236 + Chemotherapy (CHT), Chemotherapy (CHT) |
Primary outcome
Overall response rate (ORR)
Time frame: 24 weeks
According to RECIST 1.1 criteria by the central independent review (CIR)
5 secondary outcomes
Progression-free survival (PFS)
Time frame: 51 and 102 weeks
Overall survival (OS)
Time frame: 102 weeks
Disease control rate (DCR)
Time frame: 24 weeks
Time to response
Time frame: 24 weeks
Duration of response
Time frame: 24 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2025.
Related trials for Triple Negative Breast Cancer
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 2
BrAin Metastasis in tripLe Negateive Breast Cancer: IvoneScimab and Trop2 ADC
Triple-Negative Breast Cancer (TNBC), Brain Metastases
Active, not recruitingPhase 1/2
Phase I/II Study of the Anti-Programmed Death Ligand-1 Durvalumab Antibody (MEDI4736) in Combination With Olaparib and/or Cediranib for Advanced Solid Tumors and Advanced or Recurrent Ovarian, Triple Negative Breast, Lung, Prostate and Colorectal Can...
Colorectal Neoplasms, Breast Neoplasms
RecruitingPhase 2
Study of Patritumab Deruxtecan Plus Pembrolizumab With Other Anticancer Agents in Participants With High-Risk Early-Stage Triple-Negative or Hormone Receptor-Low Positive/HER-2 Negative Breast Cancer (MK-1022-010, HERTHENA-Breast-03)
Breast Neoplasms, Breast Cancer
RecruitingObservational study
Collection of CSF Samples From Participants With Metastatic Triple Negative Breast Cancer (TNBC) and HER2+ Breast Cancer With no Prior History Nor Active Radiographically Detectable Brain Metastases
Breast Cancer, Breast Carcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Arina V Zinkina-Orikhan, PhD study director
Director of Clinical Development Department, BIOCAD
47 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BCD-236 and Chemotherapy in people with Triple Negative Breast Cancer, run by Biocad at 47 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?
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: looking for participants now, as of the sponsor's last update on 7 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 47 sites in Russia, Belarus. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Evgenia А Mikhailova (+7 911 081 23 68, mikhailova@biocad.ru), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall response rate (ORR) (time frame: 24 weeks). 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 7 Aug 2025.