New cocktail targets rare breast cancer that defies standard treatment

NCT ID NCT05660083

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This phase 2 trial is testing a combination of three drugs—alpelisib, L-NMMA, and nab-paclitaxel—in people with a rare, aggressive form of breast cancer called metaplastic breast cancer (MpBC) that has spread or is locally advanced. The study aims to find the best dose and see if the combo can shrink tumors. About 36 adults whose cancer is HER2-negative and has not responded to prior treatments will participate.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
alpelisib, L-NMMA (iNOS inhibitor), and nab-paclitaxel
What this could lead to
If successful, this could offer a new treatment option for people with a rare and aggressive form of breast cancer that has not responded to standard therapies.
What could go wrong
This is a small, early-phase trial (36 people) testing a combination of drugs, so results may not apply widely. Side effects like high blood sugar, blood clots, and high blood pressure are possible.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Houston Methodist Neal Cancer Center

    RECRUITING

    Houston, Texas, 77030, United States

  • National Institute of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

  • The University of Texas MD Anderson Cancer Center

    RECRUITING

    Houston, Texas, 77030, United States

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