Triple Negative Breast CancerPhase 3NCT03562637
Study of Adagloxad Simolenin (OBI-822)/OBI-821 in the Adjuvant Treatment of Patients With Globo H Positive TNBC
A Phase 3 study testing adagloxad simolenin combined with OBI-821 and Globo H IHC Assay in people with Triple Negative Breast Cancer, run by OBI Pharma, Inc at 128 sites in 13 countries.
Trial summary
The GLORIA study is a Phase III, randomized, open-label study to prospectively evaluate the efficacy and safety of adagloxad simolenin (OBI 822)/OBI-821 in the adjuvant treatment of patients with high risk, early stage Globo-H Positive TNBC. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Triple Negative Breast Cancer
- What is being tested?
- adagloxad simolenin combined with OBI-821 and Globo H IHC Assay
- Type of treatment
- Injection or infusion, Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 575 participants
- Where
- 128 sitesin 13 countries
- Study dates
- 5 Dec 2018to 30 Dec 2027
- Phase
- Phase 3
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Documented radiographic and histopathologic confirmed primary localized invasive breast cancer.
- Histologically documented TNBC (estrogen receptor negative [ER-]/progesterone receptor negative [PR-]/human epidermal growth factor 2 negative [HER2-]) defined as ER-negative and PR-negative (≤5% positive cells stain by IHC for both ER and PR), and negative HER2/neu- status, confirmed on tumor sample.
- HER2/neu negative will be defined as one of the following criteria:
- IHC 0 or 1+
- Single-probe average HER2 gene copy number of <6 signals/nucleus
- Dual-probe fluorescent in-situ hybridization (FISH) HER2/neu chromosome 17 (CEP17) non-amplified ratio of <2
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- Globo H IHC H-score ≥15 from the residual primary site/or lymph node (if primary site is not available) tumor obtained at time of definitive surgery or initial diagnosis (only if surgical tumor sample is not available). Globo H expression will be determined during pre-screening by Central lab. Instructions for submission of slides/tumor tissue blocks are provided in the protocol and study Lab Manual.
- No evidence of metastatic disease in chest, abdomen and pelvis by CT or other adequate imagining during the Screening Phase. Imaging within 3 months prior to randomization is acceptable as baseline scan. Bone scans and imaging of the brain at screening is optional, and should be symptom directed.
- High risk patients with no evidence of disease after completing standard treatment and meeting ONE of the following criteria:
- Neoadjuvant chemotherapy followed by definitive surgery: Residual invasive disease following neoadjuvant chemotherapy defined as: A contiguous focus of residual invasive cancer in the surgical breast specimen measuring ≥1 cm in diameter and/or with residual invasive cancer in at least one axillary node (micrometastases or macrometastases), as determined by local pathology review.
- Definitive surgery followed by adjuvant chemotherapy: Pathological Prognostic Stage IIB, Stage IIIA , Stage IIIB, or Stage IIIC disease according to the 8th edition of the American Joint Committee on Cancer (AJCC) Cancer Staging Manual.
- Must have completed at least 4 cycles of a standard taxane and anthracycline-based multi-agent chemotherapy regimen (or a taxane-only regimen if the patient is ineligible for anthracycline treatment) either in the neoadjuvant or adjuvant setting (e.g., National Comprehensive Cancer Network recommended regimens):.
- Randomization must occur (a) within 16 weeks after definitive surgery and radiation therapy (if radiation therapy administered) in patients who received neoadjuvant multiagent chemotherapy or, (b) for patients receiving adjuvant multiagent chemotherapy (not including capecitabine, immune checkpoint inhibitor), within 16 weeks after the completion of the adjuvant multiagent chemotherapy and radiation therapy (if radiation therapy administered). Note: patients may be randomized and initiate study treatment concurrent with adjuvant SOC therapy (observation, capecitabine, immune checkpoint inhibitor ± capecitabine).
- Randomization must occur (a) within 16 weeks after definitive surgery and radiation therapy (if radiation therapy administered) in patients who received neoadjuvant multiagent chemotherapy or, (b) for patients receiving adjuvant multiagent chemotherapy (not including capecitabine, immune checkpoint inhibitor), within 16 weeks after the completion of the adjuvant multiagent chemotherapy and radiation therapy (if radiation therapy administered). Note: patients may be randomized and initiate study treatment concurrent with adjuvant SOC therapy (observation, capecitabine, immune checkpoint inhibitor ± capecitabine).
- All treatment-related toxicities resolved to Grade <1 on National cancer institute Common Terminology Criteria for Adverse Events (NCI-CTCAE version 5.0) criteria (except hair loss and ≤Grade 2 neuropathy, which are acceptable).
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
- Females must be either of non-childbearing potential, i.e., surgically sterilized (have documented sterilization, bilateral oophorectomy/salpingectomy at least 3 months before the start of the trial and/or hysterectomy), or one year postmenopausal; or if of childbearing potential must have a negative pregnancy test (urine or serum) at screening.
- Males and females of childbearing potential and their partners must be willing to use effective contraception during the entire Treatment Phase and for at least 4 weeks (28 days) after the last dose of study treatment.
- Adequate hematological, hepatic and renal function as defined below:
- Absolute neutrophil count (ANC) ≥1,500/µL
- Platelets ≥75,000/µL
- Hemoglobin ≥8.5g/dL
- Serum creatinine ≤1.5 × upper limit of normal (ULN) or calculated creatinine clearance ≥55 mL/min for subjects with creatinine levels >1.5 × institutional ULN (glomerular filtration rate can also be used in place of creatinine or creatinine clearance may be calculated per institutional standard)
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤3 × ULN
- Alkaline Phosphatase (ALP) ≤2.5 × ULN
- Serum total bilirubin ≤1.5 × ULN (unless Gilbert's disease is documented)
- Consent to participate with a signed and dated Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved patient informed consent for the study prior to beginning any specific study procedures.
- Ability to understand and willingness to complete all protocol required procedures.
Who cannot join
- Local recurrence of or previous history of ipsilateral or contralateral invasive breast cancer within 10 years prior to randomization [for synchronous tumors see Exclusion criteria #3]
- Definitive clinical or radiologic evidence of metastatic disease
- Synchronous bilateral breast cancer, unless both tumors are confirmed as TNBC.
- Have received any anti-cancer vaccines
- Concomitant treatment with anticancer therapy other than adjuvant SOC therapy (capecitabine; immune checkpoint inhibitor), or other investigational therapy, if expected during the study
- A history of other malignancies (except appropriately treated melanoma in situ, non melanoma skin carcinoma, carcinoma in situ of the uterine cervix, follicular or papillary thyroid cancer or other non-breast malignancies with a similar outcome to those mentioned above) within 5 years prior to randomization.
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- Have any active autoimmune disease or disorder that requires systemic immunosuppressive/immunomodulatory therapy. NOTE: Autoimmune diseases that are confined to the skin (e.g., psoriasis) that can be treated with topical steroids alone are allowed during the study.
- Oral/parenteral corticosteroid treatment (>5 mg/day of prednisone/equivalent), within 2 weeks prior to randomization or anytime during the study. NOTE: inhaled steroids for treatment of asthma; and topical steroids are allowed during the study.
- Any known uncontrolled concurrent illness that would limit compliance with study requirements, including but not limited to ongoing or active infections, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, psychiatric disorders, or substance abuse.
- Any known hypersensitivity to active/inactive ingredients in the study drug formulation or known severe allergy or anaphylaxis to fusion proteins.
- Prior receipt of a glycoconjugate vaccine for cancer immunotherapy.
- Known history or positive for human immunodeficiency virus (HIV positive), unless on effective anti-retroviral therapy with undetectable viral load within 6 months of therapy (note: HIV testing not required for study entry).
- Known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection prior to randomization. Patients who have completed curative therapy and have undetectable viral load for HCV are eligible. For patients with evidence of chronic HBV infection, the HBV viral load must be undetectable on suppressive therapy. (note: HBV/HCV testing is not required for study entry).
- Any condition, including significant diseases and/or laboratory abnormalities that would place the patient at unacceptable risk for study participation.
- Currently pregnant or breastfeeding women.
- Currently participating in or has participated in a breast cancer therapeutic clinical trial within 4 weeks (28 days) prior to randomization.
Trial locations and contacts
128 sites in 13 countries.
128 sites in 13 countries
Brazil25 sites
Hospital de Clinicas de Porto Alegre
Barretos, Rio Grande do Sul
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784
Centro de Tratamento Oncologico LTDA - CTO
Belém, Pará, 66073-005
Instituto Mario Penna
Belo Horizonte, Minas Gerais, 30380-472
Centro Oncologico de Roraima
Boa Vista, Roraima, 69304-015
Maternidade e Cirurgia Nossa Senhora do Rocio
Campo Largo, Paraná, 83606-177
Clinica Supera
Chapecó, Santa Catarina, 89801-355
Hospital das Clinicas - Universidade Federal do Parana
Curitiba, Paraná, 80060-900
Suporte Nutricional e Quimioterapia
Fortaleza, Ceará, 60810
Oncosite-Centro de Pesquisa Clinica em Oncologia
Ijuí, Rio Grande do Sul, 98700
Clinica de Neoplasias Litoral - Itajai
Itajaí, Santa Catarina, 88300-000
Hospital Amaral Carvalho de Jau
Jaú, São Paulo, 17210-120
Hospital Escola da Universidade Federal de Pelotas
Pelotas, Rio Grande do Sul, 96040-010
Irmandade da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90050-170
Pontificia Universidade Catolica do Rio Grande do Sul (PUCRS) - Hospital Sao Lucas
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital de Amor Amazonia
Porto Velho, Rondona, 76834-899
Hospital do Capibaribe
Recife, Pernambuco, 52010-000
Real Hospital Portugues de Beneficencia de Pernambuco
Recife, Pernambuco, 52010-075
Hospital Sao Rafael
Salvador, Estado de Bahia, 41253-90
Centro de Pesquisa Clinica em Hematologia e Oncologia
Santo André, São Paulo, 09060
Clinicia de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria
São Paulo, São Paulo, 01317-001
Instituto Brasileiro de Controle do Cancer
São Paulo, São Paulo, 04014
Instituto do Cancer do Estado de San Paulo
São Paulo, São Paulo, 05403-900
Centro de Avaliacao de Medicamentos e Especialidades de Pesquisa
Serra, Espírito Santo, 29160-750
Centro de Pesquisa Vencer & Oncolinca
Teresina, Piauí, 64049-200
China17 sites
Cancer Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Cancer Institute and Hospital
Beijing, 100024
The First Hospital of Jilin University
Changchun, Jilin, 130021
Xiangya Hospital Central South University
Changsha, Hunan, 410008
Hunan Cancer Hospital
Changsha, Hunan, 410013
Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong, 510060
Sir Run Run Shaw Hospital
Hangzhou, Zhejiang, 310020
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Jiangsu Province Hospital
Nanjing, Jiangsu, 210036
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
Liaoning Cancer Hospital and Institute
Shenyang, Liaoning, 110001
The First Hospital of China Medical University
Shenyang, Liaoning, 110101
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, 300060
Hubei Cancer Hospital
Wuhan, Hubei, 430079
Russia13 sites
SBIH of Arkhangelsk region "Arkhangelsk Clinical Oncological Dispensary"
Arkhangelsk, 163045
Krasnoyarsk Territorial Clinical Oncology Center named after A.I. Kryzhanovsky
Krasnoyarsk, 660133
FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"
Moscow, 115478
SBIH of Moscow city "Moscow city oncology hospital №62" of Moscow Healthcare department
Moscow, 143423
BHI of Omsk region "Clinical Oncology Dispensary"
Omsk, 644013
Orenburg Regional Clinical Oncological Center
Orenburg, 460021
N.N. Petrov National Medical Research Center of Oncology
Pesochnyy, 197758
LLC Medaid
Saint Petersburg, 194356
SPb SBIH "City Clinical Oncological Dispensary"
Saint Petersburg, 197022
Klinika Luch, Ltd.
Saint Petersburg, 197110
Nat. Research Mordovia State University
Saransk, Respublika Mordoviya, 430005
SBHI "Volgograd Regional Oncology Dispensary #3"
Volzhskiy, 404133
SBIH of Yaroslavl region "Regional Clinical Oncological Hospital"
Yaroslavl, 150054
United States12 sites
University of Maryland Greenbaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
University of Chicago Medical
Chicago, Illinois, 60637
Henry Ford Medical Center
Detroit, Michigan, 48202
Moores UCSD Cancer Center
La Jolla, California, 92093
Miami Cancer Institute
Miami, Florida, 33176
Bons Secours St. Francis Medical Oncology Center
Midlothian, Virginia, 23114
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Magee-Womens Hospital of UPMC
Pittsburgh, Pennsylvania, 15213
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
Kaiser Permanente Medical Center
San Diego, California, 92120
UCSF Helen Diller Family Comprehensive Cancer Centre
San Francisco, California, 94158
Northwest Medical Specialties, PLLC
Tacoma, Washington, 98405
Mexico10 sites
Investigacion Biomedica para el Desarrollo de Farmacos, S.A. de. C.V
Aguascalientes, 20010
Centro Estatal de Cancerologia
Chihuahua City, 31000
Icaro Investigaciones en Medicina S.A. de C.V.
Chihuahua City, 31000
Scientia Investigacion Clinica S.C.
Chihuahua City, 31207
Instituto Nacional de Cancerologia
Mexico City, Del Tialpan, 14080
Sociedad Administradora de Servicios de Salud S.C.
Morelia, Michoacán, 58260
Clinica Oncor - Centro de Infusion e Investigacion Oncologia de Satillo
Saltillo, Coahuila, 25279
Centro Medico Zambrano Hellion
San Pedro Garza García, Nuevo León, 66278
Centro Oncologico Estatal Instituto de Seguridad Social del Estado de Mexico y Municipios
Toluca, State of Mexico, 50180
Investigacion Biomedica para el Desarrollo de Farmacos
Zapopan, Jalisco, 45070
Australia9 sites
St Vincent's Hospital Sydney
Darlinghurst, 2010
Victoria Breast & Oncology Care
East Melbourne, Victoria, 3002
Gosford Hospital
Gosford, 2250
Cabrini Malvern
Malvern, Victoria, 3144
St John of God Murdoch Hospital
Murdoch, 6150
Breast Cancer Research Centre
Nedlands, Western Australia
Eastern Health - Maroondah Hospital
Ringwood East, 3135
Cancer Care Service, Hervey Bay Hospital
Urraween, Queensland, 4655
Westmead Hospital
Westmead, New South Wales, 2145
South Korea9 sites
Dong-A University Hospital
Busan, 49201
National Cancer Center
Goyang-si, 10408
Inha University Hospital
Incheon, 22332
Seoul National University Bundang Hospital
Seongnam-si, 13620
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
Severance Hospital, Yonsei University Health System
Seoul, 120-752
The Catholic University of Korea, St. Vincent's Hospital
Suwon, 16247
Taiwan9 sites
Changhua Christian Hospital
Changhua, 500
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Chung Shan Medical University Hospital
Taichung
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Chang Gung Medical Foundation Linkou
Taipei, 10507
Taipei Veterans General Hospital
Taipei, 11217
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 11259
Tri-Service General Hospital
Taipei, 11490
Ukraine9 sites
Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine
Dnipro, 49044
City Clinical Hospital #4
Dnipro, 49102
CI Transcarpathian Cl Onc Center Dep of Surgery#1 SHEI Ivano-Frankivsk NMU
Ivano-Frankivsk, 76018
CI of Healthcare Regional Clinical Specialized Dispensary of the Radiation Protection
Kharkiv, 61166
CI of Kherson Reg Council Kherson Regional Oncologic Dispensary
Kherson, 73000
Medical Center of Vision Partner
Kyiv, 03002
Medical Center Verum
Kyiv, 03039
Kyiv Сity Clinical Oncological Center
Kyiv, 03115
CI Reg. Oncol. Dispanser
Zhytomyr, 10002
Poland6 sites
University Clinical Centre - Hospital, Teaching Dept of Oncology and Radiotherapy
Gdansk, 80-214
Independent Public Healthcare Facility University Hospital in Cracow
Krakow, 30-688
Contemporary Therapy Centre
Lodz, 90-242
Polish Mother's Memorial Hospital Research Instistute
Lodz, 93-338
Central Teaching Hospital of the MOI in Warsaw
Warsaw, 02-507
Maria Sklodowska-Curie National Institute of Oncology
Warsaw, 02-781
Peru5 sites
Instituto Regional de Enfermedades Neoplasicas del Sur
Arequipa, 04002
Instituto Nacional de Enfermedades Neoplasicas
Lima, Surquillo, 15038
Hospital Nacional Edgardo Rebagliati Martins, Unidad de Investigacion de Oncologia Medica
Lima, 15072
Unidad de Investigacion - Oncologia Medica Clinica San Felipe
Lima, 15072
Hospital Maria Auxiliadora
Lima, 15801
South Africa3 sites
Netcare Milpark Hospital
Johannesburg, Gauteng, 2193
Wits Clinical Research, a division of Wits Health Consortium (Pty) Ltd
Johannesburg, Gauteng, 2193
Medical Oncology Centre of Rosebank
Johannesburg, Gauteng, 2196
About this study
Official title: The GLORIA Study: A Phase 3, Randomized, Open-Label Study of the Anti-Globo H Vaccine Adagloxad Simolenin (OBI-822)/OBI-821 in the Adjuvant Treatment of Patients With High Risk, Early Stage Globo H-Positive Triple Negative Breast Cancer
The GLORIA study is a Phase III, randomized, open-label study to prospectively evaluate the efficacy and safety of adagloxad simolenin (OBI 822)/OBI-821 in the adjuvant treatment of patients with high risk, early stage Globo-H Positive TNBC.
- Conditions
- Triple Negative Breast Cancer
- Being tested
- adagloxad simolenin combined with OBI-821, Globo H IHC Assay, Standard of care treatment
- Keywords
- Neoadjuvant chemotherapy, Adjuvant chemotherapy, TNBC
- 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.
adagloxad simolenin combined with OBI-821Biological
In the neoadjuvant and adjuvant phases of the study for a total of 100 weeks; subcutaneously injections.
Globo H IHC AssayDevice
The Globo H IHC assay will be used to identify eligible patients who may clinically benefit from the OBI-822 treatment, defined by Globo H expression.
Standard of care treatmentOther
Standard of care treatment consisting of observation alone, adjuvant capecitabine or platinum monotherapy over a 100 week period.
| Study group | Role | What they receive |
|---|---|---|
| Adagloxad simolenin + OBI-821 in conjunction with SOC | Experimental | Participants will be administered adagloxad simolenin combined with OBI-821 for up to a total of 21 subcutaneous injections over a period of 100 weeks.
Patient will also receive standard of care (SOC) treatment. Receives: Biological: adagloxad simolenin combined with OBI-821; Device: Globo H IHC Assay; Other: Standard of care treatment |
| Standard of Care treatment | Active comparator | Study visit intervals will be identical to those in Arm 1.
Patient will receive standard of care (SOC) treatment. Receives: Device: Globo H IHC Assay; Other: Standard of care treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Measuring the effect of adagloxad simolenin (OBI-822)/OBI-821 treatment on improving invasive disease free survival (IDFS) in the study population.
The outcome measure of the study is IDFS, defined by the STEEP system as the first occurrence of the time from the date of randomization to the date of first invasive disease recurrence (local, regional or distant), the date of secondary primary invasive cancer (breast or not), or the date of death from any cause.
Measured: 5 years
Secondary outcomes (5)
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Overall Survival (OS).
OS is defined as the time from randomization to date of death from any cause
Measured: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Quality of Life (QoL).
QoL defined as time to definitive deterioration in Health-related Quality of Life (HRQOL) using the global health status/QoL scale from European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ-C30) and the European Quality of Life 5 Dimensions 5 Levels (EQ-5D-5L). QoL baseline established at randomization.
Definitive deterioration defined as a 5% worsening relative to baseline in the HRQOL scale score from EORTC QLQ-C30 questionnaires with no subsequent improvement above threshold, scored with the EORTC QLQ-C30 v3.0 Scoring Manual. The EQ-5D-5L questionnaire assesses mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, rated by the patient. It is a standardized measure of health status to provide a simple, generic measure of health for clinical and economic appraisal. 28 questions have a 4 point scale: not at all(1) to very much(4). 2 questions have a 7-point scale: very poor (1) to excellent(7).
Measured: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Breast cancer-free interval (BCFI).
BCFI is defined by the STEEP system as the first occurrence of the time from the date of randomization to the date of the first invasive disease recurrence (local, regional or distant), the date of ductal carcinoma in situ (ipsilateral or contralateral), or the date of death from breast cancer
Measured: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Distant disease-free survival (DDFS).
DDFS is defined by the STEEP system as the first occurrence of the time from the date of randomization to the date of the first distant disease recurrence, the date of the second primary invasive cancer (non-breast), or the date of death from any cause
Measured: 7 years
Incidence and severity of adverse events (AEs) [Time Frame: AEs will be noted as it occurs, with a timeframe from beginning of randomization to 4 weeks after last dose of study treatment.]
Adverse Events will be graded and recorded by investigators per National Cancer Institute-Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0).
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2018
- Study start5 Dec 2018
- Primary completion30 Dec 2025 (estimated)
- Study completion30 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Triple Negative Breast CancerStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 575 participants (actual)
Sponsor and investigators
- Lead sponsor
- OBI Pharma, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Hope Rugo, MD, Study chair, University of California, San Francisco
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03562637
- Sponsor's protocol ID
- OBI-822-011
- Status last verified
- May 2025
- First submitted
- 6 Jun 2018
- Last updated
- 9 May 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
- Individual data sharing
- No
Publications
Gorodetska I, Samusieva A, Lahuta T, Ponomarova O, Socha O, Kozeretska I. Exploring New Frontiers: Alternative Breast Cancer Treatments Through Glycocalyx Research. Breast J. 2025 May 22;2025:9952727. doi: 10.1155/tbj/9952727. eCollection 2025.
PubMed 40443562Rugo HS, Cortes J, Barrios CH, Cabrera P, Xu B, Huang CS, Kim SB, Melisko M, Nanda R, Pienkowski T, Rapoport BL, Schwab R. GLORIA: phase III, open-label study of adagloxad simolenin/OBI-821 in patients with high-risk triple-negative breast cancer. Future Oncol. 2022 Oct 21. doi: 10.2217/fon-2022-0812. Online ahead of print.
PubMed 36268941
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The GLORIA Study: A Phase 3, Randomized, Open-Label Study of the Anti-Globo H Vaccine Adagloxad Simolenin (OBI-822)/OBI-821 in the Adjuvant Treatment of Patients With High Risk, Early Stage Globo H-Positive Triple Negative Breast Cancer
- ClinicalTrials.gov ID
- NCT03562637
- Acronym / sponsor ID
- OBI-822-011
- Conditions
- Triple Negative Breast Cancer
- Keywords
- Neoadjuvant chemotherapy, Adjuvant chemotherapy, TNBC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 575 participants (actual)
- Lead sponsor
- OBI Pharma, IncIndustry (pharma, biotech, devices)
- Study start
- 5 Dec 2018 (actual)
- Primary completion
- 30 Dec 2025 (estimated)
- Study completion
- 30 Dec 2027 (estimated)
- First posted
- 19 Jun 2018 (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.
The GLORIA study is a Phase III, randomized, open-label study to prospectively evaluate the efficacy and safety of adagloxad simolenin (OBI 822)/OBI-821 in the adjuvant treatment of patients with high risk, early stage Globo-H Positive TNBC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Adagloxad simolenin + OBI-821 in conjunction with SOC | Experimental | Biological: adagloxad simolenin combined with OBI-821, Device: Globo H IHC Assay, Other: Standard of care treatmentParticipants will be administered adagloxad simolenin combined with OBI-821 for up to a total of 21 subcutaneous injections over a period of 100 weeks. Patient will also receive standard of care (SOC) treatment. |
| Standard of Care treatment | Active comparator | Device: Globo H IHC Assay, Other: Standard of care treatmentStudy visit intervals will be identical to those in Arm 1. Patient will receive standard of care (SOC) treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (28 listed)
- Documented radiographic and histopathologic confirmed primary localized invasive breast cancer.
- Histologically documented TNBC (estrogen receptor negative [ER-]/progesterone receptor negative [PR-]/human epidermal growth factor 2 negative [HER2-]) defined as ER-negative and PR-negative (≤5% positive cells stain by IHC for both ER and PR), and negative HER2/neu- status, confirmed on tumor sample.
- HER2/neu negative will be defined as one of the following criteria:
- Globo H IHC H-score ≥15 from the residual primary site/or lymph node (if primary site is not available) tumor obtained at time of definitive surgery or initial diagnosis (only if surgical tumor sample is not available). Globo H expression will be determined during pre-screening by Central lab. Instructions for submission of slides/tumor tissue blocks are provided in the protocol and study Lab Manual.
- No evidence of metastatic disease in chest, abdomen and pelvis by CT or other adequate imagining during the Screening Phase. Imaging within 3 months prior to randomization is acceptable as baseline scan. Bone scans and imaging of the brain at screening is optional, and should be symptom directed.
Key exclusion criteria (16 listed)
- Local recurrence of or previous history of ipsilateral or contralateral invasive breast cancer within 10 years prior to randomization [for synchronous tumors see Exclusion criteria #3]
- Definitive clinical or radiologic evidence of metastatic disease
- Synchronous bilateral breast cancer, unless both tumors are confirmed as TNBC.
- Have received any anti-cancer vaccines
- Concomitant treatment with anticancer therapy other than adjuvant SOC therapy (capecitabine; immune checkpoint inhibitor), or other investigational therapy, if expected during the study
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 |
|---|---|---|
| adagloxad simolenin combined with OBI-821In the neoadjuvant and adjuvant phases of the study for a total of 100 weeks; subcutaneously injections. | Biological | Adagloxad simolenin + OBI-821 in conjunction with SOC |
| Globo H IHC AssayThe Globo H IHC assay will be used to identify eligible patients who may clinically benefit from the OBI-822 treatment, defined by Globo H expression. | Device | Adagloxad simolenin + OBI-821 in conjunction with SOC, Standard of Care treatment |
| Standard of care treatmentStandard of care treatment consisting of observation alone, adjuvant capecitabine or platinum monotherapy over a 100 week period. | Other | Adagloxad simolenin + OBI-821 in conjunction with SOC, Standard of Care treatment |
Primary outcome
Measuring the effect of adagloxad simolenin (OBI-822)/OBI-821 treatment on improving invasive disease free survival (IDFS) in the study population.
Time frame: 5 years
The outcome measure of the study is IDFS, defined by the STEEP system as the first occurrence of the time from the date of randomization to the date of first invasive disease recurrence (local, regional or distant), the date of secondary primary invasive cancer (breast or not), or the date of death from any cause.
5 secondary outcomes
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Overall Survival (OS).
Time frame: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Quality of Life (QoL).
Time frame: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Breast cancer-free interval (BCFI).
Time frame: 7 years
Measuring the impact of adagloxad simolenin (OBI-822)/OBI-821 treatment in the study population on Distant disease-free survival (DDFS).
Time frame: 7 years
Incidence and severity of adverse events (AEs) [Time Frame: AEs will be noted as it occurs, with a timeframe from beginning of randomization to 4 weeks after last dose of study treatment.]
Time frame: 2 years
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 9 May 2025.
- Derived from this study: PubMed 40443562Gorodetska I, Samusieva A, Lahuta T, Ponomarova O, Socha O, Kozeretska I. Exploring New Frontiers: Alternative Breast Cancer Treatments Through Glycocalyx Research. Breast J. 2025 May 22;2025:9952727. doi: 10.1155/tbj/9952727. eCollection 2025.
- Derived from this study: PubMed 36268941Rugo HS, Cortes J, Barrios CH, Cabrera P, Xu B, Huang CS, Kim SB, Melisko M, Nanda R, Pienkowski T, Rapoport BL, Schwab R. GLORIA: phase III, open-label study of adagloxad simolenin/OBI-821 in patients with high-risk triple-negative breast cancer. Future Oncol. 2022 Oct 21. doi: 10.2217/fon-2022-0812. Online ahead of print.
- Individual participant dataSharing planned: No
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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. This study is not recruiting at the moment.
Hope Rugo, MD study chair
University of California, San Francisco
128 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing adagloxad simolenin combined with OBI-821 and Globo H IHC Assay in people with Triple Negative Breast Cancer, run by OBI Pharma, Inc at 128 sites in 13 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 28 inclusion and 16 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: under way, not looking for participants, as of the sponsor's last update on 9 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 128 sites in Brazil, China, Russia, United States, Mexico and 8 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
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?
Measuring the effect of adagloxad simolenin (OBI-822)/OBI-821 treatment on improving invasive disease free survival (IDFS) in the study population. (time frame: 5 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 NCT03562637, which also lists 2 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 9 May 2025.