BCD-236 plus chemotherapy for relapsed or metastatic triple negative breast cancer
Official title: A Randomized, Open-label, Comparative Clinical Study of the Efficacy, Safety, Pharmacokinetics, and Immunogenicity of BCD-236 in Combination With Chemotherapy in Patients With Relapsed and/or Metastatic Triple Negative Breast Cancer
Run by Biocad · NCT07108309 · Data updated 2026-11-12
This trial will try BCD-236 together with chemotherapy to see if it helps people with relapsed or metastatic triple negative breast cancer whose tumors show AXL.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 74 Years |
| Sex | Women only |
| Enrollment | 124 (estimated) |
| Sponsor | Biocad Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 47 sites (Brest and 46 other locations) |
| Status | Recruiting |
| Started | July 15, 2024 |
| Main results expected | December 2025 |
| Study ends | May 2027 |
| Registry record updated | August 7, 2025 |
| Trial ID | NCT07108309 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 to under 75 with relapsed or metastatic triple negative breast cancer who have had at least one prior systemic therapy and have confirmed AXL expression on a fresh tumor sample are the intended participants.
✕Probably not a fit
Patients whose tumors do not express AXL, those who are hormone-receptor or HER2 positive, medically unfit for chemotherapy, or older than the trial age limit are unlikely to benefit from this specific approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 2 interventional trial testing the investigational agent BCD-236 in combination with standard chemotherapeutic agents for adults with relapsed or metastatic triple negative breast cancer. Eligible participants must have tumor AXL expression confirmed by immunohistochemistry and have received at least one prior line of systemic therapy; a fresh tumor sample is required for screening. The study will collect data on tumor response, safety and tolerability, pharmacokinetics, and immunogenicity while participants receive the combination regimen. Treatment and follow-up visits will occur at regional oncology centers in Belarus.
Why it matters
Potential benefit: If successful, the combination could shrink tumors or prolong the time before disease progresses in AXL-positive relapsed or metastatic TNBC patients.
How similar studies have gone: AXL-targeting approaches have shown preclinical promise and limited signals in early-phase clinical work, but no large trials have yet demonstrated clear, definitive benefit in TNBC.
Who can join: the full rules
Show full inclusion / exclusion criteria
Main Inclusion Criteria: * Signed informed consent and the subject's ability to comply with the requirements of the Clinical Study Protocol. * Age ≥18 years and \<75 years at the time of signing the informed consent form. * Histologically verified diagnosis (there are documented results of relevant studies) of TNBC: ER 0-2 points, PR 0-2 points or ER \<1%, PR \<1% (ASCO/CAP); HER2 (≤1+) or HER2 (2+) in the absence of amplification of the Her-2-neu gene by ISH. * TNBC is progressive or relapsing on or after systemic therapy. * The subject received at least 1 line of systemic therapy for locally advanced unresectable or metastatic TNBC, or she experienced a relapse / progressive disease during or within 6 months after completion of post-operative (adjuvant) chemotherapy. * Confirmed AXL expression in tumor cells according to immunohistochemistry. * Availability of fresh (obtained as part of screening or before its start, but after disease progression or relapse on the last line of therapy) and archival (obtained before disease progression or relapse on the last line of therapy, if available) tumor material samples suitable for immunohistochemical examination to determine AXL expression. * Presence of at least 1 measurable tumor lesion according to RECIST 1.1. criteria for CIR. * ECOG score 0-1. * Life expectancy ≥ 4 months from the date of signing of the informed consent form in the opinion of the Investigator. Main Exclusion Criteria: * Indications for radical therapy or radiotherapy (excluding minor surgery or radiation therapy for palliative purposes). * Active CNS metastases and/or carcinomatous meningitis. Subjects with brain metastases may participate in the study provided that the metastases have been adequately treated with surgery or radiotherapy, and if they have been clinically stable for at least 4 weeks prior to randomization (i.e. no neurological symptoms, no need for corticosteroids, and no lesions \>1.5 cm) and no evidence of new or increasing CNS metastases. Patients with newly diagnosed CNS metastases during screening may not be included in the study.
Where it's running
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Health Institution "Brest Regional Oncology Center"
Brest, Belarus Recruiting -
"Gomel Regional Clinical Oncology Dispensary"
Homyel, Belarus Recruiting -
Minsk City Oncology Center
Minsk, Belarus Recruiting -
SBHI "Chelyabinsk regional clinical center Oncology and nuclear medicines"
Chelyabinsk, Russia Recruiting -
Budgetary healthcare institution of the Udmurt Republic "Republican clinical oncology dispensary named after Sergei Grigorievich Primushko of the Ministry of Health of the Udmurt Republic
Izhevsk, Russia Recruiting -
SBHI of the Kaluga Region "Kaluga Regional Clinical Oncology Center"
Kaluga, Russia Recruiting
Show 41 more locations
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State Autonomous Institution of Health "Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Tatarstan named after prof. M.Z.Sigal"
Kazan', Russia Recruiting -
SBHI "Clinical oncological Dispensary № 1" of the Ministry of Health of the Krasnodar Territory
Krasnodar, Russia Recruiting -
Branch of company "Hadassah Medical LCC"
Moscow, Russia Recruiting -
Federal State Budgetary Scientific Institution "Russian Scientific Center of Surgery named after Academician B.V. Petrovsky"
Moscow, Russia Recruiting -
FSAEI of Higher Education "First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation
Moscow, Russia Recruiting -
FSAEI of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Moscow, Russia Recruiting -
FSAI "National Medical Research Center for Therapeutic and Rehabilitation Center" of the Ministry of Health of the Russian Federation
Moscow, Russia Recruiting -
FSBI "Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency"
Moscow, Russia Recruiting -
FSBI "National Medical Research Center of Oncology named after N. N. Blokhin" of the Ministry of Health of the Russian Federation
Moscow, Russia Recruiting -
Joint Stock Company "Medsi Group of Companies"
Moscow, Russia Recruiting -
JSC "Modern medical technologies"
Moscow, Russia Recruiting -
Limited Liability Company "Moscow Center for Rehabilitation Treatment"
Moscow, Russia Recruiting -
SBHI of the City of Moscow "Moscow Clinical Scientific and Practical Center named after A.S. Loginov of the Moscow City Health Department"
Moscow, Russia Recruiting -
State Budgetary Institution of Healthcare of the City of Moscow "City Clinical Hospital named after S.S. Yudin of the Moscow City Health Department
Moscow, Russia Recruiting -
State Budgetary Institution of Healthcare of the City of Moscow "Moscow City Oncology Hospital No. 62 of the Moscow City Healthcare Department"
Moscow, Russia Recruiting -
SAHI of the Nizhny Novgorod region "Research Institute of Clinical Oncology "Nizhny Novgorod Regional Clinical Oncological Dispensary"
Nizhny Novgorod, Russia Recruiting -
FBHI of the Novosibirsk Region "Novosibirsk Regional Clinical Oncological Dispensary"
Novosibirsk, Russia Recruiting -
FSBI "National Medical Research Center for Radiology" of the Ministry of Health of the Russian Federation
Obninsk, Russia Recruiting -
Budget Healthcare Institution of the Omsk region "Clinical Oncological Dispensary"
Omsk, Russia Recruiting -
FSBI "National Medical Research Center of Oncology" of the Ministry of Health of the Russian Federation
Rostov-on-Don, Russia Recruiting -
State budgetary institution of the Ryazan region "Regional clinical oncology dispensary"
Ryazan, Russia Recruiting -
FSBEI of Higher Education "North-Western State Medical University named after I. I. Mechnikov" of the Ministry of Health of the Russian Federation
Saint Petersburg, Russia Recruiting -
FSBI "National medical research center of Oncology named after N.N. Petrov" Of Ministry of Health of the Russian Federation, Department of Breast Cancer Surgery
Saint Petersburg, Russia Recruiting -
FSBI "National medical research center of Oncology named after N.N. Petrov" Of Ministry of Health of the Russian Federation, Research Division of Innovative Techniques in Medical Oncology and Rehabilitation Medicine
Saint Petersburg, Russia Recruiting -
LLC "NRC Eco-Safety"
Saint Petersburg, Russia Recruiting -
LLC "VitaMed"
Saint Petersburg, Russia Recruiting -
Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of St. Petersburg"
Saint Petersburg, Russia Recruiting -
Private medical institution "Euromedservice"
Saint Petersburg, Russia Recruiting -
SBHI "St. Petersburg Clinical Scientific and Practical Center for Specialized Types of Medical Care (Oncological) named after N.P. Napalkov"
Saint Petersburg, Russia Recruiting -
SBHI of St. Petersburg "City Clinical Oncology Dispensary"
Saint Petersburg, Russia Recruiting -
Federal State Budgetary Educational Institution of Higher Education "National Research Mordovian State University named after N.P. Ogarev"
Saransk, Russia Recruiting -
SBHI Arkhangelsk Region "Severodvinsk City Clinical Hospital No. 2 for Emergency Medicine"
Severodvinsk, Russia Recruiting -
SAHI Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Bashkortostan
Ufa, Russia Recruiting -
SBHI of the Yaroslavl region "Regional Clinical Oncological Hospital"
Yaroslavl, Russia Recruiting -
State Budgetary Institution of Healthcare of the Arkhangelsk Region "Arkhangelsk Clinical Oncology Dispensary"
Arkhangelsk, Russia Active not recruiting -
Regional State Budgetary Healthcare Institution "Altai Regional Oncology Dispensary"
Barnaul, Russia Active not recruiting -
FSBI "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation Medical Radiological Research Center named after A.F. Tsyb
Obninsk, Russia Active not recruiting -
State Budgetary Healthcare Institution Leningrad Regional Clinical Hospital
Saint Petersburg, Russia Active not recruiting -
State Budgetary Healthcare Institution "Tambov Regional Oncology Clinical Dispensary"
Tambov, Russia Active not recruiting -
SBHI "Volgograd Regional Clinical Oncological Dispensary"
Volgograd, Russia Active not recruiting -
SAHI of the Sverdlovsk region "Sverdlovsk Regional Oncological Center"
Yekaterinburg, Russia Active not recruiting
Study contacts
- Study coordinator: Evgenia А Mikhailova
- Email: mikhailova@biocad.ru
- Phone: +7 911 081 23 68
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.