Trial of Active Immunotherapy With Globo H-KLH (OPT-822) in Metastatic Breast Cancer Subjects
a study on Breast Cancer
The purpose of this study is to compare active immunotherapy (OPT-822/OPT-821) with PBS in combination with low dose cyclophosphamide, in post-treated metastatic breast cancer subjects with stable disease or response to treatment.
A Double-blind, Randomized Trial of Active Immunotherapy With Globo H-KLH (OPT-822) in Subjects With Metastatic Breast Cancer
Metastatic Breast Cancer Cyclophosphamide
You can join if…
Open to females ages 21 years and up
- Female subjects ≥ 21 years of age with histological or cytological diagnosis of breast carcinoma.
- Subjects with metastatic breast cancer who have achieved stable disease (SD), partial response (PR), or complete response (CR) after at least 1 regimen of anticancer therapy (i.e. chemotherapy or target therapy, either alone or in any combination).Involvement of supraclavicular lymph node is considered metastasis.
- Subjects must have recovered from toxicities of prior therapies. (i.e. CTCAE ≤ grade 2).
- Performance status: ECOG ≤ 1 and life expectancy ≥ 3 months.
- Organ Function Requirements - Subjects must have adequate organ functions as defined below:
- AST/ALT ≤ 3X ULN (upper limit of normal)
- AST/ALT ≤ 5X ULN [with underlying Liver Metastasis]
- Total Bilirubin ≤ 2.0 X ULN
- Serum Creatinine ≤ 1.5X ULN
- ANC ≥ 1500 /μL
- Platelets> 100,000/μL
- No Symptomatic Congestive Heart Failure (Ejection Fraction EF ≥ 50%)
- Ability to understand and the willingness to sign a written informed consent document according to institutional guidelines.
- All positive or negative ER (estrogen receptor), PR (progesterone receptor), and HER-2 subjects are eligible for this study.
- However, subjects who are HER-2 positive and responsive to anti-HER-2 therapy (e.g.Herceptin), are encouraged to remain on anti-HER-2 therapy and not enroll in this trial.
- Subjects who desire to enroll in this study and for whom anti-HER-2 therapy is not available or contraindicated, may be eligible to enroll in this trial.
- In countries where continuous anti-HER2 therapy is considered standard of care for HER-2 positive metastatic disease, HER-2 positive subjects are not eligible.
- Women of childbearing potential must be willing to implement adequate contraception during the study. An adequate method of contraception will be at the investigator's discretion.
You CAN'T join if...
- Subjects are pregnant or breast-feeding at entry.
- Subjects with more than 2 events of disease progression after the development of metastatic breast cancer.
- Subjects who are currently receiving any other concomitant anticancer therapy with the EXCEPTION of bisphosphonates and hormone therapy.
- During the study period, subjects using hormonal therapy and bisphosphonates should maintain a constant dose and should not change existing regimen.
- However, if a change in hormonal therapy is indicated, e.g. due to intolerable adverse effects, the regimen may be modified but change should be minimized thereafter.
- Subjects with metastasis limited to the bone only are excluded. However, subjects with current metastasis limited to the bone only and with a history of distant metastasis are eligible. Subjects with current metastasis limited to the bone only and with current breast tissue lesion are eligible.
- Subjects who have any history of other malignancy (except non-melanoma skin carcinoma and carcinoma-in-situ of the uterine cervix) within 5 years of study entry.
- Subjects with splenectomy.
- Subjects with HIV infection.
- Subjects with any major autoimmune diseases or autoimmune disorders requiring systemic iv/oral steroids or immunosuppressive or immunomodulatory therapies.
- e.g. Type 1 juvenile onset diabetes mellitus, antibody positive for rheumatoid arthritis, Grave's disease, Hashimoto's thyroiditis, lupus, scleroderma, systemic vasculitis, hemolytic anemia, immune mediated thrombocytopenia, etc
- Autoimmune disorders confined to the skin (e.g. psoriasis) are eligible, and topical steroids are allowed for the treatment of such skin disorders.
- Subjects with any known uncontrolled inter-current illness including ongoing or active infections, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
- Subjects with any of the following MEDICATIONS within 4 weeks prior to randomization:
- Anti-neoplastic agents
- Immunotherapy [mAbs, Interferons, Cytokines (except GCSF)]
- Immunosuppressants (e.g. Cyclosporin, Rapamycin, Tacrolimus, Rituximab,Alemtuzumab, Natalizumab, etc.).
- Another investigational drug
- Subjects with pleural effusions and/or ascites, due to malignancy, requiring paracentesis every 2 weeks or more frequently.
- Subjects with any known severe allergies (e.g. anaphylaxis) to any active or inactive ingredients in the study drugs.
- Subjects with bladder inflammation and urinary outflow obstruction.
- University of California, San Francisco (UCSF)
San Francisco, California, 94115, United States
- Coastal Integrative Cancer Care
San Luis Obispo, California, 93401, United States
- Central Coast Medical Oncology Corporation
Santa Maria, California, 93454, United States
- University of California, Los Angeles (UCLA)
Santa Monica, California, 90404, United States
- St. Jude Heritage Healthcare, Virginia K. Crosson Cancer Center
Fullerton, California, 92835, United States
- University of California, Irvine (UCI)
Orange, California, 92868, United States