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Advanced Breast CancerPhase 2plasmaMATCHNCT03182634

The UK Plasma Based Molecular Profiling of Advanced Breast Cancer to Inform Therapeutic CHoices (plasmaMATCH) Trial

A Phase 2 study testing Fulvestrant, Neratinib and AZD5363 in people with Advanced Breast Cancer, run by Institute of Cancer Research, United Kingdom at 19 sites in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

plasmaMATCH is a multi-centre phase IIa umbrella trial platform consisting of a ctDNA screening component and a therapeutic component. plasmaMATCH aims to assess whether ctDNA screening can be used to detect patient subgroups who will be sensitive to targeted therapies, and will also assess the safety and activity of… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Advanced Breast Cancer
What is being tested?
Fulvestrant, Neratinib and AZD5363
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,150 participants
Where
19 sitesUnited Kingdom
Study dates
15 Dec 2016to Nov 2023
Phase
Phase 2
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.
  • Aged ≥ 18 years old.
  • Histologically confirmed invasive breast carcinoma.
  • Metastatic or recurrent locally advanced breast cancer that is not suitable for treatment with radical or curative intent.
  • Demonstrated progression of disease by radiological assessment or by clinical assessment within the last 6 weeks.
  • Measurable disease by RECIST v1.1.
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  • Patients must have completed at least one prior line of treatment for advanced breast cancer and/or relapse within 12 months of completing (neo)adjuvant chemotherapy. Patients with HER2 positive breast cancer must have been treated with at least two courses of HER2 targeted therapy in the advanced setting (or one course if no further courses of HER2 targeted therapy are available locally).
  • Patient must either be suitable for a baseline biopsy of recurrent disease or have an archival biopsy of recurrent disease available. Patients are requested to consent to a baseline biopsy but if deemed unsafe by the Investigator, an archival biopsy of recurrent disease can be used instead. If it is deemed unsafe to proceed with baseline biopsy, and no archival recurrent disease biopsy is available, the patient will not be eligible for entry into the treatment cohort.
  • ECOG performance status ≤ 2.
  • Life expectancy >3 months in Cohorts A-D, >16 weeks in Cohort E.
  • Patients must be a) surgically sterile; b) have a sterilised sole partner; c) be postmenopausal; d) must agree to practice true abstinence; or e) must agree to use effective contraception during the period of trial treatment and be willing to do so for 6 months following the end of trial treatment. Effective contraception is defined as double barrier contraception (e.g. condom plus spermicide in combination with a diaphragm, cervical cap or intrauterine device). Ovarian suppression with an LHRH agonist is not a method of contraception.
  • Patients of childbearing potential should have a negative serum pregnancy test within 14 days prior to initiation of trial treatment.
  • At least 4 weeks washout period after the end of trial treatment on a different cohort within plasmaMATCH.
  • Adequate haematological, renal and hepatic function as defined by cohort-specific criteria in protocol.
  • For patients with ER positive breast cancer in Cohorts A, B and C: EITHER postmenopausal, as defined by at least one of the following criteria: Age >60 years; Age <60 years and cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; and serum estradiol and follicle stimulating hormone (FSH) level within the laboratory's reference range for postmenopausal females; Documented bilateral oophorectomy; medically confirmed ovarian failure. OR Pre-/peri-menopausal (i.e. not meeting the criteria for being postmenopausal) if being treated with an LHRH agonist that was commenced at least 4 weeks prior to Cycle 1 Day 1, and continues on the LHRH agonist throughout the trial period.
  • NB. Additional eligibility criteria apply for entry into each treatment cohort.

Who cannot join

  • Prior treatment with radiotherapy (except for palliative reasons), endocrine therapy, immunotherapy, chemotherapy or IMPs during the previous 4 weeks (6 weeks for nitrosoureas, Mitomycin-C) before trial treatment, except for hormonal therapy with LHRH analogues, which are permitted, and bisphosphonates or RANK ligand antibodies that are permitted for the management of bone metastases.
  • Uncontrolled CNS disease (brain metastases or leptomeningeal disease). Patients with prior diagnosis of CNS metastases must be stable by clinical assessment having ceased steroids after prior treatment.
  • History of clinically significant or uncontrolled cardiac disease, including congestive heart failure, angina, myocardial infarction within the last 6 months or ventricular arrhythmia. Patients with a history of any of the above listed cardiac conditions judged not to be clinically significant by the local investigator must be notified to the trial team at the ICR-CTSU for approval by the CI and/or Cohort Lead.
  • Ongoing toxic manifestations of previous treatments Grade ≥1. Exceptions to this are alopecia or toxicities which in the opinion of the Investigator should not exclude the patient. Such cases should be clearly documented in the patient's notes by the Investigator.
  • Major surgery (excluding minor procedures, e.g. placement of vascular access) within 4 weeks of the first dose of trial treatment.
  • Pregnant or breastfeeding.
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  • Any condition that according to the treating physician may compromise the patient's safety or the conduct of the trial.
  • Current malignancies of other types, with the exception of adequately treated in situ carcinoma of the cervix and basal or squamous cell carcinoma of the skin. Cancer survivors, who have undergone potentially curative therapy for a prior malignancy and have no evidence of the disease for 3 years or more are eligible for the trial.
  • NB. Additional eligibility criteria apply for entry into each treatment cohort.

Trial locations and contacts

19 sites in 1 country.

plasmaMATCH Trial Manager contact

plasmamatch-icrctsu@icr.ac.uk

19 sites in 1 country

United Kingdom19 sites, 19 recruiting
  • Royal Bournemouth Hospital

    Bournemouth

    Recruiting
  • Bristol Haematology and Oncology Centre

    Bristol

    Recruiting
  • Addenbrooke's Hospital

    Cambridge

    Recruiting
  • Velindre Cancer Centre

    Cardiff

    Recruiting
  • Western General Hospital

    Edinburgh

    Recruiting
  • Royal Devon and Exeter Hospital

    Exeter

    Recruiting
  • Beatson West of Scotland Cancer Centre

    Glasgow

    Recruiting
  • Clatterbridge Cancer Centre

    Liverpool

    Recruiting
  • Barts Health Trust

    London

    Recruiting
  • Royal Marsden Hospital

    London

    Recruiting
  • University College Hospital London

    London

    Recruiting
  • Kent Oncology Centre

    Maidstone

    Recruiting
  • Christie Hospital

    Manchester

    Recruiting
  • Churchill Hospital

    Oxford

    Recruiting
  • Derriford Hospital

    Plymouth

    Recruiting
  • Weston Park Hospital

    Sheffield

    Recruiting
  • University Hospitals Southampton NHS Foundation Trust

    Southampton

    Recruiting
  • Royal Marsden Hosital

    Sutton, England, SM2 5PT

    Recruiting
  • Royal Cornwall Hospital

    Truro

    Recruiting

Other trials in United Kingdom

About this study

Official title: A Multiple Parallel Cohort, Multi-centre Phase IIa Trial Aiming to Provide Proof of Principle Efficacy for Designated Targeted Therapies in Patients With Advanced Breast Cancer Where the Targetable Mutation is Identified Through ctDNA

plasmaMATCH is a multi-centre phase IIa umbrella trial platform consisting of a ctDNA screening component and a therapeutic component. plasmaMATCH aims to assess whether ctDNA screening can be used to detect patient subgroups who will be sensitive to targeted therapies, and will also assess the safety and activity of the targeted treatments.

Being tested
Fulvestrant, Neratinib, AZD5363, Olaparib, AZD6738

What participants receive

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

Study groups in NCT03182634
Study groupRoleWhat they receive
Cohort A - Extended-dose fulvestrantExperimentalFulvestrant 500mg IM on Cycle 1 Days 1, 8 and 15 and Cycle 2 onwards Days 1 and 15
Receives: Drug: Fulvestrant
Cohort B - NeratinibExperimentalNeratinib 240mg PO on a continuous schedule starting on Cycle 1 Day 1 AND in ER positive breast cancer, fulvestrant 500mg IM on Cycle 1 Days 1 and 15 and Cycle 2 onwards Day 1
Receives: Drug: Fulvestrant; Drug: Neratinib
Cohort C - AZD5363 and fulvestrantExperimentalAZD5363 400mg PO BID on a 7 day schedule of 4 days on treatment followed by 3 days off treatment AND fulvestrant 500mg IM Cycle 1 Days 1 and 15 and Cycle 2 onwards Day 1
Receives: Drug: Fulvestrant; Drug: AZD5363
Cohort D - AZD5363ExperimentalAZD5363 480mg PO BID on a 7 day schedule of 4 days on treatment followed by 3 days off treatment
Receives: Drug: AZD5363
Cohort E - olaparib and AZD6738ExperimentalAZD6738 160mg to be administered once daily on Days 1-7 of each cycle and olaparib 300mg to be administered twice daily on a continuous schedule starting on Cycle 1 Day 1.
Receives: Drug: Olaparib; Drug: AZD6738

What is being measured

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

  1. The primary endpoint for Cohorts A to E is confirmed objective response rate as defined by RECIST v1.1 for each cohort separately

    Measured: up to 24 weeks

Secondary outcomes (9)
  1. Clinical benefit rate

    A patient will be defined as having clinical benefit if they have either a complete/partial response or stable disease as defined by RECIST v1.1 lasting at least 24 weeks.

    Measured: up to 24 weeks

  2. Progression free survival

    PFS will be measured from the date of entry into the treatment cohort until first date of either confirmed progressive disease according to RECIST criteria or death.

    Measured: up to 24 weeks

  3. Incidence of treatment-emergent adverse events (safety and tolerability)

    Incidence of treatment-emergent adverse events (safety and tolerability) will be assessed throughout the treatment period using the NCI CTCAE v4.0 and summarised in tabular format. Reported toxicities will be coded using MedDRA (current version). For each agent,the proportion of patients reporting a dose reduction/delay during trial treatment will be presented

    Measured: through study completion, estimated average 1 year

  4. Duration of response for each cohort

    The duration of response is measured from the time of first documentation of RECIST complete/partial response (whichever status is recorded first) until the first date that recurrence or progressive disease is objectively documented, taking as reference for progressive disease the smallest measurements recorded since the treatment started. Median duration of response and interquartile range will be presented along with its 95% confidence interval.

    Measured: through study completion, estimated average 1 year

  5. Frequency of mutations identified in ctDNA screening

    The proportion of patients undergoing ctDNA screening who have each targetable mutation of interest will be presented.

    Measured: Baseline

  6. The proportion of patients with a targetable mutation who enter a therapeutic component

    The proportion of patients with a targetable mutation who enter the relevant therapeutic cohort will also be presented.

    Measured: Baseline

  7. Agreement between ctDNA mutation status and tissue mutation status for patients entering the therapeutic component

    The proportion of cancers with a ctDNA detected mutation that have a matching mutation on subsequent tissue biopsy will be presented with associated exact two-sided 95% confidence interval.

    Measured: Baseline

  8. Maximum Plasma Concentration (Cmax)

    Changes in Maximum Plasma Concentration during the treatment period for Cohorts A and B will be displayed graphically per patient. Values at specific time points will be summarised across all patients using the mean, standard deviation and range. Analyses will be performed separately for patients in Cohorts A and B.

    Measured: Monthly up to 4 months

  9. Area Under the Curve (AUC)

    Changes in area under the plasma concentration vs time curve during the treatment period for Cohorts A and B will be displayed graphically per patient. Values at specific time points will be summarised across all patients using the mean, standard deviation and range. Analyses will be performed separately for patients in Cohorts A and B.

    Measured: Monthly up to 4 months

Timeline

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

  1. First posted9 Jun 2017
  2. Study start15 Dec 2016
  3. Primary completionNov 2022 (estimated)
  4. Study completionNov 2023 (estimated)

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 2
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03182634
Sponsor's protocol ID
ICR-CTSU/2015/10056
Acronym
plasmaMATCH
Status last verified
Jan 2019
First submitted
10 Jan 2017
Last updated
22 Jan 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Mayerhoefer ME, Kienzle A, Woo S, Vargas HA. Update on Liquid Biopsy. Radiology. 2025 Jun;315(3):e241030. doi: 10.1148/radiol.241030.

    PubMed 40525978
  • Kingston B, Cutts RJ, Bye H, Beaney M, Walsh-Crestani G, Hrebien S, Swift C, Kilburn LS, Kernaghan S, Moretti L, Wilkinson K, Wardley AM, Macpherson IR, Baird RD, Roylance R, Reis-Filho JS, Hubank M, Faull I, Banks KC, Lanman RB, Garcia-Murillas I, Bliss JM, Ring A, Turner NC. Genomic profile of advanced breast cancer in circulating tumour DNA. Nat Commun. 2021 Apr 23;12(1):2423. doi: 10.1038/s41467-021-22605-2.

    PubMed 33893289
  • Turner NC, Kingston B, Kilburn LS, Kernaghan S, Wardley AM, Macpherson IR, Baird RD, Roylance R, Stephens P, Oikonomidou O, Braybrooke JP, Tuthill M, Abraham J, Winter MC, Bye H, Hubank M, Gevensleben H, Cutts R, Snowdon C, Rea D, Cameron D, Shaaban A, Randle K, Martin S, Wilkinson K, Moretti L, Bliss JM, Ring A. Circulating tumour DNA analysis to direct therapy in advanced breast cancer (plasmaMATCH): a multicentre, multicohort, phase 2a, platform trial. Lancet Oncol. 2020 Oct;21(10):1296-1308. doi: 10.1016/S1470-2045(20)30444-7. Epub 2020 Sep 10.

    PubMed 32919527

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Fulvestrant, Neratinib and AZD5363 in people with Advanced Breast Cancer, run by Institute of Cancer Research, United Kingdom at 19 sites in United Kingdom.

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 16 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 22 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United Kingdom. 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?

Results are not available in the source record.

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

Contact plasmaMATCH Trial Manager (plasmamatch-icrctsu@icr.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The primary endpoint for Cohorts A to E is confirmed objective response rate as defined by RECIST v1.1 for each cohort separately (time frame: up to 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03182634, which also lists 3 linked publications.

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 22 Jan 2019.

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