Restoring Sensitivity To Immunotherapy In Advanced Triple Negative Breast Cancer Exploiting Ceralasertib Priming Followed By Combined Durvalumab/Nab-Paclitaxel: The ATRiBRAVE Trial

Status: Recruiting
Location: See all (6) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This study will evaluate the efficacy and safety of ceralasertib followed by durvalumab plus nab-paclitaxel in 37 patients with TNBC, whose tumor relapsed following treatment with curative intent for early disease, which must have included immunotherapy and chemotherapy as part of the radical locoregional therapy (either adjuvant, neoadjuvant or both).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• ATRiBRAVE trial written informed consent, prior to any study specific procedures

• Age ≥18 years old

• Ability to comply with the study protocol in the investigator's judgment.

• Ability to swallow and retain oral medication

• Availability of a formalin-fixed, paraffin-embedded block (FFPE) containing primary tumor tissue or at least 10-20 unstained tumor slides

• Metastatic TNBC patients who have not received prior systemic cytotoxic therapy in the advanced setting and whose tumor have relapsed from treatment with curative intent for early disease, which must have included ICI and chemotherapy as part of radical locoregional therapy

• Documented disease progression (e.g., with biopsy sample, pathology or imaging report) since the last treatment in the early setting with curative intent (neo/adjuvant regimen)

• Negative ER/PgR (defined as \<10% of tumor cells expressing ER and PgR hormonal receptors) and HER2 status (HER2 IHC score 0, 1+ or 2+ non-amplified by in situ hybridization) must be confirmed in the most recent tumor sample (primary and/or metastatic)

• Evaluable disease, as defined by RECIST 1.1

⁃ ECOG performance status 0-1 (refer to Appendix 1)

⁃ Patients must have a life expectancy ≥ 3 months from proposed first dose date.

⁃ Patients must have acceptable bone marrow, liver and renal functions measured within 28 days prior to administration of study treatment

⁃ Body weight \> 30kg

⁃ Women with childbearing potential should complete a pregnancy test with negative result within 28 days of study treatment and be willing to use effective contraceptive methods from screening to 90 days after the last dose of durvalumab

⁃ For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures and agreement to refrain from donating sperm from screening to 90 days after the last dose of durvalumab.

Locations
Other Locations
Italy
ASST Papa Giovanni XXIII
RECRUITING
Bergamo
Istituto Nazionale dei Tumori IRCCS
RECRUITING
Milan
IRCCS Istituto Nazionale Tumori Fondazione Giovanni Pascale
RECRUITING
Napoli
Azienda Ospedaliero Universitaria Maggiore della Carità
RECRUITING
Novara
Istituto Oncologico Veneto IRCCS
RECRUITING
Padua
Azienda U.S.L. - IRCCS di Reggio Emilia
RECRUITING
Reggio Emilia
Contact Information
Primary
Ylenia Silvestri, PhD
clinical.trials@ifom.eu
+3902574303797
Backup
Smeralda Rapisarda, PhD
clinical.trials@ifom.eu
+3902574303236
Time Frame
Start Date: 2022-12-15
Estimated Completion Date: 2029-12
Participants
Target number of participants: 37
Treatments
Experimental: TNBC patients treated with ceralasertib, durvalumab e nab-paclitaxel
Patients will be assessed for eligibility during the 28-day screening period prior to enrollment. Enrolled patients will be treated with:~* Ceralasertib at 240 mg administered orally, twice daily on Days -6 to 0 prior to Day 1 Cycle 1 and thereafter on Days 22 to 28 (priming period) of Cycle 1 and every subsequent cycle;~* Durvalumab at 1500 mg administered via IV infusion on Day 1 of every 28-day cycle; Nab-paclitaxel at 100 mg/m2 administered via IV infusion on Days 1,8 and 15 of every 28- day cycle.~A safety run-in phase will be carried out at the start of the present study using a 3+3 de-escalating schema down to -2 ceralasertib dose level. Nab- paclitaxel or durvalumab doses will not be de-escalated. Once the definitive dose for ceralasertib is established, treatment will be continued until progression or unacceptable toxicity, which ever come first.
Sponsors
Collaborators: AstraZeneca
Leads: IFOM ETS - The AIRC Institute of Molecular Oncology

This content was sourced from clinicaltrials.gov

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