Clinical Trials /

QUILT-3.013: Study of Ad5 [E1-, E2b-]-HER2/Neu Vaccine (ETBX-021) in Subjects With Unresectable Locally Advanced or Metastatic HER2-Expressing Breast Cancer



The purpose of this study is to determine whether ETBX-021 is safe and effective in the treatment of unresectable locally advanced or metastatic HER2-low-expressing breast cancer.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Unknown status


Phase 1

Trial Eligibility



  • Brief Title: QUILT-3.013: Study of Ad5 [E1-, E2b-]-HER2/Neu Vaccine (ETBX-021) in Subjects With Unresectable Locally Advanced or Metastatic HER2-Expressing Breast Cancer
  • Official Title: Phase I Study of Ad5 [E1-, E2b-]-HER2/Neu Vaccine (ETBX-021) in Subjects With Unresectable Locally Advanced or Metastatic HER2-Low-Expressing (IHC 1+/2+) Breast Cancer

Clinical Trial IDs

  • NCT ID: NCT02751528


  • Cancer


ETBX-021Ad5 [E1-, E2b-]-HER2/neu Vaccine, Suspension for InjectionETBX-021


The purpose of this study is to determine whether ETBX-021 is safe and effective in the treatment of unresectable locally advanced or metastatic HER2-low-expressing breast cancer.

Detailed Description

      This is a Phase I trial in subjects with unresectable locally advanced or metastatic HER2-low
      expressing (IHC 1+ or 2+) breast cancer. The study will be conducted in two parts: the first
      part will involve dose escalation using a 3 + 3 design, and the second part will involve the
      expansion of the MTD or HTD to further evaluate safety, preliminary efficacy, and
      immunogenicity. In the first part, 3 to 6 subjects will be sequentially enrolled starting at
      dose cohort 1. Subjects will be assessed for dose-limiting toxicities (DLTs).

Trial Arms

ETBX-021ExperimentalAd5 [E1-, E2b-]-HER2/neu Vaccine, Suspension for Injection
  • ETBX-021

Eligibility Criteria

        Inclusion Criteria:

          1. Age ≥ 18 years.

          2. Male or female.

          3. Ability to understand and provide signed informed consent that fulfills Institutional
             Review Board (IRB)'s guidelines.

          4. Histologically confirmed unresectable locally advanced or metastatic breast cancer
             that expresses HER2 (IHC 1+ or 2+), derived from the most recent metastatic biopsy
             sample available.

          5. Tumor tissue (block or slides) and whole blood sample available for analysis. Archival
             tissue is permitted.

          6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

          7. Concurrent hormone therapy is permitted.

          8. Subjects who have received prior HER2-targeted immunotherapy (vaccine) are eligible
             for this trial if this treatment was discontinued at least 3 months prior to

          9. Resolution of all toxic side effects of prior chemotherapy, radiotherapy, or surgical
             procedures to NCI CTCAE Grade ≤ 1.

         10. Subjects who are taking medications that do not have a known history of
             immunosuppression are eligible for this trial.

         11. Adequate hematologic function at screening, as follows:

               -  White blood count ≥ 3000/microliter.

               -  Hemoglobin ≥ 9 g/dL (may not transfuse or use erythropoietin to achieve this

               -  Platelets ≥ 75,000/microliter.

               -  Prothrombin (PT)-international normalized ratio (INR) < 1.5.

               -  Partial thromboplastin time (PTT) < 1.5 x upper limit of normal (ULN).

         12. Adequate renal and hepatic function at screening, as follows:

               -  Serum creatinine < 2.0 mg/dL.

               -  Bilirubin < 1.5 mg/dL (except for Gilbert's syndrome which will allow bilirubin ≤
                  2.0 mg/dL).

               -  Alanine aminotransferase (ALT) ≤ 2.5 x ULN.

               -  Aspartate aminotransferase (AST) ≤ 2.5 x ULN.

         13. Multigated acquisition (MUGA) scan or echocardiogram with LVEF ≥ institutional LLN.
             Same imaging modality is to be used throughout the study.

         14. Female subjects of childbearing potential and women < 12 months since the onset of
             menopause must agree to use acceptable contraceptive methods for the duration of the
             study and for 7 months following the last injection of study medication. If employing
             contraception, two of the following precautions must be used: vasectomy of partner,
             tubal ligation, vaginal diaphragm, intrauterine device, condom and spermicidal
             (gel/foam/cream/vaginal suppository), or total abstinence. Male subjects must be
             surgically sterile or must agree to use a condom and acceptable contraceptive method
             with their partner. Female subjects who are post-menopausal are defined as those with
             an absence of menses for > 12 consecutive months.

         15. Ability to attend required study visits and return for adequate follow up, as required
             by this protocol.

        Exclusion Criteria:

          1. Subjects with HER2 IHC 3+ tumors, or IHC 2+ with an in situ hybridization (ISH) test
             result considered positive of HER2 amplification by ASCO-CAP HER2 test guidelines.

          2. Subjects with ongoing HER2-directed therapy, including trastuzumab, pertuzumab, T-DM1,
             and lapatinib.

          3. Participation in an investigational drug or device study within 30 days of screening
             for this study.

          4. Pregnant and nursing women.

          5. Subjects with ongoing palbociclib, everolimus, or other breast cancer therapy that
             interferes with the induction of immune responses.

          6. Subjects with concurrent cytotoxic chemotherapy or radiation therapy. There must be at
             least 1 month between any other prior chemotherapy (or radiotherapy) and study
             treatment. Any prior HER2-targeted immunotherapy (vaccine) must have been discontinued
             at least 3 months before initiation of study treatment. Subjects must have recovered
             from all acute toxicities from prior treatment prior to screening for this study.

          7. Active brain or central nervous system metastasis, seizures requiring anticonvulsant
             treatment, cerebrovascular accident (< 6 months), or transient ischemic attack.

          8. Subjects with a history of autoimmune disease (active or past), such as but not
             restricted to inflammatory bowel disease, systemic lupus erythematosus, ankylosing
             spondylitis, scleroderma, or multiple sclerosis. Autoimmune-related thyroid disease
             and vitiligo are permitted.

          9. Subjects with serious intercurrent chronic or acute illness, such as cardiac or
             pulmonary disease, hepatic disease, or other illness considered by the Investigator as
             high risk for investigational drug treatment.

         10. Subjects with a history of heart disease, such as congestive heart failure (class II,
             III, or IV defined by the New York Heart Association functional classification),
             history of unstable or poorly controlled angina, or history (< 1 year) of ventricular

         11. Subjects with a medical or psychological impediment that would impair the ability of
             the subject to receive therapy per protocol or impact ability to comply with the
             protocol or protocol-required visits and procedures.

         12. History of malignancy except for the following: adequately treated non-melanoma skin
             cancer, cervical carcinoma in situ, superficial bladder cancer, or other carcinoma
             that has been in complete remission without treatment for more than 5 years.

         13. Presence of a known active acute or chronic infection, including human
             immunodeficiency virus (HIV, as determined by enzyme-linked immunosorbent assay
             [ELISA] and confirmed by western blot) and hepatitis B and hepatitis C virus (HBV/HCV,
             as determined by HBsAg and hepatitis C serology).

         14. Subjects on systemic intravenous or oral steroid therapy (or other immunosuppressives,
             such as azathioprine or cyclosporin A) are excluded on the basis of potential immune
             suppression. Subjects must have had at least 6 weeks of discontinuation of any steroid
             therapy (except that used as premedication for chemotherapy or contrast-enhanced
             studies) prior to enrollment.

         15. Subjects with known allergy or hypersensitivity to any component of the
             investigational product will be excluded.

         16. Subjects with acute or chronic skin disorders that will interfere with injection into
             the skin of the extremities or subsequent assessment of potential skin reactions will
             be excluded.

         17. Subjects vaccinated with a live (attenuated) vaccine (e.g., FluMist®) or a killed
             (inactivated)/subunit vaccine (e.g., PNEUMOVAX®, Fluzone®) within 28 days or 14 days,
             respectively, of the first planned dose of ETBX-021.
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Determination of maximum tolerated dose (MTD) or highest tested dose (HTD).
Time Frame:2 years
Safety Issue:
Description:Clinically significant changes in: safety laboratory tests physical examinations electrocardiograms (ECGs) left ventricular ejection fraction (LVEF) vital signs

Secondary Outcome Measures

Measure:Objective response rate (ORR) according to the Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
Time Frame:2 year
Safety Issue:
Description:ORR is defined as the proportion of patients with a confirmed complete or partial response.
Measure:Disease control rate (DCR).
Time Frame:up to 2 years
Safety Issue:
Description:DCR is defined as the proportion of patients with confirmed response or stable disease (SD) lasting for at least 6 months.
Measure:Duration of response.
Time Frame:2 years
Safety Issue:
Measure:Progression free survival (PFS).
Time Frame:2 years
Safety Issue:
Measure:Overall survival (OS).
Time Frame:2 years
Safety Issue:


Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Unknown status
Lead Sponsor:NantBioScience, Inc.

Trial Keywords

  • Breast Cancer
  • Breast Cancer male
  • Breast Neoplasms
  • Breast Neoplasms male
  • Vaccine
  • HER2
  • Metastatic
  • Locally Advanced
  • Unresectable
  • Solid Tumor
  • Phase 1
  • Cancer Vaccine

Last Updated

August 28, 2019