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OncoMatch/Clinical Trials/NCT06488378

Phase Ib Study of Axatilimab in Combination With Olaparib in BRCA1/2 and PALB2- Associated Metastatic HER2-negative Breast Cancer

Is NCT06488378 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Axatilimab and Olaparib for breast cancer.

Phase 1RecruitingDana-Farber Cancer InstituteNCT06488378Data as of May 2026

Treatment: Axatilimab · OlaparibThis research is being done to evaluate the safety and tolerability of the new drug, axatilimab, in combination with olaparib (a standard of care treatment) in Breast Cancer 1/2 genes (BRCA 1/2) and PALB2 associated HER2-negative metastatic breast cancer. The names of the study drugs involved in this study are: * Axatilimab (a type of antibody) * Olaparib (a type of PARP inhibitor)

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: BRCA1 germline or somatic mutation predicted to be deleterious or suspected deleterious

Documented germline or somatic mutation in BRCA1 ... that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function)

Required: BRCA2 germline or somatic mutation predicted to be deleterious or suspected deleterious

Documented germline or somatic mutation in ... BRCA2 ... that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function)

Required: PALB2 germline mutation predicted to be deleterious or suspected deleterious

Documented ... germline mutation in PALB2 that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function)

Performance status

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

Prior therapy

Max 2 prior lines

Cannot have received: PARP inhibitor (olaparib)

Clinical progression on a PARP inhibitor, or within 12 months of receipt of a PARP inhibitor, including but not limited to olaparib

Cannot have received: CSF1R antibody

Any previous treatment with CSF1R antibody

Lab requirements

Blood counts

leukocytes ≥ 3000/mcL; absolute neutrophil count ≥ 1.5 x 10^9/L; platelets ≥ 100 x 10^9/L

Kidney function

Creatinine clearance ≥ 51 mL/min (using Cockcroft-Gault equation)

Liver function

total bilirubin ≤ 1.5x institutional ULN; AST(SGOT)/ALT(SGPT) ≤ 2.5x × institutional ULN or ≤5 × institutional ULN for participants with documented liver metastases

Participants must meet the following organ and marrow function as defined below: * leukocytes ≥ 3000/mcL * absolute neutrophil count ≥ 1.5 x 109/L * platelets ≥ 100 x 109/L * total bilirubin ≤ 1.5x institutional upper limit of normal (ULN) * AST(SGOT)/ALT(SGPT) ≤ 2.5x × institutional ULN or ≤5 × institutional ULN for participants with documented liver metastases * Creatinine clearance ≥ 51 mL/min (using Cockcroft-Gault equation)

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

US trial sites

  • Beth Israel Deaconess Medical Center · Boston, Massachusetts
  • Brigham and Women's Hospital · Boston, Massachusetts
  • Dana-Farber Cancer Institute · Boston, Massachusetts

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