跳至主要内容
临床试验/NCT05325632
NCT05325632招募中2 期

A Phase II Study of Human Epidermal Growth Factor Receptor 2 (HER-2) Directed Dendritic Cell (DC1) Vaccine Plus Weekly Paclitaxel, Trastuzumab and Pertuzumab in Patients With HER-2 Positive Breast Cancer

H. Lee Moffitt Cancer Center and Research Institute1 个研究点 分布在 1 个国家目标入组 53 人开始时间: 2021年10月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
招募中
入组人数
53
试验地点
1
主要终点
Lead in Phase: Immunogenicity of each dose level

研究概览

简要总结

The purpose of the study is to find out if an investigational drug called Dendritic Cell (DC1) vaccine added to standard neoadjuvant (given before main treatment) therapy can help people with HER2 (human epidermal growth factor receptor 2) positive breast cancer.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants must have histologically confirmed clinical stage I- III, HER2+ (per ASCO/CAP criteria) invasive carcinoma of the breast. Primary tumor should measure at least 1 cm by clinical exam or radiologic tests
  • Candidate for neoadjuvant chemotherapy with Paclitaxel, Trastuzumab, Pertuzumab regimen followed by standard of care local therapy as determined by the treating physician
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Participants must have normal organ and marrow function as defined per protocol.
  • Cardiac ejection fraction within institutional normal limits by either Multigated Acquisition Scan (MUGA) or Echocardiogram at baseline.
  • Women of child-bearing potential and their male partners must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately. Sexually active male participants should use a barrier method or exercise abstinence during chemotherapy administration until surgery.
  • Ability to understand and the willingness to sign a written informed consent document.

排除标准

  • Participants with inflammatory breast cancer, widespread locally advanced unresectable disease involving the chest wall/nodal basins in which a curative surgical resection cannot be performed, or those in whom de novo metastatic disease is suspected or confirmed.
  • Patients may not be receiving any other investigational agents for the treatment of their breast cancer.
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to the study vaccine components and any of the chemotherapy drugs (paclitaxel, trastuzumab, pertuzumab).
  • Participants who are unwilling or unable to undergo an apheresis for production of their vaccine.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Pregnant women and women who are breastfeeding.
  • Participants with known congenital or acquired immune deficiency (including those patients who require systemic immunosuppressant drugs for autoimmune disease or organ transplant).

研究组 & 干预措施

Lead In - Dose level 1

Experimental

Six participants will be treated at dose level 1: DC vaccine given at the dose of 50 million once per week for 6 weeks

干预措施: HER-2 pulsed DC1 (Biological)

Lead In - Dose level 1

Experimental

Six participants will be treated at dose level 1: DC vaccine given at the dose of 50 million once per week for 6 weeks

干预措施: Trastuzumab (Drug)

Lead In - Dose level 1

Experimental

Six participants will be treated at dose level 1: DC vaccine given at the dose of 50 million once per week for 6 weeks

干预措施: Pertuzumab (Drug)

Lead In - Dose level 1

Experimental

Six participants will be treated at dose level 1: DC vaccine given at the dose of 50 million once per week for 6 weeks

干预措施: Paclitaxel (Drug)

Lead In - Dose level 1

Experimental

Six participants will be treated at dose level 1: DC vaccine given at the dose of 50 million once per week for 6 weeks

干预措施: Resection surgery (Procedure)

Lead In: Dose Level 2

Experimental

Six participants will be treated at dose level 2: DC vaccine given at the dose of 100 million once per week for 6 weeks

干预措施: HER-2 pulsed DC1 (Biological)

Lead In: Dose Level 2

Experimental

Six participants will be treated at dose level 2: DC vaccine given at the dose of 100 million once per week for 6 weeks

干预措施: Trastuzumab (Drug)

Lead In: Dose Level 2

Experimental

Six participants will be treated at dose level 2: DC vaccine given at the dose of 100 million once per week for 6 weeks

干预措施: Pertuzumab (Drug)

Lead In: Dose Level 2

Experimental

Six participants will be treated at dose level 2: DC vaccine given at the dose of 100 million once per week for 6 weeks

干预措施: Paclitaxel (Drug)

Lead In: Dose Level 2

Experimental

Six participants will be treated at dose level 2: DC vaccine given at the dose of 100 million once per week for 6 weeks

干预措施: Resection surgery (Procedure)

Expansion -Estrogen Receptor (ER) positive

Experimental

An additional 24 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: HER-2 pulsed DC1 (Biological)

Expansion -Estrogen Receptor (ER) positive

Experimental

An additional 24 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Trastuzumab (Drug)

Expansion -Estrogen Receptor (ER) positive

Experimental

An additional 24 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Pertuzumab (Drug)

Expansion -Estrogen Receptor (ER) positive

Experimental

An additional 24 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Paclitaxel (Drug)

Expansion -Estrogen Receptor (ER) positive

Experimental

An additional 24 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Resection surgery (Procedure)

Expansion -Estrogen Receptor (ER) negative

Experimental

An additional 23 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: HER-2 pulsed DC1 (Biological)

Expansion -Estrogen Receptor (ER) negative

Experimental

An additional 23 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Trastuzumab (Drug)

Expansion -Estrogen Receptor (ER) negative

Experimental

An additional 23 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Pertuzumab (Drug)

Expansion -Estrogen Receptor (ER) negative

Experimental

An additional 23 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Paclitaxel (Drug)

Expansion -Estrogen Receptor (ER) negative

Experimental

An additional 23 participants will be enrolled at dose level 2 if determined to be safe in lead in phase to have a total of 28 evaluable participants for pathologic response assessment (including 6 pts from the lead in phase).

干预措施: Resection surgery (Procedure)

结局指标

主要结局

Lead in Phase: Immunogenicity of each dose level

时间窗: at 4 weeks

Immunogenicity: will be characterized by quantifying CD4TH1 response via ELISPot. ELISPot is an enzyme-linked immunospot assay. It is a highly sensitive immunoassay that measures the frequency of cytokine-secreting cells at the single-cell level.

Expansion Phase: Pathologic Complete Response Rate

时间窗: at 12 months

Pathologic complete response rate of participants treated in the Expansion Phase. Clinical efficacy will be defined by the pathologic complete response (pCR) rate, the percentage of patients who achieve pCR based on surgical pathology assessment. Pathologic Complete Response defined as no residual invasive disease in the breast and nodes (ypT0/is N0) at definitive surgery after completion of protocol therapy. The pathologic response to treatment will be assessed by the pathologist. The "Residual Cancer Burden" (RCB) for each patient as described in the online calculator also will be evaluated per the pathologist. (http://www3.mdanderson.org/app/medcalc/index.cfm?pagename=jsconvert3)

次要结局

  • Expansion Phase: Radiologic tumor response rate at completion of therapy(at 12 months)
  • Expansion Phase: Immunogenicity(at 12 months)
  • Expansion Phase: Radiologic tumor response rate after 6 weeks(at 6 weeks)
  • Recurrence Free Survival(up to 5 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

Loading locations...

相似试验