Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT04841148

Avelumab or Hydroxychloroquine With or Without Palbociclib to Eliminate Dormant Breast Cancer

Led by Abramson Cancer Center at Penn Medicine · Updated on 2026-04-09

96

Participants Needed

7

Research Sites

360 weeks

Total Duration

On this page

Sponsors

A

Abramson Cancer Center at Penn Medicine

Lead Sponsor

J

Johns Hopkins University

Collaborating Sponsor

AI-Summary

What this Trial Is About

This clinical trial will assess the safety and early efficacy of Hydroxychloroquine or Avelumab, with or without Palbociclib, in early-stage ER+ breast cancer patients who are found to harbor disseminated tumor cells (DTCs) in the bone marrow after definitive surgery and standard adjuvant therapy.

CONDITIONS

Official Title

Avelumab or Hydroxychloroquine With or Without Palbociclib to Eliminate Dormant Breast Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Bone marrow aspirate after all definitive therapy shows detectable disseminated tumor cells
  • History of stage II-III ER+/HER2-negative invasive breast cancer with no recurrence
  • ER+/HER2-negative status confirmed on primary tumor
  • Completed all primary and adjuvant therapy except adjuvant endocrine therapy
  • Prior CDK4/6 inhibitor therapy allowed if stopped at least 6 months before screening
  • Receiving adjuvant endocrine therapy at enrollment within 2-7 years of start
  • Tamoxifen use not allowed during treatment in hydroxychloroquine arms unless switched to aromatase inhibitor 21 days prior
  • Premenopausal patients on ovarian suppression eligible
  • Bone modifying agents allowed if started before screening but not initiated during study
  • No concurrent enrollment on other investigational therapy trials
  • Men and women age 18 years or older
  • No contraindications to study medications or uncontrolled medical illness
  • Adequate bone marrow, liver, and renal function
  • Ability to speak and understand English
Not Eligible

You will not qualify if you...

  • History of another prior invasive breast cancer (except DCIS diagnosed more than 5 years ago)
  • Chronic high-dose systemic corticosteroid or other immunosuppressive agent use
  • QTc interval over 480 ms on EKG
  • Severe or uncontrolled medical conditions affecting study participation including chronic autoimmune disease, significant cardiovascular risk, pneumonitis or severe lung impairment, uncontrolled diabetes, infections, liver disease
  • HIV positive patients on combination anti-retroviral therapy
  • Gastrointestinal conditions affecting hydroxychloroquine absorption
  • Active bleeding disorders or therapeutic anticoagulation
  • History of retinopathy or retinal vein occlusion
  • Pregnant or breastfeeding females or adults of reproductive potential not using effective birth control methods

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

Georgetown University

Washington D.C., District of Columbia, United States, 20007

Actively Recruiting

2

University of Chicago

Chicago, Illinois, United States, 60637

Actively Recruiting

3

Indiana University

Indianapolis, Indiana, United States, 46202

Actively Recruiting

4

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

5

University of Pennsylvania

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

6

Vanderbilt University

Nashville, Tennessee, United States, 37232

Actively Recruiting

7

University of Washington

Seattle, Washington, United States, 98195

Actively Recruiting

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Research Team

L

Lauren Bayne, PhD

CONTACT

P

Pauleen Sanchez, BA

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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