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Anti PD-L1 Antibody + Anti CTLA-4 Antibody in Combination With Hormone Therapy in Patients With Hormone Receptor Positive HER2-negative Recurrent or Metastatic Breast Cancer

Primary Purpose

Breast Cancer

Status
Terminated
Phase
Phase 2
Locations
Japan
Study Type
Interventional
Intervention
Durvalmab&Tremelimumab&Fulvestrant
Sponsored by
Kyoto Breast Cancer Research Network
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients aged >= 20 years at informed consent.
  2. Patients who have provided written informed consent themselves.
  3. Patients who have metastatic and/or advanced lesion
  4. Documentation of ER-positive and/or PR-positive tumor (>=1% positive stained cells).
  5. Patients with cancer confirmed to be HER2-negative.
  6. Patients with confirmed menopause
  7. Patients who have plans of 2nd hormone therapy.
  8. Patients with a measurable lesion based on RECIST 1.1
  9. Patients with ECOG PS of 0 to 1.
  10. Patients without any severe disorder in the major organs.

Exclusion Criteria:

-

Exclusion Criteria:

  1. Active or prior documented autoimmune disease within the past 2 years.
  2. Current or prior use of immunosuppressive medication within 28 days before the first dose of durvalumab or tremelimumab
  3. Patients with central nervous system metastasis
  4. Patients with life-threatening disease.
  5. Patients with a history of treatment with anti-PD-1, anti-PD-L1, anti-PD-L2 or anti-CTLA-4 antibody drug.
  6. Patients who have received live vaccination within 30 days before start of the investigational products.
  7. Patients with a past medical history of pneumonia requiring steroid treatment or with a past medical history of interstitial pneumonia.
  8. Patients considered ineligible for participation in this study by their attending physicians.

Sites / Locations

  • Kyoto University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Durvalmab&Tremelimumab&Fulvestrant

Arm Description

Durvalmab&Tremelimumab&Fulvestrant

Outcomes

Primary Outcome Measures

Response rate based on RECIST1.1

Secondary Outcome Measures

Full Information

First Posted
February 6, 2018
Last Updated
August 10, 2020
Sponsor
Kyoto Breast Cancer Research Network
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1. Study Identification

Unique Protocol Identification Number
NCT03430466
Brief Title
Anti PD-L1 Antibody + Anti CTLA-4 Antibody in Combination With Hormone Therapy in Patients With Hormone Receptor Positive HER2-negative Recurrent or Metastatic Breast Cancer
Official Title
Phase II Study to Assess Efficacy, Safety & Immunological Biomarker of Anti PD-L1 Antibody + Anti CTLA-4 Antibody in Combination With Hormone Therapy in Patients With Hormone Receptor Positive HER2-negative Recurrent or Metastatic Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Terminated
Why Stopped
Recruiting was not possible
Study Start Date
June 22, 2017 (Actual)
Primary Completion Date
January 30, 2018 (Actual)
Study Completion Date
July 31, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyoto Breast Cancer Research Network

4. Oversight

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

5. Study Description

Brief Summary
The aim of this study is to evaluate the safety and efficacy of anti PD-L1 antibody + anti CTLA-4 antibody in combination with hormone therapy in patients with hormone receptor positive HER2-negative recurrent or metastatic breast cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Durvalmab&Tremelimumab&Fulvestrant
Arm Type
Experimental
Arm Description
Durvalmab&Tremelimumab&Fulvestrant
Intervention Type
Drug
Intervention Name(s)
Durvalmab&Tremelimumab&Fulvestrant
Intervention Description
Durvalumab and Tremelimumab once in 4 weeks Durvalumab for 13 months Tremelimumab for initial 4 months Fulvestrant : At baseline, then week 2, week 4 and after that every 4 weeks
Primary Outcome Measure Information:
Title
Response rate based on RECIST1.1
Time Frame
2 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged >= 20 years at informed consent. Patients who have provided written informed consent themselves. Patients who have metastatic and/or advanced lesion Documentation of ER-positive and/or PR-positive tumor (>=1% positive stained cells). Patients with cancer confirmed to be HER2-negative. Patients with confirmed menopause Patients who have plans of 2nd hormone therapy. Patients with a measurable lesion based on RECIST 1.1 Patients with ECOG PS of 0 to 1. Patients without any severe disorder in the major organs. Exclusion Criteria: - Exclusion Criteria: Active or prior documented autoimmune disease within the past 2 years. Current or prior use of immunosuppressive medication within 28 days before the first dose of durvalumab or tremelimumab Patients with central nervous system metastasis Patients with life-threatening disease. Patients with a history of treatment with anti-PD-1, anti-PD-L1, anti-PD-L2 or anti-CTLA-4 antibody drug. Patients who have received live vaccination within 30 days before start of the investigational products. Patients with a past medical history of pneumonia requiring steroid treatment or with a past medical history of interstitial pneumonia. Patients considered ineligible for participation in this study by their attending physicians.
Facility Information:
Facility Name
Kyoto University Hospital
City
Kyoto
ZIP/Postal Code
606-8507
Country
Japan

12. IPD Sharing Statement

Learn more about this trial

Anti PD-L1 Antibody + Anti CTLA-4 Antibody in Combination With Hormone Therapy in Patients With Hormone Receptor Positive HER2-negative Recurrent or Metastatic Breast Cancer

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