Evolutionary Clinical Trial for Novel Biomarker-Driven Therapies
NCT07340541 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 700
Last updated 2026-05-20
Summary
This is a multicenter, multi-arm, biomarker-stratified trial designed to evaluate biomarker-directed therapies in patients with estrogen receptor-positive/hormone receptor-negative (ER+/HR-) and triple-negative (TN) metastatic breast cancer (MBC). The trial integrates both retrospective and prospective data collection, including archival tumor tissue, medical record abstraction, and prospective tumor and blood sampling prior to initiation of protocol directed treatment. Based on biomarker subtype, participants will receive standard of care therapy. Liquid biopsy will be collected on Cycle 2 Day 1, and then liquid biopsy, imaging and clinical data will be collected at each re-staging. Treatment will continue until discontinuation for progression, toxicity or at the discretion of the treating physician.
Conditions
- Breast Cancer
- Metastatic Breast Cancer
- Triple Negative Breast Cancer
- Estrogen-receptor-positive Breast Cancer
- Hormone Receptor Negative Breast Carcinoma
Interventions
- DRUG
-
SERD* + abemaciclib
Investigators choice Selective Estrogen Receptor Degrader + abemaciclib therapy.
- DRUG
-
SERD* + everolimus
Investigators choice Selective Estrogen Receptor Degrader + everolimus therapy.
- DRUG
-
SERD* + everolimus or capecitabine
Investigators choice Selective Estrogen Receptor Degrader + everolimus or capecitabine therapy.
- DRUG
-
SOC
standard-of-care (SOC) chemotherapy in breast cancer
- DRUG
-
Antiandrogen
Antiandrogen therapy
Sponsors & Collaborators
-
Advanced Research Projects Agency for Health (ARPA-H)
collaborator UNKNOWN -
Breast Cancer Research Foundation
collaborator OTHER -
Translational Breast Cancer Research Consortium
collaborator OTHER -
UNC Lineberger Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Lisa A Carey, MD · UNC Lineberger Comprehensive Cancer Center
-
Eric Winer, MD · Yale University
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-16
- Primary Completion
- 2031-06-02
- Completion
- 2031-06-02
- FDA Drug
- Yes
Countries
- United States
Study Locations
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