Breast CancerPhase 3BRIA-ABCNCT06072612
Study of the Bria-IMT Regimen and CPI vs Physicians' Choice in Advanced Metastatic Breast Cancer.
A Phase 3 study testing SV-BR-1-GM, Cyclophosphamide and Interferon infiltration of the inoculation site in people with Breast Cancer and Metastatic Breast Cancer, run by BriaCell Therapeutics Corporation at 79 sites in United States.
Trial summary
This is a multicenter randomized, open label study to evaluate overall survival with the Bria-IMT regimen in combination with Checkpoint Inhibitor [Retifanlimab], versus Treatment of Patients'/Physicians' Choice (TPC) in advanced metastatic or locally recurrent breast cancer (aMBC) patients with no approved… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer, Metastatic Breast Cancer, Breast Neoplasm
- What is being tested?
- SV-BR-1-GM, Cyclophosphamide and Interferon infiltration of the inoculation site
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 404 participants
- Where
- 79 sitesUnited States
- Study dates
- 5 Dec 2023to Jun 2028
- 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
- Be ≥ 18 years of age.
- Have signed informed consent.
- Have histological confirmation of breast cancer with either locally recurrent unresectable and/or metastatic lesions, and have failed prior therapy:
- Patients with persistent disease and local recurrence must not be amenable to local treatment.
- For patients with metastatic disease, late-stage MBC with no meaningful alternative therapies available and the following class specific treatment histories:
- Human epidermal growth factor 2 (HER2) positive must be previously treated with at least 3 regimens containing at least two anti-HER2 and at least one chemotherapy containing regimen.
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- Estrogen receptor (ER), progesterone receptor (PR) positive tumors: must be refractory to hormonal therapy demonstrated by progression on at least 2 hormonal agents in 2 separate lines of hormone directed therapy.
- Triple Negative tumors: Must have exhausted all curative intent therapies including at least 2 prior chemotherapy regimens, which can include regimens in neoadjuvant and adjuvant settings.
- Cancers with known germline or genomic actionable targets, e.g. g/mBRCA, must have been treated with all tumor directed indicated treatment e.g. PARPi, if tolerated.
- HER2 low patients, in addition to the appropriate therapies based on ER/PR status and germline or genomic actionable targets, must also have received at least one HER2-targeted agent approved for treatment of HER2 low patients.
- HER2 negative tumors must be refractory to hormonal therapy (if indicated) and previously treated with at least 2 chemotherapy regimens.
- Patients with new or progressive breast cancer metastatic to the brain will be eligible provided:
- The brain metastases must be clinically stable (without evidence of progressive disease by imaging for at least 4 weeks prior to first dose)
- There is no need for steroids and patients have not had steroids for at least 2 weeks prior to the first dose
- Tumor is not impinging on Middle Cerebral Artery/speech-motor strip
- If surgically debulked, must be healed with at least 3 weeks since surgery prior to the first dose
- Has expected survival of at least 4 months.
- ECOG performance status of 0, 1 or 2
Who cannot join
- Concurrent or recent chemotherapy, immunotherapy or major surgery within 21 days prior to the first dose.
- Radiotherapy within 14 days of the first dose of study treatment.
- Toxicity of prior therapy that has not recovered to ≤ Grade 1 or baseline (with the exception of any grade of alopecia and anemia not requiring transfusion support).
- Any toxicity to prior CPI that was grade 3 or higher unless it has been successfully treated (e.g. hypothyroidism or hypopituitarism treated with replacement therapy), .
- Toxicity to prior CPI that has not resolved to grade 1 or less except for stable asymptomatic endocrinopathies.
- History of clinical hypersensitivity to the designated therapy as specified in the protocol, including the proposed TPC, beef, or to any components used in the preparation of SV- BR-1-GM.
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- History of hypersensitivity to any of the therapies proposed for treatment in this study.
- Serum creatinine OR Measured OR calculated Creatinine Clearance (CrCl) (GFR can also be used in place of creatinine or CrCl) >2.0 × ULN or <30 mL/min for participants with creatinine levels >2.0 × institutional ULN.
- Absolute granulocyte count <1000; platelets <80,000; hemoglobin ≤ 7 g/L.
- Bilirubin ≥ 2 × ULN unless conjugated bilirubin ≤ ULN; alkaline phosphatase >5x upper limit of normal (ULN); ALT/AST >3x ULN. For patients with hepatic metastases, ALT/AST >5x ULN is exclusionary.
- INR or PT or aPTT > 1.8 × ULN, unless the participant is receiving anticoagulant therapy as long as PT or aPTT is within therapeutic range of intended use of anticoagulants.
- Receiving any medication listed in the prohibited medication section of the protocol.
- Proteinuria >2+ on urinalysis
- A history or presence of an abnormal electrocardiogram (ECG) that, in the Investigator's opinion, is clinically meaningful. Screening corrected QT interval (QTc) interval >480 milliseconds is excluded (corrected by Fridericia or Bazett formula). In the event that a single QTc is >480 milliseconds, the participant may enroll if the average QTc for the 3 ECGs is <480 milliseconds.
- New York Heart Association stage 3 or 4 cardiac disease.
- A pericardial effusion of moderate severity or worse.
- Symptomatic pleural effusion or ascites. A participant who is clinically stable following treatment for these conditions (including therapeutic thoraco- or paracentesis) is eligible.
- Any woman of childbearing potential (i.e., has had a menstrual cycle within the past year and has not been surgically sterilized), unless she agrees to take appropriate precautions to avoid becoming pregnant during the study and has a negative serum pregnancy test within 7 days prior to starting treatment.
- Men must have been sterile or, if they were potentially fertile/reproductively competent, should take appropriate precautions to avoid fathering a child for the duration of the study.
- Women who are pregnant or nursing.
- Known additional malignancy that is progressing or requires active treatment, or history of other malignancy within 2 years of study entry with the exception of cured basal cell or squamous cell carcinoma of the skin, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancy, or cancers from which the participant has been disease-free for > 1 year, after treatment with curative intent.
- Patients who have uncontrolled HIV or have clinical or laboratory features indicative of AIDS.
- Have a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (doses exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
- Have an active autoimmune disease that has required systemic treatment in past year (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is allowed.
- Known active HAV, HBV, or HCV infection, as defined by elevated transaminases with the following serology: positivity for HAV IgM antibody, anti-HCV, anti-HBc IgG or IgM, or HBsAg (in the absence of prior immunization).
- Active infections requiring systemic therapy within the past 14 days.
- Patients with severe psychiatric disease (e.g., schizophrenia, bipolar, or borderline personality disorder) or other clinically progressive major medical problems, unless approved by the Investigator in consultation with the Medical Monitor.
- Has received a live vaccine within 28 days of the first dose of study drug.
- Patients may not be on a concurrent clinical trial, unless approved by the Investigator.
Trial locations and contacts
79 sites in 1 country. Contact the study team or a site near you to ask about taking part.
79 sites in 1 country
United States79 sites, 79 recruiting
- Recruiting
Los Angeles cancer Network_Anaheim
Anaheim, California, 92801
Amy Vuong, amy.vuong@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322
Madison Steininger, CCRC, 404-778-8145, madison.miller.stallings@emory.edu
Keerthi Gogineni, MD
- Recruiting
University of Miami _SCCC - Aventura
Aventura, Florida, 33180
Yaima De La Fuente, 786-422-2551, Yaima.delaFuente@med.miami.edu
Lawrence Negret, MD
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C. (Babylon)
Babylon, New York, 11702
Lauren Gianelli, 855-528-7322, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
Nicole Ward, 661-862-8548, nward@cbccusa.com
Ravi Patel, MD
- Recruiting
The Center for Cancer and Blood Disorders a division of American Oncology Partners, P.A.
Bethesda, Maryland, 20817
Jenelle Larkin, CCRC, 301-571-0019 ext. 69355, Jenelle.Larkin@aoncology.com
Natalie Bongiorno, RN, MSHS, 301-571-2016, Natalie.Bongiorno@aoncology.com
- Recruiting
Cedars-Sinai Cancer Beverly Hills
Beverly Hills, California, 90211
Amy Oppenheim, 310-423-3713, Amy.Oppenheim@cshs.org
Yuan Yuan, MD
- Recruiting
Gabrail Cancer & Research Center
Canton, Ohio, 44718
Carrie Smith, RN, 330-492-3345, csmith@gabrailcancercenter.com
Nashat Gabrail, MD
- Recruiting
Northwestern University
Chicago, Illinois, 60611
Nina Garcia, 312-695-1352, nina.garcia1@northwestern.edu
Regina Stein, MD
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44195
Mariah Branem, CCRC, 866-320-4573, branemm@ccf.org
Azka Ali, MD
- Recruiting
University of Miami-SCCC-Lennar
Coral Gables, Florida, 33146
Yisell Gongora, 305-270-3467, yxg780@med.miami.edu
Irene Marino, 3052439221, idm32@med.miami.edu
- Recruiting
University of Miami_SCCC-Coral Springs
Coral Springs, Florida, 33065
Yaima De La Fuente, 786-422-2551, Yaima.delaFuente@med.miami.edu
Lawrence Negret, MD
- Recruiting
Los Angeles Cancer Network_Corona
Corona, California, 92879
Elan Ingram, elan.ingram@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Melissa Melendez-Salazar, RN, 214-370-1038, melissa.melende-salazar@usoncology.com
Jessica Medina, CCRC, 214-370-1989, jessica.medina@usoncology.com
- Recruiting
Mary Crowley Cancer Research
Dallas, Texas, 75251
Akhil Valiyil, CCRC, 972-566-3061, avaliyil@marycrowley.org
Angela Hotchkiss, 214-658-1958, ahotchkiss@marycrowley.org
- Recruiting
University of Miami Hospital and Clinics - Deerfield Beach
Deerfield Beach, Florida, 33442
Deborah Conte, CCRC, 954-210-1171, dmc238@med.miami.edu
Lawrence M Negret, MD
- Recruiting
Northwest Cancer Center
Dyer, Indiana, 46311
Mariela Abad, 219-924-8178 ext. 279, mariela.abad@usoncology.com
Shruti Singh, MD
- Recruiting
DHR Health Oncology Institute
Edinburg, Texas, 78539
Edgar Lopez, 956-362-2394, ed.lopez@dhr-rgv.com
Vaney Capetillo, v.capetillo@dhr-rgv.com
- Recruiting
Hunterdon Medical Center
Flemington, New Jersey, 08822
Komel Sajjad, CCRC, 908-237-1201 ext. 262, ksajjad@hhsnj.org
Myron E. Bednar, MD
- Recruiting
Los Angeles cancer Network_Fountain Vallley
Fountain Valley, California, 92708
Elan Ingram, elan.ingram@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Texas Oncology - Fredericksburg
Fredericksburg, Texas, 78624
Brenda Travieso, Brenda.Travieso@usoncology.com
Emmalind Aponte, MD
- Recruiting
Hematology-Oncology Associates of Fredericksburg, Inc
Fredericksburg, Virginia, 22408
Ashley Lawrence, RN, OCN, 540-371-0079 ext. 149, alawrence@hoafredericksburg.com
Amber Spurley, RN, 540-371-0079, research@hoafredericksburg.com
- Recruiting
Los Angeles Cancer Network_Glendale
Glendale, California, 91206
Amy Vuong, amy.vuong@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Texas Oncology - Harlingen
Harlingen, Texas, 78550
Nereida Salinas, nereida.salinas@usoncology.com
Alvaro Restrepo, MD
- Recruiting
University of Miami_SCCC-Hollywood
Hollywood, Florida, 33021
Yaima De La Fuente, 786-422-2551, Yaima.delaFuente@med.miami.edu
Lawrence Negret, MD
- Recruiting
Hoag Hospital Center
Irvine, California, 92618
Keeva Bromley, keeva.bromley@hoag.org
Chaitali Nangia, MD
- Recruiting
Hoag Hospital Irvine
Irvine, California, 92618
Kevva Bromey, keeva.bromley@hoag.org
Chaitali Nangia, MD
- Recruiting
Mayo Clinic Florida-Comprehensive Cancer Center
Jacksonville, Florida, 32224
Megan Skoglund, CCRC, 904-953-4350, Skoglund.Megan@mayo.edu
Angelica Klosowski, 904-953-4529, Klosowski.Angelica@mayo.edu
- Recruiting
AMR Kansas City Oncology
Kansas City, Kansas, 66204
Jennifer Ross, CCRC, 913-386-7556, jennifer.ross@amrllc.com
Jason Huntington, Site Manager, (913) 386-7556
- Recruiting
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Rebecca Dabrowski, Rebecca.E.Dabrowski@Hitchcock.ORG
Mary D. Chamberlin, MD
- Recruiting
Los Angeles Cancer Network
Los Angeles, California, 90017
Elizabeth Tica, 213-977-1214 ext. 3728, elizabeth.tica@lahomg.com
Lasika C. Seneviratne, MD
- Recruiting
Cedars-Sinai Cancer at Cedars-Sinai Medical Facility
Los Angeles, California, 90048
Remona Delarea, 310-423-3713, Remona.Delarea@cshs.org
Yuan Yuan, MD
- Recruiting
Los Angeles Cancer Network_Century City
Los Angeles, California, 90067
Amy Vuong, amy.vuong@lahomg.com
Lasika Seneviratne, MD
- Recruiting
UCLA-Hematology/Oncology Medical Plaza
Los Angeles, California, 90095
Arika Fayton, 310-205-0771, AFayton@mednet.ucla.edu
Kelly E McCann, MD, PhD
- Recruiting
UCLA-Hematology/Oncology_LA 2
Los Angeles, California, 90095
Rachelle Ancona, 310-205-0771, RAncona@mednet.ucla.edu
Arika Fayton, AFayton@mednet.ucla.edu
- Recruiting
UCLA-Hematology/Oncology_LA
Los Angeles, California, 90095
Rachelle Ancona, 310-205-0771, RAncona@mednet.ucla.edu
Kelly E. McCann, MD, PhD
- Recruiting
NYU Langone's Perlmutter Cancer Center
Manhattan, New York, 10016
Clevester Haynesworth, CCRC, 929-455-2451, Clevester.Haynesworth@nyulangone.org
Nancy Chan, MD
- Recruiting
Care Access-Marrero
Marrero, Louisiana, 70072
William Robinson, RN, 351-227-7173, William.robinson@careaccess.com
Shibu Varughese, MD
- Recruiting
Texas Oncology McAllen
McAllen, Texas, 78503
Nereida Salinas, RN, 956-687-5150, nereida.salinas@usoncology.com
Alvaro Restrepo, MD
- Recruiting
University Of Miami-SCCC-Miami
Miami, Florida, 33136
Maynela Quinones, 305-243-2457, maynela@med.miami.edu
Irene Marino, 305-243-9221, idm32@med.miami.edu
- Recruiting
University of Miami_SCCC - Kendall
Miami, Florida, 33176
Yaima De La Fuente, 786-422-2551, Yaima.delaFuente@med.miami.edu
Lawrence Negret, MD
- Recruiting
Texas Oncology, New Braunfels
New Braunfels, Texas, 78130
Brenda Travieso, Brenda.Travieso@usoncology.com
Emmalind Aponte, MD
- Recruiting
Smilow Cancer Hospital at Yale New Haven
New Haven, Connecticut, 06511
Carl Brown, 475-241-1065, carl.brown@yale.edu
Adriana Kahn, MD
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C.(New Hyde Park)
New Hyde Park, New York, 11042
Lauren Gianelli, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
Manhattan Hematology /Oncology Associates
New York, New York, 10016
Patricia Mccullough, RN, 212-689-6791, patriciarose13@gmail.com
Alec Goldenberg, MD
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C (NY)
New York, New York, 10028
Lauren Gianelli, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
Nebraska Cancer Specialists
Omaha, Nebraska, 68130
Heather Cordes, CCRC, 402-691-6970, hcordes@nebraskacancer.com
Scott Degenhardt, 402-691-5257, sdegenhardt@nebraskacancer.com
- Recruiting
Advent Health - Orlando
Orlando, Florida, 32804
Ashley Young, CCRC, 407-303-2284, ashley.young@adventhealth.com
Valeria BURKOVSKAYA, CCRC, 407-303-2283, valeria.burkovskaya@adventhealth.com
- Recruiting
Los Angeles Cancer Network_Pasadena
Pasadena, California, 91105
Elan Ingram, elan.ingram@lahomg.com
Lasika Seneviratne, MD
- Recruiting
New York Cancers & Blood Specialists_North Shore Hematology Oncology Assocaites P.C (Patchogue)
Patchogue, New York, 11772
Lauren Bilka, LPN, 631-675-5075, research@nycancer.com
Richard Zuniga, MD
- Recruiting
Mayo Clinic-Comprehensive Cancer Center-Breast Clinic
Phoenix, Arizona, 85054
Alicia Ortiz, CCRC, 480-574-2802, ortiz.alicia@mayo.edu
Brenda J. Ernst, MD
- Recruiting
University of Miami-SCCC-Plantation
Plantation, Florida, 33324
Deborah Conte, CCRC, 954-210-1171, dmc238@med.miami.edu
Irene Marino, 3052439221, idm32@med.miami.edu
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C. (Port Jefferson Station2)
Port Jefferson Station, New York, 11776
Lauren Gianelli, 855-528-7322, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C.(Port Jefferson Station1)
Port Jefferson Station, New York, 11776
Lauren Gianelli, 855-528-7322, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
New York Cancers & Blood Specialists
Port Jefferson Station, New York, 11776
Lauren Gianelli, 855-528-7322, lgianelli@nycancer.com
Laura Brady-Parisi, LPN, LPN, 631-675-5075, lbrady@nycancer.com
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C. (Riverhead)
Riverhead, New York, 11901
Lauren Gianelli, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
Los Angeles cancer Network_Riverside
Riverside, California, 92501
Elan Ingram, elan.ingram@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Mayo Clinic-Comprehensive Cancer Center-Breast Clinic
Rochester, Minnesota, 55905
Jennifer Hager, CCRC, 507-266-0539, Hager.Jennifer@mayo.edu
Ciara O'Sullivan, M.B., B.Ch.
- Recruiting
Texas Oncology-San Antonio Cancer Care
San Antonio, Texas, 78216
Shannon Syring, RN, 210-419-2608, shannon.syring@usoncology.com
Norma Norris, RN, 210-595-5613, norma.norris@usoncology.com
- Recruiting
Texas Oncology - San Antonio Northeast
San Antonio, Texas, 78217
Brenda Travieso, Brenda.Travieso@usoncology.com
Emmalind Aponte, MD
- Recruiting
Texas Oncology - San Antonio Stone Oak
San Antonio, Texas, 78258
Brenda Travieso, Brenda.Travieso@usoncology.com
Emmalind Aponte, MD
- Recruiting
UC San Diego
San Diego, California, 92037
Odelia Ha, 858-534-8248, oha@health.ucsd.edu
Rebecca A. Shatsky, MD
- Recruiting
St. John's Cancer Center
Santa Monica, California, 90404
Pamela Torres, CCRC, pamela.torres@providence.org
Parvin Peddi, MD
- Recruiting
UCLA-Department of Medicine Hematology/Oncology-Parkside
Santa Monica, California, 90404
Rachelle Ancona, 310-205-0771, RAncona@mednet.ucla.edu
Kelly E. McCann, MD, PhD
- Recruiting
UCLA-Hetamtology/Oncology_S Monica
Santa Monica, California, 90404
Arika Fayton, 310-205-0771, AFayton@mednet.ucla.edu
Kelly E. McCann, MD, PhD
- Recruiting
Sheboygan Cancer & Blood Specialists
Sheboygan, Wisconsin, 53081
Maria Splittgerber, 920-452-1650 ext. 318, msplittgerber@physhealthnet.com
S. Mark Bettag, MD
- Recruiting
Cancer Care Northwest-1 (601 S. Sherman)
Spokane, Washington, 99202
Ronaye Wagner, Ronaye.wagner@ccnw.net
Kristine Rinn, MD
- Recruiting
Cancer Care Northwest_2 (605 E. Holland)
Spokane, Washington, 99218
Ronaye Wagner, Ronaye.wagner@ccnw.net
Kristine Rinn, MD
- Recruiting
Cancer Care Northwest
Spokane Valley, Washington, 99218
Ronaye Wagner, RN, MSN, 509-228-1680, Ronaye.wagner@ccnw.net
Bethany Giachetti, BS, CCRC, 509-228-1684, Bethany.giachetti@ccnw.net
- Recruiting
Southern Illinois University-Simmons
Springfield, Illinois, 62702
Kathy Robinson, 217-545-1946, krobinson@siumed.edu
Krishna Rao, MD
- Recruiting
New York Cancer and Blood Specialists_North Shore Hematology Oncology Assocaites P.C (Brox)
The Bronx, New York, 10469
Lauren Gianelli, 855-528-7322, lgianelli@nycancer.com
Richard Zuniga, MD
- Recruiting
Torrance Memorial Cancer Center
Torrance, California, 90505
Jessica Yoshinaga, 310-750-3378, jyoshinaga@mednet.ucla.edu
Crystal Taylor, ctaylor@trio-us.org
- Recruiting
University of Arizona-Cancer Center
Tucson, Arizona, 85719
Stanna Calderon, SC, 520-621-5901, stannacalderon@arizona.edu
Sima Ehsani, MD
- Recruiting
Carle Foundation Cancer Institute-Urbana
Urbana, Illinois, 61801
Christine Rogers, 217-383-3394, christine.rogers@carle.com
Kendrith Rowland, MD
- Recruiting
Los Angeles Cancer Network_Valley Pres
Van Nuys, California, 91405
Elan Ingram, elan.ingram@lahomg.com
Lasika Seneviratne, MD
- Recruiting
Tranquil Clinical Research
Webster, Texas, 77598
Veronica D. Mohammed, RN, 713-907-6054, veronicam@tranquilityresearch.com
Patricia Roark, RN, 346-435-9438, patriciar@tranquilityresearch.com
- Recruiting
Texas Oncology - Weslaco
Weslaco, Texas, 78596
Nereida Salinas, RN, nereida.salinas@usoncology.com
Alvaro Restrepo, MD
- Recruiting
Cedars-Sinai Breast Health Services Building
West Hollywood, California, 90048
Remona Delarea, 310-423-3713, Remona.Delarea@cshs.org
Yuan Yuan, MD
- Recruiting
Regional Medical Oncology Center_Wlson
Wilson, North Carolina, 27893
Taylor Bryant, RN, 252-991-5261, taylor.bryant@regionaloncology.com
Keith Lerro, MD
About this study
Official title: Randomized, Open-Label Study of the Bria-IMT Regimen and Check Point Inhibitor vs Physicians' Choice in Advanced Metastatic Breast Cancer.
This is a multicenter randomized, open label study to evaluate overall survival with the Bria-IMT regimen in combination with Checkpoint Inhibitor [Retifanlimab], versus Treatment of Patients'/Physicians' Choice (TPC) in advanced metastatic or locally recurrent breast cancer (aMBC) patients with no approved alternative therapies available.
Read the detailed description
This is a multicenter randomized, open label study to evaluate overall survival with the Bria-IMT regimen in combination with Checkpoint Inhibitor [Retifanlimab], versus Treatment of Patients'/Physicians' Choice (TPC) in advanced metastatic or locally recurrent breast cancer (aMBC) patients with no approved alternative therapies available. A secondary objective will be to evaluate the activity of the Bria-IMT regimen alone in comparison with the Bria-IMT regimen in combination with CPI.
Initial randomization will be 1:1:1 to the Bria-IMT regimen + CPI (combination therapy), TPC, and the Bria-IMT regimen alone (monotherapy). After the first 150 patients have enrolled in the study, the monotherapy arm will be discontinued and patients allowed to cross over to the combination therapy if needed. Randomization will continue 1:1 between the combination therapy vs TPC.
For the Bria regimen +/- CPI arms, treatment cycles occur every 3 weeks. TPC cycle details will be according to the site's SOC. In the absence of progressive disease or major safety issues, the patient will continue with therapy cycles, with imaging assessment every 6 weeks x2 then every 8 weeks thereafter.
The Bria-IMT regimen includes:
Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon intra-dermally within each Bria-IMT inoculation site
- Conditions
- Breast Cancer, Metastatic Breast Cancer, Breast Neoplasm, Breast Cancer Metastatic, End Stage Cancer
- Being tested
- SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
- Keywords
- Breast, metastatic, advanced, cancer, late line
- Medical subject headings
- Breast Neoplasms, Neoplasm Metastasis, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SV-BR-1-GMBiological
Also called Part of the Bria-IMT regimen
SV-BR-1-GM is an experimental, allogeneic, whole cell breast tumor cell line stably transfected with the CSF2 gene (encoding GM-CSF) to secrete GM-CSF in vivo to consequently augment dendritic cell activity
CyclophosphamideDrug
Cyclophosphamide is an alkylating agent with indications for treatment of malignant diseases including breast cancer. Cyclophosphamide (Cytoxan) 300 mg/m2 I.V., single dose, will be given to patients assigned to the SV-BR-1-GM. Cyclophosphamide will be administered 2-3 days prior to SV-BR-1-GM inoculations.
Interferon infiltration of the inoculation siteDrug
Interferon is a cytokine released by cells to regulate immune responses to viral infections. For this study, 0.1 mcg Pegasys per injection site (x 4 injection sites) will be administered.
RetifanlimabDrug
Retifanlimab is a checkpoint inhibitor. A total dose of 375mg will be administered at first cycle on or about day +2 (+/-1d). In all other cycles, Retifanlimab is permitted to be administered between Day -2/-3 to Day 2±1 of the cycle based on the convenience of the patients and the clinical sites. However once the timing of the CPI is chosen for C1, it must be given on the same day thereafter throughout the trial.
Treatment of Physician's ChoiceDrug
Patients in the TPC arm of the study will be treated with one or a combination of the following: carboplatin, taxanes, capecitabine, gemcitabine, vinorelbine or eribulin in accordance with the investigators and institutional standard of care. For HER2+ patients, a HER2-targeted agent of the physician's choice can be part of TPC.
| Study group | Role | What they receive |
|---|---|---|
| Bria-IMT Regimen + CPI | Experimental | The Bria-IMT regimen:
Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon administered intra-dermally within each SV-BR-1-GM inoculation site Receives: Biological: SV-BR-1-GM; Drug: Cyclophosphamide; Drug: Interferon infiltration of the inoculation site; Drug: Retifanlimab |
| Treatment of Physician's Choice | Active comparator | TPC consists of eribulin, carboplatin, capecitabine, gemcitabine, vinorelbine or taxanes in accordance with the investigators' and institutional standard of care. The specific details of the selected regimen must include every detail of administration including frequency, sequencing (for multi-agent regimens), duration of infusion or oral administration, planned dose, dose prescribed, dose administered, dose adjustments after initial prescription or start of TPC treatment, and any other change in TPC from its initial election prior to randomization. Receives: Drug: Treatment of Physician's Choice |
| Bria-IMT Regimen Alone | Experimental | The Bria-IMT regimen:
Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon administered intra-dermally within each SV-BR-1-GM inoculation site Receives: Biological: SV-BR-1-GM; Drug: Cyclophosphamide; Drug: Interferon infiltration of the inoculation site |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
To evaluate the effect of the Bria-IMT regimen in combination with Check Point Inhibitor (CPI) on overall survival (OS) compared to treatment of physician's choice (TPC) chemotherapy in patients with metastatic breast cancer with no approved alternative therapies available as per the Inclusion criteria.
Measured: Up to 60 months
Secondary outcomes (5)
Progression-free survival (PFS)
To evaluate the effect of the Bria-IMT regimen with CPI on progression-free survival (PFS)
- To assess the single agent activity of the Bria-IMT regimen in the sample cohort using PFS, ORR, and CBR
Measured: Up to 60 months
Clinical Benefit Rate (CBR)
To evaluate the efficacy of the Bria-IMT regimen with CPI using Clinical Benefit Rate (CBR)
Measured: Up to 60 months
Overall response rate (ORR)
To evaluate the efficacy of the Bria-IMT regimen with CPI using best overall response rate (ORR)
Measured: Up to 60 months
Quality of life (QoL)
To compare the effect of the Bria-IMT regimen with CPI on quality of life (QoL) including time without symptoms and time without toxicities (TWiST) adjusted for time on study.
Measured: Up to 60 months
CNS Event free survival (EFS)
CNS event free survival for subjects with and without known CNS metastases at baseline
Measured: Up to 60 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2023
- Study start5 Dec 2023
- Primary completionDec 2027 (estimated)
- Study completionJun 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for 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
- 404 participants (estimated)
Sponsor and investigators
- Lead sponsor
- BriaCell Therapeutics Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Giuseppe Del Priore, MD MPH, Study director, BriaCell Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06072612
- Sponsor's protocol ID
- BC-IMT-04
- Acronym
- BRIA-ABC
- Status last verified
- Sep 2026
- First submitted
- 25 Sep 2023
- Last updated
- 2 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Open-Label Study of the Bria-IMT Regimen and Check Point Inhibitor vs Physicians' Choice in Advanced Metastatic Breast Cancer.
- ClinicalTrials.gov ID
- NCT06072612
- Acronym / sponsor ID
- BRIA-ABC / BC-IMT-04
- Conditions
- Breast Cancer, Metastatic Breast Cancer, Breast Neoplasm, Breast Cancer Metastatic, End Stage Cancer
- Keywords
- Breast, metastatic, advanced, cancer, late line
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 404 participants (estimated)
- Lead sponsor
- BriaCell Therapeutics CorporationIndustry (pharma, biotech, devices)
- Study start
- 5 Dec 2023 (actual)
- Primary completion
- Dec 2027 (estimated)
- Study completion
- Jun 2028 (estimated)
- First posted
- 10 Oct 2023 (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.
This is a multicenter randomized, open label study to evaluate overall survival with the Bria-IMT regimen in combination with Checkpoint Inhibitor [Retifanlimab], versus Treatment of Patients'/Physicians' Choice (TPC) in advanced metastatic or locally recurrent breast cancer (aMBC) patients with no approved alternative therapies available.
Detailed description
This is a multicenter randomized, open label study to evaluate overall survival with the Bria-IMT regimen in combination with Checkpoint Inhibitor [Retifanlimab], versus Treatment of Patients'/Physicians' Choice (TPC) in advanced metastatic or locally recurrent breast cancer (aMBC) patients with no approved alternative therapies available. A secondary objective will be to evaluate the activity of the Bria-IMT regimen alone in comparison with the Bria-IMT regimen in combination with CPI.
Initial randomization will be 1:1:1 to the Bria-IMT regimen + CPI (combination therapy), TPC, and the Bria-IMT regimen alone (monotherapy). After the first 150 patients have enrolled in the study, the monotherapy arm will be discontinued and patients allowed to cross over to the combination therapy if needed. Randomization will continue 1:1 between the combination therapy vs TPC.
For the Bria regimen +/- CPI arms, treatment cycles occur every 3 weeks. TPC cycle details will be according to the site's SOC. In the absence of progressive disease or major safety issues, the patient will continue with therapy cycles, with imaging assessment every 6 weeks x2 then every 8 weeks thereafter.
The Bria-IMT regimen includes:
Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon intra-dermally within each Bria-IMT inoculation site
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Bria-IMT Regimen + CPI | Experimental | Biological: SV-BR-1-GM, Drug: Cyclophosphamide, Drug: Interferon infiltration of the inoculation site, Drug: RetifanlimabThe Bria-IMT regimen: Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon administered intra-dermally within each SV-BR-1-GM inoculation site |
| Treatment of Physician's Choice | Active comparator | Drug: Treatment of Physician's ChoiceTPC consists of eribulin, carboplatin, capecitabine, gemcitabine, vinorelbine or taxanes in accordance with the investigators' and institutional standard of care. The specific details of the selected regimen must include every detail of administration including frequency, sequencing (for multi-agent regimens), duration of infusion or oral administration, planned dose, dose prescribed, dose administered, dose adjustments after initial prescription or start of TPC treatment, and any other change in TPC from its initial election prior to randomization. |
| Bria-IMT Regimen Alone | Experimental | Biological: SV-BR-1-GM, Drug: Cyclophosphamide, Drug: Interferon infiltration of the inoculation siteThe Bria-IMT regimen: Day -2 or -3 Cyclophosphamide 300mg/m2 Day 0 SV-BR-1-GM given intradermally divided into 4 inoculations Day 1-3 CPI infusion plus interferon administered intra-dermally within each SV-BR-1-GM inoculation site |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Be ≥ 18 years of age.
- Have signed informed consent.
- Have histological confirmation of breast cancer with either locally recurrent unresectable and/or metastatic lesions, and have failed prior therapy:
- Has expected survival of at least 4 months.
- ECOG performance status of 0, 1 or 2
Key exclusion criteria (29 listed)
- Concurrent or recent chemotherapy, immunotherapy or major surgery within 21 days prior to the first dose.
- Radiotherapy within 14 days of the first dose of study treatment.
- Toxicity of prior therapy that has not recovered to ≤ Grade 1 or baseline (with the exception of any grade of alopecia and anemia not requiring transfusion support).
- Any toxicity to prior CPI that was grade 3 or higher unless it has been successfully treated (e.g. hypothyroidism or hypopituitarism treated with replacement therapy), .
- Toxicity to prior CPI that has not resolved to grade 1 or less except for stable asymptomatic endocrinopathies.
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 |
|---|---|---|
| SV-BR-1-GMAlso: Part of the Bria-IMT regimenSV-BR-1-GM is an experimental, allogeneic, whole cell breast tumor cell line stably transfected with the CSF2 gene (encoding GM-CSF) to secrete GM-CSF in vivo to consequently augment dendritic cell activity | Biological | Bria-IMT Regimen + CPI, Bria-IMT Regimen Alone |
| CyclophosphamideCyclophosphamide is an alkylating agent with indications for treatment of malignant diseases including breast cancer. Cyclophosphamide (Cytoxan) 300 mg/m2 I.V., single dose, will be given to patients assigned to the SV-BR-1-GM. Cyclophosphamide will be administered 2-3 days prior to SV-BR-1-GM inoculations. | Drug | Bria-IMT Regimen + CPI, Bria-IMT Regimen Alone |
| Interferon infiltration of the inoculation siteInterferon is a cytokine released by cells to regulate immune responses to viral infections. For this study, 0.1 mcg Pegasys per injection site (x 4 injection sites) will be administered. | Drug | Bria-IMT Regimen + CPI, Bria-IMT Regimen Alone |
| RetifanlimabRetifanlimab is a checkpoint inhibitor. A total dose of 375mg will be administered at first cycle on or about day +2 (+/-1d). In all other cycles, Retifanlimab is permitted to be administered between Day -2/-3 to Day 2±1 of the cycle based on the convenience of the patients and the clinical sites. However once the timing of the CPI is chosen for C1, it must be given on the same day thereafter throughout the trial. | Drug | Bria-IMT Regimen + CPI |
| Treatment of Physician's ChoicePatients in the TPC arm of the study will be treated with one or a combination of the following: carboplatin, taxanes, capecitabine, gemcitabine, vinorelbine or eribulin in accordance with the investigators and institutional standard of care. For HER2+ patients, a HER2-targeted agent of the physician's choice can be part of TPC. | Drug | Treatment of Physician's Choice |
Primary outcome
Overall Survival
Time frame: Up to 60 months
To evaluate the effect of the Bria-IMT regimen in combination with Check Point Inhibitor (CPI) on overall survival (OS) compared to treatment of physician's choice (TPC) chemotherapy in patients with metastatic breast cancer with no approved alternative therapies available as per the Inclusion criteria.
5 secondary outcomes
Progression-free survival (PFS)
Time frame: Up to 60 months
Clinical Benefit Rate (CBR)
Time frame: Up to 60 months
Overall response rate (ORR)
Time frame: Up to 60 months
Quality of life (QoL)
Time frame: Up to 60 months
CNS Event free survival (EFS)
Time frame: Up to 60 months
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 2 Sep 2026.
- SponsorLink provided by the sponsor.
- CROLink provided by the sponsor.
- 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.
Giuseppe Del Priore, MD MPH study director
BriaCell Therapeutics
79 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SV-BR-1-GM, Cyclophosphamide and Interferon infiltration of the inoculation site in people with Breast Cancer and Metastatic Breast Cancer, run by BriaCell Therapeutics Corporation at 79 sites in United States.
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 18 inclusion and 29 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: looking for participants now, as of the sponsor's last update on 2 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 79 sites in United States. 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?
Contact Malobika Bhowmick (1-888-485-6340 ext. 2, mbhowmick@briacell.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: Up to 60 months). 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 2 Sep 2026.