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ARX788 in HER2-positive, Metastatic Breast Cancer Subjects (ACE-Breast-03)

Primary Purpose

HER2 Positive Metastatic Breast Cancer

Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ARX788
Sponsored by
Ambrx, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HER2 Positive Metastatic Breast Cancer focused on measuring HER2-postive, Breast cancer, Antibody drug, Metastatic, ARX788, HER2

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥ 18 years and older
  • Life expectancy ≥ 6 months
  • Eastern Cooperative Oncology Group Performance Status ≤ 1
  • Her 2 Positive Metastatic breast cancer subjects previously treated with T-DXd
  • Presence of at least one measurable lesion per RECIST v 1.1
  • Subjects must have an adequate tumor sample available for confirmation of HER2 status
  • Subjects with stable brain metastases
  • Acute toxicities from any prior therapy, surgery, or radiotherapy must have resolved to Grade ≤1 as per the NCI-CTCAE v 5.0, except alopecia
  • Adequate organ functions
  • Willing and able to understand and sign an informed consent inform and to comply with all aspects of the protocol
  • Female subjects must be surgically sterile, or have a monogamous partner who is surgically sterile, or at postmenopausal, or who commits to use an acceptable form of birth control; male subjects must be sterile (biologically or surgically) or commit to the use of a reliable method of birth control

Exclusion Criteria:

Any subject who meets any of the following criteria is excluded from the study:

  • History of allergic reactions to any component of ARX788.
  • Prior history of interstitial lung disease, pneumonitis, or other clinically significant lung disease
  • Any active ocular infections
  • History of congestive heart failure, unstable angina pectoris, unstable atrial fibrillation, or cardiac arrhythmia within 12 months prior to enrollment
  • Grade 3 to 4 peripheral neuropathy (NCI CTCAE v 5.0). Patients with Grade 2 neuropathy can be enrolled at investigator's discretion
  • History of unstable central nervous system (CNS) metastases
  • Current severe, uncontrolled systemic disease (eg, clinically significant cardiovascular, pulmonary, or metabolic diseases)
  • Any uncontrollable intercurrent illness, infection (including subjects with active, symptomatic Covid-19 infections), or other conditions that could limit study compliance or interfere with assessments
  • Exposure to any other investigational or commercial anticancer agents or therapies administered with the intention to treat malignancy within 14 days before the first dose of ARX788
  • Clinically significant surgical intervention (excluding diagnostic biopsy) within 21 days of the first dose of ARX788
  • Radiotherapy administered less than 21 days prior to the first dose of ARX788, or localized palliative radiotherapy administered less than 7 days prior to the first dose of ARX788, or radiotherapy-induced toxicity of Grade 2 or greater based on NCI-CTCAE v 5.0
  • Pregnancy or breast feeding
  • Known active HCV, HBV, and/or HIV infection

Sites / Locations

  • Research Site
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  • Research SiteRecruiting
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  • Research SiteRecruiting
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  • Research SiteRecruiting
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  • Research SiteRecruiting
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  • University Hospital Geelong
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  • Research Site
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  • Korea University Anam Hospital
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Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ARX788

Arm Description

The investigational medicinal product (IMP), ARX788, will be administered every 3 weeks (Q3W) by intravenous (IV) infusion.

Outcomes

Primary Outcome Measures

Objective response rate (ORR)
To evaluate the confirmed objective response rate (ORR) as determined by Investigator assessment based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) following treatment with ARX788. The ORR is defined as the number of subjects with a BOR of CR or PR divided by the number of response evaluable subjects.

Secondary Outcome Measures

Duration of response (DOR)
DOR is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for subjects with a BOR of CR or PR.
Best overall response (BOR)
BOR is defined as the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started)
Disease control rate (DCR)
DCR is defined as the proportion of complete response (CR), partial response (PR), and stable disease (SD) rates.
Overall survival (OS)
Overall survival (OS) is defined as the time from first dose of study therapy to the date of death (any cause). Subjects who are alive will be censored at the last known time that the subject was alive.
Progression-free survival (PFS)
PFS is defined as the time between date of first dose of study therapy and date of progression or death, whichever occurs first, will be computed for response evaluable subjects. Subjects will be censored at time of subsequent therapy
The number of subjects experiencing adverse event TEAEs
Patient safety and adverse events (AEs) will be evaluated using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v.5.0. All AEs and serious adverse events (SAEs) will be assessed to determine the safety and tolerability of the treatment.
Maximum serum concentration (Cmax) for ARX788
Pharmacokinetic parameter maximum serum concentration (Cmax) for ARX788, ADC, total antibody, and pAF-AS269
Trough concentration (Ctrough) for ARX788
Pharmacokinetic parameter trough concentration (Ctrough) for ARX788, ADC, total antibody, and pAF-AS269
Area under the serum concentration-time curve (AUC) for ARX788
Pharmacokinetic parameter area under the serum concentration-time curve (AUC) for ARX788, ADC, total antibody, and pAF-AS269

Full Information

First Posted
March 18, 2021
Last Updated
May 2, 2023
Sponsor
Ambrx, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04829604
Brief Title
ARX788 in HER2-positive, Metastatic Breast Cancer Subjects (ACE-Breast-03)
Official Title
A Global, Phase 2 Study of ARX788 in HER2-positive Metastatic Breast Cancer Patients Who Were Previously Treated With T-DXd
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 26, 2021 (Actual)
Primary Completion Date
June 2025 (Anticipated)
Study Completion Date
December 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ambrx, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A Global, Phase 2 Study of ARX788 in HER2-positive Metastatic Breast Cancer Patients who were previously treated with T-DXd
Detailed Description
A Global, Single Arm, Phase 2 Study of ARX788 in HER2-positive Metastatic Breast Cancer Patients who were previously treated with T-DXd. The ARX788 will be administered every 3 weeks (Q3W) intravenous (IV) infusion.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HER2 Positive Metastatic Breast Cancer
Keywords
HER2-postive, Breast cancer, Antibody drug, Metastatic, ARX788, HER2

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Model Description
One single arm, open label with intravenous infusion of ARX788
Masking
None (Open Label)
Allocation
N/A
Enrollment
71 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ARX788
Arm Type
Experimental
Arm Description
The investigational medicinal product (IMP), ARX788, will be administered every 3 weeks (Q3W) by intravenous (IV) infusion.
Intervention Type
Drug
Intervention Name(s)
ARX788
Other Intervention Name(s)
antibody drug conjugate (ADC)
Intervention Description
The active pharmaceutical ingredient in ARX788 is an antibody drug conjugate (ADC) consisting of a humanized anti-HER2 monoclonal antibody (mAb) (IgG1κ) covalently conjugated to two microtubule-disrupting payloads AS269
Primary Outcome Measure Information:
Title
Objective response rate (ORR)
Description
To evaluate the confirmed objective response rate (ORR) as determined by Investigator assessment based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) following treatment with ARX788. The ORR is defined as the number of subjects with a BOR of CR or PR divided by the number of response evaluable subjects.
Time Frame
2 Years
Secondary Outcome Measure Information:
Title
Duration of response (DOR)
Description
DOR is defined as the time between the date of first response and the date of disease progression or death, whichever occurs first, will be computed for subjects with a BOR of CR or PR.
Time Frame
2 years
Title
Best overall response (BOR)
Description
BOR is defined as the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started)
Time Frame
2 year
Title
Disease control rate (DCR)
Description
DCR is defined as the proportion of complete response (CR), partial response (PR), and stable disease (SD) rates.
Time Frame
2 years
Title
Overall survival (OS)
Description
Overall survival (OS) is defined as the time from first dose of study therapy to the date of death (any cause). Subjects who are alive will be censored at the last known time that the subject was alive.
Time Frame
2 year
Title
Progression-free survival (PFS)
Description
PFS is defined as the time between date of first dose of study therapy and date of progression or death, whichever occurs first, will be computed for response evaluable subjects. Subjects will be censored at time of subsequent therapy
Time Frame
2 years
Title
The number of subjects experiencing adverse event TEAEs
Description
Patient safety and adverse events (AEs) will be evaluated using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v.5.0. All AEs and serious adverse events (SAEs) will be assessed to determine the safety and tolerability of the treatment.
Time Frame
2 years
Title
Maximum serum concentration (Cmax) for ARX788
Description
Pharmacokinetic parameter maximum serum concentration (Cmax) for ARX788, ADC, total antibody, and pAF-AS269
Time Frame
Cycle 1 and cycle 3
Title
Trough concentration (Ctrough) for ARX788
Description
Pharmacokinetic parameter trough concentration (Ctrough) for ARX788, ADC, total antibody, and pAF-AS269
Time Frame
Cycle 1 and cycle 3
Title
Area under the serum concentration-time curve (AUC) for ARX788
Description
Pharmacokinetic parameter area under the serum concentration-time curve (AUC) for ARX788, ADC, total antibody, and pAF-AS269
Time Frame
Cycle 1 and cycle 3
Other Pre-specified Outcome Measures:
Title
Evaluate Biomarker
Description
To evaluate exploratory blood- and tissue-based biomarkers related to study drug response
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Age ≥ 18 years and older Life expectancy ≥ 6 months Unresectable or metastatic breast cancer subjects Presence of at least one measurable lesion per RECIST v 1.1 Subjects must have an adequate tumor sample available for confirmation of HER2 status Subjects must have had prior treatment with 1, 2, or 3 prior regimens of systemic treatment in the metastatic setting. One of these prior treatments must have been treatment with T-DXd. Subjects with stable brain metastases Acute toxicities from any prior therapy, surgery, or radiotherapy must have resolved to Grade ≤1 as per the NCI-CTCAE v 5.0, except alopecia Adequate organ functions Willing and able to understand and sign an informed consent inform and to comply with all aspects of the protocol Key Exclusion Criteria: Any subject who meets any of the following criteria is excluded from the study: History of allergic reactions to any component of ARX788. Prior history of interstitial lung disease, pneumonitis, or other clinically significant lung disease Any active ocular infections or chronic corneal disorders History of congestive heart failure, unstable angina pectoris, unstable atrial fibrillation, or cardiac arrhythmia within 12 months prior to enrollment Grade 3 to 4 peripheral neuropathy (NCI CTCAE v 5.0). Patients with Grade 2 neuropathy can be enrolled at investigator's discretion History of unstable central nervous system (CNS) metastases Current severe, uncontrolled systemic disease (eg, clinically significant cardiovascular, pulmonary, or metabolic diseases) Any uncontrollable intercurrent illness, infection (including subjects with active, symptomatic Covid-19 infections), or other conditions that could limit study compliance or interfere with assessments Exposure to any other investigational or commercial anticancer agents or therapies administered with the intention to treat malignancy within 14 days before the first dose of ARX788
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trial Inquiry
Phone
(858) 875-2400
Email
breast03trialinquiry@ambrx.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ambrx
Organizational Affiliation
Ambrx, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Glendale
State/Province
California
ZIP/Postal Code
92882
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Santa Barbara
State/Province
California
ZIP/Postal Code
93105
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Torrance
State/Province
California
ZIP/Postal Code
90505
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
West Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Newark
State/Province
Delaware
ZIP/Postal Code
19713
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33028
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Athens
State/Province
Georgia
ZIP/Postal Code
30607
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40207
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70809
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Lutherville
State/Province
Maryland
ZIP/Postal Code
21093
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Silver Spring
State/Province
Maryland
ZIP/Postal Code
20904
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Bolivar
State/Province
Missouri
ZIP/Postal Code
65613
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89128
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87109
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Portland
State/Province
Oregon
ZIP/Postal Code
97213
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Tigard
State/Province
Oregon
ZIP/Postal Code
97223
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37404
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78731
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Plano
State/Province
Texas
ZIP/Postal Code
75705
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Woolloongabba
State/Province
Queensland
ZIP/Postal Code
4102
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Frankston
State/Province
Victoria
ZIP/Postal Code
3199
Country
Australia
Individual Site Status
Active, not recruiting
Facility Name
University Hospital Geelong
City
Geelong
State/Province
Victoria
ZIP/Postal Code
3220
Country
Australia
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Melbourne
State/Province
Victoria
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Ringwood East
State/Province
Victoria
ZIP/Postal Code
3135
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
South Brisbane
ZIP/Postal Code
4101
Country
Australia
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Avignon Cedex 09
ZIP/Postal Code
84918
Country
France
Individual Site Status
Withdrawn
Facility Name
Research Site
City
La Rochelle
ZIP/Postal Code
17019
Country
France
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Le Mans
ZIP/Postal Code
72000
Country
France
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Nice
ZIP/Postal Code
06189
Country
France
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Toulouse CEDEX 9
ZIP/Postal Code
31059
Country
France
Individual Site Status
Withdrawn
Facility Name
Research Site
City
Daegu
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Seongnam-si
ZIP/Postal Code
13620
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Korea University Anam Hospital
City
Seoul
ZIP/Postal Code
02841
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Individual Site Status
Active, not recruiting

12. IPD Sharing Statement

Learn more about this trial

ARX788 in HER2-positive, Metastatic Breast Cancer Subjects (ACE-Breast-03)

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