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Ivermectin

Phase 1

Anatomic Stage IV Breast Cancer AJCC v8 | Small molecule | Oncology |Agenus Inc.|Last Updated: May 6, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment34
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05318469Ivermectin in Combination With Balstilimab or Pembrolizumab in Patients With Metastatic Triple Negative Breast CancerPHASE1 RECRUITING 34Oct 13, 2023Oct 1, 2026May 6, 20261 United States
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Study Endpoints
Primary Endpoints
Incidence of adverse events
From start of study treatment until 90 days after treatment completion

Phase 1: To determine the recommended phase 2 dose of ivermectin in combination with balstilimab or pembrolizumab using NCI-CTCAE v5.0

Objective response rate
From start of study treatment until disease progression, intolerable toxicities, or withdrawal of consent. Assessed up to 2 years.

Phase 2: To determine the efficacy of ivermectin in combination with balstilimab or pembrolizumab in mTNBC using the objective response rate (ORR)

Secondary Endpoints
Objective response rate
From start of study treatment until disease progression, intolerable toxicities, or withdrawal of consent. Assessed up to 2 years.
Progression free survival
From start of study treatment until disease progression, intolerable toxicities, or withdrawal of consent. Assessed up to 6 years.
Overall survival
From start of study treatment to death or last contact. Assessed up to 6 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (ivermectin, balstilimab)EXPERIMENTALPatients will receive balstilimab 450 mg or pembrolizumab 200 mg, IV, on Day 1 of each 3 week cycle and ivermectin at the assigned dose (see Section 5.1, Table 5.1.2), PO, Days 1-3, 8-10, 15-17 of each cycle (Days 1-3 of each week) until disease progression, intolerable toxicities, withdrawal of consent, or up to 35 treatments or 2 years of balstilimab or pembrolizumab, whichever comes first
Interventions
NameTypeDescription
IvermectinDRUGIvermectin at the assigned dose administered PO on Days 1-3, 8-10, 15-17 of each 21 day cycle (Days1-3 of each week).
BalstilmabDRUGBalstilimab 300 mg administered intravenously on Day 1 of each 21 day cycle.
PembrolizumabDRUGPembrolizumab 200 mg IV on Day 1 of each 21 day cycle
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Age: ≥ 18 years * Eastern Cooperative Oncology Group (ECOG) ≤ 1 * Life expectancy \> 3 months * Histologically confirmed metastatic triple negative breast cancer. Triple negative status will be defined as estrogen receptor (ER) and progesterone receptor (PR) ≤ 10% and HER2 neg...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05318469primaryCompletionDate: changed
LOWMay 24, 2026NCT05318469studyFirstPostDate: changed