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OncoMatch/Clinical Trials/NCT06471673

A Study of BRIA-OTS Cellular Immunotherapy in Metastatic Recurrent Breast Cancer

Is NCT06471673 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including BC1 cell line and Bria-OTS regimen and CPI (tislelizumab) for breast cancer.

Phase 1/2RecruitingBriaCell Therapeutics CorporationNCT06471673Data as of May 2026

Treatment: BC1 cell line · Bria-OTS regimen and CPI (tislelizumab) · Bria-OTS regimen and CPI (tislelizumab) expansion cohortThis is an open-label Phase 1/2a study. Once the safety of the BC1 cell line alone has been demonstrated in Phase 1, in Phase 2, patients will be treated with the Bria-OTS regimen (see below) and a clinically available check point inhibitor (CPI). During the monotherapy phase of Phase 1, one patient will be treated intradermally every 2 weeks for 6 weeks (4 doses) with an initial dose of the BC1 cell line. If this dose is tolerated, the next patient will receive an increased dose of BC1. If once again tolerated, the third patient will receive a further dose increase of the BC1. Once at least 3 patients have been safely treated with the BC1 cell line, with no dose-limiting toxicity (DLT), the combinational phase of the study will commence. Following the monotherapy phase, patients will be treated with BC1 and the Bria-OTS regimen (see below) every 3 weeks, plus a CPI at the FDA approved labelled dose and schedule. There will be at least a 2-week spacing between enrollment of each of the first three subjects in the study in order to assess for any early unanticipated risk(s). During the Phase 1 combination and Phase 2 expansion phases, all patients will be treated with BC1 cells as part of the Bria-OTS regimen, which includes cyclophosphamide 300 mg/m2 2-3 days prior to BC1 cell inoculation, and peginterferon alpha-2a administered on the same day, following BC1 cell inoculation.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Tumor Agnostic

Biomarker criteria

Allowed: HER2 (ERBB2) overexpression

Human epidermal growth factor 2 (EGFR2, HER2) positive tumors must have failed therapy with at least 2 anti-HER2 agents

Allowed: ESR1 overexpression

HER2 negative and either ER or PR positive tumors: must be refractory to hormonal therapy and previously treated with at least 2 hormone based targeted therapy containing regimens.

Allowed: PR (PGR) overexpression

HER2 negative and either ER or PR positive tumors: must be refractory to hormonal therapy and previously treated with at least 2 hormone based targeted therapy containing regimens.

Disease stage

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: HER2-targeted therapy — HER2-positive

HER2 positive tumors must have failed therapy with at least 2 anti-HER2 agents

Must have received: hormone based targeted therapy — hormone receptor-positive

HER2 negative and either ER or PR positive tumors: must be refractory to hormonal therapy and previously treated with at least 2 hormone based targeted therapy containing regimens.

Must have received: taxane — triple-negative and inflammatory

Triple-negative and inflammatory tumors must have exhausted other curative intent therapies including prior treatment with a taxane and platinum-based agent

Must have received: platinum-based chemotherapy — triple-negative and inflammatory

Triple-negative and inflammatory tumors must have exhausted other curative intent therapies including prior treatment with a taxane and platinum-based agent

Must have received: genomic or germline directed targeted therapy — all other MBC types

All other MBC types must have exhausted other curative intent therapies including any genomic or germline directed targeted therapy having available approved drug(s)

Lab requirements

Blood counts

Absolute granulocyte count < 1000; platelets <50,000.

Kidney function

BUN >30 in conjunction with a creatinine >2, or calculated creatinine clearance (CrCl) <30 mL/min (GFR can be used in place of creatinine or CrCl). Proteinuria >1+ on urinalysis or >1 gm/24hr.

Liver function

Bilirubin >2.0; alkaline phosphatase >4x ULN; ALT/AST >2x ULN. For patients with hepatic metastases, ALT/AST >5x ULN is exclusionary.

Cardiac function

New York Heart Association stage 3 or 4 cardiac disease.

BUN >30 in conjunction with a creatinine >2, or calculated creatinine clearance (CrCl) <30 mL/min (GFR can be used in place of creatinine or CrCl). Absolute granulocyte count < 1000; platelets <50,000. Bilirubin >2.0; alkaline phosphatase >4x ULN; ALT/AST >2x ULN. For patients with hepatic metastases, ALT/AST >5x ULN is exclusionary. Proteinuria >1+ on urinalysis or >1 gm/24hr. New York Heart Association stage 3 or 4 cardiac disease.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Sarcoma Oncology Center · Santa Monica, California

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