BDC-1001 +/− Pertuzumab for Breast Cancer

No longer recruiting at 6 trial locations
BB
JD
Overseen ByJoshua Drago, MD
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Bolt Biotherapeutics, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, BDC-1001, both alone and with pertuzumab (also known as Perjeta), to evaluate their effectiveness against HER2-positive breast cancer. Researchers aim to determine if these treatments can shrink tumors and assess their safety and tolerability. The study seeks participants with HER2-positive metastatic breast cancer who have previously tried at least two other treatments, including trastuzumab deruxtecan. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group, providing participants an opportunity to contribute to significant advancements in cancer treatment.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that BDC-1001, both alone and with pertuzumab, generally appears safe for people. In earlier studies, participants tolerated BDC-1001 well, even at different doses, with no major side effects reported, indicating good safety. When combined with pertuzumab, BDC-1001 was also well-tolerated. Initial results demonstrated that participants handled the combination well at various doses. So far, the safety data appears promising for those considering joining the trial.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about BDC-1001 for breast cancer because it offers a fresh approach compared to traditional treatments like chemotherapy or hormone therapy. BDC-1001 is designed to enhance the immune system's response against cancer cells by targeting them directly, potentially leading to more effective and precise treatment. Additionally, when combined with Pertuzumab, a monoclonal antibody that disrupts cancer cell growth, it may offer a synergistic effect that could improve outcomes for patients. This combination has the potential to target cancer cells more aggressively and with greater precision than existing therapies.

What evidence suggests that this trial's treatments could be effective for HER2+ metastatic breast cancer?

Research has shown that BDC-1001, one of the treatments studied in this trial, shows promise in fighting tumors unresponsive to current anti-HER2 treatments. Early studies demonstrated its effectiveness in reducing tumor size by activating the immune system. In this trial, some participants will receive BDC-1001 alone, while others will receive it in combination with pertuzumab, a drug already used for breast cancer. Lab studies found the combination well-tolerated and potentially effective against tumors. Initial findings suggest that BDC-1001, alone or with pertuzumab, could benefit people with HER2-positive metastatic breast cancer, especially those who have tried other treatments like trastuzumab deruxtecan. Overall, the evidence supports BDC-1001 as a promising new option for treating difficult breast cancers.12356

Who Is on the Research Team?

BC

Bolt Clinical Development

Principal Investigator

Bolt Biotherapeutics

Are You a Good Fit for This Trial?

This trial is for individuals with HER2-positive metastatic breast cancer who have tried at least two anti-HER2 therapies, including trastuzumab deruxtecan. Participants should be in good physical condition (ECOG 0 or 1), have measurable disease, and a life expectancy over 12 weeks. They must agree to a biopsy or provide an archival tissue sample if needed.

Inclusion Criteria

I've had at least 2 treatments targeting HER2, including trastuzumab deruxtecan.
I agree to a biopsy or will provide a past tissue sample if a new biopsy is not possible.
I am fully active or restricted in physically strenuous activity but can do light work.
See 3 more

Exclusion Criteria

I haven't had TLR7/8 agonist treatment or ISACs in the last year.
I have a history of heart problems or current heart issues.
My brain metastases are stable, without symptoms, and I haven't used steroids in the last 28 days.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive BDC-1001 as a single agent or in combination with pertuzumab for up to 24 months

Up to 24 months
Every 2 weeks (IV administration)

Maintenance

Participants continue receiving BDC-1001 until a criterion for discontinuation is met

Variable

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • BDC-1001
  • Pertuzumab
Trial Overview The study is testing BDC-1001 alone and combined with pertuzumab to assess their effectiveness, safety, tolerability, how the body processes them (PK/PD), and immune response in patients previously treated with trastuzumab deruxtecan for HER2+ metastatic breast cancer.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: BDC-1001 in Combination With PertuzumabExperimental Treatment2 Interventions
Group II: BDC-1001 Single AgentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Bolt Biotherapeutics, Inc.

Lead Sponsor

Trials
3
Recruited
330+

Hoffmann-La Roche

Industry Sponsor

Trials
2,482
Recruited
1,107,000+
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Avastin, Herceptin, Rituxan, Accu-Chek
Dr. Levi Garraway profile image

Dr. Levi Garraway

Hoffmann-La Roche

Chief Medical Officer since 2019

MD from the University of Basel

Dr. Thomas Schinecker profile image

Dr. Thomas Schinecker

Hoffmann-La Roche

Chief Executive Officer since 2023

PhD in Molecular Biology from New York University

Citations

Preliminary results from a phase 1/2 study of BDC-1001 ...In preclinical tumor models resistant to anti-HER2 treatments, BDC-1001 demonstrated potent and durable immune-mediated antitumor efficacy.
News Release DetailsImproved BDC-1001 efficacy was observed since the data presented at ASCO in June 2023 with one new CR, two additional long-term SDs, and three patients who ...
BDC-1001: Brief Review of its R&D progress and the ...The result showed that As of 24 March 2023, 131 pts with 16 different tumor types received 0.15 to 20mg/kg of BDC-1001. Mean age 60 yrs, median ...
164P Preliminary results from a phase I/II study of BDC- ...Conclusions: In this first-in-human study, BDC-1001 appears well-tolerated with early evidence of clinical activity, including pts previously treated with anti ...
Phase 2 Trial Commences Evaluating BDC-1001.S Plus ...“BDC-1001 was well tolerated in the phase 1 [NCT04278144] dose-escalation trial that enrolled patients with HER2-expressing solid tumors.
Preliminary results from a phase 1/2 study of BDC-1001, a ...Key Changes: • Four-fold increase in cDC (CD11c+) infiltration. • Seven-fold increase in M1. (CD68+CD163-) and decrease in M2.
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