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Breast CancerPhase 1/2NCT03430479

Anti PD-1 Antibody With Radiation Therapy in Patients With HER2-negative Metastatic Breast Cancer

A Phase 1/2 study testing Cohort A in people with Breast Cancer, run by Kyoto Breast Cancer Research Network at 1 site in Japan.

Completed

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

Official record
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Trial summary

The aim of this study is to evaluate the safety and efficacy of anti PD-1 antibody with radiation therapy in patients with HER2-negative metastatic breast cancer. Read more about this study

Who is it for?
Ages 20 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Cohort A
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
1 siteJapan
Study dates
22 Jun 2017to 1 Apr 2021
Phase
Phase 1/2
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 20 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cohort A
  • Documentation of ER-positive and/or PR-positive tumor (>=1% positive stained cells) .
  • Patients must satisfy the following criteria for prior therapy:
  • Progressed during treatment or within 12 months of completion of adjuvant hormone therapy.
  • or Progressed while prior hormone therapy for advanced/metastatic breast cancer. Two previous line of hormone therapy for advanced/metastatic disease is allowed.
  • Patients who have hormone therapy that can be expected for advanced /metastatic disease.
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  • Cohort B
  • Patients who have come to be non-responsive more than two line of chemotherapy
  • Prior chemotherapy with anthracycline and taxane agent
  • Cohort A and B
  • Female patients who are histologically or cytologically confirmed to have breast cancer
  • Patients who have distant metastatic lesion as follow
  • More than one bone lesion for radiation therapy
  • Patients with cancer confirmed to be HER2-negative.(
  • Patients with a measurable lesion based on RECIST 1.1.
  • Patients aged >= 20 years at informed consent
  • Patients with ECOG PS of 0 to 1.
  • Patients without any severe disorder in the major organs.
  • Patients expected to survive for ≥ 90 days.
  • Patients of childbearing potential must be using an acceptable method of contraception to avoid pregnancy and must not be breastfeeding for 18 weeks after the last dose of investigational product
  • Patients who have provided written informed consent themselves.

Who cannot join

  • -
  • Patients who have neuropathy (more than Grade 2)
  • Patients with any active autoimmune disease or a history of known autoimmune disease.
  • Patients who has a history of pneumonitis or interstitial lung disease.
  • Active, untreated central nervous system metastasis.
  • Patients with pericardial effusion, pleural effusion or ascites requiring treatment
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  • Patients with uncontrolled diabetes mellitus
  • Patients with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 28 days of the enrollment.
  • Patients who has received radiotherapy within 28 days of study registration, or radiotherapy for thorax within 56 days of the enrollment.
  • Pregnant or breast-feeding women.
  • Prior therapy with Nivolumab, anti CTLA-4 antibody therapies, any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
  • Patients considered ineligible for participation in this study by their attending physicians

Trial locations and contacts

1 site in 1 country.

Japan1 site
  • Kyoto University Hospital

    Kyoto, 606-8507

Other trials in Japan

About this study

Official title: Phase Ib/II Study to Assess Efficacy, Safety & Immunological Biomarker of Anti PD-1 Antibody With Radiation Therapy in Patients With HER2-negative Metastatic Breast Cancer

The aim of this study is to evaluate the safety and efficacy of anti PD-1 antibody with radiation therapy in patients with HER2-negative metastatic breast cancer.

Conditions
Breast Cancer
Being tested
Cohort A
Medical subject headings
Breast Neoplasms

What participants receive

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

  • Cohort ADrug

    Radiation + Nivolumab + hormone therapy

Study groups in NCT03430479
Study groupRoleWhat they receive
Cohort AExperimentalNot described
Receives: Drug: Cohort A
Cohort BExperimentalNot described
Receives: Drug: Cohort A

What is being measured

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

  1. Phase Ib : dose-limiting toxicity rate

    Measured: 2 years

Timeline

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

  1. First posted13 Feb 2018
  2. Study start22 Jun 2017
  3. Primary completion30 Nov 2018
  4. Study completion1 Apr 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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03430479
Sponsor's protocol ID
kbcrnb002
Status last verified
Jan 2023
First submitted
6 Feb 2018
Last updated
19 Jan 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Takada M, Yoshimura M, Kotake T, Kawaguchi K, Uozumi R, Kataoka M, Kato H, Yoshibayashi H, Suwa H, Tsuji W, Yamashiro H, Suzuki E, Torii M, Yamada Y, Kataoka T, Ishiguro H, Morita S, Toi M. Phase Ib/II study of nivolumab combined with palliative radiation therapy for bone metastasis in patients with HER2-negative metastatic breast cancer. Sci Rep. 2022 Dec 27;12(1):22397. doi: 10.1038/s41598-022-27048-3.

    PubMed 36575361

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Cohort A in people with Breast Cancer, run by Kyoto Breast Cancer Research Network at 1 site in Japan.

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 12 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 19 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Japan. 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 combined 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.

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?

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?

Phase Ib : dose-limiting toxicity rate (time frame: 2 years). 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 NCT03430479, which also lists 1 linked publication.

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 19 Jan 2023.

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