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A Phase 1 open label trial of intravenous administration of TAEK-VAC-HerBy vaccine in patients with advanced brachyury and/or HER2- expressing cancer. The study will be completed in 2 stages. In Stage 1 patients will be enrolled and treated according to a 3+3 dose escalation scheme. Up to 4 dose levels will be explored to determine the recommended dose of TAEK-VAC-HerBy for Stage 2 of the trial. Stage 2 will enroll either chordoma patients for treatment with TAEK-VAC-HerBy alone, or HER2- positive breast cancer patients for combination treatment of TAEK-VAC-HerBy vaccine and therapeutic HER2 antibodies (trastuzumab). Patients in both stages will receive TAEK-VAC-HerBy intravenously, every three weeks, three administrations in total.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E7 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E7 Inf.U. |
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| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E8 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E8 Inf.U. |
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| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E9 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E9 Inf.U. |
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| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E10 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E10 Inf.U. |
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| Stage 2: Chordoma Cancer Cohort | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level defined in stage 1. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAEK-VAC-HerBy | Biological | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose defined in stage 1. During stage 2, it may also be administered concurrently with a HER2 antibody(ies) (trastuzumab, pertuzumab). |
| Measure | Description | Time Frame |
|---|---|---|
| Patients with Dose Limiting Toxicity (DLT) | Frequency of patients with DLTs | DLT evaluation period is 30 days after the last vaccine dose |
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Inclusion Criteria:
General inclusion criteria, apply to all cohorts:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary (Nora) L Disis, MD | University of Washington Medicine Seattle | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic - Phoenix | Scottsdale | Arizona | 85054 | United States | ||
| Providence Saint John's Health Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34266694 | Derived | Wedekind MF, Widemann BC, Cote G. Chordoma: Current status, problems, and future directions. Curr Probl Cancer. 2021 Aug;45(4):100771. doi: 10.1016/j.currproblcancer.2021.100771. Epub 2021 Jul 1. |
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| ID | Term |
|---|---|
| D002817 | Chordoma |
| ID | Term |
|---|---|
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| Stage 2: HER2-positive Breast Cancer Cohort (Trastuzumab + TAEK-VAC-HerBy) | Experimental | TAEK-VAC-HerBy will be administered intravenously to patients who are on stable dose of trastuzumab, every three weeks with three administrations in total at the dose defined in stage 1. |
|
| Santa Monica |
| California |
| 90404 |
| United States |
| Mayo Clinic - Jacksonville | Jacksonville | Florida | 32224 | United States |
| H. Lee Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
| Georgia Cancer Center Augusta University | Augusta | Georgia | 30912 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Mayo Clinic - Rochester | Rochester | Minnesota | 55905 | United States |
| Providence Cancer Institute | Portland | Oregon | 97213 | United States |
| University of Washington | Seattle | Washington | 98109 | United States |