BATs in Patients With Breast Cancer and Leptomeningeal Metastases

  • STATUS
    Recruiting
  • End date
    Aug 30, 2025
  • participants needed
    16
  • sponsor
    University of Virginia
Updated on 3 February 2022
cancer
estrogen
breast cancer
neutrophil count
HER2
estrogen receptor

Summary

This study uses bi-specific antibody (HER2Bi) armed activated T-cells (HER2 BATs) to target breast cancer cells that have metastasized to the membranes surrounding the brain and spinal cord. This is known as leptomeningeal metastases. Two doses will be evaluated in order to determine a safe dose.

Study treatment includes a test dose of HER2 BATs followed by 8 weekly infusions of HER2 BATs at the assigned dose level. Before, during and after study treatment, participants will be monitored objectively by brain MRIs and clinically through physical and neurological exams, and blood and cerebrospinal fluid will be collected to evaluate immune responses.

Description

Once subjects are determined eligible, white blood cells (lymphocytes) are collected via leukapheresis procedure approximately 3 to 4 weeks prior to the first BATs infusion. The white blood cells, specifically T cells, are then mixed with two proteins in order to activate the cells to multiply.

After approximately 14 days in culture, the activated T cells are coated with OKT3 and trastuzumab/Herceptin (HER2Bi), and washed to remove excess Herceptin in order to produce bispecific antibody armed T cells (BATs). Cells are then frozen and stored until scheduled to be infused.

Up to 2 weeks following leukapheresis, participants will undergo surgery to place the catheter/reservoir into the lateral ventricle of the brain to allow intraventricular administration of HER2 BATs and a chemotherapy agent methotrexate. A few weeks later, participants will receive the intraventricular methotrexate in order to control disease while the BATs product is being manufactured. About 4-5 weeks following the leukapheresis and at least 7 days after receiving methotrexate, study treatment will begin with a test dose of HER2 BATs. If this dose is well tolerated by the participant, she will then receive 8 weekly doses of HER2 BATs at the assigned dose level.

Details
Condition Breast Cancer Female, Leptomeningeal Metastases
Treatment HER2 BATs
Clinical Study IdentifierNCT03661424
SponsorUniversity of Virginia
Last Modified on3 February 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Be willing and able to provide written informed consent for the trial
Participants must be female
Histologically confirmed breast cancer (any Her2, estrogen receptor (ER), or progesterone receptor (PR) expression) with leptomeningeal metastasis (LM) as determined by imaging and/or cerebrospinal fluid (CSF) cytology
18 years of age or older
Women of reproductive potential must agree to use an effective method of contraception during therapy. Effective methods include intrauterine device (IUD), vasectomy of the male partner, diaphragm with spermicide, cervical cap with spermicide, contraceptive sponge, male or female condom, or hormonal contraceptive
Karnofsky Performance Status (KPS) of 60
Eligible for intraventricular (IVENT) catheter/reservoir placement as determined by neurosurgery
Demonstrate adequate organ function as defined below. All screening labs should be performed within 10 days of confirmation of eligibility
Absolute lymphocyte count 500/mm3 Absolute neutrophil count 1000/mcL Platelets
000 / mnL Hemoglobin 8 g/dL BUN 1.5 x upper limit of normal (ULN) Serum
creatinine within the normal limits OR measured or calculated creatinine
clearance 60 mL/min 1.73m2 Serum total bilirubin 2 x ULN OR AST (SGOT) and ALT
(SGPT) 5 x ULN Albumin 2.5 mg/dL

Exclusion Criteria

Current severe increased intracranial pressure with clinical or imaging findings suggestive of herniation, status epilepticus, or other serious complications requiring emergency or urgent intervention
Patients who cannot have MRI studies for any reason (intolerance, medical contraindication, etc.)
Patients with a history of another malignancy within 1 year of study enrollment with the following exceptions: patients with history of ductal carcinoma in situ (DCIS), squamous cell skin cancers, or other in situ carcinomas are not excluded
Patients with unresolved autoimmune toxicity
Patients with a known disorder that increases the risk of bleeding (e.g., Hemophilia, von Willebrands disease, or clinically significant clotting factor deficiency)
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
Administration of any investigational agents, immunomodulating agents, radiation therapy or chemotherapy for MBC within the 7 days before the 80 mL blood draw to collect cells for study treatment
Has Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies) or known active Hepatitis B (e.g. HBsAg reactive) or Hepatitis C (e.g., HCV RNA [qualitative] is detected)
Pregnancy or lactation at the time of registration
Psychiatric or addictive disorders or other conditions that in the opinion of the investigator would preclude the patient from complying with the study protocol
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