A Study of BRIA-OTS Cellular Immunotherapy in Metastatic Recurrent Breast Cancer

Recruiting now · Phase 1/Phase 2

Conditions studied: Breast Cancer, Breast Tumor, Cancer of Breast, Cancer of the Breast, Malignant Tumor of Breast, Tumors, Breast

In brief

This is an open-label Phase 1/2a study. Once the safety of the BC1 cell line alone has been demonstrated in Phase 1, in Phase 2, patients will be treated with the Bria-OTS regimen (see below) and a clinically available check point inhibitor (CPI). During the monotherapy phase of Phase 1, one patient will be treated intradermally every 2 weeks for 6 weeks (4 doses) with an initial dose of the BC1 cell line. If this dose is tolerated, the next patient will receive an increased dose of BC1. If once again tolerated, the third patient will receive a further dose increase of the BC1. Once at least 3 patients have been safely treated with the BC1 cell line, with no dose-limiting toxicity (DLT), the combinational phase of the study will commence. Following the monotherapy phase, patients will be treated with BC1 and the Bria-OTS regimen (see below) every 3 weeks, plus a CPI at the FDA approved labelled dose and schedule. There will be at least a 2-week spacing between enrollment of each of the first three subjects in the study in order to assess for any early unanticipated risk(s). During the Phase 1 combination and Phase 2 expansion phases, all patients will be treated with BC1 cells as part of the Bria-OTS regimen, which includes cyclophosphamide 300 mg/m2 2-3 days prior to BC1 cell inoculation, and peginterferon alpha-2a administered on the same day, following BC1 cell inoculation.

Key facts

Study ID: NCT06471673
Run by: BriaCell Therapeutics Corporation
People needed: 18
Starts: 2024-05-29
Expected to finish: 2025-10-30
Last updated by the study team: 2024-08-26

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may not qualify if…

Concurrent anti-cancer treatment.
Recent chemotherapy, radiotherapy, or other anti-cancer treatment within 3 weeks of first protocol treatment.
Participant has not recovered adequately from toxicities and/or complications from surgical intervention before starting study drug.
History of clinical hypersensitivity to the designated therapy, as specified in the protocol or to any components used in the preparation of any cell line in this study.
History of clinical hypersensitivity to any protocol specified therapy.
BUN >30 in conjunction with a creatinine >2, or calculated creatinine clearance (CrCl) <30 mL/min (GFR can be used in place of creatinine or CrCl).
Absolute granulocyte count < 1000; platelets <50,000.
Bilirubin >2.0; alkaline phosphatase >4x upper limit of normal (ULN); ALT/AST >2x ULN. For patients with hepatic metastases, ALT/AST >5x ULN is exclusionary.
Proteinuria >1+ on urinalysis or >1 gm/24hr.
New York Heart Association stage 3 or 4 cardiac disease.
A pleural or pericardial effusion of moderate severity or worse.
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 who are fertile/reproductively competent, should take appropriate precautions to avoid fathering a child for the duration of the study.
Women who are pregnant or nursing.
Patients with concurrent second malignancy.
Persons with previous malignancies requiring treatment within the past 24 months.
Patients who have clinical or laboratory features indicative of AIDS and are HIV positive (by self-report).
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 21 days prior to first dose of study treatment.
Patients who are on treatment for an autoimmune disease, unless specifically approved by the Investigator and the Sponsor.
Patients with severe psychiatric (e.g., schizophrenia, bipolar, or borderline personality disorder) or other clinically progressive major medical problems, unless approved by the Investigator and Sponsor.
Patients may not be on a concurrent clinical trial, unless approved by Investigator and Sponsor.

Where it is running

Sarcoma Oncology Center — Santa Monica, California, United States (enrolling)

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.