Breast Cancer Clinical Trials & Research at St. Joseph Health Medical Group
In the U.S., breast cancer is the second most common cancer in women after
skin cancer. It can occur in both men and women. The most common type
of breast cancer is ductal carcinoma, which begins in the cells of the
ducts. Breast cancer can also begin in the cells of the lobules and in
other tissues in the breast. Invasive breast cancer is breast cancer that
has spread from where it began in the ducts or lobules to surrounding tissue.
St. Joseph Health Medical Group is currently enrolling patients for the
following breast cancer clinical trials:
Randomized phase III trial evaluating the role of weight loss in adjuvant
treatment of overweight and obese women with early breast cancer (NCI BWEL)
Phase III
This randomized trial studies whether weight loss in overweight and obese
women may prevent breast cancer from coming back (recurrence). Previous
studies have found that women who are overweight or obese when their breast
cancer is found (diagnosed) have a greater risk of their breast cancer
recurring, as compared to women who were thinner when their cancer was
diagnosed. This study aims to test whether overweight or obese women who
take part in a weight loss program after being diagnosed with breast cancer
have a lower rate of cancer recurrence as compared to women who do not
take part in the weight loss program. This study will help to show whether
weight loss programs should be a part of breast cancer treatment.
Treatment agent: Health education program +/- weight loss intervention
PI:
Thomas Stanton, MD
Study Coordinator: Camille Shaffer //
Camille.Shaffer@stjoe.org // (707) 521-3809
Resources and Links:
clinicaltrials.gov NCT No: NCT02750826
A Phase III, Randomized, Double-blind, Placebo Controlled Study of Adagloxad
Simolenin (OBI-822)/OBI-821 Treatment for High Risk Early Stage Triple
Negative Breast Cancer Patients, defined as Residual Invasive Disease
following Neoadjuvant Chemotherapy OR ≥ 4 Positive Axillary Nodes (JIT OBI-822)
Phase III
The goal of this study is to prospectively evaluate the efficacy and safety
of adagloxad simolenin (OBI-822)/OBI-821 treatment, compared to placebo,
in patients with early stage Triple Negative Breast Cancer at high risk
for recurrence. The study population includes patients with locally confirmed
Estrogen Receptor (ER)-negative, Progesterone Receptor (PR)-negative,
and Human Epidermal Growth Factor Receptor (HER)2-negative (triple-negative)
cancer of the breast. High risk patients will be enrolled after excision
of the primary cancer, surgical evaluation of the axillary nodes and completion
of the assigned (adjuvant or neoadjuvant) treatment. Surgical margins
are required to be free of invasive disease and ductal carcinoma in situ (DCIS).
Treatment agent: OBI-822/OBI-821
PI:
Thomas Stanton, MD
Study Coordinator: Kim Young //
Kimberly.Young@stjoe.org // (707) 521-3814
Resources and Links:
clinicaltrials.gov NCT No: NCT03562637
A Randomized Phase III Double Blinded Placebo Controlled Trial of Aspirin
as Adjuvant Therapy for HER2 Negative Breast Cancer: The ABC trial.
Phase III
The primary objective of this trial is to compare the effect of aspirin
versus placebo upon invasive disease free survival in early stage node-positive
HER2 negative breast cancer patients. Eligible patients will be randomized
according Hormone Receptor status (HR positive vs HR negative), body mass
index and stage (Stage II vs III). Patients are followed up to 10 years
after study enrollment.
Treatment agent: Asparin
PI:
Thomas Stanton, MD
Study Coordinator: Camille Shaffer //
Camille.Shaffer@stjoe.org // (707) 521-3809
Resources and Links:
clinicaltrials.gov NCT No: NCT02927249
A Phase II, Multicenter, Randomized Study To Compare the Efficacy of Venetoclax
Plus Fulvestrant Versus Fulvestrant In Women With Estrogen Receptor−Positive,
Her2−Negative Locally Advanced or Metastatic Breast Cancer Who Experienced
Disease Recurrence or Progression During or After Cdk4/6 Inhibitor Therapy
(Roche Breast)
Phase II
The goal of this study is to evaluate the efficacy of venetoclax in combination
with fulvestrant compared with fulvestrant alone in women with estrogen
receptor-positive (ER+), human epidermal growth factor receptor (HER2)-negative,
locally advanced breast cancer not amenable to surgical or local therapy
with curative intent or with metastatic breast cancer who experienced
disease recurrence or progression during or after being treated with cyclin-dependent
kinase 4/6 inhibitor (CDK4/6i) therapy for at least 8 weeks prior to progression.
Treatment agent: Fulvestrant +/- venetoclax
PI:
Thomas Stanton, MD
Study Coordinator: Camille Shaffer //
Camille.Shaffer@stjoe.org // (707) 521-3809
Resources and Links:
clinicaltrials.gov NCT No: NCT03584009
A Multinational, Multicenter, Randomized, Phase 3 Study of Tesetaxel plus
a Reduced Dose of Capecitabine versus Capecitabine Alone in Patients with
HER2 Negative, Hormone Receptor Positive, Locally Advanced or Metastatic
Breast Cancer Previously Treated with a Taxane (JIT Odonate)
Phase III
The goal of this study is to compare the efficacy of tesetaxel plus a reduced
dose of capecitabine versus the approved dose of capecitabine alone based
on progression-free survival in patients with HER2 negative, HR positive
locally advanced/metastatic breast cancer previously treated with a taxane
in the neoadjuvant or adjuvant setting. Patients will be treated until
documentation of progressive disease, evidence of unacceptable toxicity,
or other decision to discontinue treatment.
Treatment agent: Tesetaxel +/- capecitabine
PI:
Thomas Stanton, MD
Study Coordinator: Kim Young //
Kimberly.Young@stjoe.org // (707) 521-3814
Resources and Links:
clinicaltrials.gov NCT No: NCT03326674
Palbociclib (IBRANCE) in Hormone Receptor Positive Advanced Breast Cancer:
A Prospective Multicenter Non-Interventional Study (POLARIS)
Registry Study
This Non-Interventional Study will describe and analyze the clinical use
of palbociclib in routine clinical practice in the treatment of advanced
breast cancer. HR+/HER2- advanced breast cancer patients whose treatment
decision with palbociclib has been made by their treating physician and
who meet the eligibility criteria will be invited to participate in the
study. Study duration will consist of approximately 2 years of recruitment
and 3 years of follow-up post each patient’s end of treatment with
palbociclib. All treatment decisions, type and timing of disease monitoring
are at the discretion of treating physician and patient.
Treatment agent:
N/A
PI:
Thomas Stanton, MD
Study Coordinator: Camille Shaffer //
Camille.Shaffer@stjoe.org // (707) 521-3809
Resources and Links:
clinicaltrials.gov NCT No: NCT03280303
A Phase I/IIa Study of the SV-BR-1-GM Regimen in Metastatic or Locally
Recurrent Breast Cancer Patients in Combination with Pembrolizumab (BriaCell
Rollover)
Phase I/IIa
The purpose of this study is to gather preliminary data to evaluate the
safety, tolerability, and feasibility of SV-BR-1-GM therapy for advanced
breast cancer using an allogeneic breast tumor cell line transfected with
the GM-CSF gene (SV-BR-1-GM) when given in combination with pembrolizumab.
This experimental therapy is being evaluated in a small initial cohort
with qualifying stage IV breast cancer. SV-BR-1-GM is preceded by low
dose intravenous cyclophosphamide to reduce suppressor T cells, and the
SV-BR-1-GM inoculated by intradermal injections with subsequent local
injection of low-dose Interferon-alpha-2b.
Treatment agent: SV-BR-1-GM + Pembrolizumab
PI:
Jarrod Holmes, MD
Study Coordinator: Sabine Ucik //
Sabine.Ucik@stjoe.org // (707) 521-3830
Resources and Links:
clinicaltrials.gov NCT No: NCT03328026