About this trial
The purpose of this study is to assess the efficacy and safety of iza-bren, a bi-specific antibody-drug conjugate against EGFR and HER3 with a topoisomerase inhibitor payload versus treatment of physician's choice (TPC) (paclitaxel, nab-paclitaxel, carboplatin plus gemcitabine, and capecitabine) for the treatment of first-line metastatic triple-negative breast cancer (TNBC) or estrogen receptor (ER)-low, human epidermal growth factor receptor 2 (HER2)-negative BC patients who are not candidates for anti-PD(L)1 therapy and endocrine therapies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically confirmed and documented locally-advanced, recurrent inoperable, or metastatic TNBC (ER < 1%, PgR < 1%, HER2 IHC 0, 1+, or 2+ with ISH negative for HER2 gene amplification) or ER-low, HER2-negative BC (ER and / or PgR 1% to 10%, HER2 IHC 0, 1+, or 2+ with ISH negative for HER2 gene amplification) per ASCO/CAP criteria, based on the most recently analyzed biopsy or other pathology specimen.
Patients with recurrent disease must have experienced disease relapse at least 6 months after finishing their last therapy with curative intent.
Patients with ER-low, HER2-negative BC must be ineligible, in the opinion of the Investigator, for endocrine therapy-based treatments.
No previous systemic therapy in the locally advanced, recurrent inoperable or metastatic setting (ie incurable setting).
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Iza-bren
DrugSpecified dose on specified days
Nab-paclitaxel
DrugSpecified dose on specified days
Paclitaxel
DrugSpecified dose on specified days
Capecitabine
DrugSpecified dose on specified days
Carboplatin
DrugSpecified dose on specified days
Gemcitabine
DrugSpecified dose on specified days
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival (PFS)
Assessed using Response Evaluation Criteriain Solid Tumors version 1.1 (RECIST v1.1) byblinded independent central review (BICR)
Secondary outcomes
Overall Survival (OS)
Recommended Phase 3 Dose (RP3D) of BMS-986507
Number of participants with treatment-related Adverse Events (AEs)
Number of participants with laboratory abnormalities
Sponsors and contacts
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Bristol-Myers Squibb
Lead sponsor
SystImmune Inc.
Collaborator