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
TERMINATED
PHASE2
8 participants
18 weeks
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
| 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
| 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
| 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 weeksTo 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
| 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 weeksTo 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
| 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 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
| 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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place