Trial Outcomes & Findings for Docetaxel Chemotherapy and Pembrolizumab Plus Interleukin-12 Gene Therapy in Triple Negative Breast Cancer (NCT NCT04095689)

NCT ID: NCT04095689

Last Updated: 2026-01-23

Results Overview

To determine the pCR rate of docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy in patients with TNBC per RECIST v1.1 assessed by CT Scan or MRI. CR: Disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter of target lesions, using the baseline sum longest diameter as a reference. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, using the smallest sum longest diameter as a reference. PD: At least a greater than or equal to 20% increase in the sum of the longest dimensions of the target lesions taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of one or more new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Clinical PD: Patients who in the opinion of the treating PI have clinical evidence of PD may be classified as having PD

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

18 weeks

Results posted on

2026-01-23

Participant Flow

The first patient was consented on 5/12/2021 and the last patient was consented on 5/16/2023. The final patient was off study on 5/3/2024.

Participant milestones

Participant milestones
Measure
Experimental
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Overall Study
STARTED
8
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Overall Study
Adverse Event
3
Overall Study
Lack of Efficacy
1
Overall Study
Death
1

Baseline Characteristics

Docetaxel Chemotherapy and Pembrolizumab Plus Interleukin-12 Gene Therapy in Triple Negative Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental
n=8 Participants
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Age, Categorical
<=18 years
0 Participants
n=270 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=270 Participants
Age, Categorical
>=65 years
1 Participants
n=270 Participants
Age, Continuous
56 years
n=270 Participants
Sex: Female, Male
Female
8 Participants
n=270 Participants
Sex: Female, Male
Male
0 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=270 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=270 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=270 Participants
Race (NIH/OMB)
Asian
2 Participants
n=270 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=270 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=270 Participants
Race (NIH/OMB)
White
4 Participants
n=270 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=270 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=270 Participants
Region of Enrollment
United States
8 participants
n=270 Participants

PRIMARY outcome

Timeframe: 18 weeks

To determine the pCR rate of docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy in patients with TNBC per RECIST v1.1 assessed by CT Scan or MRI. CR: Disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter of target lesions, using the baseline sum longest diameter as a reference. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, using the smallest sum longest diameter as a reference. PD: At least a greater than or equal to 20% increase in the sum of the longest dimensions of the target lesions taking as a reference the smallest sum of the longest dimensions recorded since the treatment started, or the appearance of one or more new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Clinical PD: Patients who in the opinion of the treating PI have clinical evidence of PD may be classified as having PD

Outcome measures

Outcome measures
Measure
Experimental
n=8 Participants
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Pathological Complete Response (pCR) Rate of Docetaxel Chemotherapy and Pembrolizumab Plus IL-12 Gene Therapy
1 Participants

SECONDARY outcome

Timeframe: 18 weeks

To determine the number of participants with treatment-related adverse events, as assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events v5.0

Outcome measures

Outcome measures
Measure
Experimental
n=8 Participants
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Number of Participants With Treatment-related Adverse Events
8 Participants

Adverse Events

Experimental

Serious events: 6 serious events
Other events: 8 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Experimental
n=8 participants at risk
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Blood and lymphatic system disorders
Ferbile Neutropenia
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Hepatobiliary disorders
Hepatic Biliary disorders, other (Hepatic Toxicity)
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Infections and infestations
Sepsis
25.0%
2/8 • Number of events 2 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
General disorders
Fatigue
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Investigations
Aspartate aminotransferase increased (Transaminitis)
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Respiratory, thoracic and mediastinal disorders
Dyspnea
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Vascular disorders
Thromboembolism
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Vascular disorders
Right Breast Hematoma
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)

Other adverse events

Other adverse events
Measure
Experimental
n=8 participants at risk
docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy. Docetaxel: Microtubule-targeting drug (inhibits microtubule depolymerization) Pembrolizumab: Programmed cell death-1 (PD-1) inhibitor IL-12 gene therapy: Adenoviral-mediated IL-12
Gastrointestinal disorders
Gastroesophageal reflux disease
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Investigations
Alanine aminotransferase increased
25.0%
2/8 • Number of events 2 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Investigations
Aspartate aminotransferase increased
25.0%
2/8 • Number of events 2 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Nervous system disorders
Headache
25.0%
2/8 • Number of events 2 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Musculoskeletal and connective tissue disorders
Bone Pain
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
General disorders
Chills
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Gastrointestinal disorders
Constipation
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Gastrointestinal disorders
Diarrhea
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
2/8 • Number of events 2 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
General disorders
Edema Limbs
25.0%
2/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
General disorders
Fatigue
62.5%
5/8 • Number of events 5 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
General disorders
Fever
62.5%
5/8 • Number of events 5 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Skin and subcutaneous tissue disorders
Nail Discoloration
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Metabolism and nutrition disorders
Hyponatremia
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Vascular disorders
Hypotension
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Infections and infestations
Breast Infection (Left)
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Nervous system disorders
Dysgeusia
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Gastrointestinal disorders
Mucositis oral
37.5%
3/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Gastrointestinal disorders
Nausea
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Nervous system disorders
Peripheral Sensory Neuropathy
37.5%
3/8 • Number of events 6 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Nervous system disorders
Ocular Migraine
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Blood and lymphatic system disorders
Pancytopenia
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Musculoskeletal and connective tissue disorders
Right Axillary Pain
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Skin and subcutaneous tissue disorders
Right Leg Discoloration
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Skin and subcutaneous tissue disorders
Dry Skin
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Infections and infestations
Skin Infection
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Cardiac disorders
Tachycardia
25.0%
2/8 • Number of events 3 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Infections and infestations
Upper Respiratory Infection
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Infections and infestations
Urinary tract infection
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)
Gastrointestinal disorders
Vomiting
12.5%
1/8 • Number of events 1 • At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1)

Additional Information

Polly Niravath, M.D.

Houston Methodist Neal Cancer Center

Phone: (713) 441-9948

Results disclosure agreements

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