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Combination therapy phase I

Phase 1

Metastatic Breast Cancer | Small molecule | Oncology |Tango Therapeutics, Inc.|Last Updated: May 25, 2021

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
ACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment22
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03411161S 81694 Plus Paclitaxel in Metastatic Breast CancerPHASE1 COMPLETED 22Jan 4, 2018Jun 8, 2020May 25, 20216 Belgium, France +2
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Study Endpoints
Primary Endpoints
Incidence of DLTs (dose-limiting toxicities)
Through study completion, an average of 4 years

Safety criterion - A DLT is defined as any toxicity attributable to S81694 or the combination that occurs before the end of Cycle 1

Safety and tolerability assessed by incidence of Adverse Events
Through study completion, an average of 4 years

Safety and tolerability criteria - Incidence of treatment-emergent adverse events (AEs) graded according to NCI CTCAE v4.03

Abnormalities in laboratory tests (haematology, blood biochemistry and urinalysis)
Through study completion, an average of 4 years

Safety and tolerability criteria disease progression according to RECIST v1.1 or death due to any cause

Abnormalities in physical examination and performance status (ECG) (mm/s)
Through study completion, an average of 4 years

Safety and tolerability criteria

Abnormalities in blood pressure (mmHg)
Through study completion, an average of 4 years

Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment

Abnormalities in heart rate (BPM (beat per minute))
Through study completion, an average of 4 years

Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment

Abnormalities in body temperature (C°degree celsius)
Through study completion, an average of 4 years

Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment

Abnormalities in respiration rate (cycles per minute)
Through study completion, an average of 4 years

Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment

Abnormalities in body weight (Kg)
Through study completion, an average of 4 years

Safety and tolerability criteria - Treatment-emergent changes in physical examinations, ECOG performance status, at periodic intervals during the study and at End of Treatment

Progression free survival (PFS) [based on Investigator review of the images according to RECIST 1.1]
Through study completion, an average of 4 years

Efficacy criterion - time from the date of first study drug intake until the date of the investigator-assessed disease progression or death due to any cause whichever occurs first.

Secondary Endpoints
The PK (pharmacokinetic) profile of S 81694 and paclitaxel plasma concentration : Area under the plasma concentration-time curve (AUC)
Through study completion, an average of 3 years
The PK profile of S 81694 and paclitaxel plasma concentration : Elimination half-life (T½)
Through study completion, an average of 3 years
The PK profile of S 81694 and paclitaxel plasma concentration : Maximum plasma concentration (Cmax)
Through study completion, an average of 3 years
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Combination therapy (S81694 + paclitaxel) phase IEXPERIMENTALPhase I: Single arm, non-randomized study in metastatic breast cancer patients. S81694 given intravenously every two weeks at different doses on D1 and D15 last for 28 days. The participants will also receive paclitaxel intravenously on D1, D8 and D15 last for 28 days.
paclitaxel phase IIACTIVE_COMPARATORPhase II: Randomised phase II part , two-arm, in untreated metastatic triple negative breast cancer patients. Paclitaxel given intravenously on D1, D8, and D15 at 80 mg/m² during a 28-day cycle.
Combination therapy (S81694 + paclitaxel) phase IIEXPERIMENTALPhase II: Randomised phase II part , two-arm, in untreated metastatic triple negative breast cancer patients. S 81694 given intravenously on D1 and D15 at recommended phase 2 dose (RP2D). Paclitaxel given intravenously on D1, D8, and D15 during a 28-day cycle.
Interventions
NameTypeDescription
Combination therapy (S81694 + paclitaxel) phase IDRUGDose escalation S 81694 (IV); paclitaxel started at 80 mg/m²,(IV)
PaclitaxelDRUGPaclitaxel (IV) at 80 mg/m²/week
Combination therapy (S81694 + paclitaxel) phase IIDRUGS 81694 (IV) at RP2D; paclitaxel (IV) at 80 mg/m²/week
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: For Phase I : * Histologically or cytologically confirmed metastatic breast cancer, refractory to any standard therapy or for which the standard therapy is considered unsuitable; * Patient must have at least one evaluable or measurable metastatic lesion (lesions as defined by r...

Countries:BelgiumFranceJapanNetherlands
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Competitive Landscape -Breast Cancer 408 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib, Trastuzumab Deruxtecan, Paclitaxel, Trastuzumab
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy, Imlunestrant, Tamoxifen, Anastrozole
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1, Capecitabine, Paclitaxel, Nab-paclitaxel
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib, Alpelisib, Fulvestrant, Trastuzumab, Pertuzumab
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant, PF-07220060, letrozole, abemaciclib
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib, Arm A: Gedatolisib + Palbociclib + Fulvestrant
Relay Therapeutics, Inc.RLAY2PHASE3RLY-2608, Capivasertib, Fulvestrant, Palbociclib, Ribociclib
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib, Pembrolizumab, Axatilimab
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam, Alisertib, Endocrine therapy
Immutep Ltd Sponsored ADRIMMP1PHASE2eftilagimod alpha, Paclitaxel
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