I-SPY TRIAL: Neoadjuvant and Personalized Adaptive Novel Agents to Treat Breast Cancer

PHASE2RecruitingINTERVENTIONAL
Enrollment

5,000

Participants

Timeline

Start Date

March 1, 2010

Primary Completion Date

December 31, 2030

Study Completion Date

December 31, 2031

Conditions
Breast NeoplasmsBreast CancerBreast TumorsAngiosarcomaTNBC - Triple-Negative Breast CancerHER2-positive Breast CancerHER2-negative Breast CancerHormone Receptor Positive TumorHormone Receptor Negative TumorEarly-stage Breast CancerLocally Advanced Breast Cancer
Interventions
DRUG

Standard Therapy

Paclitaxel: 80 mg/m2 IV during the 12 weekly treatment cycles post randomization; Doxorubicin: 60 mg/m2 IV after completion of the 12 weekly treatment cycles and prior to surgery for weeks 13-16; Cyclophosphamide: 600 mg/m2 IV after completion of the 12 weekly treatment cycles and prior to surgery for weeks 13-16

DRUG

AMG 386 with or without Trastuzumab

Arm is closed.

DRUG

AMG 479 (Ganitumab) plus Metformin

Arm is closed.

DRUG

MK-2206 with or without Trastuzumab

Arm is closed.

DRUG

AMG 386 and Trastuzumab

Arm is closed.

DRUG

T-DM1 and Pertuzumab

Arm is closed.

DRUG

Pertuzumab and Trastuzumab

Pertuzumab: 840 mg IV (loading dose) week 1 and 420 mg every 3 weeks (weeks 4, 7, 10) post-randomization; Trastuzumab: 4 mg/kg (loading dose) week 1 and 2 mg/kg weekly (weeks 2-12) post-randomization

DRUG

Ganetespib

Arm is closed.

DRUG

ABT-888

Arm is closed.

DRUG

Neratinib

Arm is closed.

DRUG

PLX3397

Arm is closed.

DRUG

Pembrolizumab - 4 cycle

Arm is closed.

DRUG

Talazoparib plus Irinotecan

Arm is closed.

DRUG

Patritumab and Trastuzumab

Arm is closed.

DRUG

Pembrolizumab - 8 cycle

Arm is closed.

DRUG

SGN-LIV1A

Arm is closed. SGN-LIV1A: 2.5 mg/kg IV cycles 1,4,7,10 Doxorubicin + Cyclophosphamide: Cycles 13-16

DRUG

Durvalumab plus Olaparib

Arm is closed.

DRUG

SD-101 + Pembrolizumab

Arm is closed. SD-101: IT injection 2 mg/ml (1 ml for T2 tumors, 2 ml for \>T3 tumors) weekly x 4, then every 3 weeks x 2 cycles 1,2,3,4,7,10 Pembrolizumab: 200mg IV cycles 1,4,7,10 Paclitaxel: 80 mg/m2 IV cycles 1-12 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles

DRUG

Tucatinib plus trastuzumab and pertuzumab

Arm is closed. Tucatinib: 300 mg PO BID 12 weeks CLOSED Tucatinib: 250 mg PO BID 12 weeks CLOSED Tucatinib adaptive: 150mg BID days 1-28, 250mg BID days 29-84 Trastuzumab: 4 mg/kg IV (loading dose) cycle 1; 2 mg/kg (thereafter) cycles 2-12 Pertuzumab: 840 mg IV (loading dose) cycle 1; 420 mg (thereafter) cycles 4, 7 and 10 Paclitaxel: 80 mg/m2 IV cycles 1-12 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles

DRUG

Cemiplimab

Cemiplimab: 350 mg q3w X 12 weeks IV cycles 1,4,7,10 Paclitaxel: 80 mg/m2 IV cycles 1-12 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles

DRUG

Cemiplimab plus REGN3767

Cemiplimab: 350 mg q3w X 12 weeks IV cycles 1,4,7,10 REGN 3767: 1600 mg q3W X 12 weeks IV cycles 1,4,7,10 Paclitaxel: 80 mg/m2 IV cycles 1-12 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles

DRUG

Trilaciclib with or without trastuzumab + pertuzumab

"Trilaciclib: 240 mg/m2 IV weekly cycle 1-16 Paclitaxel: 80 mg/m2 IV cycles 1-12 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles~For HER2+:~Pertuzumab: 840 mg IV (loading dose) week 1 and 420 mg every 3 weeks (weeks 4, 7, 10) post-randomization Trastuzumab: 4 mg/kg (loading dose) week 1 and 2 mg/kg weekly (weeks 2-12) post-randomization"

DRUG

SYD985 ([vic-]trastuzumab duocarmazine)

SYD985: 1.2 mg/kg IV (q3w x 12 weeks) cycles 1,4,7,10 Doxorubicin + Cyclophosphamide: Cycles 13-16; Doxorubicin: 60 mg/m2 IV Every 2 or 3 weeks for 4 cycles; Cyclophosphamide: 600 mg/m2 IV Every 2 or 3 weeks for 4 cycles

DRUG

Oral Paclitaxel + Encequidar + Dostarlimab (TSR-042) + Carboplatin with or without trastuzumab

"For HER2+ Dostarlimab (TSR-042), 500 mg, IV, q3wks for wk 1, 4, 7, 10 Trastuzumab, 4 mg/kg cycle 1, then 2 mg/kg cycles 2-12 q1wk, IV, for wk1-12 Oral paclitaxel, 205 mg/m2, oral, daily for Three (3) days in a row each week for weeks 1-12 Oral encequidar, 15 mg, oral, daily for Three (3) days in a row each week for weeks 1-12 Carboplatin, AUC 1.5, IV, q1wk from wk1-12 Followed by Doxorubicin: 60 mg/m2, IV, every 2 or 3 weeks for 4 cycles Cyclophosphamide: 600 mg/m2, IV, every 2 or 3 weeks for 4 cycle~For HER2- Dostarlimab (TSR-042), 500 mg, IV, q3wks for wk 1, 4, 7, 10 Oral paclitaxel, 205 mg/m2, oral, daily for Three (3) days in a row each week for weeks 1-12 Oral encequidar, 15 mg, oral, daily for Three (3) days in a row each week for weeks 1-12 Carboplatin, AUC 1.5, IV, q1wk from wk1-12 Followed by Doxorubicin: 60 mg/m2, IV, every 2 or 3 weeks for 4 cycles Cyclophosphamide: 600 mg/m2, IV, every 2 or 3 weeks for 4 cycle"

DRUG

Oral Paclitaxel + Encequidar + Dostarlimab (TSR-042) with or without trastuzumab

"For HER2+ Dostarlimab (TSR-042), 500 mg, IV, q3wks for wk 1, 4, 7, 10 Trastuzumab, 4 mg/kg cycle 1, then 2 mg/kg cycles 2-12 q1wk, IV, for wk1-12 Oral paclitaxel, 205 mg/m2, oral, daily for Three (3) days in a row each week for weeks 1-12 Oral encequidar, 15 mg, oral, daily for Three (3) days in a row each week for weeks 1-12 Followed by Doxorubicin: 60 mg/m2, IV, every 2 or 3 weeks for 4 cycles Cyclophosphamide: 600 mg/m2, IV, every 2 or 3 weeks for 4 cycle~For HER2- Dostarlimab (TSR-042), 500 mg, IV, q3wks for wk 1, 4, 7, 10 Oral paclitaxel, 205 mg/m2, oral, daily for Three (3) days in a row each week for weeks 1-12 Oral encequidar, 15 mg, oral, daily for Three (3) days in a row each week for weeks 1-12 Followed by Doxorubicin: 60 mg/m2, IV, every 2 or 3 weeks for 4 cycles Cyclophosphamide: 600 mg/m2, IV, every 2 or 3 weeks for 4 cycle"

DRUG

Amcenestrant

Amcenestrant (SAR439859), 200mg QD, p.o., for 24 weeks

DRUG

Amcenestrant + Abemaciclib

Amcenestrant (SAR439859), 200mg QD, p.o., for 24 weeks Abemaciclib (Verzenio), 150mg BID, p.o., for 24 weeks

DRUG

Amcenestrant + Letrozole

Amcenestrant (SAR439859), 200mg QD, p.o., for 24 weeks Letrozole (Femara), 2.5mg QD, p.o., for 24 weeks

DRUG

ARX788

ARX788, 1.5 mg/kg Q3W, IV for 12 weeks

DRUG

ARX788 + Cemiplimab

ARX788, 1.5 mg/kg Q3W, IV for 12 weeks Cemiplimab, 350 mg Q3W, IV for 12 weeks

DRUG

VV1 + Cemiplimab

VV1, 3x10\^9 TCID50 once (day-8), Intra-tumoral injection Cemiplimab, 350 mg Q3W, IV for 12 weeks

DRUG

Datopotamab deruxtecan

Dato-DXd, 6 mg/kg Q3W, IV for 12 weeks

DRUG

Datopotamab deruxtecan + Durvalumab

Dato-DXd, 6 mg/kg Q3W, IV for 12 weeks Durvalumab, 1120 mg Q3W, IV for 12 weeks

DRUG

Zanidatamab

Zanidatamab: Flat dose of 1,200mg Q2W for 12 weeks

DRUG

Lasofoxifene

Lasofoxifene: 5.0 mg QD, p.o., for 24 weeks

DRUG

Z-endoxifen

Z-endoxifen: 10 mg QD, p.o., for 24 weeks

DRUG

ARV-471

ARV-471: 200 mg QD, p.o, for 24 weeks

DRUG

ARV-471 + Letrozole

ARV-471: 200 mg QD, p.o, for 24 weeks Letrozole: 2.5 mg QD, p.o, for 24 weeks

DRUG

ARV-471 + Abemaciclib

ARV-471: 200 mg QD, p.o, for 24 weeks Abemaciclib: 150 mg BID, p.o, for 24 weeks

DRUG

Endoxifen + Abemaciclib

Z-endoxifen: 80 mg QD, p.o., for 24 weeks Abemaciclib: 150 mg BID, p.o, for 20 weeks

DRUG

Rilvegostomig + TDXd

Rilvegostomig: 750mg IV Q3W for 12 weeks TDXd: 5.4 mg/kg IV Q3W for 12 weeks

DRUG

Dan222 + Niraparib

DAN222: 8mg/m2 IV QW for 12 weeks Niraparib: 200mg QD p.p., 12 weeks

DRUG

Sarilumab + Cemiplimab + Paclitaxel

Sarilumab: 200mg Subcutaneous injection Q2W for 12 weeks Cemiplimab: 350mg IV Q3W for 12 weeks Paclitaxel: 80 mg/m2 IV QW for 12 weeks

DRUG

GSK 5733584

Route: Intravenous infusion Dosage Form: 4.8 mg/kg intravenous Q3W for injection. Will receive a max of 12 weeks.

DRUG

GSK 5733584 + Dostarlimab

"GSK 5733584 Route: Intravenous Infusion Dosage Form: 4.8 mg/kg intravenous Q3W for injection x 12 weeks max.~Dostarlimab Route: Intravenous Infusion Dosage Form: 500 mg fixed dose intravenous Q3W for infusion x 12 weeks max."

Trial Locations (36)

10016

RECRUITING

Laura and Isaac Perlmutter Cancer Center / NYU Langone Health, New York

10032

RECRUITING

Columbia University Medical Center, New York

10467

RECRUITING

Montefiore Medical Center, The Bronx

14642

RECRUITING

University of Rochester Wilmot Cancer Institute, Rochester

15213

ACTIVE_NOT_RECRUITING

University Pittsburgh Medical Center, Pittsburgh

19104

RECRUITING

University of Pennsylvania (U Penn), Philadelphia

20007

RECRUITING

Georgetown University Medical Center, Washington D.C.

22042

ACTIVE_NOT_RECRUITING

Inova Health System, Falls Church

27157

RECRUITING

Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem

27204

ACTIVE_NOT_RECRUITING

Vanderbilt University Medical Center, Nashville

30322

RECRUITING

Winship Cancer Institute of Emory University, Atlanta

33612

RECRUITING

Moffitt Cancer Center, Tampa

35294

RECRUITING

University of Alabama at Birmingham, Birmingham

44106

ACTIVE_NOT_RECRUITING

Cleveland Clinic, Cleveland

48912

RECRUITING

Herbert-Herman Cancer Center, Sparrow Hospital, Lansing

55455

RECRUITING

University of Minnesota, Minneapolis

55905

RECRUITING

Mayo Clinic, Rochester

57104

RECRUITING

Sanford Clinical Research, Sioux Falls

60153

RECRUITING

Loyola University, Maywood

60453

RECRUITING

University of Chicago, Chicago

66205

ACTIVE_NOT_RECRUITING

University of Kansas, Westwood

80045

RECRUITING

University of Colorado, Aurora

85259

NOT_YET_RECRUITING

Mayo Clinic - Scottsdale, Scottsdale

85724

ACTIVE_NOT_RECRUITING

University of Arizona, Tucson

90033

RECRUITING

University of Southern California, Los Angeles

91010

RECRUITING

City of Hope, Duarte

92663

RECRUITING

HOAG Memorial Hospital Presbyterian, Newport Beach

94115

RECRUITING

University of California San Francisco (UCSF), San Francisco

97239

RECRUITING

Oregon Health & Science Institute (OHSU), Portland

98104

ACTIVE_NOT_RECRUITING

Swedish Cancer Institute, Seattle

98115

ACTIVE_NOT_RECRUITING

University of Washington, Seattle

92093-0698

RECRUITING

University of California San Diego, La Jolla

06510

RECRUITING

Yale Cancer Center, New Haven

08903

RECRUITING

Rutgers Cancer Institute of New Jersey, New Brunswick

75390-9155

ACTIVE_NOT_RECRUITING

University of Texas, Southwestern Medical Center, Dallas

77230-1439

ACTIVE_NOT_RECRUITING

University of Texas, M.D. Anderson Cancer Center, Houston

All Listed Sponsors
lead

QuantumLeap Healthcare Collaborative

OTHER