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Genomically Directed Monotherapy

Phase 2

Malignant Neoplasm of Breast | Small molecule | Oncology |Vera Therapeutics, Inc.|Last Updated: Sep 28, 2023

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment193
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02101385Randomized Controlled Trial of Genomically Directed Therapy in Patients With Triple Negative Breast CancerPHASE2 COMPLETED 193Apr 3, 2014Sep 9, 2022Sep 28, 202329 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Two-Year Disease-Free Survival (DFS)
From C1D1 until death or up to a maximum of 24 months.

Two-year disease-free survival (DFS) in participants with confirmed triple negative breast cancer (TNBC) treated with a genomically directed therapy or standard of care following preoperative chemotherapy. The survival probabilities for arm A and arm B were estimated as 2 year disease free survival. DFS is defined as the duration of time from randomization to time of a DFS event, defined as local failure (invasive), regional failure, distant failure, contralateral breast cancer (invasive or non-invasive), or death from any cause.

Secondary Endpoints
Comparison Between Overall Disease-Free Survival
From C1D1 until death or up to a maximum of 58 months
Comparison Between One Year Disease Free Survival
From C1D1 until death or up to a maximum of 12 months
Five-Year Overall Survival (OS) Rate
From C1D1 until death or up to a maximum of 60 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelFACTORIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A (Genomically Directed Monotherapy)EXPERIMENTALParticipants randomized to Experimental Arm A will receive an FDA approved drug at standard dose for four cycles (12-16 weeks total duration, depending on cycle length). Clinical and laboratory monitoring and dose-reductions will follow the FDA package insert guidelines.
Control Arm B (Observation/Standard Therapy)OTHERCurrently no standard therapy has proven efficacy in this patient population and thus observation alone would be considered standard of care. Additional therapy is permitted, however, if deemed appropriate by the treating physician.
Interventions
NameTypeDescription
Genomically Directed MonotherapyDRUGParticipants randomized to Experimental Arm A will receive an FDA approved drug at standard dose for four cycles (12-16 weeks total duration, depending on cycle length). The CGTB will assign therapy to each participant individually based on biomarkers/pathways identified by DNA sequencing:
Observation/Standard TherapyOTHERCurrently no standard therapy has proven efficacy in this patient population and thus observation alone would be considered standard of care. Additional therapy is permitted, however, if deemed appropriate by the treating physician.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: -Written informed consent and HIPAA authorization for release of personal health information. NOTE: HIPAA authorization may be included in the informed consent or may be obtained separately. NOTE: Central pathology review may be conducted any time after definitive surgery. Con...

Countries:United States
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