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Hydroxychloroquine + Everolimus for Breast Cancer
Phase 2
Waitlist Available
Led By Angela DeMichele, MD
Research Sponsored by Abramson Cancer Center at Penn Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
ECOG performance status 2
Age ≥ 18 years
Must not have
Immunization with attenuated live vaccines within one week of study entry or during study period
Pregnancy, breastfeeding, or inadequate birth control methods for adults of reproductive potential
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing if giving hydroxychloroquine, elesclomol, or a combination of the two drugs to people who have finished primary therapy for breast cancer and have bone marrow disseminated tumor cells is feasible.
Who is the study for?
This trial is for adults over 18 who've finished primary breast cancer therapy, have no signs of recurrence, and show bone marrow tumor cells. They must be healthy enough with good organ function and not pregnant or on other trials. Prior mTOR inhibitor treatment or hypersensitivity to Everolimus disqualifies them.
What is being tested?
The CLEVER Pilot Trial tests Hydroxychloroquine (HCQ), Everolimus (EVE), or their combination in preventing recurrent breast cancer in patients with residual disease indicators after primary therapy.
What are the potential side effects?
Possible side effects include issues affecting the liver, kidneys, blood cells, cholesterol levels, potential drug sensitivity reactions, and increased risk of infections due to immune system suppression.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can walk and care for myself, but I am unable to do any work.
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I am 18 years old or older.
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I show no signs of breast cancer coming back, based on exams, blood tests, or imaging.
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I still have cancer in my breast after chemotherapy before surgery.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have not received any live vaccines within a week before or during the study.
Select...
I am not pregnant, breastfeeding, and I use effective birth control.
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I have been treated with an mTOR inhibitor before.
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I am on a long-term, high dose of corticosteroid medication.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Side effects data
From 2016 Phase 3 trial • 217 Patients • NCT0205725013%
Upper respiratory tract infection
6%
Neutropenia
6%
Sinusitis
5%
Alanine aminotransferase increased
5%
Urinary tract infection
4%
Injection site erythema
4%
Accidental overdose
4%
Bronchitis
3%
Injection site pruritus
2%
Thrombocytopenia
2%
Nasopharyngitis
2%
Contusion
1%
Arthralgia
1%
Wolff-Parkinson-White syndrome
1%
Coronary artery occlusion
1%
Anaemia
1%
Leukopenia
1%
Lumbar spinal stenosis
1%
Transient ischaemic attack
1%
Vertebrobasilar insufficiency
1%
Chronic obstructive pulmonary disease
1%
Small intestinal obstruction
1%
Nephrolithiasis
1%
Cataract
1%
Thrombophlebitis superficial
1%
Vomiting
1%
Endometrial hyperplasia
1%
Traumatic arthritis
1%
Hypertension
1%
Pneumonia
1%
Pancreatic carcinoma metastatic
1%
Osteoarthritis
1%
Rheumatoid lung
1%
Pharyngitis
1%
Femoral neck fracture
100%
80%
60%
40%
20%
0%
Study treatment Arm
Sarilumab 150 mg by PFS (Extension Phase)
Sarilumab 150 mg by AID (AID Assessment Phase)
Sarilumab 150 mg by PFS (AID Assessment Phase)
Sarilumab 200 mg by PFS (AID Assessment Phase)
Sarilumab 200 mg by AID (AID Assessment Phase)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
4Treatment groups
Experimental Treatment
Group I: observation (Arm D)Experimental Treatment2 Interventions
Group II: combination HCQ and EVE (Arm C)Experimental Treatment2 Interventions
Group III: HCQ alone (Arm A)Experimental Treatment1 Intervention
Group IV: EVE alone (Arm B)Experimental Treatment1 Intervention
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Everolimus
2010
Completed Phase 4
~1510
Hydroxychloroquine
2017
Completed Phase 4
~5350
Find a Location
Who is running the clinical trial?
Abramson Cancer Center at Penn MedicineLead Sponsor
418 Previous Clinical Trials
464,798 Total Patients Enrolled
47 Trials studying Breast Cancer
360,887 Patients Enrolled for Breast Cancer
Abramson Cancer Center of the University of PennsylvaniaLead Sponsor
359 Previous Clinical Trials
108,431 Total Patients Enrolled
41 Trials studying Breast Cancer
35,313 Patients Enrolled for Breast Cancer
Angela DeMichele, MDPrincipal InvestigatorAbramson Cancer Center at Penn Medicine
9 Previous Clinical Trials
11,338 Total Patients Enrolled
7 Trials studying Breast Cancer
10,538 Patients Enrolled for Breast Cancer
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I don't have health issues that prevent me from taking study drugs.I have not received any live vaccines within a week before or during the study.I am not pregnant, breastfeeding, and I use effective birth control.Tests show that there are cancer cells in the bone marrow after treatment.I have been treated with an mTOR inhibitor before.I am currently taking hormone therapy and bone-strengthening medications as part of my treatment.You are allergic to Everolimus or similar medications.My breast cancer was confirmed by a biopsy and diagnosed within the last 5 years.I can walk and care for myself, but I am unable to do any work.My blood, liver, kidneys, and cholesterol levels are all within healthy ranges.I finished my main cancer treatment at least 4 weeks ago.I am 18 years old or older.I show no signs of breast cancer coming back, based on exams, blood tests, or imaging.You have the specific risk status according to the ASCO/CAP guidelines for receptor testing.I am on a long-term, high dose of corticosteroid medication.I still have cancer in my breast after chemotherapy before surgery.
Research Study Groups:
This trial has the following groups:- Group 1: HCQ alone (Arm A)
- Group 2: combination HCQ and EVE (Arm C)
- Group 3: observation (Arm D)
- Group 4: EVE alone (Arm B)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.