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NCT02435680: TNBC

Efficacy Study of MCS110 Given With Carboplatin and Gemcitabine in Advanced Triple Negative Breast Cancer (TNBC)

Completed Phase 2 Results posted Last updated 21 June 2021
What this trial tests

Phase 2 trial testing MCS110 in Advanced Triple Negative Breast Cancer (TNBC) With High TAMs in 50 participants. Completed in 23 March 2020.

Timeline
10 August 2015
Primary endpoint
4 January 2020
23 March 2020

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment50
Start date10 August 2015
Primary completion4 January 2020
Estimated completion23 March 2020
Sites23 locations across France, Hong Kong, Italy, Belgium, Austria, Taiwan, Germany, South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, female only, with Advanced Triple Negative Breast Cancer (TNBC) With High TAMs. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression Free Survival (PFS) as Per RECIST v1.1 (by Local Investigator Assessment) Primary · 4 years

PFS Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

GroupValue95% CI
All MCS110+Carboplatin+Gemcitabine5.64.5 – 8.7
Carboplatin+Gemcitabine5.53.5 – 7.5
Free MCS110 : Derived Pharmacokinetics (PK) Parameters: AUCtau Secondary · day 21 (end cycle 1); day 84 (end cycle 4)

AUC tau derived from day 0 to 21 (cycle 1) from day 0 to 21 (cycle 4) Cycle duration is 21 days

day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine1430± 23.5
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine2960± 22.7
day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine1840± 34.9
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine3240± 30.0
Free MCS110 : Derived Pharmacokinetics (PK) Parameters: Cmax Secondary · day 21 (end cycle 1); day 84 (end cycle 4)
day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine186± 28.5
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine281± 21.2
day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine240± 14.8
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine319± 27.8
Cmax Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU) Secondary · day 21, day 84

day 21 (end cycle 1); day 84 (end cycle 4)

Cmax Carboplatin Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine12400± 37.3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine12500± 33.2
Carboplatin+Gemcitabine11200± 70.9
Cmax Carboplatin Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine9550± 33.0
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine10000± 28.9
Carboplatin+Gemcitabine11600± 55.0
Cmax Gemcitabine Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine2750± 194.5
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine5480± 95.1
Carboplatin+Gemcitabine2370± 484.9
Cmax Gemcitabine Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine2470± 227.3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine3400± 173.9
Carboplatin+Gemcitabine8630± 101.2
Cmax dFdU Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine39100± 21.6
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine33900± 19.5
Carboplatin+Gemcitabine37700± 28.2
Cmax dFdU Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine36600± 88.6
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine30300± 11.8
Carboplatin+Gemcitabine32300± 12.4
AUClast Derived From Plasma Concentration of Carboplatin, Gemcitabine and 2',2'-Difluoro-deoxyuridine (dFdU) Secondary · day 21, day 84

day 21 (end cycle 1); day 84 (end cycle 4)

AUC Carboplatin Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine24500± 31.1
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine21400± 27.3
Carboplatin+Gemcitabine21800± 56.0
AUC Carboplatin Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine18300± 21.8
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine17500± 25.0
Carboplatin+Gemcitabine20500± 34.6
AUC Gemcitabine Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine2390± 157.3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine4270± 79.3
Carboplatin+Gemcitabine2620± 225.5
AUC Gemcitabine Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine2410± 115.2
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine2770± 118.8
Carboplatin+Gemcitabine6320± 76.2
AUC dFdU Day 21
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine230000± 34.7
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine181000± 37.7
Carboplatin+Gemcitabine231000± 25.2
AUC dFdU Day 84
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine229000± 31.9
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine147000± 28.7
Carboplatin+Gemcitabine211000± 24.7
Total Colony Stimulation Factor -1 (CSF-I) Circulating Levels Secondary · baseline, day 1, 4, 15, 22, 43, 64, 85, 106, 127, 148

results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days. These Biomarker Analyses were performed for MCS110 treated patients only.

Day 1
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine110± 19.8
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine115± 34.8
Day 4
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine4930± 2280
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine4350± 1620
Day 15
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine21600± 8290
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine19500± 6130
Day 22 (cycle 2 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine32000± 9190
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine34400± 14900
Day 43 (cycle 3 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine57900± 14100
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine70000± 27400
Day 64 (cycle 4 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine73600± 16200
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine78000± 41200
Day 85 (cycle 5 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine79300± 27000
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine107000± 51400
Day 106 (cycle 6 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine97500± 15600
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine103000± 50700
Serum C-terminal Telopeptide of Type I Collagen (CTX-I) Secondary · baseline, day 2, 4, 15, 22, 43, 64, 85, 106, 127, 148

results expressed as a the ratio change from baseline expressed in percentage. Cycle duration is 21 days. Biomarker Analyses performed for MCS110 treated patients only.

Day 2
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine79.4± 22.8
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine85.0± 44.0
Day 4
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine72.5± 25.4
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine80.2± 39.6
Day 15
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine65.6± 44.3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine69.4± 27.4
Day 22 (cycle 2 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine67.9± 43.6
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine52.9± 26.5
Day 43 (cycle 3 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine64.3± 58.7
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine39.3± 23.8
Day 64 (cycle 4 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine69.7± 62.2
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine29.5± 23.7
Day 85 (cycle 5 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine102± 124
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine40.6± 34.8
Day 106 (cycle 6 day 1)
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine41.2± 13.2
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine50.2± 45.3
Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) Secondary · 4 years

CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

PR
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine8
Carboplatin+Gemcitabine6
Non-CR/ Non-progressive disease
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine1
Carboplatin+Gemcitabine0
SD
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine19
Carboplatin+Gemcitabine7
progressive disease
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine4
Carboplatin+Gemcitabine1
unknown
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine2
Carboplatin+Gemcitabine2
clinical benefit rate
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine10
Carboplatin+Gemcitabine7
ORR
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine8
Carboplatin+Gemcitabine6
Tumor Response Per RECIST v1.1 (by Local Investigator Assessment) Duration of Response Secondary · 4 years

CR: complete response. PR: partial response. SD: stable disease: CBR: clinical benefit rate =CR + PR + SD lasting at least for 6 months. ORR = CR + PR. Efficacy Results presented for all MCS110 treated patients (with and without day 8 dose), in line with phase 2 study design.

GroupValue95% CI
MCS110+Carboplatin+Gemcitabine9.63.6 – 42.5
Carboplatin+Gemcitabine52.7 – 13.3
Number of Patients With at Least One MCS110 Dose Reduction, and Number of Patients With at Least One MCS110 Dose Interruption Secondary · 4 years

patients treated with MCS110 only

MCS110 dose reduction
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine5
MCS110 dose interruption
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine6
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine9
MCS110 Dose Intensity Secondary · 4 years

Relative dose intensity by categories. Patients treated with MCS110 only. The dose intensity measures the dose actually taken versus the planned dose, and is expressed in percentage: \<50%: less than 50 % of the planned dose received; 50-\<75 %: dose received is 50% or more, but less than 75 %; 75-\<90 %: dose received is 75% or more, but less than 90%; 90-\<110 %: dose received is 90% or more, but less than 110%

<50%
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine1
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine4
50-<75%
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine8
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine3
75-<90%
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine7
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine5
90-<110%
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine3
Tumor Associated Macrophage (TAM) and Tumor Infiltrating Lymphocyte (TIL) Content in Pre- and Post-dose Tumor Biopsies. Secondary · Baseline, Day 29-43

results expressed as a the ratio change from baseline expressed in percentage: Biopsies were taken at baseline and between Day 29 and Day 43. Patients treated with MCS110 only

CD163
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine42.1± 62.1
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine43.5± 239.5
CD8
GroupValue95% CI
MCS110+Carboplatin+Gemcitabine102± 747.3
MCS110 With C1D8 Dose + Carboplatin +Gemcitabine99.0± 92.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from first dose of study treatment until end of study treatment plus up to 150 days post treatment, up to maximum duration of 5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

MCS110 + Carbo/Gem
Serious: 10/19 (53%)
Deaths: 1/19
MCS110 With C1D8@Dose + Carbo/Gem
Serious: 7/15 (47%)
Deaths: 1/15
All MCS110 + @Carbo/Gem Patients
Serious: 17/34 (50%)
Deaths: 2/34
Carbo/Gem
Serious: 1/15 (7%)
Deaths: 1/15
All@Patients
Serious: 18/49 (37%)
Deaths: 3/49

Serious adverse events (33 terms)

ReactionSystemMCS110 + Carbo/GemMCS110 With C1D8@Dose + Ca…All MCS110 + @Carbo/Gem Pa…Carbo/GemAll@Patients
ThrombocytopeniaBlood and lymphatic system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Renal failureRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
Atypical haemolytic uraemic syndromeBlood and lymphatic system disorders
Myocardial ischaemiaCardiac disorders
NauseaGastrointestinal disorders
Obstructive pancreatitisGastrointestinal disorders
FatigueGeneral disorders
Generalised oedemaGeneral disorders
PyrexiaGeneral disorders
Device related infectionInfections and infestations
ErysipelasInfections and infestations
Genital infectionInfections and infestations
InfectionInfections and infestations
Lower respiratory tract infectionInfections and infestations
MastitisInfections and infestations
SepsisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Ankle fractureInjury, poisoning and procedural complications
Blood creatine phosphokinase increasedInvestigations
Tumour associated feverNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AnxietyPsychiatric disorders
Other adverse events (218 terms — click to expand)

ReactionSystemMCS110 + Carbo/GemMCS110 With C1D8@Dose + Ca…All MCS110 + @Carbo/Gem Pa…Carbo/GemAll@Patients
AnaemiaBlood and lymphatic system disorders
Aspartate aminotransferase increasedInvestigations
NauseaGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
Alanine aminotransferase increasedInvestigations
ThrombocytopeniaBlood and lymphatic system disorders
FatigueGeneral disorders
Blood creatine phosphokinase increasedInvestigations
Neutrophil count decreasedInvestigations
Periorbital oedemaEye disorders
RashSkin and subcutaneous tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Platelet count decreasedInvestigations
HeadacheNervous system disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
LeukopeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
StomatitisGastrointestinal disorders
Oedema peripheralGeneral disorders
White blood cell count decreasedInvestigations
Face oedemaGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
Gamma-glutamyltransferase increasedInvestigations
AlopeciaSkin and subcutaneous tissue disorders
Upper respiratory tract infectionInfections and infestations
Blood alkaline phosphatase increasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
PruritusSkin and subcutaneous tissue disorders
ChillsGeneral disorders
Oral herpesInfections and infestations
ContusionInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
Peripheral sensory neuropathyNervous system disorders

Most-reported serious reactions: Thrombocytopenia, Dyspnoea, Vomiting, Renal failure, Anaemia, Atypical haemolytic uraemic syndrome, Myocardial ischaemia, Nausea.

Data from ClinicalTrials.gov NCT02435680 adverse events section.

Sponsor's own description

To determine whether MCS110 antibody therapy improves the efficacy of carboplatin and gemcitabine (carbo/gem) in advanced TNBC patients

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Macrophages in immunoregulation and therapeutics.
    Chen S, Saeed AFUH, Liu Q, Jiang Q, et al · · 2023 · cited 1250× · PMID 37211559 · DOI 10.1038/s41392-023-01452-1
  2. Colony-stimulating factor 1 receptor (CSF1R) inhibitors in cancer therapy.
    Cannarile MA, Weisser M, Jacob W, Jegg AM, et al · · 2017 · cited 796× · PMID 28716061 · DOI 10.1186/s40425-017-0257-y
  3. Tumor-associated macrophages: from basic research to clinical application.
    Yang L, Zhang Y. · · 2017 · cited 654× · PMID 28241846 · DOI 10.1186/s13045-017-0430-2
  4. Recent advances in therapeutic strategies for triple-negative breast cancer.
    Li Y, Zhang H, Merkher Y, Chen L, et al · · 2022 · cited 643× · PMID 36038913 · DOI 10.1186/s13045-022-01341-0
  5. Targeting macrophages in cancer immunotherapy.
    Duan Z, Luo Y. · · 2021 · cited 462× · PMID 33767177 · DOI 10.1038/s41392-021-00506-6
  6. Targeting M2-like tumor-associated macrophages is a potential therapeutic approach to overcome antitumor drug resistance.
    Wang S, Wang J, Chen Z, Luo J, et al · · 2024 · cited 406× · PMID 38341519 · DOI 10.1038/s41698-024-00522-z
  7. Tumor-associated macrophages: an effective player of the tumor microenvironment.
    Basak U, Sarkar T, Mukherjee S, Chakraborty S, et al · · 2023 · cited 212× · PMID 38035101 · DOI 10.3389/fimmu.2023.1295257
  8. Practical classification of triple-negative breast cancer: intratumoral heterogeneity, mechanisms of drug resistance, and novel therapies.
    Marra A, Trapani D, Viale G, Criscitiello C, et al · · 2020 · cited 209× · PMID 33088912 · DOI 10.1038/s41523-020-00197-2

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