NCT06434077

Brief Summary

This randomized, double-blind, placebo-controlled pilot study aims to evaluate the efficacy and safety of GcMAF in reducing nagalase levels and improving clinical outcomes in female patients with metastatic breast cancer over six months. Sixty patients will be randomized into two groups receiving either weekly GcMAF or placebo injections. The primary endpoint is the change in serum nagalase levels from baseline to six months. Secondary endpoints include clinical status, quality of life, adverse effects, and markers of inflammation and immune activity. Tumor response will be assessed using RECIST criteria, and quality of life will be measured with the EORTC QLQ-C30 questionnaire. Immune and inflammation markers will be evaluated using flow cytometry and ELISA. Adverse events will be monitored and categorized according to severity. Inclusion criteria include confirmed metastatic breast cancer, completion of one line of systemic therapy, adequate organ function, and elevated serum nagalase levels. The study will involve baseline measurements, monthly assessments, and final evaluations to compare changes in nagalase levels and other clinical outcomes between the GcMAF and placebo groups.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at below P25 for phase_3 breast-cancer

Timeline
7mo left

Started Aug 2025

Shorter than P25 for phase_3 breast-cancer

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress54%
Aug 2025Dec 2026

First Submitted

Initial submission to the registry

May 23, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 30, 2024

Completed
1.2 years until next milestone

Study Start

First participant enrolled

August 20, 2025

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 20, 2026

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 20, 2026

Last Updated

June 22, 2025

Status Verified

June 1, 2025

Enrollment Period

1.1 years

First QC Date

May 23, 2024

Last Update Submit

June 19, 2025

Conditions

Keywords

Metastatic Breast CancerGcMAF (Gc Macrophage Activating Factor)NagalaseInflammation MarkersResponse Evaluation Criteria in Solid Tumors

Outcome Measures

Primary Outcomes (1)

  • Change in Serum Nagalase Levels

    6 months

Secondary Outcomes (14)

  • Change in RECIST (Response Evaluation Criteria in Solid Tumors) criteria.

    6 months

  • MRI changes in cancer volume

    6 months

  • Tumor response

    6 months

  • Eastern Cooperative Oncology Group (ECOG) performance status change

    6 months

  • EORTC QLQ-C30 change

    6 months

  • +9 more secondary outcomes

Study Arms (2)

CGMAF group

EXPERIMENTAL

GcMAF injections (100 ng)

Biological: GcMAF injections (100 ng)

placebo group

PLACEBO COMPARATOR

placebo injections (100 ng)

Other: placebo

Interventions

The GcMAF 100 ng (Gc protein macrophage-activating factor) will be injected subcutaneously.

CGMAF group
placeboOTHER

the placebo solution will be injected subcutaneously 100 ng.

placebo group

Eligibility Criteria

Age18 Years - 80 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis:
  • Histologically or cytologically confirmed metastatic breast cancer.
  • Evidence of metastatic disease, confirmed by imaging studies (CT, MRI, or PET scans) and/or biopsy. 2. Prior Treatment:
  • Patients must have completed at least one line of systemic therapy (e.g., chemotherapy, hormone therapy, targeted therapy) for metastatic breast cancer.
  • A minimum of 4 weeks must have elapsed since the last chemotherapy, targeted therapy, or radiotherapy before starting the study treatment. 3. Age:
  • Female patients aged 18 to 70 years. 4. Performance Status:
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2. 5. Life Expectancy:
  • Estimated life expectancy of at least 6 months. 6. Laboratory Values:
  • Adequate bone marrow function: Absolute neutrophil count (ANC) ≥ 1.5 x 10\^9/L, platelets ≥ 100 x 10\^9/L, and hemoglobin ≥ 9 g/dL.
  • Adequate liver function: Total bilirubin ≤ 1.5 x upper limit of normal (ULN), AST (SGOT) and ALT (SGPT) ≤ 2.5 x ULN (≤ 5 x ULN for patients with liver metastases).
  • Adequate renal function: Serum creatinine ≤ 1.5 x ULN or creatinine clearance ≥ 60 mL/min/1.73 m\^2 (calculated using the Cockcroft-Gault formula). 7. Contraception:
  • Women of childbearing potential must agree to use effective contraception (e.g., hormonal contraceptives, intrauterine device, barrier methods, or abstinence) during the study and for at least 6 months after the last dose of study treatment. 8. Informed Consent:
  • Ability to understand and willingness to sign a written informed consent document.
  • \. Compliance:
  • Willingness and ability to comply with the study protocol, including scheduled visits, treatment plans, laboratory tests, and other study procedures. 10. Nagalase Levels: • Elevated serum nagalase levels above the normal range, indicating active tumor burden.

You may not qualify if:

  • Concurrent Malignancies:
  • Presence of other active malignancies (excluding adequately treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix). 2. Severe Comorbid Conditions:
  • Severe uncontrolled concurrent illness, such as significant cardiovascular disease (e.g., uncontrolled hypertension, recent myocardial infarction), severe pulmonary conditions (e.g., uncontrolled asthma, chronic obstructive pulmonary disease), or active infections requiring systemic therapy. 3. Pregnancy and Lactation:
  • Pregnant or breastfeeding women. 4. Previous GcMAF Treatment:
  • Previous treatment with GcMAF. 5. Allergies and Sensitivities:
  • Known hypersensitivity to any component of the study drug or its formulation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Center of New Medical Technologies

Novosibirsk, Novosibisk Region, 630090, Russia

Location

MeSH Terms

Conditions

Breast Neoplasms

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 23, 2024

First Posted

May 30, 2024

Study Start

August 20, 2025

Primary Completion (Estimated)

September 20, 2026

Study Completion (Estimated)

December 20, 2026

Last Updated

June 22, 2025

Record last verified: 2025-06

Locations