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Spots Global Cancer Trial Database for The AVIATOR Study: Trastuzumab and Vinorelbine With Avelumab OR Avelumab & Utomilumab in Advanced HER2+ Breast Cancer

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Trial Identification

Brief Title: The AVIATOR Study: Trastuzumab and Vinorelbine With Avelumab OR Avelumab & Utomilumab in Advanced HER2+ Breast Cancer

Official Title: A Randomized, Phase II Study Comparing Trastuzumab and Vinorelbine in Combination With Avelumab or Avelumab and Utomilumab (41BB/CD137 Agonist), in Patients With HER2-positive Metastatic Breast Cancer Who Have Progressed on Prior Trastuzumab and Pertuzumab

Study ID: NCT03414658

Conditions

Breast Cancer

Study Description

Brief Summary: This research study is studying a combination of drugs as a possible treatment for breast cancer. The drugs involved in this study are: * Group A: Trastuzumab (Herceptin) + Vinorelbine (Navelbine) * Group B: Trastuzumab + Vinorelbine + Avelumab * Group C: Trastuzumab + Vinorelbine + Avelumab + Utomilumab (PF-05082566)

Detailed Description: This research study is a Phase II clinical trial. Phase II clinical trials test the safety and effectiveness of an investigational drug combination to learn whether the drug combination works in treating a specific disease. "Investigational" means that drug combination is being studied. The FDA (the U.S. Food and Drug Administration) has not approved Utomilumab as a treatment for any disease. The FDA (the U.S. Food and Drug Administration) has approved Avelumab as a treatment for other diseases. The FDA (the U.S. Food and Drug Administration) has approved trastuzumab as a treatment option for this disease. The FDA (the U.S. Food and Drug Administration) has approved vinorelbine as a treatment for other diseases and is commonly used as a treatment option for this disease. The immune system is the body's natural defense against disease. The immune system sends a type of cells called T cells throughout the body to detect and fight infections and diseases-including cancers. One way the immune system controls the activity of T cells is through the PD-1 (programmed cell death protein-1) pathway. However, some cancer cells hide from T-cell attack by taking control of the PD-1 pathway and this stops T cells from attacking cancer cells. Avelumab is a type of drug, known as an antibody which is designed to block the PD-1 pathway and helps the immune system in detecting and fighting cancer cells. An antibody is a protein produced by the body's immune system when it detects harmful substances. Previous studies show that the administration of antibodies which block the PD-1 pathway can lead to tumor destruction. Utomilumab is an antibody designed to stimulate the body's immune system to fight cancer cells. Previous studies have shown that the administration of this type of antibody may help to prevent tumors from growing. In the laboratory, adding avelumab and Utomilumab to trastuzumab appears to improve effectiveness. It is not known whether this is true in humans. In this research study, the investigators are evaluating the activity of 3 different combinations: (a)trastuzumab and vinorelbine combined, (b) trastuzumab, vinorelbine and avelumab combined, and (c) trastuzumab, vinorelbine, avelumab and utomilumab combined in participants with metastatic HER2- positive breast cancer.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

University of Alabama at Birmingham, Birmingham, Alabama, United States

University of California San Francisco, San Francisco, California, United States

Georgetown University Medical Center, Washington, District of Columbia, United States

University of Chicago Medical Center, Chicago, Illinois, United States

Indiana University Health Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, United States

Johns Hopkins University, Baltimore, Maryland, United States

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Montefiore Medical Center, Bronx, New York, United States

Memorial Sloan-Kettering Cancer Center, New York, New York, United States

University of Carolina at Chapel Hill, Chapel Hill, North Carolina, United States

Duke University Medical Center, Durham, North Carolina, United States

University of Pennsylvania, Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center, Nashville, Tennessee, United States

Baylor College of Medicine, Houston, Texas, United States

MD Anderson Cancer Center, Houston, Texas, United States

University of Washington Fred Hutchinson Cancer Care, Seattle, Washington, United States

Contact Details

Name: Adrienne Waks, MD, PhD

Affiliation: Dana-Farber Cancer Institute

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

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