New immunotherapy cocktails aim to tackle Hard-to-Treat breast cancer
NCT ID NCT03280563
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested several immunotherapy-based drug combinations in 144 people with advanced hormone receptor-positive, HER2-negative breast cancer that had worsened after initial treatment. Participants received atezolizumab (Tecentriq) along with other drugs like bevacizumab or fulvestrant. The goal was to see if these combinations could shrink tumors or slow disease progression. The trial is now complete, and results will help guide future treatment options.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Atezolizumab (Tecentriq) plus other drugs like bevacizumab or fulvestrant
- What this could lead to
- If successful, this could provide new treatment options for people with advanced breast cancer that has stopped responding to standard therapies.
- What could go wrong
- This is an early-phase study with a small number of participants, so results may not apply to everyone. Immunotherapy can cause immune-related side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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144 people
The number who actually took part.
- Started
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Dec 2017
- Finished
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Sep 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria for Both Stages: * Measurable disease per RECIST v1.1 * Adequate hematologic and end organ function * Disease progression during or after first- or second-line hormonal therapy with CDK4/6 inhibitor Inclusion Criteria for Stage 1: * Eastern Cooperative Oncology Group (ECOG) performance status 0-1 * Metastatic or inoperable, locally advanced, histologically or cytologically confirmed invasive HR-positive HER2-negative breast cancer * Recommended for endocrine therapy, and cytotoxic chemotherapy not indicated at study entry * Recurrence or progression following most recent systemic breast cancer therapy * Disease progression during or after first- or second-line hormonal therapy for locally advanced or metastatic disease * Postmenopausal according to protocol-defined criteria * Life expectancy \>3 months * Available tumor specimen for determination of PD-L1 status Inclusion Criteria for Stage 2: * ECOG performance status of 0-2 * Ability to initiate treatment within 3 months after disease progression or unacceptable toxicity on a Stage 1 regimen Exclusion Criteria for Both Stages: * Significant or uncontrolled comorbid disease as specified in the protocol * Uncontrolled tumor-related pain * Autoimmune disease except for stable/controlled hypothyroidism, Type 1 diabetes mellitus, or certain dermatologic conditions * Positive human immunodeficiency virus test * Active hepatitis B or C * Active tuberculosis * Severe infection within 4 weeks and/or antibiotics within 2 weeks prior to study treatment * Prior allogeneic stem cell or solid organ transplantation * History of malignancy other than breast cancer within 2 years prior to screening except those with negligible risk of metastasis/death * History of or known hypersensitivity to study drug or excipients * For patients entering Stage 2, recovery from all immunotherapy-related adverse events to Grade 1 or better or to baseline at the time of consent Exclusion Criteria for Stage 1: * Prior fulvestrant or cytotoxic chemotherapy for metastatic breast cancer, or certain other agents as specified in the protocol * Unresolved AEs from prior anti-cancer therapy * Eligibility only for the control arm * Prior treatment with inhibitors as specified in the protocol Exclusion Criteria for Stage 2: * Unacceptable toxicity with atezolizumab during Stage 1 * Uncontrolled cardiovascular disease or coagulation disorder, including use of anticoagulants as specified in the protocol * Significant abdominal or intestinal manifestations within 6 months prior to treatment * Grade 2 or higher proteinuria
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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
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Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
Baltimore, Maryland, 21231, United States
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Levine Cancer Institute
Charlotte, North Carolina, 28204, United States
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Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
Torrance, California, 90502, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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National Cancer Center
Gyeonggi-do, 10408, South Korea
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Northwest Georgia Oncology Centers PC - Marietta
Marietta, Georgia, 30060, United States
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Providence Cancer Center
Portland, Oregon, 97231, United States
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Rabin Medical Center-Beilinson Campus
Petah Tikva, 4941492, Israel
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Rambam Medical Center
Haifa, 3109601, Israel
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Sarah Cannon Research Institute / Tennessee Oncology
Nashville, Tennessee, 37203, United States
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Seoul National University Hospital
Seoul, 03080, South Korea
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Shaare Zedek Medical Center
Jerusalem, 9103102, Israel
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Sheba Medical Center
Ramat Gan, 5262100, Israel
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Stanford Cancer Institute
Stanford, California, 94305-5456, United States
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Tel Aviv Sourasky Medical Center
Tel Aviv, 64239, Israel
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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UCSF Helen Diller Family CCC
San Francisco, California, 94158, United States
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UPMC Pinnacle Health System
Harrisburg, Pennsylvania, 17102, United States
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Univ of Pittsburgh Sch of Med
Pittsburgh, Pennsylvania, 15213, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35249, United States
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University of Ulsan College of Medicine - Asan Medical Center
Seoul, 05505, South Korea
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Wellness Oncology and Hematology - Main Office
West Hills, California, 91307, United States
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