MedPath

A Study of Izalontamab Brengitecan Versus Chemotherapy in Participants With Previously Untreated, Locally Advanced, Recurrent Inoperable, or Metastatic Triple-negative Breast Cancer Ineligible for Anti-PD(L)1 Drugs (IZABRIGHT-Breast01)

Phase 2
Not yet recruiting
Conditions
Breast Neoplasms
Interventions
Registration Number
NCT06926868
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to assess the efficacy and safety of iza-bren, a bi-specific antibody-drug conjugate against EGFR and HER3 with a topoisomerase inhibitor payload versus treatment of physician's choice (TPC) (paclitaxel, nab-paclitaxel, carboplatin plus gemcitabine, and capecitabine) for the treatment of first-line metastatic triple-negative breast cancer (TNBC) or estrogen receptor (ER)-low, human epidermal growth factor receptor 2 (HER2)-negative BC patients who are not candidates for anti-PD(L)1 therapy and endocrine therapies.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
560
Inclusion Criteria
  • Histologically or cytologically confirmed and documented locally-advanced, recurrent inoperable, or metastatic TNBC (ER < 1%, PgR < 1%, HER2 IHC 0, 1+, or 2+ with FISH negative for HER2 gene amplification) or ER-low, HER2-negative BC (ER and / or PgR 1% to 10%, HER2 IHC 0, 1+, or 2+ with FISH negative for HER2 gene amplification) per ASCO/CAP criteria, based on the most recently analyzed biopsy or other pathology specimen.
  • Patients with recurrent disease must have experienced disease relapse at least 6 months after finishing their last therapy with curative intent.
  • Patients with TNBC must be considered ineligible for 1L chemotherapy combination treatment with an anti-PD-1 or an anti-PD-L1 due to either one of the following criteria:.
  • Investigator-determined ineligibility based on PD-L1 negative disease determined and documented prior to trial screening as part of SoC.
  • Has experienced disease relapse between 6 to 12 months after the completion of (neo)adjuvant therapy with an anti-PD(L)1.
  • Has a severe auto-immune disease or other contraindication.
  • Patients with ER-low, HER2-negative BC must be ineligible, in the opinion of the Investigator, for endocrine therapy-based treatments.
  • No previous systemic therapy in the locally advanced, recurrent inoperable or metastatic setting (ie incurable setting).
  • Measurable disease by CT or MRI as per RECIST v1.1.
  • Other protocol-defined Inclusion/Exclusion criteria apply.
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A1Iza-bren-
Arm A2Iza-bren-
Arm BNab-paclitaxel-
Arm BPaclitaxel-
Arm BCapecitabine-
Arm BCarboplatin-
Arm BGemcitabine-
Primary Outcome Measures
NameTimeMethod
Progression-Free Survival (PFS)Approximately 31 months from first participant randomization

Assessed using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) by blinded independent central review (BICR)

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Approximately up to 57 months from first participant randomization
Recommended Phase 3 Dose (RP3D) of BMS-986507Approximately 19 months from first participant randomization
Number of participants with treatment-related Adverse Events (AEs)Approximately up to 57 months from first participant randomization
Number of participants with laboratory abnormalitiesApproximately up to 57 months from first participant randomization
Number of participants with serious AEs (SAEs)Approximately up to 57 months from first participant randomization
Number of participants with AEs leading to treatment discontinuation, interruption, dose reduction or dose delayApproximately up to 57 months from first participant randomization
Number of deathsApproximately up to 57 months from first participant randomization
Objective Response (OR)Approximately 31 months from first participant randomization
PFS rateApproximately 31 months from first participant randomization

Assessed using RECIST v1.1 by BICR

PFSApproximately 31 months from first participant randomization

Assessed by Investigator

Disease control rate (DCR)Approximately 31 months from first participant randomization
Duration of Response (DOR)Approximately 31 months from first participant randomization
Time to Response (TTR)Approximately 31 months from first participant randomization
Time to subsequent treatment (TTST)Approximately up to 57 months from first participant randomization

Defined as time from randomization to the start of subsequent therapy or death

Progression-free survival after next line of treatment (PFS2)Approximately up to 57 months from first participant randomization

Defined as the time from randomization to the date of investigator-defined documented disease progression after next line of treatment or death due to any cause, whichever comes first

Change from baseline in European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)Approximately up to 57 months from first participant randomization
Change from baseline in EORTC Breast Cancer-specific Quality of Life Questionnaire (QLQ-BR23)Approximately up to 57 months from first participant randomization
Functional Assessment of Chronic Illness Therapy item GP5 (FACIT GP5) scoreApproximately up to 57 months from first participant randomization
Change from baseline in European Quality of Life 5 Dimensions 5 Levels (EQ-5D-5L)Approximately up to 57 months from first participant randomization

Trial Locations

Locations (220)

Local Institution - 0303

🇺🇸

Hot Springs, Arkansas, United States

Local Institution - 0307

🇺🇸

Cerritos, California, United States

Local Institution - 0308

🇺🇸

Cerritos, California, United States

Local Institution - 0309

🇺🇸

Cerritos, California, United States

Local Institution - 0282

🇺🇸

Miami, Florida, United States

Local Institution - 0311

🇺🇸

Long Beach, California, United States

Local Institution - 0290

🇺🇸

Los Angeles, California, United States

Local Institution - 0283

🇺🇸

Los Angeles, California, United States

Local Institution - 0289

🇺🇸

Aurora, Colorado, United States

Local Institution - 0304

🇺🇸

Newark, Delaware, United States

Local Institution - 0296

🇺🇸

Pembroke Pines, Florida, United States

Local Institution - 0278

🇺🇸

Chicago, Illinois, United States

Local Institution - 0294

🇺🇸

Atlanta, Georgia, United States

Local Institution - 0324

🇺🇸

O'Fallon, Illinois, United States

Local Institution - 0286

🇺🇸

Covington, Louisiana, United States

Local Institution - 0288

🇺🇸

Boston, Massachusetts, United States

Local Institution - 0287

🇺🇸

Boston, Massachusetts, United States

Local Institution - 0313

🇺🇸

Minneapolis, Minnesota, United States

Local Institution - 0284

🇺🇸

Kansas City, Missouri, United States

Local Institution - 0312

🇺🇸

New York, New York, United States

Local Institution - 0279

🇺🇸

New York, New York, United States

Local Institution - 0295

🇺🇸

Westbury, New York, United States

Local Institution - 0280

🇺🇸

Chicago, Illinois, United States

Local Institution - 0275

🇺🇸

Decatur, Illinois, United States

Local Institution - 0285

🇺🇸

White Plains, New York, United States

Local Institution - 0276

🇺🇸

Durham, North Carolina, United States

Local Institution - 0316

🇺🇸

Eugene, Oregon, United States

Local Institution - 0310

🇺🇸

Philadelphia, Pennsylvania, United States

Local Institution - 0281

🇺🇸

Greenville, South Carolina, United States

Local Institution - 0315

🇺🇸

Austin, Texas, United States

Local Institution - 0314

🇺🇸

Houston, Texas, United States

Local Institution - 0305

🇺🇸

Tyler, Texas, United States

Local Institution - 0277

🇺🇸

Midlothian, Virginia, United States

Local Institution - 0301

🇺🇸

Roanoke, Virginia, United States

Local Institution - 0302

🇺🇸

Winchester, Virginia, United States

Local Institution - 0011

🇦🇷

Ciudad autónoma de Buenos Aires, Buenos Aires, Argentina

Local Institution - 0214

🇦🇷

ABB, Ciudad Autónoma De Buenos Aires, Argentina

Local Institution - 0137

🇦🇷

Río Cuarto, Córdoba, Argentina

Local Institution - 0142

🇦🇷

Rosario, Santa Fe, Argentina

Local Institution - 0317

🇦🇷

Buenos Aires, Argentina

Local Institution - 0012

🇦🇷

Ciudad Autónoma de Buenos Aires, Argentina

Local Institution - 0143

🇦🇷

Cordoba, Argentina

Local Institution - 0035

🇦🇺

Brisbane, Queensland, Australia

Local Institution - 0197

🇦🇺

Ballarat Central, Victoria, Australia

Local Institution - 0031

🇦🇺

Heidelberg, Victoria, Australia

Local Institution - 0274

🇦🇺

Melbourne, Victoria, Australia

Local Institution - 0028

🇦🇺

Subiaco, Western Australia, Australia

Local Institution - 0292

🇦🇹

Graz, Steiermark, Austria

Local Institution - 0268

🇦🇹

Innsbruck, Tirol, Austria

Local Institution - 0267

🇦🇹

Salzburg, Austria

Local Institution - 0270

🇦🇹

St. Polten, Austria

Local Institution - 0269

🇦🇹

Wien, Austria

Local Institution - 0187

🇧🇷

Manaus, Amazonas, Brazil

Local Institution - 0147

🇧🇷

Fortaleza, Ceará, Brazil

Local Institution - 0157

🇧🇷

Vitória, Espírito Santo, Brazil

Local Institution - 0199

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Local Institution - 0164

🇧🇷

São José do Rio Preto, São Paulo, Brazil

Local Institution - 0153

🇧🇷

Rio de Janeiro, Brazil

Local Institution - 0144

🇧🇷

São Paulo, Brazil

Local Institution - 0149

🇧🇷

São Paulo, Brazil

Local Institution - 0218

🇨🇦

Kelowna, British Columbia, Canada

Local Institution - 0217

🇨🇦

Victoria, British Columbia, Canada

Local Institution - 0265

🇨🇦

Ottawa, Ontario, Canada

Local Institution - 0215

🇨🇦

Montréal, Quebec, Canada

Local Institution - 0219

🇨🇦

Montréal, Quebec, Canada

Local Institution - 0216

🇨🇦

Sherbrooke, Quebec, Canada

Local Institution - 0195

🇨🇴

Medellín, Antioquia, Colombia

Local Institution - 0201

🇨🇴

Rionegro, Antioquia, Colombia

Local Institution - 0194

🇨🇴

Barranquilla, Atlántico, Colombia

Local Institution - 0182

🇨🇴

Puerto Colombia, Atlántico, Colombia

Local Institution - 0181

🇨🇴

Montería, COR, Colombia

Local Institution - 0327

🇨🇴

Bogota, Cundinamarca, Colombia

Local Institution - 0183

🇨🇴

Cali, Valle Del Cauca, Colombia

Local Institution - 0089

🇫🇷

Bordeaux, Aquitaine, France

Local Institution - 0272

🇫🇷

Dijon, Côte-d'Or, France

Local Institution - 0098

🇫🇷

Toulouse, Haute-Garonne, France

Local Institution - 0095

🇫🇷

Montpellier, Hérault, France

Local Institution - 0099

🇫🇷

Rennes, Ille-et-Vilaine, France

Local Institution - 0092

🇫🇷

Saint Herblain, Loire-Atlantique, France

Local Institution - 0091

🇫🇷

Reims, Marne, France

Local Institution - 0097

🇫🇷

Villejuif, Paris, France

Local Institution - 0093

🇫🇷

Marseille, Provence-Alpes-Côte-d'Azur, France

Local Institution - 0096

🇫🇷

Clermont-Ferrand, Puy-de-Dôme, France

Local Institution - 0090

🇫🇷

Lyon, Rhône-Alpes, France

Local Institution - 0094

🇫🇷

Lille, France

Local Institution - 0088

🇫🇷

Paris, France

Local Institution - 0320

🇩🇪

Esslingen, Baden-Württemberg, Germany

Local Institution - 0256

🇩🇪

Augsburg, Bayern, Germany

Local Institution - 0254

🇩🇪

Leipzig, Sachsen, Germany

Local Institution - 0259

🇩🇪

Bonn, Germany

Local Institution - 0271

🇩🇪

München, Bayern, Germany

Local Institution - 0260

🇩🇪

Berlin, Germany

Local Institution - 0306

🇩🇪

Frankfurt, Hessen, Germany

Local Institution - 0293

🇩🇪

Düsseldorf, Nordrhein-Westfalen, Germany

Local Institution - 0263

🇩🇪

Essen, Nordrhein-Westfalen, Germany

Local Institution - 0255

🇩🇪

Lübeck, Schleswig-Holstein, Germany

Local Institution - 0261

🇩🇪

Berlin, Germany

Local Institution - 0257

🇩🇪

Hannover, Germany

Local Institution - 0258

🇩🇪

Dresden, Germany

Local Institution - 0266

🇮🇳

New Delhi, Delhi, India

Local Institution - 0262

🇩🇪

Heidelberg, Germany

Local Institution - 0291

🇩🇪

Ulm, Germany

Local Institution - 0038

🇬🇷

Athens, Attikí, Greece

Local Institution - 0086

🇬🇷

Heraklion, Irakleío, Greece

Local Institution - 0042

🇬🇷

Athens, Attikí, Greece

Local Institution - 0206

🇮🇳

New Delhi, Delhi, India

Local Institution - 0044

🇮🇱

Ramat Gan, HaMerkaz, Israel

Local Institution - 0131

🇮🇳

Mumbai, Maharashtra, India

Local Institution - 0134

🇮🇳

Nagpur, Maharashtra, India

Local Institution - 0125

🇮🇳

Chennai, Tamil Nadu, India

Local Institution - 0130

🇮🇳

Hyderabad, Telangana, India

Local Institution - 0133

🇮🇳

Varanasi, Uttar Pradesh, India

Local Institution - 0186

🇮🇱

Petah Tikva, HaMerkaz, Israel

Local Institution - 0048

🇮🇱

Hadera, HaTsafon, Israel

Local Institution - 0123

🇮🇱

Haifa, HaTsafon, Israel

Local Institution - 0047

🇮🇱

Jerusalem, Yerushalayim, Israel

Local Institution - 0051

🇮🇹

Napoli, Campania, Italy

Local Institution - 0049

🇮🇹

Bologna, Emilia-Romagna, Italy

Local Institution - 0055

🇮🇹

Prato, Toscana, Italy

Local Institution - 0057

🇮🇹

Aviano, Friuli-Venezia Giulia, Italy

Local Institution - 0054

🇮🇹

Genova, Liguria, Italy

Local Institution - 0053

🇮🇹

Pontedera, Pisa, Italy

Local Institution - 0052

🇮🇹

Milano, Italy

Local Institution - 0058

🇮🇹

Napoli, Italy

Local Institution - 0061

🇮🇹

Novara, Italy

Local Institution - 0056

🇮🇹

Padova, Italy

Local Institution - 0062

🇮🇹

Roma, Italy

Local Institution - 0236

🇯🇵

Nagoya, Aichi, Japan

Local Institution - 0230

🇯🇵

Chiba-shi, Chiba, Japan

Local Institution - 0240

🇯🇵

Matsuyama, Ehime, Japan

Local Institution - 0226

🇯🇵

Otashi, Gunma, Japan

Local Institution - 0222

🇯🇵

Sapporo, Hokkaido, Japan

Local Institution - 0177

🇲🇽

Mexico City, DIF, Mexico

Local Institution - 0232

🇯🇵

Kanazawa, Ishikawa, Japan

Local Institution - 0234

🇯🇵

Isehara, Kanagawa, Japan

Local Institution - 0237

🇯🇵

Yokohama, Kanagawa, Japan

Local Institution - 0246

🇯🇵

Tsu, Mie, Japan

Local Institution - 0223

🇯🇵

Sendai-shi, Miyagi, Japan

Local Institution - 0238

🇯🇵

Suita, Osaka, Japan

Local Institution - 0227

🇯🇵

Hidaka, Saitama, Japan

Local Institution - 0224

🇯🇵

Ina-machi, Saitama, Japan

Local Institution - 0231

🇯🇵

Bunkyo-ku, Tokyo, Japan

Local Institution - 0229

🇯🇵

Chuo-ku, Tokyo, Japan

Local Institution - 0228

🇯🇵

Koto, Tokyo, Japan

Local Institution - 0245

🇯🇵

Shinagawa, Tokyo, Japan

Local Institution - 0233

🇯🇵

Shinjuku-ku, Tokyo, Japan

Local Institution - 0242

🇯🇵

Fukuoka, Japan

Local Institution - 0225

🇯🇵

Fukushima, Japan

Local Institution - 0243

🇯🇵

Hiroshima, Japan

Local Institution - 0244

🇯🇵

Kagoshima, Japan

Local Institution - 0235

🇯🇵

Kyoto, Japan

Local Institution - 0241

🇯🇵

Okayama, Japan

Local Institution - 0239

🇯🇵

Osaka, Japan

Local Institution - 0066

🇰🇷

Goyang-si, Kyǒnggi-do, Korea, Republic of

Local Institution - 0067

🇰🇷

Seongnam, Kyǒnggi-do, Korea, Republic of

Local Institution - 0068

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0063

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0071

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0064

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0065

🇰🇷

Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of

Local Institution - 0069

🇰🇷

Daegu, Taegu-Kwangyǒkshi, Korea, Republic of

Local Institution - 0178

🇲🇽

Guadalajara, Jalisco, Mexico

Local Institution - 0175

🇲🇽

Monterrey, Nuevo León, Mexico

Local Institution - 0173

🇲🇽

Oaxaca de Juarez, Oaxaca, Mexico

Local Institution - 0179

🇲🇽

Merida, Yucatán, Mexico

Local Institution - 0174

🇲🇽

Chihuahua, Mexico

Local Institution - 0074

🇵🇱

Biala Podlaska, Lubelskie, Poland

Local Institution - 0072

🇵🇱

Warszawa, Mazowieckie, Poland

Local Institution - 0220

🇵🇱

Warszawa, Mazowieckie, Poland

Local Institution - 0076

🇵🇱

Opole, Opolskie, Poland

Local Institution - 0189

🇵🇱

Skórzewo, Wielkopolskie, Poland

Local Institution - 0221

🇵🇱

Łódź, Łódzkie, Poland

Local Institution - 0198

🇵🇹

Lisbon, Lisboa, Portugal

Local Institution - 0106

🇵🇹

Lisbon, Lisboa, Portugal

Local Institution - 0109

🇵🇹

Lisbon, Lisboa, Portugal

Local Institution - 0124

🇵🇹

Coimbra, Portugal

Local Institution - 0141

🇵🇹

Lisboa, Portugal

Local Institution - 0111

🇵🇹

Porto, Portugal

Local Institution - 0253

🇵🇹

Porto, Portugal

Local Institution - 0212

🇷🇴

Bistrita, Bistrița-Năsăud, Romania

Local Institution - 0213

🇷🇴

Bucharest, București, Romania

Local Institution - 0079

🇷🇴

Florești, Cluj, Romania

Local Institution - 0078

🇷🇴

Craiova, Dolj, Romania

Local Institution - 0084

🇷🇴

Ploiești, Prahova, Romania

Local Institution - 0085

🇷🇴

Timișoara, Timiș, Romania

Local Institution - 0083

🇷🇴

București, Romania

Local Institution - 0077

🇷🇴

Cluj, Romania

Local Institution - 0081

🇷🇴

Iași, Romania

Local Institution - 0080

🇷🇴

Iași, Romania

Local Institution - 0105

🇪🇸

A Coruña, A Coruña [La Coruña], Spain

Local Institution - 0100

🇪🇸

Elche, Alicante, Spain

Local Institution - 0102

🇪🇸

Barcelona, Barcelona [Barcelona], Spain

Local Institution - 0172

🇪🇸

Hospitalet, Barcelona [Barcelona], Spain

Local Institution - 0140

🇪🇸

Barcelona, Catalunya [Cataluña], Spain

Local Institution - 0139

🇪🇸

San Sebastian, Gipuzkoa, Spain

Local Institution - 0104

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Local Institution - 0108

🇪🇸

Madrid, Madrid, Comunidad De, Spain

Local Institution - 0101

🇪🇸

Malaga, Málaga, Spain

Local Institution - 0210

🇪🇸

Valencia, Valenciana, Comunitat, Spain

Local Institution - 0107

🇪🇸

Madrid, Spain

Local Institution - 0103

🇪🇸

Sevilla, Spain

Local Institution - 0252

🇸🇪

Malmö, Skåne Län [se-12], Sweden

Local Institution - 0026

🇸🇪

Stockholm, Stockholms Län [se-01], Sweden

Local Institution - 0025

🇸🇪

Uppsala, Uppsala Län [se-03], Sweden

Local Institution - 0024

🇸🇪

Örebro, Örebro Län [se-18], Sweden

Local Institution - 0247

🇸🇪

Linköping, Östergötlands Län [se-05], Sweden

Local Institution - 0250

🇨🇭

st.Gallen, Sankt Gallen, Switzerland

Local Institution - 0249

🇨🇭

Lausanne, Vaud, Switzerland

Local Institution - 0251

🇨🇭

Zürich, Switzerland

Local Institution - 0318

🇦🇪

Abu Dhabi, Abū Z̧aby, United Arab Emirates

Local Institution - 0208

🇬🇧

Truro, England, United Kingdom

Local Institution - 0204

🇬🇧

London, London, City Of, United Kingdom

Local Institution - 0209

🇬🇧

London, London, City Of, United Kingdom

Local Institution - 0323

🇦🇪

Abu Dhabi, Abū Z̧aby, United Arab Emirates

Local Institution - 0322

🇦🇪

Al Ain, Abū Z̧aby, United Arab Emirates

Local Institution - 0319

🇦🇪

Abu Dhabi, United Arab Emirates

Local Institution - 0171

🇬🇧

Belfast, United Kingdom

Local Institution - 0004

🇬🇧

London, United Kingdom

Local Institution - 0001

🇬🇧

Manchester, United Kingdom

Local Institution - 0006

🇬🇧

Nottingham, United Kingdom

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