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Study of GX-I7 in Combination With Pembrolizumab in Refractory or Relapsed (R/R) TNBC Subjects(GX-I7-CA-006/KEYNOTE-899)

Phase 1
Completed
Conditions
Triple Negative Breast Cancer
Interventions
Drug: Pembrolizumab(KEYTRUDA®)
Registration Number
NCT03752723
Lead Sponsor
Genexine, Inc.
Brief Summary

To evaluate the safety and tolerability of escalating doses GX-I7 in combination with standard dose pembrolizumab, and to evaluate objective response rate (ORR) in subjects with refractory or relapsed TNBC

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
84
Inclusion Criteria
  1. Triple negative must be defined as guidelines of American Society of Clinical Oncology(ASCO)/ College of American Pathologist(CAP): Estrogen Receptor (ER) < 1% positive tumor nuclei, Progesterone Receptor (PR) < 1% positive tumor nuclei, and negative for HER2 by IHC 1+, 0 or negativity status confirmed by in situ hybridization (ISH).
  2. Subject must have received anthracycline and taxane based chemotherapy for TNBC
  3. Has measurable disease as defined by RECIST 1.1 as assessed by the the local site Investigator/radiology.
  4. Female subjects, age ≥ 19 years at the time of consent.

Key

Exclusion Criteria
  1. Known severe hypersensitivity (≥ Grade 3) to pembrolizumab, pembrolizumab formulation excipients or GX-I7 formulation excipients or cyclophosphamide formulation.
  2. Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another co-inhibitory T-cell receptor (ie, CTLA-4, OX-40, CD137) or has previously participated in a Merck pembrolizumab (MK-3475) clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
combination with CPA, GX-I7, and pembrolizumabPembrolizumab(KEYTRUDA®)Experimental: combination Assigned interventions: CPA, GX-I7 and pembrolizumab
combination with CPA, GX-I7, and pembrolizumabGX-I7Experimental: combination Assigned interventions: CPA, GX-I7 and pembrolizumab
combination with GX-I7, and pembrolizumabPembrolizumab(KEYTRUDA®)Experimental: combination Assigned interventions: GX-I7 and pembrolizumab (without CPA)
combination with CPA, GX-I7, and pembrolizumabCyclophosphamideExperimental: combination Assigned interventions: CPA, GX-I7 and pembrolizumab
combination with GX-I7, and pembrolizumabGX-I7Experimental: combination Assigned interventions: GX-I7 and pembrolizumab (without CPA)
Primary Outcome Measures
NameTimeMethod
Incidence and nature of DLTsduring the first 5 weeks

To evaluate the safety and tolerability of GX-I7 in combination with standard dose pembrolizumab

Incidence, nature and severity of adverse eventsup to 24month

graded according to NCI CTCAE v5.0

Objective response rate (ORR)up to 24month

defined as percentage of subjects with a complete response (CR) or partial response (PR) per RECIST v.1.1

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (12)

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

Ewha Womans University Mokdong Hospital

🇰🇷

Seoul, Korea, Republic of

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

National Cancer Center

🇰🇷

Goyang-si, Korea, Republic of

Ajou Medical Center

🇰🇷

Suwon-si, Gyeonggi-do, Korea, Republic of

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul ST.Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

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