Trial Outcomes & Findings for Trastuzumab, Cyclophosphamide, and Vaccine Therapy in Treating Patients With High-Risk or Metastatic Breast Cancer (NCT NCT00847171)

NCT ID: NCT00847171

Last Updated: 2018-09-26

Results Overview

Safety as assessed by number of participants who experienced drug-related local and systemic toxicity, as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v3.0) in response to CY-modulated immunization with a novel breast cancer vaccine in the setting of weekly Trastuzumab therapy.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

4 years

Results posted on

2018-09-26

Participant Flow

Participant milestones

Participant milestones
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
Patients receive Trastuzumab (T), Cyclophosphamide (CY), and an allogeneic GM-CSF-secreting whole cell breast cancer vaccine
Overall Study
STARTED
20
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Trastuzumab, Cyclophosphamide, and Vaccine Therapy in Treating Patients With High-Risk or Metastatic Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
n=20 Participants
Patients receive Trastuzumab (T), Cyclophosphamide (CY), and an allogeneic GM-CSF-secreting whole cell breast cancer vaccine
Age, Continuous
47 years
n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 years

Safety as assessed by number of participants who experienced drug-related local and systemic toxicity, as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v3.0) in response to CY-modulated immunization with a novel breast cancer vaccine in the setting of weekly Trastuzumab therapy.

Outcome measures

Outcome measures
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
n=20 Participants
All patients receive weekly Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
Safety as Assessed by Number of Participants Experiencing Toxicity
Patients with drug-related toxicity
20 Participants
Safety as Assessed by Number of Participants Experiencing Toxicity
Patients with grade 3+ drug-related toxicity
0 Participants
Safety as Assessed by Number of Participants Experiencing Toxicity
Patients with serious drug-related toxicity
0 Participants

PRIMARY outcome

Timeframe: 4 years

Outcome measures

Outcome measures
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
n=20 Participants
All patients receive weekly Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
Number of Participants With Immunologic Response as Determined by Delayed-type Hypersensitivity (DTH) Response to HER2/Neu-derived Peptides
DTH-positive at baseline
12 Participants
Number of Participants With Immunologic Response as Determined by Delayed-type Hypersensitivity (DTH) Response to HER2/Neu-derived Peptides
Increased DTH from baseline
11 Participants
Number of Participants With Immunologic Response as Determined by Delayed-type Hypersensitivity (DTH) Response to HER2/Neu-derived Peptides
Converted from DTH-negative to DTH-positive
5 Participants

SECONDARY outcome

Timeframe: 4 years

Population: Only 13/20 participants had early stage disease, and 7/20 participants had a history of metastatic disease at the start of the study. All participants were assigned to the same treatment group.

Number of participants without evidence of disease progression.

Outcome measures

Outcome measures
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
n=20 Participants
All patients receive weekly Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
Clinical Benefit as Assessed by Number of Participants With Progression-free Survival
Patients with early stage disease
12 Participants
Clinical Benefit as Assessed by Number of Participants With Progression-free Survival
Patients with metastatic disease
6 Participants

Adverse Events

Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Trastuzumab, Cyclophosphamide, and a Breast Tumor Vaccine
n=20 participants at risk
Patients receive Trastuzumab (T), Cyclophosphamide (CY), and an allogeneic GM-CSF-secreting whole cell breast cancer vaccine
Skin and subcutaneous tissue disorders
Erythema/swelling of vaccine sites
100.0%
20/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Pain/soreness/tenderness of vaccine sites
100.0%
20/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Pruritus of vaccine sites
100.0%
20/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Blister at vaccine site
80.0%
16/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Dry skin at vaccine site
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Ecchymosis at vaccine site
30.0%
6/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Eczema at vaccine site
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Edema at vaccine site
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Hives at vaccine site
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Hyperpigmentation at vaccine site
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Rash at vaccine site
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Warmth at vaccine site
70.0%
14/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Gastrointestinal disorders
Anorexia
25.0%
5/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Arthralgia
45.0%
9/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Blisters
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Chills
50.0%
10/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Gastrointestinal disorders
Constipation
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Gastrointestinal disorders
Cramps
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Nervous system disorders
Dizziness
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Eczema
15.0%
3/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Erythema
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Fatigue
50.0%
10/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Fever
35.0%
7/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Flu-like symptoms
15.0%
3/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Nervous system disorders
Headache
40.0%
8/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Psychiatric disorders
Insomnia
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Blood and lymphatic system disorders
Lymphadenopathy
20.0%
4/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Malaise
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Musculoskeletal and connective tissue disorders
Myalgia
40.0%
8/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Gastrointestinal disorders
Nausea
20.0%
4/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Musculoskeletal and connective tissue disorders
Pain, bone
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Rash
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
General disorders
Sweats
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Skin and subcutaneous tissue disorders
Urticaria
10.0%
2/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.
Gastrointestinal disorders
Vomiting
5.0%
1/20 • Adverse events were collected at weekly time points after each vaccine administration for the duration of the study, an average of 7 months.

Additional Information

Dr. Leisha Emens

Johns Hopkins University

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place