Safety and Efficacy of SGN-LIV1A Plus Pembrolizumab for Patients With Locally-Advanced or Metastatic Triple-Negative Breast Cancer

NCT ID: NCT03310957

Last Updated: 2024-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

186 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-27

Study Completion Date

2024-09-30

Brief Summary

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This trial studies ladiratuzumab vedotin (LV) with pembrolizumab in patients with triple-negative breast cancer. It will find out what side effects happen when participants get these two drugs. A side effect is anything the drugs do besides treating cancer. Pembrolizumab is a drug that can be used to treat triple-negative breast cancer. The trial will also find out if these drugs work to treat this type of cancer. Participants in this study have metastatic breast cancer. This means the cancer has spread to other parts of the body.

Detailed Description

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The primary goal of this study is to evaluate the combination of LV, which targets LIV-1- expressing tumor cells, with the checkpoint inhibitor pembrolizumab for patients with unresectable locally-advanced or metastatic triple-negative breast cancer. These two drugs act through distinct and possibly complementary modes of action.

This is a single-arm, open-label, multicenter trial. Patients given LV and pembrolizumab during dose escalation will be monitored for frequency of dose-limiting toxicities to determine a recommended doses for expansion cohorts. In addition to safety measures, objective response rate, progression-free survival, overall survival, and other efficacy outcomes will be assessed.

Conditions

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Triple Negative Breast Neoplasms

Keywords

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Breast cancer Breast carcinoma Triple negative breast cancer Locally-advanced breast cancer Metastatic breast cancer Tumors, breast Breast tumors pembrolizumab LIV-1 protein, human Ladiratuzumab vedotin hLIV22-vcMMAE Seattle Genetics

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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LV + pembrolizumab

LV + pembrolizumab

Group Type EXPERIMENTAL

ladiratuzumab vedotin

Intervention Type DRUG

Given into the vein (IV; intravenously)

Pembrolizumab

Intervention Type DRUG

IV infusion every 3 weeks

Interventions

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ladiratuzumab vedotin

Given into the vein (IV; intravenously)

Intervention Type DRUG

Pembrolizumab

IV infusion every 3 weeks

Intervention Type DRUG

Other Intervention Names

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LV SGN-LIV1A KEYTRUDA®

Eligibility Criteria

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Inclusion Criteria

* Metastatic or locally-advanced, histologically documented TNBC (absence of HER2, ER, and PR expression)

* Part D only: Tumor tissue PD-L1 Combined Positive Score \<10 expression.
* Have not previously received cytotoxic therapy for the treatment of unresectable locally-advanced breast cancer or metastatic breast cancer
* At least 6 months since prior treatment with curative intent and recurrence
* At least 1 tumor 10mm in diameter or greater OR lymph node of at least 15 mm in short axis
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Able to provide biopsy tissue for biomarker analysis
* Meet baseline laboratory data criteria

Exclusion Criteria

* Prior immune-oncology therapy
* Pre-existing neuropathy of at least Grade 2
* History of carcinomatous meningitis or active central nervous system (CNS) metastases. Patients are eligible if CNS metastases are adequately treated and patients have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 4 weeks prior to enrollment. Patients must be off corticosteroids.
* Received prior radiotherapy within 2 weeks of start of study treatment or have not adequately recovered from prior radiotherapy
* Active autoimmune disease requiring systemic treatment within the past 2 years
* History of interstitial lung disease
* Current pneumonitis or history of pneumonitis requiring steroids
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Seagen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zejing Wang, MD, PhD

Role: STUDY_DIRECTOR

Seagen Inc.

Kristel Apolinario, PharmD

Role: STUDY_DIRECTOR

Seagen Inc.

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Cedars Sinai Medical Center / Samuel Oschin Comprehensive Cancer Institute

Los Angeles, California, United States

Site Status

Chao Family Comprehensive Cancer Center University of California Irvine

Orange, California, United States

Site Status

University of California Irvine - Newport

Orange, California, United States

Site Status

Rocky Mountain Cancer Centers - Aurora

Aurora, Colorado, United States

Site Status

The Whittingham Cancer Center / Norwalk Hospital

Norwalk, Connecticut, United States

Site Status

Helen F. Graham Cancer Center / Christiana Care Health Systems

Newark, Delaware, United States

Site Status

Miami Cancer Institute at Baptist Health, Inc.

Miami, Florida, United States

Site Status

AdventHealth Cancer Institute

Orlando, Florida, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Piedmont Cancer Institute

Atlanta, Georgia, United States

Site Status

Winship Cancer Institute / Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

Ingalls Cancer Care / Ingalls Memorial Hospital

Harvey, Illinois, United States

Site Status

Cardinal Bernardin Cancer Center / Loyola University Medical Center

Maywood, Illinois, United States

Site Status

University of Maryland

Baltimore, Maryland, United States

Site Status

Allina Health Cancer Institute

Minneapolis, Minnesota, United States

Site Status

Saint Luke's Cancer Institute LLC

Kansas City, Missouri, United States

Site Status

Summit Medical Group

Florham Park, New Jersey, United States

Site Status

New Mexico Cancer Center

Albuquerque, New Mexico, United States

Site Status

Weill Cornell Medicine

New York, New York, United States

Site Status

University of Pittsburgh Medical Center (UPMC)/Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status

Texas Oncology - DFW

Dallas, Texas, United States

Site Status

Texas Oncology - Houston Memorial City

Houston, Texas, United States

Site Status

Texas Oncology - San Antonio Medical Center Northeast

San Antonio, Texas, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Fred Hutchinson Cancer Center / Seattle Cancer Care Alliance / University of Washington

Seattle, Washington, United States

Site Status

Gynakologisches Zentrum Bonn Friedensplatz

Bonn, Other, Germany

Site Status

Marien Hospital Bottrop

Bottrop, Other, Germany

Site Status

Stadtisches Klinikum Dessau

Dessau, Other, Germany

Site Status

Universitatsklinikum Erlangen

Erlangen, Other, Germany

Site Status

Kliniken Essen-Mitte - Evang. Huyssens-Stiftung

Essen, Other, Germany

Site Status

Rotkreuzklinikum Munich

Munich, Other, Germany

Site Status

Klinikum der Universitat Munchen

München, Other, Germany

Site Status

Klinikum Rechts der Isar der Technischen Universitaet Muenchen

München, Other, Germany

Site Status

Pusan National University Hospital

Busan, Other, South Korea

Site Status

CHA Bundang Medical Center

Seongnam, Other, South Korea

Site Status

Korea Cancer Center Hospital

Seoul, Other, South Korea

Site Status

Seoul National University Hospital

Seoul, Other, South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, Other, South Korea

Site Status

Samsung Medical Center

Seoul, Other, South Korea

Site Status

Complejo Hospitalario Universitario La Coruna

A Coruña, Other, Spain

Site Status

Hospital del Mar

Barcelona, Other, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, Other, Spain

Site Status

Complejo Hospitalario de Jaen

Jaén, Other, Spain

Site Status

L'Institut Catala d'Oncologia

L'Hospitalet de Llobregat, Other, Spain

Site Status

MD Anderson Cancer Center - Madrid

Madrid, Other, Spain

Site Status

Hospital Ruber Internacional

Madrid, Other, Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, Other, Spain

Site Status

HM Centro Integral Oncologico Clara Campal

Madrid, Other, Spain

Site Status

Hospital Universitario Quironsalud Madrid

Pozuelo de Alarcón, Other, Spain

Site Status

Countries

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United States Germany South Korea Spain

Other Identifiers

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KEYNOTE 721

Identifier Type: OTHER

Identifier Source: secondary_id

2017-002289-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MK-3475-721

Identifier Type: OTHER

Identifier Source: secondary_id

SGNLVA-002

Identifier Type: -

Identifier Source: org_study_id