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A Study in Hormone Receptor-positive Metastatic Breast Carcinoma Patients to Test a New Schedule of Efti (IMP321, Eftilagimod Alpha) as Adjunctive to a Weekly Treatment Regimen of Paclitaxel

Phase 1
Withdrawn
Conditions
Metastatic Breast Cancer
Interventions
Registration Number
NCT04252768
Lead Sponsor
Immutep S.A.S.
Brief Summary

This is a multicentre, multinational Phase Ib study in female HR+ MBC patients not receiving Her2-targeted therapy. Treatment consists of a chemo-immunotherapy phase followed by a maintenance phase. The chemo-immunotherapy phase consists of 6 cycles of 4 weeks each. During each cycle the subject will receive 80 mg/m2 paclitaxel intravenously on Day 1, 8 and 15 and 30 mg efti subcutaneously on Day 1 and 15 in a 28-day (4-week) cycle. Efti will always be given after paclitaxel. The maintenance phase comprises 6 visits with 4 weekly intervals; during each such visit 30 mg efti is given subcutaneously as monotherapy. A total of 24 subjects will be enrolled into the study. The primary goal of the study is safety and tolerability profile of efti in combination with weekly paclitaxel both given the same day in contrast to subsequent days as in the AIPAC trial.

Detailed Description

This is a multicentre, multinational Phase Ib study in female HR+ MBC patients not receiving Her2-targeted therapy. Treatment consists of a chemo-immunotherapy phase followed by a maintenance phase. The chemo-immunotherapy phase consists of 6 cycles of 4 weeks each. During each cycle the subject will receive 80 mg/m2 paclitaxel intravenously on Day 1, 8 and 15 and 30 mg efti subcutaneously on Day 1 and 15 in a 28-day (4-week) cycle. Efti will always be given after paclitaxel. The maintenance phase comprises 6 visits with 4 weekly intervals; during each such visit 30 mg efti is given subcutaneously as monotherapy. A total of 24 subjects will be enrolled into the study. The primary goal of the study is safety and tolerability profile of efti in combination with weekly paclitaxel both given the same day in contrast to subsequent days as in the AIPAC trial.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Eftilagimod alpha + PaclitaxelEftilagimod AlphaThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks each. During each cycle the subject will receive 80 mg/m2 paclitaxel intravenously on Day 1, 8 and 15 and 30 mg efti subcutaneously on Day 1 and 15 in a 28-day (4-week) cycle. Efti will always be given after paclitaxel. The maintenance phase comprises 6 visits with 4 weekly intervals; during each such visit 30 mg efti is given subcutaneosuly as monotherapy.
Eftilagimod alpha + PaclitaxelPaclitaxelThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks each. During each cycle the subject will receive 80 mg/m2 paclitaxel intravenously on Day 1, 8 and 15 and 30 mg efti subcutaneously on Day 1 and 15 in a 28-day (4-week) cycle. Efti will always be given after paclitaxel. The maintenance phase comprises 6 visits with 4 weekly intervals; during each such visit 30 mg efti is given subcutaneosuly as monotherapy.
Primary Outcome Measures
NameTimeMethod
Safety and tolerability profile of efti in combination with weekly paclitaxel both given the same dayup to 12 month

Severity, frequency and duration of adverse events

Secondary Outcome Measures
NameTimeMethod
Peripheral IFN-gamma concentration in the bloodup to 12 month

Changes IFN-gamma concentration in course of treatment with efti

Peripheral IP-10 concentration in the bloodup to 12 month

Changes IP-10 concentration in course of treatment with efti

AUC of efti given on the same day as paclitaxelup to 12 month

AUC after 1st injection of efti

Cmax of efti given on the same day as paclitaxelup to 12 month

Cmax after 1st injection of efti

Overall response rate of efti in combination with weekly paclitaxel both given the same dayup to 12 month

Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 criteria

Tmax of efti given on the same day as paclitaxelup to 12 month

Tmax after 1st injection of efti

Median overall survival of efti in combination with weekly paclitaxel both given the same dayup to 20 month

The median time frame with overall survival with the use of efti in combination with Paclitaxel

To characterise immunogenic properties of efti in combination with weekly paclitaxel both given the same dayup to 12 month

Screen for possible ADA

Median progression free survival of efti in combination with weekly paclitaxel both given the same dayup to 20 month

The median progression free survival with the use of efti in combination with Paclitaxel

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