The purpose of this study is to evaluate the efficacy and safety of an adjuvant treatment of therapeutic cancer vaccine (AST-301, pNGVL3-hICD) in patients with HER2-low expression (IHC 1+ or 2+ and ISH-) and hormone receptor-negative(ER-, PR-) breast cancer with residual disease after neoadjuvant treatment. Patients will be randomized 1:1 to either the Experimental arm (combination of AST-301/rhuGM CSF and standard adjuvant therapy) or the Control arm (combination of placebo/rhuGM CSF and standard adjuvant therapy). Standard adjuvant chemotherapy will be pembrolizumab or capecitabine. Adjuvant therapy will be administered in compliance with the NCCN guideline for breast cancer (Version 8, 2021), and IP (AST-301) will be administered 3 times every 3 weeks in the adjuvant treatment period, with a booster administered at 24 weeks (±7 days) post the third dose of IP administration. Survival follow up will be performed to determine invasive Disease Free survival(iDFS).
Not provided
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
10
Q3W, 3 cycles, Plus a booster at 24 weeks post the third vaccination, Intradermal injection
Q3W, 3 cycles, Plus a booster at 24weeks post the third vaccination, Intradermal injection
Q3W, 3 cycles, Plus a booster at 24 weeks post the third vaccination, Intradermal injection
Q3W; IV infusion
On days 1-14 (Q3W), BID ; Oral administration,
Ironwood Cancer and Research Centers
Chandler, Arizona, United States
Scripps Health
La Jolla, California, United States
Moffitt Cancer Center
Tampa, Florida, United States
University of Illinois Cancer Center
Chicago, Illinois, United States
Nebraska Cancer Specialist
Omaha, Nebraska, United States
Gabrail Cancer Center Research
Canton, Ohio, United States
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, United States
Toledo Clinic Cancer Center
Toledo, Ohio, United States
Providence Cancer Institute
Portland, Oregon, United States
University of Washington
Seattle, Washington, United States
...and 7 more locations
2-year invasive disease free survival rate (iDFS)
iDFS event is defined as Ipsilateral breast tumor recurrence Local/regional invasive recurrence Distant recurrence Invasive contralateral breast cancer Death (from breast cancer/non-breast cancer cause/unknown cause) Secondary primary invasive cancer (non-breast)
Time frame: Overall study period approximately up to 4years (End of study in this study is defined as 2years frm the date of last Patient In.
AST-301 specific T cell immune responses
Immune response will be assessed by IFN-gamma enzyme-linked immune absorbent spot (ELISpot) assay
Time frame: Up to approximately 82 weeks
Change in central memory T cell populations
Assessment by FACS
Time frame: Up to approximately 82 weeks
Distant Recurrence-Free Survival rate, dRFS rate
dRFS rate at the end of study
Time frame: Overall study period approximately up to 4 years
Number of participants with treatment-related adverse events as assessed by CTCAE
To assess safety of AST-301 administered in breast cancer patients.
Time frame: Overall study period approximately up to 4years
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